Medical Management, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Faculty of Medical and Health Science, Tel Aviv University, Tel Aviv, Israel.
BMC Emerg Med. 2024 Oct 29;24(1):206. doi: 10.1186/s12873-024-01121-8.
On October 7, 2023, Hamas carried out an unprecedented attack on the State of Israel and kidnapped 251 people into captivity to the Gaza Strip. Several months later, as part of a humanitarian exchange deal, 105 hostages were released in five phases and admitted to one of six hospitals throughout the country for treatment. Shamir Medical Center (SMC) was one of these facilities. This study aims to describe the structure, process and outcomes of establishing a comprehensive, multi-step, operational protocol for receiving hostages returning from captivity.
The process of preparing SMC as a receiving center, the establishment of procedures for implementation of the medical protocol, and the assessment of multi-disciplinary team preparedness and implementation and outcomes in an institutional protocol are described.
24 returning hostages were received at SMC. Social workers, dietitians and translators were used by 100% of the majority group of returning hostages from the same country of origin and the sole individual from the other country of origin utilized a dietitian, social worker, ENT consultations, and a hearing test. Among the majority group, orthopedic and dermatological consultations were utilized by 17.4% and 13% received an ENT consultation. Of the administered imaging, 13% received a chest X-ray, 8.7% received a limb X-ray, 17.4% received a head CT scan, and 4.3% received an abdominal CT. In addition, 21.7% were provided antibiotic therapy. Protocol efficacy was measured by assessing time to various operational aspects of protocol implementation and medical procedures such as mean hours to room assignment, primary physician evaluation and social worker session. No correlation between age and operational variables was found.
This novel operational protocol was successfully implemented and may serve as a framework for managing similar unpredictable sensitive events in the case of future need.
2023 年 10 月 7 日，哈马斯对以色列国发动了一次前所未有的袭击，绑架了 251 人到加沙地带。几个月后，作为人道主义交换协议的一部分，105 名人质分五批被释放，并被送往全国六家医院之一接受治疗。沙米尔医疗中心（SMC）是其中一家医院。本研究旨在描述为接收从囚禁中返回的人质制定全面、多步骤、操作性协议的结构、过程和结果。
描述了 SMC 作为接收中心的准备过程、实施医疗协议程序的建立，以及评估多学科团队的准备情况和机构协议中的实施和结果。
24 名返回的人质在 SMC 接受治疗。来自同一原籍国的大多数人质（100%）使用了社会工作者、营养师和翻译，而唯一来自另一个原籍国的人质则使用了营养师、社会工作者、耳鼻喉科咨询和听力测试。在大多数人质中，17.4%接受了骨科和皮肤科咨询，13%接受了耳鼻喉科咨询。在进行的影像学检查中，13%接受了胸部 X 光检查，8.7%接受了四肢 X 光检查，17.4%接受了头部 CT 扫描，4.3%接受了腹部 CT 扫描。此外，21.7%接受了抗生素治疗。通过评估协议实施和医疗程序的各种操作方面的时间，来衡量协议的疗效，例如分配房间、主治医生评估和社会工作者会议的平均时间。未发现年龄与操作变量之间存在相关性。
本新型操作性协议成功实施，可作为未来类似不可预测敏感事件管理的框架。
