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Multiple casualty terror events: the anesthesiologist's perspective.

Micha Y Shamir1, Yoram G Weiss, Dafna Willner

  • 1From the *Departments of Anesthesiology and Critical Care Medicine, §General Surgery, and #Radiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel; †Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami, Miami, FL; ‡University of Pennsylvania Medical School, Philadelphia, PA; and ¶Deputy Hospital Director, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Anesthesia and Analgesia
|May 25, 2004
PubMed
Summary

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Anesthesiology departments face significant challenges during mass casualty terror events, requiring careful planning for personnel and resources. Effective response management is crucial for optimal patient care in critical situations.

Area of Science:

  • Medical Response
  • Trauma Care
  • Anesthesiology

Background:

  • Jerusalem's Level 1 trauma center experienced 14 mass casualty terror events over 28 months.
  • These events significantly challenged the Department of Anesthesiology and Critical Care Medicine.

Purpose of the Study:

  • To retrospectively review the anesthesiology department's response to mass casualty terror events.
  • To evaluate staff activities, resource utilization (ED, OR, ICU), and patient flow.

Main Methods:

  • Retrospective review of 14 mass casualty terror incidents.
  • Analysis of patient numbers, hospitalizations, surgeries, and intensive care unit (ICU) admissions.

Main Results:

  • 1062 individuals injured; 355 treated in the emergency department (ED).

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  • 108 hospitalized, 58 surgeries within 8 hours; average time to first surgery was 124 minutes.
  • 51 patients admitted to ICU, averaging 5.5 hours post-event.

    • Conclusions:

    • Anesthesiology departments are vital in initial resuscitation, surgery, and ICU care for terror victims.
    • Events necessitate multiple, simultaneous efforts from anesthesiology staff.
    • Proactive planning for personnel, equipment, and supplies is essential for anesthesiology departments facing terror events.