Mass-casualty terrorist bombings in Istanbul, Turkey, November 2003: report of the events and the prehospital emergency response.

Abstract:

BACKGROUND:This paper describes the two mass-casualty, terrorist attacks that occurred in Istanbul, Turkey in November 2003, and the resulting pre-hospital emergency response. METHODS:A complex, retrospective, descriptive study was performed, using open source reports, interviews, direct measurements of street distances, and hospital records from the American Hospital (AH) and Taksim Education and Research State Hospital (TERSH) in Istanbul. RESULTS:On 15 November, improvised explosive devices (IEDs) in trucks were detonated outside the Neve Shalom and Beth Israel Synagogues, killing 30 persons and injuring an estimated additional 300. Victims were maldistributed to 16 medical facilities. For example, AH, a private hospital located six km from both synagogues, received 69 injured survivors, of which 86% had secondary blast injuries and 13% were admitted to the hospital. The TERSH, a government hospital located 1 km from both synagogues, received 48 injured survivors. On 20 November, IEDs in trucks were detonated outside the Hong Kong Shanghai Banking Corporation (HSBC) headquarters and the British Consulate (BC), killing 33 and injuring an estimated additional 450. Victims were maldistributed to 16 medical facilities. For example, TERSH, located 18 km from the HSBC site and 2 km from the the BC received 184 injured survivors, of which 93% had secondary blast injuries and 15% were hospitalized. The AH, located 9 km from the HSBC site and 6 km from the BC, received 16 victims. CONCLUSION:The twin suicide truck bombings on 15 and 20 November 2003 were the two largest terrorist attacks in modern Turkish history, collectively killing 63 persons and injuring an estimated 750 others. The vast majority of victims had secondary blast injuries, which did not require hospitalization. Factors associated with the maldistribution of casualties to medical facilities appeared to include the distance from each bombing site, the type of medical facility, and the personal preference of injured survivors.

journal_name

Prehosp Disaster Med

authors

Rodoplu U,Arnold JL,Tokyay R,Ersoy G,Cetiner S,Yücel T

doi

10.1017/s1049023x00001643

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

133-45

issue

2

eissn

1049-023X

issn

1945-1938

journal_volume

19

pub_type

杂志文章
  • Minimum data set for mass-gathering health research and evaluation: a discussion paper.

    abstract::This paper discusses the need for consistency in mass-gathering data collection and biomedical reporting. Mass gatherings occur frequently throughout the world, and having an understanding of the complexities of mass gatherings is important to inform health services about the possible required health resources. Factor...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12001288

    authors: Ranse J,Hutton A

    更新日期:2012-12-01 00:00:00

  • An analysis of prehospital mortality in an earthquake. Disaster Reanimatology Study Group.

    abstract:INTRODUCTION:Anecdotal observations about prehospital emergency medical care in major natural and human-made disasters, such as earthquakes, have suggested that some injured victims survive the initial impact, but eventually die because of a delay in the application of life-saving medical therapy. METHODS:A multidisci...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00041005

    authors: Pretto EA,Angus DC,Abrams JI,Shen B,Bissell R,Ruiz Castro VM,Sawyers R,Watoh Y,Ceciliano N,Ricci E

    更新日期:1994-04-01 00:00:00

  • Outcomes of a Provincial Myocardial Infarction Reperfusion Strategy: A Population-Based, Retrospective Cohort Study.

    abstract:BACKGROUND:Fibrinolysis is an acceptable treatment for acute ST-segment elevation myocardial infarction (STEMI) when primary percutaneous coronary intervention (PCI) cannot be performed within 120 minutes. The American Heart Association has recommended Emergency Medical Services (EMS) interventions such as prehospital ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20000801

    authors: Cook J,Carter A,Goldstein J,Travers A,Brown R,Swain J,Jensen J,Matheson K,Cain E,Lee T

    更新日期:2020-10-01 00:00:00

  • Profile of emergency medical dispatch calls for breathing problems within the medical priority dispatch system protocol.

    abstract:INTRODUCTION:A common chief complaint to emergency dispatch communication centers worldwide is "breathing problems". The chief complaint of breathing problems represents a wide spectrum of underlying diseases, patient conditions, and onset types. The current debate is on the potential ability of a dispatch protocol to ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00006142

    authors: Clawson J,Olola C,Heward A,Patterson B,Scott G

    更新日期:2008-09-01 00:00:00

  • KAMEDO report no. 87: bomb attack in Finnish shopping center, 2002.

