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Published on: January 19, 2019
Mortality pattern of the 26/11 Mumbai terror attacks.
Ajay H Bhandarwar1, Girish D Bakhshi, Mukund B Tayade
1Departments of General Surger, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India. abhandarwar@gmail.com
The Journal of Trauma and Acute Care Surgery
|June 8, 2012
Summary
Bullet and blast injuries were the primary causes of death in the 2008 Mumbai terror attacks. Delayed evacuation and prehospital care contributed to fatalities, highlighting the need for improved trauma response strategies.
Area of Science:
- Forensic Pathology
- Trauma Surgery
- Public Health
Background:
- Mumbai, a global industrial hub, experienced significant terror attacks, including the 2008 "26/11" event causing 166 fatalities and over 300 injuries.
- The 2008 Mumbai attacks underscored the critical need to understand injury patterns and their impact on mortality in mass casualty incidents.
Purpose of the Study:
- To analyze the patterns of injuries sustained during the 2008 Mumbai terrorist attacks.
- To identify clinical implications for reducing mortality in mass casualty events.
Main Methods:
- An epidemiological study analyzing hospital records of 114 victims who underwent postmortem examination.
- Data collection focused on the nature and pattern of injuries.
Main Results:
- Of 114 postmortems, 108 victims were dead on arrival.
- Bullet injuries caused 68 deaths, blast injuries 30, and 10 had combined injuries.
- Six postoperative deaths occurred, primarily due to septicemia from bullet injuries.
Conclusions:
- The study revealed a multimodal injury pattern, with a predominance of bullet wounds to vital organs.
- Delayed evacuation and prehospital trauma life support implementation, exacerbated by the hostage crisis, contributed to preventable deaths.
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