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Clinical review: the Israeli experience: conventional terrorism and critical care.
- Source :
-
Critical care (London, England) [Crit Care] 2005 Oct 05; Vol. 9 (5), pp. 490-9. Date of Electronic Publication: 2005 Jun 29. - Publication Year :
- 2005
-
Abstract
- Over the past four years there have been 93 multiple-casualty terrorist attacks in Israel, 33 of them in Jerusalem. The Hadassah-Hebrew University Medical Center is the only Level I trauma center in Jerusalem and has therefore gained important experience in caring for critically injured patients. To do so we have developed a highly flexible operational system for managing the general intensive care unit (GICU). The focus of this review will be on the organizational steps needed to provide operational flexibility, emphasizing the importance of forward deployment of intensive care unit personnel to the trauma bay and emergency room and the existence of a chain of command to limit chaos. A retrospective review of the hospital's response to multiple-casualty terror incidents occurring between 1 October 2000 and 1 September 2004 was performed. Information was assembled from the medical center's trauma registry and from GICU patient admission and discharge records. Patients are described with regard to the severity and type of injury. The organizational work within intensive care is described. Finally, specific issues related to the diagnosis and management of lung, brain, orthopedic and abdominal injuries, caused by bomb blast events associated with shrapnel, are described. This review emphasizes the importance of a multidisciplinary team approach in caring for these patients.
- Subjects :
- Abdominal Injuries therapy
Brain Injuries diagnosis
Brain Injuries therapy
Fractures, Bone therapy
Humans
Israel
Lung Injury
Respiration, Artificial methods
Time Factors
Wounds and Injuries classification
Wounds and Injuries diagnosis
Critical Care organization & administration
Multiple Trauma therapy
Terrorism
Wounds and Injuries therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1466-609X
- Volume :
- 9
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Critical care (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 16277738
- Full Text :
- https://doi.org/10.1186/cc3762