    abstract::The detonation of a bomb in a shopping center in Vantaa, Finland, took place on 11 October 2002. Seven people died as a result and > 160 people required medical attention. Because the rescue teams were inadequately trained to respond to terrorist attacks, the event was handled according to protocol. A number of proble...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00004404

    authors: Deverell E,Ortenwall P,Almgren O,Riddez L

    更新日期:2007-01-01 00:00:00

  • Mobile Versus Fixed Deployment of Automated External Defibrillators in Rural EMS.

    abstract:INTRODUCTION:There is no consensus on where automated external defibrillators (AEDs) should be placed in rural communities to maximize impact on survival from cardiac arrest. In the community of Stokes County, North Carolina (USA) the Emergency Medical Services (EMS) system promotes cardiopulmonary resuscitation (CPR) ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1500014X

    authors: Nelson RD,Bozeman W,Collins G,Booe B,Baker T,Alson R

    更新日期:2015-04-01 00:00:00

  • Understanding barriers to emergency care in low-income countries: view from the front line.

    abstract:INTRODUCTION:Morbidity and mortality due to acute but treatable conditions remain high in the developing world, as many significant barriers exist to providing emergency medical care. This study investigates these barriers in a rural region of Ethiopia. HYPOTHESIS:The limited capacity of frontline healthcare workers t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00005240

    authors: Levine AC,Presser DZ,Rosborough S,Ghebreyesus TA,Davis MA

    更新日期:2007-09-01 00:00:00

  • Effects on local emergency departments of large-scale urban chemical fire with hazardous materials spill.

    abstract:INTRODUCTION:On 18 July 2001, a train hauling hazardous materials, including hydrochloric acid, hydrofluoric acid, and acetic acid, derailed in the city of Baltimore, Maryland, resulting in a fire that burned under a downtown street for five days. Firefighters were stymied in their efforts to extinguish the fire, and t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00000492

    authors: Hsu EB,Grabowski JG,Chotani RA,Winslow JA,Alves DW,VanRooyen MJ

    更新日期:2002-10-01 00:00:00

  • Principles of disaster management. Lesson 2: Program planning.

    abstract::Many of the problems that develop in disaster management can be avoided with good program planning. Assessment following a disaster is essential. Needs assessment is essential in the early phases of a disaster and situation assessments become more important as the disaster process continues. Both are dynamic and conti...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Cuny FC

    更新日期:1998-04-01 00:00:00

  • Sources of disagreement among public and private agency paramedics.

    abstract:INTRODUCTION:The purpose of the study was to document the occurrence and causes of disagreements between paramedics in a tiered-response emergency medical services (EMS) system. METHODS. This cohort analysis of disagreements between paramedics sampled 63 male public agency, 90 male private agency, and 41 female private...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00041789

    authors: Federiuk CS,O'Brien K

    更新日期:1995-04-01 00:00:00

  • Barriers to Providing Prehospital Care to Ischemic Stroke Patients: Predictors and Impact on Care.

    abstract::IntroductionIschemic stroke treatment is time-sensitive, and barriers to providing prehospital care encountered by Emergency Medical Services (EMS) providers have been under-studied.Hypothesis/ProblemThis study described barriers to providing prehospital care, identified predictors of these barriers, and assessed the ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1017/S1049023X18000766

    authors: Li T,Cushman JT,Shah MN,Kelly AG,Rich DQ,Jones CMC

    更新日期:2018-10-01 00:00:00

  • Civilian protection and humanitarian assistance-report of the 2009 Civilian Protection Working Group.

    abstract::The concept of protecting civilians in armed conflict is enshrined in international humanitarian law and widely acknowledged in humanitarian norms. Making this concept operational in humanitarian service delivery is a challenge. Yet, there are many ways in which humanitarian workers could learn from local people about...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00021580

    authors: Loane G,Leaning J,Schomig S,van Tulleken A,O'Laughlin K

    更新日期:2009-07-01 00:00:00

  • Violation of the Global Ceasefire in Nagorno-Karabagh: A Viral Amplification of Aggression.

    abstract::On March 23, 2020, the United Nations (UN) made an Appeal for a Global Ceasefire following the Outbreak of Coronavirus. Despite this appeal, the Nagorno-Karabagh war was instigated on September 27, 2020. This Guest Editorial frames the conflict in the context of the UN appeal and by introducing a figure that plots sev...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X21000121

    authors: Chekijian S,Bazarchyan A

    更新日期:2021-01-29 00:00:00

  • The Forgotten Responders: The Ongoing Impact of 9/11 on the Ground Zero Recovery Workers.

