Ostfeld Ishay, Kachel Erez, Shafir Oleg, Gal Itay, Cohen Yehonatan, Kugel Chen, Hoffman Jay R
Division of Cardiovascular Medicine and Surgery, Tzafon Medical Center, Tiberias 15208, Israel.
School of Health Sciences, Ariel University, Ariel 40700, Israel.
Mil Med. 2025 Jun 30;190(7-8):e1398-e1402. doi: 10.1093/milmed/usae555.
The terror attack on October 7, 2023, in southern Israel resulted in approximately 1,200 civilians and security personnel killed. Of the civilians murdered, approximately 200 men, women, and children were murdered inside their homes, while the remaining casualties were murdered in an open field at a music festival, in their cars, or in the streets of local cities.
Currently, official data have not yet been published regarding the types of injuries suffered by Israeli civilians during the terror attack. However, the massive damage found in buildings infiltrated by the terrorists, weapons found on neutralized terrorists, and the findings of the pathologists tasked with examining and identifying the casualties, as well as preliminary clinical evidence, suggested that many died from hand-held explosive devices or rocket-propelled grenades containing a "thermobaric"-type warhead.
The use of thermobaric weapons has also been reported from the Russia-Ukraine war, suggesting that these weapons are becoming more common in their use. Thermobaric injuries differ from typical battlefield injuries due to their specific blast characteristics. Considering that thermobaric weapons are relatively cheap to manufacture and highly efficient, it can be assumed that their unique injury patterns will become more common in future battlefields.
This paper reports on a possible change in the nature of terror and battlefield injuries and alerts emergency organizations and military forces worldwide to prepare for the need of treating more blast injuries, burns, smoke inhalation, and asphyxiation.
2023年10月7日发生在以色列南部的恐怖袭击造成约1200名平民和安全人员死亡。在被谋杀的平民中，约200名男女老少在家中被杀害，其余伤亡人员则在音乐节的露天场地、车内或当地城市的街道上被杀害。
目前，关于以色列平民在恐怖袭击中所受伤害类型的官方数据尚未公布。然而，在恐怖分子潜入的建筑物中发现的巨大破坏、在被制服的恐怖分子身上发现的武器，以及负责检查和辨认伤亡人员的病理学家的发现，还有初步临床证据表明，许多人死于手持式爆炸装置或装有“温压”型弹头的火箭推进榴弹。
俄乌战争中也有使用温压武器的报道，这表明这些武器的使用越来越普遍。温压武器造成的伤害因其独特的爆炸特性而与典型的战场伤害不同。鉴于温压武器制造相对便宜且效率高，可以推测其独特的伤害模式在未来战场上将变得更加常见。
本文报道了恐怖袭击和战场伤害性质可能发生的变化，并提醒全球应急组织和军事力量为治疗更多爆炸伤、烧伤、吸入烟雾和窒息做好准备。
