Emergency Service Experience following the Terrorist Attack in Mogadishu, 14 October 2017

2020 ◽  
Author(s):  
Mustafa Enes Demirel ◽  
Ibrahim Hussein Ali ◽  
Mustafa Bogan
Keyword(s):  
Disaster Management ◽  
Terrorist Attack ◽  
Information Management System ◽  
Surgical Approaches ◽  
Trauma Patients ◽  
Suicide Bomber ◽  
Training And Research ◽  
Rapid Transport ◽  
Hospital Information Management System ◽  
Terrorist Event

Abstract Background: To evaluate the trauma patients presenting at the Emergency Department (ED) of Mogadishu Somalia Turkish Training and Research Hospital following the explosion caused by a suicide bomber with a truck loaded with explosives in the Somalian capital, Mogadishu.Methods: The data of patients presenting at the hospital following the severe explosion on 14 October 2017 were accessed from the hospital information management system, patient examination forms and patient records and were retrospectively examined. Results: The patients comprised 188 (74.6%) males and mean age of 30.94±12.23 years (range, 1-80 years). 86 (34.1%) patients were marked with red code, 138 (54.8%) patients had superficial injuries. 173 (68.7%) patients were managed in the ED and 7 (2.8%) patients died on first admission in the ED. Multiple trauma injuries were detected in 43 (17.1%) patients, and 31 (12.3%) patients were admitted to Orthopedics departmentConclusion: Disaster management in a terrorist event requires rapid transport, appropriate triage, effective surgical approaches and specific postoperative care. Such a form of disaster management can be effective in reducing mortality of the injured who can be saved.

scholarly journals Skull Base Trauma: Clinical Considerations in Evaluation and Diagnosis and Review of Management Techniques and Surgical Approaches

2017 ◽  
Vol 31 (04) ◽  
pp. 177-188 ◽  
Author(s):  
Soroush Farnoosh ◽  
Robert Kellman ◽  
Sherard Tatum ◽  
Jacob Feldman
Keyword(s):  
Skull Base ◽  
Surgical Approaches ◽  
Trauma Patients ◽  
Traumatic Injuries ◽  
Surgical Access ◽  
Radiographic Testing ◽  
Cranial Nerve Injury ◽  
Cranial Fossa ◽  
Skull Base Anatomy ◽  
Neurovascular Structures

AbstractTraumatic injuries to the skull base can involve critical neurovascular structures and present with symptoms and signs that must be recognized by physicians tasked with management of trauma patients. This article provides a review of skull base anatomy and outlines demographic features in skull base trauma. The manifestations of various skull base injuries, including CSF leaks, facial paralysis, anosmia, and cranial nerve injury, are discussed, as are appropriate diagnostic and radiographic testing in patients with such injuries. While conservative management is sometimes appropriate in skull base trauma, surgical access to the skull base for reconstruction of traumatic injuries may be required. A variety of specific surgical approaches to the anterior cranial fossa are discussed, including the classic anterior craniofacial approach as well as less invasive and newer endoscope-assisted approaches to the traumatized skull base.

Design and Implementation of the Hospital Information Management System Based on the ASP.NET

2014 ◽  
Vol 644-650 ◽  
pp. 3166-3169
Author(s):  
Ming Li ◽  
Shu Yuan Yang
Keyword(s):  
Information Management ◽  
Management System ◽  
Medical Information ◽  
Information Management System ◽  
Remote Access ◽  
Drug Usage ◽  
Time Dynamic ◽  
Design And Implementation ◽  
Dynamic Tracking ◽  
Hospital Information Management System

The existing hospital information management system generally does not support remote access and the information sharing is low. In order to adapt to the needs of the development of medical information management, the hospital information management system should be developed based on B/S structure. The system should store staff basic information, outpatient and hospitalization reimbursement detail in the database; can timely reflect the patient fee in arrears; draw graphical statistics of the use of funds, the incidence of disease, drug usage information; can set reimbursement policy according to the conditions and can automatically submit an expense account settlement, fund collection, decomposition of annual and carry forward; show the real-time dynamic tracking information for ins and outs of supplies, equipment, and drugs, reduce the backlog and shortages.AFS.NET technology.