    abstract::In the years following the September 11, 2001 terrorist attacks (9/11; New York USA), emergency first responders began experiencing a range of physical health and psychosocial impacts. Publications documenting these tended to focus on firefighters, while emerging reports are starting to focus on other first responders...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1800064X

    authors: Smith EC,Burkle FM

    更新日期:2018-08-01 00:00:00

  • The National Emergency Medical Service Role During the COVID-19 Pandemic in Sierra Leone.

    abstract::This report describes the main adaptive and transformative changes adopted by the brand-new National Emergency Medical Service (NEMS) to face the novel coronavirus disease 2019 (COVID-19) in Sierra Leone, including ambulance re-distribution, improvements in communication flow, implementation of ad-hoc procedures and t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001211

    authors: Caviglia M,Buson R,Pini S,Jambai A,Vandy MJ,Venturini F,Rosi P,Barone-Adesi F,Della Corte F,Ragazzoni L,Putoto G

    更新日期:2020-12-01 00:00:00

  • Sharing international experiences in disasters: summary and action plan.

    abstract:INTRODUCTION:The discussions in this theme provided an opportunity to share specific experiences with disasters that occurred outside of the Asia-Pacific Rim. METHODS:Details of the methods used are provided in the preceding paper. The chairs moderated all presentations and produced a summary that was presented to an ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00025565

    authors: Andrews RA,Austin C,Brown R,Chen YZ,Engindeniz Z,Girouard R,Leaman P,Masellis M,Nakayama S,Polentsov YO,Suserud BO

    更新日期:2001-01-01 00:00:00

  • The efficacy of integrating "smart simulated casualties" in hospital disaster drills.

    abstract:INTRODUCTION:Full-scale disaster drills are complex, expensive, and may involve hundreds or thousands of people. However, even when carefully planned, they often fail to manifest the details of medical care given to the casualties during the drill. OBJECTIVE:To assess the feasibility of integrating physicians among th...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Gofrit ON,Leibovici D,Shemer J,Henig A,Shapira SC

    更新日期:1997-04-01 00:00:00

  • February 2009 airplane crash at Amsterdam Schiphol Airport: an overview of injuries and patient distribution.

    abstract:OBJECTIVE:The objective of this study was to describe the injuries and distribution of casualties resulting from the crash of Turkish Airlines flight TK 1951 near Schiphol Airport in the Netherlands on 25 of February 2009. METHODS:This was a retrospective, descriptive study. Based on a review of the hospital records f...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X11006467

    authors: Postma IL,Winkelhagen J,Bloemers FW,Heetveld MJ,Bijlsma TS,Goslings JC,MOTAC study group.

    更新日期:2011-08-01 00:00:00

  • Moral experience of Canadian healthcare professionals in humanitarian work.

    abstract:INTRODUCTION:Expatriate healthcare professionals frequently participate in international relief operations that are initiated in response to disasters due to natural hazards or humanitarian emergencies in low resource settings. This practice environment is significantly different from the healthcare delivery environmen...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00007445

    authors: Hunt MR

    更新日期:2009-11-01 00:00:00

  • Self-Perception of Theoretical Knowledge and Practical Skills by Primary Health Care Physicians in Life-Threatening Emergencies.

    abstract:OBJECTIVES:The goal of this study was to find out the training received in Urgent and Emergency Medicine (UEM) by the Primary Health Care (PHC) physicians of Asturias (Spain), as well as their perception of their own theoretical knowledge and practical skills in a series of procedures employed in life-threatening emerg...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X18000808

    authors: Cernuda Martínez JA,Castro Delgado R,Ferrero Fernández E,Arcos González P

    更新日期:2018-10-01 00:00:00

  • Prehospital Naloxone Administration as a Public Health Surveillance Tool: A Retrospective Validation Study.

    abstract:BACKGROUND:Abuse or unintended overdose (OD) of opiates and heroin may result in prehospital and emergency department (ED) care. Prehospital naloxone use has been suggested as a surrogate marker of community opiate ODs. The study objective was to verify externally whether prehospital naloxone use is a surrogate marker ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15004793

    authors: Lindstrom HA,Clemency BM,Snyder R,Consiglio JD,May PR,Moscati RM

    更新日期:2015-08-01 00:00:00

  • Mortality rates, prevalence of malnutrition, and prevalence of lost pregnancies among the drought-ravaged population of Tete Province, Mozambique.

    abstract:BACKGROUND:Tete Province, Mozambique has experienced chronic food insecurity and a dramatic fall in livestock numbers due to the cyclic problems characterized by the floods in 2000 and severe droughts in 2002 and 2003. The Province has been a beneficiary of emergency relief programs, which have assisted > 22% of the po...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00004301

    authors: Renzaho AM

    更新日期:2007-01-01 00:00:00

  • What is the Optimal Age for Students to Receive Cardiopulmonary Resuscitation Training?

