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The Approach to Suicide Bombing Attacks: Changing Concepts.
Gidon Almgody1, Miklosh Bala, Avraham I Rivkind2
1Department of Surgery, Hadassah University Hospital, 12000, Jerusalem, 91120, Israel. almogyg@yahoo.com.
Summary
Medical systems can prepare for suicide bombing attacks by updating emergency medical services (EMS) protocols and reorganizing emergency departments. This ensures rapid evacuation and comprehensive care for mass casualties, minimizing injuries.
Area of Science:
- Medical preparedness and disaster response
- Trauma surgery and emergency medicine
Background:
- Suicide bombing attacks pose significant challenges to medical systems globally.
- Terrorist attacks result in mass casualties with complex injuries.
Purpose of the Study:
- To review medical management experiences from international terrorist attacks.
- To prepare medical systems for effectively managing mass casualty incidents from bombings.
Main Methods:
- Review of medical experience in Israel, Spain, the UK, and the US.
- Adaptation of Emergency Medical Services (EMS) protocols for urban mass casualty events.
- Reorganization of emergency departments and resource allocation.
Main Results:
- Common injuries include soft tissue damage, blast lung/tympanic membrane injury, and burns.
- Effective management requires a clear chain-of-command led by a general surgeon.
- Re-assessment of victims is crucial for minimizing missed injuries and ensuring adequate care.
Conclusions:
- Medical systems must establish robust protocols for mass casualty incidents.
- Clear leadership, departmental reorganization, and resource redirection are vital.
- Continuous victim re-evaluation is essential for optimal patient outcomes.