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Clinical review: The Israeli experience: conventional terrorism and critical care

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...

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Autores principales: Aschkenasy-Steuer, Gabriella, Shamir, Micha, Rivkind, Avraham, Mosheiff, Rami, Shushan, Yigal, Rosenthal, Guy, Mintz, Yoav, Weissman, Charles, Sprung, Charles L, Weiss, Yoram G
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1297605/
https://www.ncbi.nlm.nih.gov/pubmed/16277738
http://dx.doi.org/10.1186/cc3762
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author Aschkenasy-Steuer, Gabriella
Shamir, Micha
Rivkind, Avraham
Mosheiff, Rami
Shushan, Yigal
Rosenthal, Guy
Mintz, Yoav
Weissman, Charles
Sprung, Charles L
Weiss, Yoram G
author_facet Aschkenasy-Steuer, Gabriella
Shamir, Micha
Rivkind, Avraham
Mosheiff, Rami
Shushan, Yigal
Rosenthal, Guy
Mintz, Yoav
Weissman, Charles
Sprung, Charles L
Weiss, Yoram G
author_sort Aschkenasy-Steuer, Gabriella
collection PubMed
description 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.
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spelling pubmed-12976052005-12-01 Clinical review: The Israeli experience: conventional terrorism and critical care Aschkenasy-Steuer, Gabriella Shamir, Micha Rivkind, Avraham Mosheiff, Rami Shushan, Yigal Rosenthal, Guy Mintz, Yoav Weissman, Charles Sprung, Charles L Weiss, Yoram G Crit Care Review 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. BioMed Central 2005 2005-06-29 /pmc/articles/PMC1297605/ /pubmed/16277738 http://dx.doi.org/10.1186/cc3762 Text en Copyright © 2005 BioMed Central Ltd
spellingShingle Review
Aschkenasy-Steuer, Gabriella
Shamir, Micha
Rivkind, Avraham
Mosheiff, Rami
Shushan, Yigal
Rosenthal, Guy
Mintz, Yoav
Weissman, Charles
Sprung, Charles L
Weiss, Yoram G
Clinical review: The Israeli experience: conventional terrorism and critical care
title Clinical review: The Israeli experience: conventional terrorism and critical care
title_full Clinical review: The Israeli experience: conventional terrorism and critical care
title_fullStr Clinical review: The Israeli experience: conventional terrorism and critical care
title_full_unstemmed Clinical review: The Israeli experience: conventional terrorism and critical care
title_short Clinical review: The Israeli experience: conventional terrorism and critical care
title_sort clinical review: the israeli experience: conventional terrorism and critical care
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1297605/
https://www.ncbi.nlm.nih.gov/pubmed/16277738
http://dx.doi.org/10.1186/cc3762
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