Identification With Terrorist Attack Victims: Association With Television Viewing and Prior Life Threat

2017 ◽  
Vol 12 (3) ◽  
pp. 337-344 ◽  
Author(s):  
Holly B. Herberman Mash ◽  
Carol S. Fullerton ◽  
K. Nikki Benevides ◽  
Robert J. Ursano
Keyword(s):  
Online Survey ◽  
Television Viewing ◽  
Terrorist Attack ◽  
Female Gender ◽  
Parental Status ◽  
Washington Dc ◽  
Past Life ◽  
Life Threatening ◽  
Life Threat ◽  
Terrorist Event

AbstractObjectiveA series of sniper attacks in the Washington, DC, area left 10 people dead and 3 wounded. We developed and tested a model that examined the unique and interdependent relationships of sniper-related television viewing, prior life-threatening events, and parental status to identification with attack victims.MethodsParticipants were 1238 residents of the DC area (aged 18-90 years, mean=41.7 years; 51% female; 68% white) who completed an online survey that assessed identification with sniper attack victims, amount of television viewing, and prior life-threatening events. Identification was measured by using a previously developed scale that assessed to what extent participants identified victims as similar to themselves, a friend, or a family member.ResultsThe relationship of television viewing to identification was examined by using multivariate linear regression analyses. In univariate analyses, female gender, having children, higher levels of television viewing, and past life-threatening events were independently related to greater identification. After adjustment for demographics and life-threatening events, sniper-related television viewing continued to be associated with identification (B=0.61, P≤0.001, ∆R2=0.07). Examination of the interactions of television viewing by parental status and television viewing by life-threatening event revealed significant relationships.ConclusionsAttention to events preceding and during a terrorist event could help in the recognition of those at particular risk for increased identification with attack victims. These findings also have implications for recommendations for media exposure during an event. (Disaster Med Public Health Preparedness. 2018; 12: 337–344)

Disaster Management - Approach and Emerging Strategies in India

2003 ◽  
Vol 7 (1) ◽  
pp. 135-144
Author(s):  
Vinod K. Sharma
Keyword(s):  
Disaster Management ◽  
World Trade ◽  
Terrorist Attack ◽  
Management Approach ◽  
Potential Danger ◽  
Management Mechanism ◽  
Policy Makers ◽  
Loss Of Life ◽  
The Social ◽  
Natural Disaster Management

In India, the colossal loss of life and property, the social and economic disruptions caused by the increasing frequencies and severity of natural disasters has increased awareness on natural disaster management at all levels including political circles. However, the terrorist attack over World Trade Centre in USA and the spread of anthrax fear in its aftermath has shifted our attention towards potential danger of the biological and other manmade disasters. It is in this context that disaster management as an important issue draws attention of various stakeholders in the disaster management community to introspect how prepared we are to tackle this type of disasters. The present paper aims at giving a comprehenvsive account of the disaster management mechanism in our country. It also briefly discusses the efforts made and major challenges and various issues of disaster management in our country. In addition, it gives an account of the emerging strategies in managing future disasters - both natural and manmade. The various aspects covered in this paper will provide valuable inputs to the planners, policy makers, administrators, scholars and other stakeholders.

Differences in the Sources of Information and Acquaintance with Instructions between Dimona and the General Population after a Suicide Bomber Event

2010 ◽  
Vol 25 (1) ◽  
pp. 63-67
Author(s):  
Aaron Richman ◽  
Galit Shohat ◽  
Yechiel Soffer ◽  
Yaron Bar-Dayan
Keyword(s):  
General Population ◽  
Telephone Survey ◽  
Target Population ◽  
Sources Of Information ◽  
Local Authorities ◽  
Suicide Bomber ◽  
Exact Location ◽  
Terrorist Event ◽  
Representative Samples

AbstractA telephone survey among two randomly selected, representative samples of adults was conducted two days after a suicide bomber event in Dimona, Israel. Television, radio, Internet, and newspapers were more common sources of information in the general population, whereas friends, family, and the local authorities were the more common sources of information in Dimona. Higher acquaintance with police instructions and higher knowledge of the exact location of the event were found in the population of Dimona. Authorities must pay attention to this phenomenon and use the correct sources of information in each area in order to achieve better exposure of the target population to the police instructions after a terrorist event.

scholarly journals Experiences from a non-COVID hub referral orthopedic trauma hospital during the COVID-19 pandemic in Turkey

2021 ◽  
Vol 7 (2) ◽  
pp. 183
Author(s):  
Ferdi Dırvar ◽  
Sevda Uzun Dırvar ◽  
Alper Köksal ◽  
Osman Çimen ◽  
Anıl Erbaş ◽  
...  
Keyword(s):  
Treatment Strategies ◽  
Trauma Patients ◽  
Orthopaedic Trauma ◽  
Hub And Spoke ◽  
Trauma Severity ◽  
Patient Profile ◽  
Training And Research ◽  
Admission Type ◽  
Length Of Hospitalization ◽  
Type Of Anaesthesia

