Division of Trauma & Acute Care Surgery, Tufts Medical Center, Tufts University School of Medicine. Boston, MA.
Ryder Trauma Center, Department of Surgery, Miller School of Medicine, Universtiy of Miami, Miami, FL.
Disaster Med Public Health Prep. 2019 Aug;13(4):791-798. doi: 10.1017/dmp.2018.148. Epub 2019 Mar 12.
Terrorist incidents that target hospitals magnify morbidity and mortality. Before a real or perceived terrorist mass casualty incident threatens a hospital and its providers, it is essential to have protocols in place to minimize damage to the infrastructure, morbidity, and mortality. In the years following the Boston Marathon bombings, much has been written about the heroic efforts of survivors and responders. Far less has been published about near misses due to lack of experience responding to a mass casualty incident resulting from terrorism. After an extensive review of the medical literature and published media in English, Spanish, and Hebrew, we were unable to identify a similar event. To the best of our knowledge, this is the first reported experience of a bomb threat caused evacuation of an emergency department in the United States while actively responding to multiple casualty terrorist incidents. We summarized the chronology of the events that led to a bomb threat being identified and the subsequent evacuation of the emergency department. We then reviewed the problematic nature of our response and described evidence-based policy changes based on data from health care, law enforcement, and counterterrorism. (Disaster Med Public Health Preparedness. 2019;13:791-798).
针对医院的恐怖袭击事件会增加发病率和死亡率。在真实或感知到的恐怖事件大规模伤亡事件威胁到医院及其医护人员之前，制定协议以最大程度减少对基础设施、发病率和死亡率的损害至关重要。在波士顿马拉松爆炸事件发生后的几年里，人们对幸存者和救援人员的英勇事迹进行了大量报道。但由于缺乏应对恐怖主义导致的大规模伤亡事件的经验，因此很少有关于险些错过的事件发表。经过对英文、西班牙文和希伯来文的医学文献和已发表媒体的广泛审查，我们无法确定类似事件。据我们所知，这是美国首次报告在积极应对多起恐怖分子伤亡事件的同时，因炸弹威胁而导致急诊部门疏散的事件。我们总结了导致确定炸弹威胁并随后疏散急诊部门的事件的时间顺序。然后，我们审查了我们的反应存在的问题，并根据来自医疗保健、执法和反恐的数据描述了基于证据的政策变化。（灾难医学与公共卫生准备。2019 年；13:791-798）。