    abstract:OBJECTIVES:Training students has been proven to be the optimal way to deliver cardiopulmonary resuscitation (CPR) skills. However, it is somehow unknown whether or not the current recommendations appropriate for Caucasian students are also suitable for East Asian students. The purpose of this study is to explore the be...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1800047X

    authors: He DX,Huang KS,Yang YI,Jiang W,Yang NL,Yang H

    更新日期:2018-08-01 00:00:00

  • An Observational Study Using English Syndromic Surveillance Data Collected During the 2012 London Olympics - What did Syndromic Surveillance Show and What Can We Learn for Future Mass-gathering Events?

    abstract::Introduction In preparation for the London 2012 Olympic Games, existing syndromic surveillance systems operating in England were expanded to include daily general practitioner (GP) out-of-hours (OOH) contacts and emergency department (ED) attendances at sentinel sites (the GP OOH and ED syndromic surveillance systems:...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X16000923

    authors: Todkill D,Hughes HE,Elliot AJ,Morbey RA,Edeghere O,Harcourt S,Hughes T,Endericks T,McCloskey B,Catchpole M,Ibbotson S,Smith G

    更新日期:2016-12-01 00:00:00

  • Crisis Standards of Care Implementation at the State Level in the United States.

    abstract:INTRODUCTION:In 2009, the Institute of Medicine published guidelines for implementation of Crisis Standards of Care (CSC) at the state level in the United States (US). Based in part on the then concern for H1N1 pandemic, there was a recognized need for additional planning at the state level to maintain health system pr...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001089

    authors: Margus C,Sarin RR,Molloy M,Ciottone GR

    更新日期:2020-12-01 00:00:00

  • Disaster Metrics: A Comprehensive Framework for Disaster Evaluation Typologies.

    abstract::Introduction The frequency of disasters is increasing around the world with more people being at risk. There is a moral imperative to improve the way in which disaster evaluations are undertaken and reported with the aim of reducing preventable mortality and morbidity in future events. Disasters are complex events and...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17006471

    authors: Wong DF,Spencer C,Boyd L,Burkle FM,Archer F

    更新日期:2017-10-01 00:00:00

  • A sustainable training strategy for improving health care following a catastrophic radiological or nuclear incident.

    abstract::The detonation of a nuclear device in a US city would be catastrophic. Enormous loss of life and injuries would characterize an incident with profound human, political, social, and economic implications. Nevertheless, most responders have not received sufficient training about ionizing radiation, principles of radiati...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1400003X

    authors: Blumenthal DJ,Bader JL,Christensen D,Koerner J,Cuellar J,Hinds S,Crapo J,Glassman E,Potter AB,Singletary L

    更新日期:2014-02-01 00:00:00

  • A Comparison of Three Maneuvers and Their Effect on Laryngoscopic View, Time to Intubate, and Intubation Outcome by Novice Intubators in a Simulated Airway.

    abstract::Aim The goal of this study was to compare the relative effectiveness of three adjunctive maneuvers - head elevation (HE), forward laryngoscope traction (FT), and external laryngeal manipulation (ELM) - on laryngoscopic view, intubation time, and intubation success performed by a sample of novice intubators using a sim...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17006392

    authors: Stein C,Gerber L,Curtin D,Oberem N,Wells M

    更新日期:2017-08-01 00:00:00

  • Disaster metrics: a proposed quantitative model for benchmarking prehospital medical response in trauma-related multiple casualty events.

    abstract:INTRODUCTION:Quantitative benchmarking of trauma-related prehospital response for Multiple Casualty Events (MCE) is complicated by major difficulties due to the simultaneous occurrences of multiple prehospital activities. HYPOTHESIS/PROBLEM:Attempts to quantify the various components of prehospital medical response in...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12000416

    authors: Bayram JD,Zuabi S

    更新日期:2012-04-01 00:00:00

  • Burden of cardiovascular morbidity and mortality following humanitarian emergencies: a systematic literature review.

    abstract:BACKGROUND:The global burden of cardiovascular mortality is increasing, as is the number of large-scale humanitarian emergencies. The interaction between these phenomena is not well understood. This review aims to clarify the relationship between humanitarian emergencies and cardiovascular morbidity and mortality. MET...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X14001356

    authors: Hayman KG,Sharma D,Wardlow RD,Singh S

    更新日期:2015-02-01 00:00:00