Mass casualty incident management, triage, injury distribution of casualties and rate of arrival of casualties at the hospitals: lessons from a suicide bomber attack in downtown Tel Aviv

Raiter, Yaron; Farfel, Alon; Lehavi, Ofer; Goren, Odeda Benin; Shamiss, Ari; Priel, Zvi; Koren, Ilan; Davidson, Bruce J.; Schwartz, Deena; Goldberg, Avishay; Bar‐Dayan, Yaron

doi:10.1136/emj.2007.052399

Cited by 47 publications

(43 citation statements)

References 11 publications

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“…43,63 The median and upper quartile RBC use per severe casualty was 5.9 U and 6.5 U, respectively (IQR, 4.0Y8.2 U). There seems to be a better association between RBC use and number of severely injured casualties than seen with other casualty profiles; however, this did not reach statistical significance (r 2 = 0.2, p = 0.23).…”

Section: Resultsmentioning

confidence: 99%

A comprehensive review of blood product use in civilian mass casualty events

Glasgow

Davenport²,

Perkins³

et al. 2013

Journal of Trauma and Acute Care Surgery

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Section: Resultsmentioning

confidence: 99%

A comprehensive review of blood product use in civilian mass casualty events

Glasgow

Davenport²,

Perkins³

et al. 2013

Journal of Trauma and Acute Care Surgery

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“…Such a structure demands efficient information sharing in real time. Hospital notification was delayed (31 minutes) compared with MCI that have occurred in Israel in the past 3 years, when it took between one and 11 minutes from the explosion to alert the hospitals 6 8 9 13 14. Better coordination between participating operational centres could ensure better results.…”

Section: Discussionmentioning

confidence: 99%

A single, improvised "Kassam" rocket explosion can cause a mass casualty incident: a potential threat for future international terrorism?

Schwartz

Ostfeld

Bar‐Dayan

2009

Emergency Medicine Journal

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“…A systematic review compared different available protocols of standardized reporting [14] and we chose this protocol because it was developed to report real incidents, has a practical approach, is freely available, has been published [1,15,16] and has been used previously [10,17,18]. Other protocols are more extensive but less practical, such as the Utstein template [19], the DISAST-CIR, a protocol used by the Israeli Defense Force Home Front and Ministry of Health [20][21][22][23][24][25][26][27][28] and two unused protocols [29,30]. None of these protocols have been tested on Internal and external validity [14].…”

Section: Discussionmentioning

confidence: 99%

Indoor fire in a nursing home: evaluation of the medical response to a mass casualty incident based on a standardized protocol

Koning

Ellerbroek

Leenen

2014

Eur J Trauma Emerg Surg

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Purpose This retrospective study reports the outcome of a mass casualty incident (MCI) caused by a fire in a nursing home. Methods Data from the medical charts and registration system of the Major Incident Hospital (MIH) and ambulance service were analyzed. The evaluation reports from the MIH and an independent research institute were used. The protocol for reports from major accidents and disaster was used to standardize the reporting [Lennquist, in Int J Disaster Med 1(1): [79][80][81][82][83][84][85][86] 2003]. Results The emergency services were quickly at the scene. The different levels of pre-hospital management performed a tight coordination. However, miscommunication led to confusion in the registration and tracking of patients. In total, 49 persons needed medical treatment, 46 were treated in the MIH. Because of (possible) inhalation injury nine patients needed mechanical ventilation and nine patients were hospitalized to exclude delayed onset of pulmonary symptoms. No incident related deaths occurred. The intensive care unit of the MIH was initially understaffed despite the efforts of the automated calling system and switchboard operators. The handwritten registration of incoming staff was incomplete and should be performed digitally. Some staff members were unfamiliar with the MIH procedures. The medical chart appeared too extensive. Miscommunication between chain partners resulted in the delayed sharing of (semi) medical information. Conclusion The different levels of incident managers performed a tight coordination. The MIH demonstrated its potency to provide emergency care for 46 patients and 9 intubated patients. No deaths or persistent disabilities occurred. Areas of improvement were recognized both in the pre-hospital as the hospital phase.

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Mass casualty incident management, triage, injury distribution of casualties and rate of arrival of casualties at the hospitals: lessons from a suicide bomber attack in downtown Tel Aviv

Abstract: Rapid accumulation of EMS vehicles, effective primary triage between urgent and non-urgent casualties and primary distribution between five hospitals enabled rapid conclusion of the event, both at the scene and at the receiving hospitals.

Cited by 47 publications

References 11 publications

A comprehensive review of blood product use in civilian mass casualty events

A comprehensive review of blood product use in civilian mass casualty events

A single, improvised "Kassam" rocket explosion can cause a mass casualty incident: a potential threat for future international terrorism?

Indoor fire in a nursing home: evaluation of the medical response to a mass casualty incident based on a standardized protocol

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