Triage in a Bomb Disaster with 166 Casualties |
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Institution: | (1) Department of General Surgery, Combined Military Hospital, Rawalpindi, 4600, Pakistan;(2) Department of Gynecology and Obstetrics, Military Hospital Rawalpindi, Rawalpindi, 4600, Pakistan |
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Abstract: | Abstract
Background: We describe the surgical response of the
Helsinki University Hospitals to a bomb disaster with
166 casualties. According to the Helsinki Area Disaster
Plan, severely injured patients were transported to
several hospitals with emergency facilities to avoid
overtriage.
Methods: The patient data were gathered from
hospitals, health centers and other doctor visit/
appointments records. Injury Severity Scores (ISS),
critical mortality rate and death/wounded ratio were
calculated.
Results: Of the 166 injured patients, 5 died
immediately at the bombing site. Sixty-six patients
were transported to the six affiliated hospitals. The
mean ISS score for survivors was 12. Seventeen percent
of the acute survivors were critically injured (ISS>15).
The critical mortality rate was 8%. There were no later
deaths; the dead/wounded ratio was 4.4. Operative
treatment was performed for 38% of the patients
treated in surgical emergency departments.
Conclusion: The bombing attack in Myyrmanni
shopping center led to 166 casualties, of whom
66 patients were received at six affiliated hospitals in
Helsinki and Uusimaa Area. The critical mortality rate
was low. A local disaster plan was implemented. The
surgical response was rapid and well coordinated. In
a mass casualty disaster not all disaster victims need
to go to a trauma center. |
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Keywords: | Bomb explosion Terrorism Mass casualties Surgical response |
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