THE EXPERIENCE OF AN EDUCATION&RESEARCH HOSPITAL AFTER A TERRORIST ATTACK WITH BOMB
Background: The global terror is increasing day by day. On 10 October 2015 at 10:04 local time in Ankara, the capital city of Turkey, two bombs are detonated at the outside Ankara Central Railway Station, while the Labour, Peace and Democracy Rally which was organized by many civil society organizations. There were 106 deaths and more than 500 wounded civilians.
Material and Methods: There were 87 admissions including 6 deaths. The files and digital records of the patients are investigated. The wound part of the body, wound type, age, gender, applied radiologic tests, surgical records, hospital stay times and total costs are recorded.
Results: After the explosion, 87 of the patients were admitted to our ED; 57 of them (65.5%) were male. The median age was 33 (range 1-75). The most of them was in green scale (56.3%). There were 6 cases which were dead on admission. Additional 4 patients died in hospital. 33.3% of the patients were hospitalized in service; 16.1% of them were followed up in intensive care unit. The most frequent injury was soft tissue injury with abrasion or laceration (54.0%) caused by shrapnel injuries. 23.0% of the patients undergone major surgery. The most of the surgeries performed by orthopedics and 7 were performed by general surgeon. 11 patients (12.6%) had hearing loss. The total cost of the explosion only in our hospital was 271.369,12 TL (~91.124,62$). The median hospital stay time is 5.5 days (range 1-30 days).
Discussion: In case of mass casualty events, we have to prepare the hospital as soon as possible. There is still confusion over roles and responsibilities, poor communication, lack of planning and suboptimal training.
Conclusion: Many of the countries are not prepared enough for the mass causality events. We don’t know the possible results of chemical, biologic, nuclear and radioactive (CBRN) assaults. We have to conduct CBRN drills intermittently to increase our preparedness.
Selim Genç*, Macit Aydın*, Serkan Ceritli*, Seda Özkan*, Cemil Kavalcı*
*Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
1. Assult on Labour, Peace and Democracy Meeting in 0th October. Doctor witnesses, expert opinions, evaluation report. Ankara: Turkish Medical Association Publications, 2016.
2. Agency D.N. Death toll 106 in suicide blasts: Ankara Chamber of Medical Doctors. Hürriyet Daily News.
3. Humphrey Albert "SWOT Analysis for Management Consulting" (PDF). SRI Alumni Newsletter. SRI International. December 2005.
4. Mayo A., Kluger Y. Terrorist bombing. World journal of emergency surgery: WJES. 2006;1:33. Epub 2006/11/15.
5. Mass Casualty Management Systems: Strategies and guidelines for building health sector capacity [database on the Internet]. World Health Organization. Available from: http://www.who.int/hac/techguidance/MCM_guidelines_inside_final.pdf [cited 16.09.2016].
6. Djalali A., Della Corte F., Foletti M., Ragazzoni L., Ripoll Gallardo A., Lupescu O., et al. Art of disaster preparedness in European union: a survey on the health systems. PLoS currents. 2014;6. Epub 2015/02/17.
7. Juffermans J., Bierens J.J. Recurrent medical response problems during five recent disasters in the Netherlands. Prehospital and disaster medicine. 2010;25(2):127-36. Epub 2010/05/15.
8. Hospital emergency preparedness and response during Superstorm Sandy. Journal of healthcare protection management : publication of the International Association for Hospital Security. 2015;31(1):31-50. Epub 2015/12/10.
9. Djalali A., Carenzo L., Ragazzoni L., Azzaretto M., Petrino R., Della Corte F., et al. Does Hospital Disaster Preparedness Predict Response Performance During a Full-scale Exercise? A Pilot Study. Prehospital and disaster medicine. 2014;29(5):441-7. Epub 2014/08/06.
10. Shah A.A., Rehman A., Sayyed R.H., Haider A.H., Bawa A., Zafar S.N., et al. Impact of a predefined hospital mass casualty response plan in a limited resource setting with no pre-hospital care system. Injury. 2015;46(1):156-61. Epub 2014/09/17.
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Genç S., Aydın M., Ceritli S., Özkan Seda, Kavalcı C. The experience of an education & research hospital after a terrorist attack with bomb // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 4, pp. 107-112. doi 10.34689/SH.2021.23.4.011Похожие публикации:
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