Civilian Hospital Response to a Mass Casualty Event: The Role of the Intensive Care Unit

• 2007

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• Vered Avidan; Moshe Hersch; Ram Spira; Sharon Einav; Sara Goldberg; William Schecter
PMID: 17495730DOI: https://doi.org/10.1097/01.ta.0000210483.04535.e0

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About

This article examines the response of Shaare Zedek Medical Center in Jerusalem to terrorist multiple- or mass-casualty events between 1983 and 2004. The study focuses on the role of the intensive care unit (ICU) in handling patients after such events. A total of 875 patients were treated after 31 incidents, with 4.7% requiring ICU admission. The ICU patients mostly suffered from blast lung injuries, intestinal blast injuries, and ruptured tympanic membranes. Surgical procedures were performed on 23 patients, with 73% needing mechanical ventilation. One patient died due to a delay in diagnosing an intestinal blast injury. The ICU's role in TMCE response is highlighted.

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Tags

Focus Areas: Trauma; Violence

Audiences: Emergency Managers; EMS Clinicians; Nurses; Physicians

Emergency Management Stage: Response

Bundles: Disaster Research Literature Review

Keywords: Child; Child, Preschool; Critical Care; Disaster Planning; Hospitals, Urban; Infant; Intensive Care Units; Israel; Patient Identification Systems; Retrospective Studies; Terrorism; Triage; Wounds and Injuries; Adolescent; Emergency Service, Hospital; Mass Casualty Incidents

Institutions: Shaare Zedek Medical Center; University of California San Francisco

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