Coping with war mass casualties in a hospital under fire

The radiology experience

Ahuva Engel, Michalle Soudack, Amos Ofer, Samy S. Nitecki, Eduard Ghersin, Doron Fischer, Diana E. Gaitini

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

OBJECTIVE. We report the role of the imaging department at a level 1 trauma center during the Second Lebanon War (summer 2006). Our institution received 849 military and civilian casualties, an average of 25 war-injured patients per day, 338 with acute traumatic stress disorders and 511 physically injured, coming in waves after a rocket attack or a battle confrontation. About 12 potentially critical physically injured patients per day were referred to the imaging department for sometimes complex imaging procedures. The unpredictable waves of casualties and nature of the injuries forced us to reorganize our routine workflow to provide adequate care to casualties and to nonemergent patients. Our nurses' station was transformed into a small emergency department. The radiology staff was distributed into 12 diagnostic stations, providing 24-hour service. Communication was improved by means of walkie-talkies. Three ultrasound units were placed at the emergency department for immediate focused assessment with sonography for trauma performance enabling initial triage of patients. The site and extent of injuries were accurately diagnosed on CT and CT angiography. Digital angiography allowed definitive vascular diagnosis and interventional procedures. CONCLUSION. Adequate communication, strict workflow, and correct use of imaging protocols ensured optimal triage, diagnosis, and therapy of casualties while maintaining care for nonwar patients.

Original languageEnglish
Pages (from-to)1212-1221
Number of pages10
JournalAmerican Journal of Roentgenology
Volume193
Issue number5
DOIs
StatePublished - Nov 1 2009
Externally publishedYes

Fingerprint

Mass Casualty Incidents
Radiology
Workflow
Triage
Hospital Emergency Service
Wounds and Injuries
Nursing Stations
Stress Disorders, Traumatic, Acute
Communication
Lebanon
Trauma Centers
Blood Vessels
Ultrasonography
Patient Care
Angiography
Warfare

Keywords

  • Emergency radiology
  • Focused abdominal sonography for trauma
  • Multiple-casualty incidents
  • Trauma
  • Triage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Engel, A., Soudack, M., Ofer, A., Nitecki, S. S., Ghersin, E., Fischer, D., & Gaitini, D. E. (2009). Coping with war mass casualties in a hospital under fire: The radiology experience. American Journal of Roentgenology, 193(5), 1212-1221. https://doi.org/10.2214/AJR.09.2375

Coping with war mass casualties in a hospital under fire : The radiology experience. / Engel, Ahuva; Soudack, Michalle; Ofer, Amos; Nitecki, Samy S.; Ghersin, Eduard; Fischer, Doron; Gaitini, Diana E.

In: American Journal of Roentgenology, Vol. 193, No. 5, 01.11.2009, p. 1212-1221.

Research output: Contribution to journalArticle

Engel, A, Soudack, M, Ofer, A, Nitecki, SS, Ghersin, E, Fischer, D & Gaitini, DE 2009, 'Coping with war mass casualties in a hospital under fire: The radiology experience', American Journal of Roentgenology, vol. 193, no. 5, pp. 1212-1221. https://doi.org/10.2214/AJR.09.2375
Engel, Ahuva ; Soudack, Michalle ; Ofer, Amos ; Nitecki, Samy S. ; Ghersin, Eduard ; Fischer, Doron ; Gaitini, Diana E. / Coping with war mass casualties in a hospital under fire : The radiology experience. In: American Journal of Roentgenology. 2009 ; Vol. 193, No. 5. pp. 1212-1221.
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