Terrorist Stabbings—Distinctive Characteristics and How to Prepare for Them

Ofer, Merin; Sonkin, Roman; Yitzhak, Avraham; H, Frenkel; Leiba, Adi; Schwarz, Alon; Jaffe, Eli

doi:10.1016/j.jemermed.2017.05.031

Cited by 13 publications

(8 citation statements)

References 19 publications

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“…Besides these in-hospital pathways, surgical skills need to be trained as well. Teaching of life-saving procedures, compulsory for every surgeon in training might be helpful [ 19 , 20 ], but they hardly match the surgeons expertise gained through high patient turnover. But not every patient is “in extremis.” Wound debridements, simple laparotomies, insertion of chest tubes, and vessel repairs are probably the majority of cases and need to be achieved as fast as possible.…”

Section: Discussionmentioning

confidence: 99%

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War surgery in Afghanistan: a model for mass causalities in terror attacks?

Wichlas

Hofmann

Strada³

et al. 2020

International Orthopaedics (SICOT)

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Purpose The aim of the study was to identify solution strategies from a non-governmental (NGO) hospital in a war region for violence-related injuries and to show how high-income countries (HIC) might benefit from this expertise. Methods NGO trauma hospital in Lashkar Gah, Afghanistan. Four hundred eighty-four war victims admitted in a three month period (February 2016–May 2016) were included. Patients´ characteristics were analyzed. Results The mean age was 23.5 years. Four hundred thirty-four (89.9%) were male, and 50 (10.1%) were female. The most common cause of injury was bullet injuries, shell injuries, and mine injuries. The most common injured body region was the lower extremity, upper extremity, and the chest or the face. Apart from surgical wound care and debridements, which were performed on every wound in the operation theatre, laparotomy was the most common surgical procedure, followed by installation of a chest drainage and amputation. Conclusion The surgical expertise and clear pathways outweigh modern infrastructure. In case of a mass casualty incident, fast decision-making with basic diagnostic means in order to take rapid measurements for life-saving therapies could make the difference.

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Section: Discussionmentioning

confidence: 99%

Section: Skillsmentioning

confidence: 99%

War surgery in Afghanistan: a model for mass causalities in terror attacks?

Wichlas

Hofmann

Strada³

et al. 2020

International Orthopaedics (SICOT)

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“…In Finland and Norway, for example, penetrating trauma is not very commonly seen—an estimate of 5%–10% of all injuries in large trauma centers (2–4). Stab injuries are relatively rare in most European countries, but are common in international conflicts, terrorist attacks, and in large city hospitals around the world (5–7). The encountered penetrating injuries in Scandinavian countries are mostly due to stab wounds (SW).…”

Section: Introductionmentioning

confidence: 99%

“…Today, we face an increasing risk of terroristic acts. Terrorist stabbings are reported to result in more severe an injury pattern than civilian stabbings, due to the solid intent of injuring as many victims as severely as possible (5). In addition, improvised explosive devices lead to mass casualties with a preponderance of penetrating injuries.…”

Section: Introductionmentioning

confidence: 99%

Imaging of penetrating thoracic trauma in a large Nordic trauma center

Nummela

Thorisdottir

Oladottir

et al. 2019

Acta Radiologica Open

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Background: Penetrating trauma is rarely encountered in Nordic trauma centers, yet the incidence is increasing. Typical imaging findings in penetrating trauma should thus be familiar to all radiologists. Purpose: To evaluate incidence and imaging findings of penetrating chest trauma, gunshot wound (GSW) and stab wound (SW) injury spectrum, imaging protocols, and outcome in a large trauma center. Material and Methods: Trauma registry data from 2013-2016 was retrieved, and imaging accessed through hospital PACS. Retrieved variables included age, gender, injury severity scores, mechanism of injury, time to CT, and 30-day mortality. Depth of thoracic, pulmonary, abdominal and skeletal injury, active bleeding, and use of chest tubes were evaluated. Results: Of 636 patients with penetrating injuries, 443 (69.7%) underwent imaging. Of these, 161 (36.3%) had penetrating thoracic injuries. Of 161 patients with penetrating chest trauma in imaging, 151 (93.8%) were men (mean age ¼ 34.9 years) and 10 (6.2%) were women (mean age ¼ 40.7 years). The majority of patients had SWs (138 SW vs. 15 GSW). Patients with GSWs were more severely injured (mean ISS 17.00 vs. 8.84 [P¼0.0014] and ISS16 in 53.3% vs. 16.7%) than SW patients. In CT, intrathoracic injuries were found in 49.4% (77/156) and active bleeding in 26.3% (41/156). Emergency surgery was performed in 6.2% (10/161) with postoperative CT imaging. Thirty-day mortality rate was 1.2% (2/161). Conclusion: Penetrating thoracic trauma often violates intrathoracic structures and nearby compartments. Arterial phase whole-body CT is recommended as multiple injuries and active bleeding are common. CT after emergency surgery is warranted, especially to assess injuries outside the surgical field.

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“…V jiné izraelské statistice (září 2015 až květen 2016) je evidováno celkem 414 obětí všech teroristických útoků. Z toho připadá na útok nožem 161 obětí (10). Je tedy patrné, že nůž jako zbraň osamělého vlka má značnou relevanci.…”

Section: úTok Chladnou Zbraníunclassified

Terrorist Attacks by Lonely Wolfs And its prevention

Pohanka¹,

Břeň²

2020

Mil. Med. Sci. Lett.

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Problematika osamělých vlků, nebo též osamělých útočníků, získává z bezpečnostního hlediska na významu z důvodu aktuálnosti útoků i velmi obtížné ochraně proti nim. Neorganizovaní útočníci schopní zasáhnout na jakémkoliv místě a indoktrinovaní například jen na základě informací z elektronických zdrojů představují závažný problém, kterým se musí zabývat každá země. V některých oblastech dosahuje dopad útoků vlků samotářů zásadního významu. Tento přehledový článek shrnuje aktuální poznání v oblasti psychologických a sociálních aspektů osamělých vlků, rozděluje typy útoků a diskutuje možnosti preventivních opatření.

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Terrorist Stabbings—Distinctive Characteristics and How to Prepare for Them

Cited by 13 publications

References 19 publications

War surgery in Afghanistan: a model for mass causalities in terror attacks?

War surgery in Afghanistan: a model for mass causalities in terror attacks?

Imaging of penetrating thoracic trauma in a large Nordic trauma center

Terrorist Attacks by Lonely Wolfs And its prevention

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