Managing a front-line field hospital in Libya: Description of case mix and lessons learned for future humanitarian emergencies

Levine, Adam C.; Shetty, Pranav

doi:10.1016/j.afjem.2012.01.005

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…It should also be noted that the majority of cases were male, as it is more common for men to participate in war and have trauma involving the CMF area [18]. This data corresponds with previous research concerning the mechanism of injury where most injuries were caused by blasts [7,19]. Gunshot injuries ranked second for causation surpassing RTAs which would be the primary cause of CMF injury in non-war environments [20,21].…”

Section: Discussionsupporting

confidence: 86%

“…In war-torn Libya, the absence of resources, severity and unpredictability of presenting cases and the lack of specialist health care personnel make a case for care providers to receive specialist training in the management of such injuries in less stable parts of the world [7,8]. Humanitarian emergency aid organisations in conflict zones are limited by a shortage of both healthcare providers and medical supplies [9].…”

Section: Introductionmentioning

confidence: 99%

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Craniomaxillofacial War Injuries in Misrata, Libya

Zaggut¹,

Rahman²,

Youssef³

et al. 2020

JDOA

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Injury to the craniomaxillofacial (CMF) area has major implications for mortality and morbidity depending on many factors that influence the level of treatment. In warzones, the extent of CMF injuries is amplified mainly due to the damage caused by bomb blasts. This study presents CMF injury as the result of war incidents to highlight the differences in injury type as well as the impact that an austere environment has on treatment. The author has unique insight and experience of treating CMF injuries in Misrata, Libya, where there is ongoing civil conflict. Surgeons in Libyan hospitals require intensive training intervention to effectively manage gunshot injuries, blast injuries and disasters and while these cases represent an austere environment, conclusions can be drawn for recent incidents involving terrorism. This study presents an analysis of injury patterns of patients presenting with CMF trauma during the Misrata battle of the Libyan conflict in 2011.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Craniomaxillofacial War Injuries in Misrata, Libya

Zaggut¹,

Rahman²,

Youssef³

et al. 2020

JDOA

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“…Moreover, the war and its repercussions resulted in internal and external population displacement, on top of great human and economic cost. [15][16][17] There are no reliable data on the numbers involved and the objectives of this study were to estimate the number of deaths and injuries in the different regions of Libya and to examine population displacement in the Libyan community.…”

Section: Introductionmentioning

confidence: 99%

Libyan armed conflict 2011: Mortality, injury and population displacement

Daw

El-Bouzedi

Dau

2015

African Journal of Emergency Medicine

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Background: Armed conflicts can negatively affect health services and cause injuries and death. The recent Arab uprising has been associated with considerable damage to infrastructure and loss of human lives. The aim of this study was to determine mortality, injuries and population displacement that occurred during the recent Libyan armed conflict. Methods: A systematic cross-sectional field survey and non-structured search was carried out over fourteen provinces in six Libyan regions, representing the primary sites of the armed conflict between February 2011 and February 2012. Thirty-five percent of the total area of Libya and 62.4% of the Libyan population were involved in the study. The mortality and injury rates were determined and the number of displaced people was calculated during the conflict period. Results: A total of 21,490 (0.5%) persons were killed, 19,700 (0.47%) injured and 435,000 (10.33%) displaced. The overall mortality rate was found to be 5.1 per 1000 per year (95% CI 4.1-7.4) and injury rate was found to be 4.7 per 1000 per year (95% CI 3.9-7.2) but varied by both region and time, reaching peak rates by JulyAugust 2011. Conclusion: The Libyan armed conflict resulted in great human loss and social damage mirrored by high rates of mortality, injury and human displacement. Such parameters peaked as the conflict escalated and differed according to the Libyan regions and provinces involved. National and international efforts should be combined to overcome the consequences of these conflicts. Pre´sentation: Les conflits arme´s peuvent affecter ne´gativement la sante´et provoquer des blessures et des de´ce`s. Le re´cent soule`vement arabe a e´te´associe´a`des dommages conside´rables aux infrastructures et a`la perte de vies humaines. L'objectif de cette e´tude e´tait de de´terminer le taux de mortalite´, de blessures et les de´placements de population pendant le re´cent conflit arme´en Libye. Me´thodes: Une e´tude de terrain transversale et syste´matique et une recherche non structure´e ont e´te´re´alise´es afin de couvrir six re´gions libyennes incluant 14 provinces, qui e´taient les principaux the´aˆtres du conflit arme´entre fe´vrier 2011 et fe´vrier 2012. Cette e´tude concernait trente-cinq pour cent de la surface totale de la Libye et 62,4 % de la population libyenne. Les taux de mortalite´et de blessures et le nombre de personnes de´place´es ont e´te´calcule´s sur la pe´riode du conflit.Re´sultats: Au total, 21,490 (0,5 %) personnes ont e´te´tue´es, 19,700 (0,47 %) personnes ont e´te´blesse´es et 435,000 (10,33 %) personnes ont e´te´de´place´es. Le taux de mortalite´global a e´te´estime´a`5,1 pour 1 000 par an (IC de 95 % ; 4,1 -7,4) et le taux de blessures global a e´te´estime´a`4,7 pour 1 000 par an (IC de 95 % ; 3,9 -7,2) ; ces taux variaient d'une re´gion a`l'autre. Ils ont varie´pe´riodiquement au cours du conflit et ont atteint un sommet en juillet-aouˆt 2011, la situation s'e´tant aggrave´e pour connaıˆtre ensuite un retour au calme vers la fin du conflit. Conclusion: Le conflit arme´li...

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Management of casualties in Misrata following the civil uprising in Libya, with an emphasis on maxillofacial injuries

EsmilTarek

BreezeJohno

SandhuRaj

et al. 2016

FDJ

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The Libyan city of Misrata was the focus of an intense period of fighting between government forces loyal to Gaddafi and rebels to the regime during the civil uprising in 2011. For a six-month period, the city was cut off from the outside world, apart from intermittent access from the sea, with limited medical facilities and staff to treat the growing number of casualties. Here, the background to the conflict, how the medical facilities were arranged in the city and the types of head, face and neck surgical procedures performed are described, alongside the lessons learned and suggestions for future conflicts.

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Managing a front-line field hospital in Libya: Description of case mix and lessons learned for future humanitarian emergencies

Cited by 4 publications

References 2 publications

Craniomaxillofacial War Injuries in Misrata, Libya

Craniomaxillofacial War Injuries in Misrata, Libya

Libyan armed conflict 2011: Mortality, injury and population displacement

Management of casualties in Misrata following the civil uprising in Libya, with an emphasis on maxillofacial injuries

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