A Case Study of the High-speed Train Crash Outside Santiago de Compostela, Galicia, Spain

Forsberg, Rebecca; Vázquez, José Antonio

doi:10.1017/s1049023x16000030

Cited by 5 publications

(5 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Accordingly, the risk is higher when the passenger is facing forward in a moving train [15]. The train speed, the design of the concrete structure of the curve, the robustness of the carriage exterior, and the interior environment affect the injury severity [3]. In our situation, reducing the speed of one train which hit another train which was moving away from it decreased the energy transmission from the higher speed train.…”

Section: Discussionmentioning

confidence: 99%

“…Use of rail transport has increased globally with newer trains having higher speeds with better technology. An MCI of a train collisions may have high mortality because of the severe energy transfer to the victims of the incident [3]. The Covid-19 pandemic, which started in December 2019, has huge challenges for the medical response teams globally [4].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Kuala Lumpur Train Collision During the COVID-19 Pandemic

Idrose

Abu‐Zidan²,

Roslan

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Two city trains collided in an underground tunnel on 24th May 2021 at the height of Covid-19 pandemic near the Petronas Towers, Kuala Lumpur, Malaysia immediately after the evening rush hours. We aim to evaluate the management of this mass casualty incident highlighting the lessons learned to be used in preparedness for similar incidents that may occur in other major cities worldwide. Methods: Information regarding incident site and hospital management response were analysed. Data on demography, triaging, injuries and hospital management of patients were collected according to a designed protocol. Challenges, difficulties and their solutions were reported. Results: The train's emergency response team (ERT) has shut down train movements towards the incident site. Red zone (in the tunnel), yellow zone (the station platform) and green zone (outside the station entrance) were established. The fire and rescue team arrived and assisted the ERT in the red zone. Incident command system was established at the site. Medical base station was established at the yellow zone. 214 passengers were in the trains. 64 of them were injured. They had a median (range) ISS of 2 (1-43) and all were sent to Hospital Kuala Lumpur (HKL). Six (9.4%) patients were clinically triaged as red (critical), 19 (29.7%) as yellow (semi-critical) and 39 (60.9%) as green (non-critical). HKL's disaster plan was activated. All patients underwent temperature and epidemiology link assessment. Seven (10.9 %) patients were admitted to the hospital (3 to the ICU, 3 to the ward, and 1 to a private hospital as requested by the patient), while the rest 56 (87.5%) (56) were discharged home. Six (9.4%) needed surgery. The Covid-19 tests were conducted on seven patients (10.9%) and was negative There were no deaths. Conclusions: The mass casualty incident was handled properly because of a clear standard operating procedure, smooth coordination between multi-agencies and the hospitals, presence of a'binary' system for 'Covid risk' and 'non-Covid risk' areas, and the modifications of the existing disaster plan. Preparedness for MCIs is essential during pandemics.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Kuala Lumpur Train Collision During the COVID-19 Pandemic

Idrose

Abu‐Zidan²,

Roslan

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Accordingly, the risk is higher when the passenger is facing forward in a moving train [ 17 ]. The train speed, the design of the concrete structure of the curve, the robustness of the carriage exterior, and the interior environment affect the injury severity [ 3 ]. In our situation, reducing the speed of one train which hit another train which was moving away from it decreased the energy transmission from the higher-speed train.…”

Section: Discussionmentioning

confidence: 99%

“…The use of rail transport has increased globally with newer trains having higher speeds with better technology. An MCI of a train collisions may have high mortality because of the severe energy transfer to the victims of the incident [ 3 ]. The COVID-19 pandemic, which started in December 2019, has huge challenges for the medical response teams globally [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Kuala Lumpur train collision during the COVID-19 pandemic

et al. 2022

View full text Add to dashboard Cite

Background Two city trains collided in an underground tunnel on 24 May 2021 at the height of COVID-19 pandemic near the Petronas Towers, Kuala Lumpur, Malaysia, immediately after the evening rush hours. We aim to evaluate the management of this mass casualty incident highlighting the lessons learned to be used in preparedness for similar incidents that may occur in other major cities worldwide. Methods Information regarding incident site and hospital management response were analysed. Data on demography, triaging, injuries and hospital management of patients were collected according to a designed protocol. Challenges, difficulties and their solutions were reported. Results The train's emergency response team (ERT) has shut down train movements towards the incident site. Red zone (in the tunnel), yellow zone (the station platform) and green zone (outside the station entrance) were established. The fire and rescue team arrived and assisted the ERT in the red zone. Incident command system was established at the site. Medical base station was established at the yellow zone. Two hundred and fourteen passengers were in the trains. Sixty-four of them were injured. They had a median (range) ISS of 2 (1–43), and all were sent to Hospital Kuala Lumpur (HKL). Six (9.4%) patients were clinically triaged as red (critical), 19 (29.7%) as yellow (semi-critical) and 39 (60.9%) as green (non-critical). HKL's disaster plan was activated. All patients underwent temperature and epidemiology link assessment. Seven (10.9%) patients were admitted to the hospital (3 to the ICU, 3 to the ward and 1 to a private hospital as requested by the patient), while the rest 56 (87.5%) were discharged home. Six (9.4%) needed surgery. The COVID-19 tests were conducted on seven patients (10.9%) and were negative. There were no deaths. Conclusions The mass casualty incident was handled properly because of a clear standard operating procedure, smooth coordination between multi-agencies and the hospitals, presence of a 'binary' system for 'COVID-risk' and 'non-COVID-risk' areas, and the modifications of the existing disaster plan. Preparedness for MCIs is essential during pandemics.

show abstract

“…In the train crashes in Sweden; in Nosaby, 2004 and in Kimstad, 2010, passengers were injured when they were thrown against various structures, into each other, and when hit by loose furniture and luggage (9,10). The consequences of the interior design and the prominence of improvements has also been illustrated by others (11)(12)(13)(14)(15)(16). Despite these consequences, injury reducing improvements concerning internal carriage design have been minor.…”

Section: Introductionmentioning

confidence: 87%