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.
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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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