Hybrid Warfare and Counter-Terrorism Medicine

• 2023

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• Derrick Tin; Dennis Barten; Fredrik Granholm; Pavlo Kovtonyuk; Frederick Burkle; Gregory Ciottone
PMID: 36763156DOI: https://doi.org/10.1007/s00068-023-02230-y

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About

This review describes the impact of modern warfare on healthcare systems, focusing on events like the Russian airstrike in Mariupol, Ukraine. It explains how hybrid warfare combines different types of attacks, often targeting civilians and healthcare facilities. The Geneva Convention's protections are not always respected in these conflicts. The field of Counter-Terrorism Medicine (CTM) studies the effects of such attacks on health systems and emphasizes training for medical responders to handle intentional mass casualty events. CTM is crucial as threats from terrorism and war continue to rise globally. This paper can serve as a primer for healthcare personnel and health systems on hybrid warfare and counter-terrorism medicine. This resource is related to a PPN podcast titled "With Ill Intent."

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Tags

Hazards: CBRNE; Trauma; Violence

Audiences: Emergency Managers; EMS Clinicians; Nurses; Physicians

Emergency Management Stage: Response

Keywords: Delivery of Health Care; Disaster Planning; Health Facilities; Personnel, Hospital; Terrorism; Ukraine; Warfare; Disaster Medicine

Institutions: Beth Israel Deaconess Medical Center; Harvard Medical School; University of Melbourne; VieCuri Medical Center; Sundsvall County Hospital; Ukrainian Healthcare Center

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