Pinkert Moshe, Lehavi Ofer, Goren Odeda Benin, Raiter Yaron, Shamis Ari, Priel Zvi, Schwartz Dagan, Goldberg Avishay, Levi Yehezkel, Bar-Dayan Yaron
Home Front Command Medical Department, Israel.
Prehosp Disaster Med. 2008 Jul-Aug;23(4):337-41. doi: 10.1017/s1049023x00005975.
Terrorist attacks have occurred in Tel-Aviv that have caused mass-casualties. The objective of this study was to draw lessons from the medical response to an event that occurred on 19 January 2006, near the central bus station, Tel-Aviv, Israel. The lessons pertain to the management of primary triage, evacuation priorities, and rapid primary distribution between adjacent hospitals and the operational mode of the participating hospitals during the event.
Data were collected in formal debriefings both during and after the event. Data were analyzed to learn about medical response components, interactions, and main outcomes. The event is described according to Disastrous Incidents Systematic AnalysiS Through-Components, Interactions and Results (DISAST-CIR) methodology.
A total of 38 wounded were evacuated from the scene, including one severely injured, two moderately injured, and 35 mildly injured. The severe casualty was the first to be evacuated 14 minutes after the explosion. All of the casualties were evacuated from the scene within 29 minutes. Patients were distributed between three adjacent hospitals including one non-Level-1 Trauma Center that received mild casualties. Twenty were evacuated to the nearby, Level-1 Sourasky Medical Center, including the only severely injured patient. Nine mildly injured patients were evacuated to the Sheba Medical Center and nine to Wolfson Hospital, a non-Level-1 Trauma Center hospital. All the receiving hospitals were operated according to the mass-casualty incident doctrine.
When a mass-casualty incident occurs in the vicinity of more than one hospital, primary triage, evacuation priority decision-making, and rapid distribution of casualties between all of the adjacent hospitals enables efficient and effective containment of the event.
特拉维夫发生了造成大量人员伤亡的恐怖袭击事件。本研究的目的是从对2006年1月19日发生在以色列特拉维夫中央汽车站附近的一起事件的医疗应对中吸取经验教训。这些经验教训涉及初级分诊管理、疏散优先级、相邻医院之间的快速初级分配以及事件发生期间参与医院的运作模式。
在事件期间和之后的正式汇报中收集数据。对数据进行分析以了解医疗应对的组成部分、相互作用和主要结果。根据通过组成部分、相互作用和结果进行的灾难性事件系统分析（DISAST-CIR）方法对该事件进行描述。
共有38名伤员从现场疏散，其中1人重伤，2人中度受伤，35人轻伤。重伤员在爆炸后14分钟首先被疏散。所有伤员在29分钟内从现场疏散完毕。患者被分配到三家相邻医院，其中包括一家接收轻伤患者的非一级创伤中心。20人被疏散到附近的一级索拉斯基医疗中心，其中包括唯一的重伤患者。9名轻伤患者被疏散到舍巴医疗中心，9名被疏散到非一级创伤中心医院沃尔夫森医院。所有接收医院均按照大规模伤亡事件原则运作。
当在不止一家医院附近发生大规模伤亡事件时，初级分诊、疏散优先级决策以及在所有相邻医院之间快速分配伤员能够高效且有效地控制该事件。
