Patient flow and medical consequences of the Israeli operation Pillar of Defence: a retrospective study

Gilbert, Mads; Skaik, Sobhi

doi:10.1016/s0140-6736(13)62585-4

Cited by 3 publications

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“…Similar numbers were found among children with 87% boys among Palestinian children killed, 13% girls [ 20 ]. Among intensive care patients in Gaza’s main trauma hospital during “Operation Protective Edge” in 2014, 77·9% were male, and 74% of patients admitted to this hospital during “Operation Pillar of Defense” in 2012 were also males [ 21 , 22 ]. Possible reasons for the male predominance among amputees were discussed with local health care personnel.…”

Section: Discussionmentioning

confidence: 99%

Life after conflict-related amputation trauma: a clinical study from the Gaza Strip

Heszlein-Lossius

Al-Borno

Shaqqoura

et al. 2018

BMC Int Health Hum Rights

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BackgroundMore than 17.000 Palestinians were injured during different Israeli military incursions on the Gaza Strip from 2006 to 2014. Many suffered traumatic extremity amputations. We describe the injuries, complications, living conditions and health among a selection of traumatic amputees in the Gaza Strip.MethodsWe included 254 civilian Palestinians who had survived, but lost one or more limb(s) during military incursions from 2006 to 2016. All patients were receiving follow-up treatment at a physical rehabilitation center in Gaza at the time of inclusion. We measured and photographed anatomical location and length of extremity amputations and interviewed the amputees using standard questionnaires on self-reported health, socioeconomic status, mechanism of injury, physical status and medical history.ResultsThe amputees were young (median age 25,6 years at the time of trauma), well educated (37% above graduate level), males (92%), but also 43 children (17% ≤ 18 years). The greater part suffered major amputations (85% above wrist or ankle). Limb losses were unilateral (35% above-, 29·5% below knee), and bilateral (17%) lower extremity amputations. Pain was the most frequent long-term complaint (in joints; 34%, back; 33% or phantom pain; 40·6%). Sixty-three percent of amputees were their family’s sole breadwinner, 75·2% were unemployed and 46% had lost their home. Only one in ten (11·6%) of the destroyed homes had been rebuilt.ConclusionsThe most frequently observed amputees in our study were young, well-educated male breadwinners and almost one in five were children. Conflict-related traumatic amputations have wide-ranging, serious consequences for the amputees and their families.

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Section: Discussionmentioning

confidence: 99%

Life after conflict-related amputation trauma: a clinical study from the Gaza Strip

Heszlein-Lossius

Al-Borno

Shaqqoura

et al. 2018

BMC Int Health Hum Rights

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“…1 Reports from military incursions in 2012 and 2014 showed that approximately 1,500 and 11,000 were injured, respectively, during short periods: eight days in 2012 and 51 days in 2014. 2,3 Emergency patients need an efficient "chain of survival" to improve their outcome. 4 The first link in the chain is lay bystanders who are able of recognizing emergencies, call for help, and who are capable of providing early Basic Life Support (BLS) and cardiopulmonary resuscitation (CPR), as needed.…”

Section: Introductionmentioning

confidence: 99%

“…The report from the 2012 military incursion, for example, highlighted the high number of patients arriving dead to the hospital and the need for an efficient prehospital system. 2 In this pilot study, it was explored if local medical students could be recruited as instructors to train laypeople in BLS and CPR in Gaza, and it also mapped their motives for becoming instructors for laypeople. This manuscript describes the training that the medical students received, and its organization and components, as well as the training sessions delivered to the laypeople by medical student instructors.…”

Section: Introductionmentioning

confidence: 99%

Medical Students Can be Trained to be Life-Saving First Aid Instructors for Laypeople: A Feasibility Study from Gaza, Occupied Palestinian Territory

Ismail

AlRayyes

Shatat

et al. 2019

Prehosp. Disaster med.

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Introduction:Bystanders can improve the outcome in emergencies by activating the “chain of survival.” Gaza’s (Palestine) population has little, if any, access to training in Basic Life Support (BLS) and cardiopulmonary resuscitation (CPR). The goal was to recruit local medical students to be life-saving first aid instructors, and have them train 3,000 laypeople in BLS and CPR.Methods:One hundred and seventeen medical students from Al Azhar University-Gaza (Gaza City, Palestine) were trained as BLS and CPR instructors. Twelve training hours were delivered in practical BLS and CPR skills, plus four in communication and didactical skills, to enable training of laypeople. Students answered a questionnaire exploring demographics, prior training experience, expectations, and motivation to join the training. Teaching material were developed after the European Resuscitation Council (ERC; Niel, Belgium) guidelines and similar training at The Arctic University of Norway (Tromsø, Norway).Results:A total of 117 medical students (52.1% female; 47.9% male), from third through sixth year, completed training, and all were in their early twenties. Ninety-five (81.2%) agreed to answer the questionnaire. Of those, five students lost family members during Israeli military operations. Eighty-two (70.1%) never had hands-on first aid training. Seventy-six (80.0%) hoped the training would improve their community’s response to emergencies. With 58 training sessions completed, 1,312 laypeople (596 males; 716 females) were trained: 5.52 lay trainees per student instructor. The majority (n = 1,012; 77.1%) were school students aged 13–20 years.Conclusion:It is feasible to recruit local medical students for practical BLS and CPR trainings targeting laypeople in communities under stress. The training impact on local resilience and patients’ outcomes need further studies.

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“…Forty-eight of the victims were aged 18 years or younger and 16 were aged 5 years or younger. Over 500 of those injured were aged 18 years or younger and 195 were aged 5 years or younger (Gilbert and Skaik, 2013). Six of those killed and 224 of the injured were Israeli.…”

Section: Introductionmentioning

confidence: 99%

Psychometric proprieties of the Child Health Questionnaire in an Arabic-speaking context: A multi-trait and multi-sample study

Veronese

Pepe

2018

J Child Health Care

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Ongoing research on the assessment of children's health has led to the development of a large number of quantitative tools. The Child Health Questionnaire-Parent Form (CHQ-PF) is a set of questionnaires aimed at measuring different facets of children's health as perceived by their parents. The present multi-trait multi-sample study tested the validity and the reliability of the 50-item version of the CHQ with families ( N = 1095) living in contexts of low-intensity warfare. The validation procedures implemented (exploratory and confirmatory factor analysis, convergent validity, and reliability testing) yielded a new, shorter version of the questionnaire (CHQ-PF-25). We discuss the potential of using the CHQ-PF-25 in Arabic-speaking crisis contexts and the limitations of the present study.

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Patient flow and medical consequences of the Israeli operation Pillar of Defence: a retrospective study

Cited by 3 publications

References 0 publications

Life after conflict-related amputation trauma: a clinical study from the Gaza Strip

Life after conflict-related amputation trauma: a clinical study from the Gaza Strip

Medical Students Can be Trained to be Life-Saving First Aid Instructors for Laypeople: A Feasibility Study from Gaza, Occupied Palestinian Territory

Psychometric proprieties of the Child Health Questionnaire in an Arabic-speaking context: A multi-trait and multi-sample study

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