<p><strong>Background:</strong> During the COVID-19 pandemic period, resources should be reorganized to treat the increased burden of COVID-positive patients under the best conditions while simultaneously providing non-deferrable treatment to patients with no suspicion of COVID-19. In this study, we aimed to analyse the trauma patient profile and treatment strategies that emerged in the regional orthopaedic and traumatology hospital during the pandemic period after the implementation of “hub and spoke” organization among the orthopaedic and traumatology clinics.</p><p><strong>Methods:</strong> This cross-observational study was conducted in a training and research hospital in the field of orthopaedics and traumatology that was converted to a non-COVID referral orthopaedic trauma center during the pandemic. Gender, age, length of hospitalization, duration of trauma, place of trauma, severity of trauma, type of admission, type of anaesthesia and site of trauma were evaluated in the patients that presented between March 16 and May 16, 2020.</p><p><strong>Results:</strong> Of the orthopaedic trauma patients requiring surgery, 169 (62.6%) were men and 101 (37.4%) were women. In comparison of the data with that of the last year, significant increases were observed in the number of home traumas (241.5%), low-energy traumas (87.4%), patients referred from other institutions (328.9%), regional anaesthesia patients (124.2%) and patients with hip traumas (226.7%). The length of hospitalization decreased significantly (p&lt;0.05).</p><p><strong>Conclusions:</strong> The creation of hub and spoke organization through the cooperation of orthopaedics and traumatology clinics in the region can reduce the burden on pandemic hospitals by isolating trauma patients requiring orthopaedic surgery who were not suspected of COVID-19 and directing them to dedicated orthopaedics and traumatology hospital.</p>

scholarly journals Dampak Kualitas Sistem, Pengguna Sistem dan Organisasi dalam Pemanfaatan Kinerja Sistem Informasi Manajemen Rumah Sakit di RSU Dr. H. Koesnadi Bondowoso

2018 ◽  
Vol 1 (1) ◽  
pp. 25
Author(s):  
Demiawan Rachmatta Putro Mudiono ◽  
Sri Hernawati ◽  
Saiful Bukhori
Keyword(s):  
Information Management ◽  
Health Information System ◽  
Relevant Information ◽  
Information Management System ◽  
Quality System ◽  
Information Resources ◽  
System Quality ◽  
Effective Decision ◽  
Hospital Information Management System ◽  
The Impact

Hospital Information Management System (HIMS) was part of a health information system that provided relevant information resources throughout the organization to supported effective decision made and hospital administration. This studied aims to analyzed the impact of system quality, system users, and organizations in the utilization of HIMS performanced. The type of researched used was the type of explanatory researched. The population in this studied amounted to 258 and 158 samples. Based on the tested results there was the influenced of system quality on system users with t statistics 3,219 (t statistics> t table 1.96). In addition there was no effected of system quality on the organization with t statistics 0.483 and there was no organizational influenced on the user system with t statistics 1.489. Furthermore there was the effected of system users on the utilization of SIMRS performanced with t statistics of 5.838 and there was an organizational influenced on the utilization of HIMS performanced with t statistics 3.589. The results were interrelated between variables so that to realized the utilization of HIMS performanced. <br/>Keywords: System quality, System Users, Organization, Utilization of Abstrak

scholarly journals COMPARISON OF SURGICAL AND NON-SURGICAL APPROACHES TO SPLENIC TRAUMA

2020 ◽  
Vol 17 (34) ◽  
pp. 125-134
Author(s):  
Seyed Hamzeh MOUSAVIE ◽  
Kamran BEIGI RIZI ◽  
Parisa HOSSEINPOUR ◽  
Ali Reza NEGAHI
Keyword(s):  
Surgical Approach ◽  
Length Of Hospital Stay ◽  
Diagnostic Methods ◽  
Surgical Approaches ◽  
Splenic Trauma ◽  
Trauma Patients ◽  
Car Accidents ◽  
Surgical Ward ◽  
Significant Difference ◽  
Surgical Group

The spleen loss leads to increase the risk of sepsis, pyelonephritis, pneumonia, and pulmonary embolism throughout the lifetime of patients with splenic trauma. Regarding the sensitivity of the spleen and the importance of appropriate therapies for spastic trauma, this study aimed to determine the consequences of spinal trauma based on different therapeutic methods. This retrospective cohort study was conducted on the splenic trauma patients who were referred to Rasool Akram Hospital in Tehran, Iran, during 2011-2017. All medical records of 133 splenic trauma patients were gathered from 2011-2017. The data were gathered related to ultrasound, and computed tomography scan or other diagnostic methods of the patients admitted in the surgical ward. Finally, splenic trauma patients with a surgical approach were compared to the subjects with a non-surgical approach. Surgical and non-surgical approaches were performed on 80% (n=104) and 20% (n=26) of the subjects, respectively. There was a significant difference between the two groups regarding the length of intensive care unit stay and total hospitalization duration. The comparison between the two groups showed that there was no significant difference in term of the related side effects (P>0.05). Overall, 80.8% (n=84) and 96.4% (n=27) of the patients were discharged in surgical and non-surgical groups, respectively. In addition, 19.2% (n=20) and 3.6% (n=1) of the cases died in surgical and non-surgical groups. The comparison of survived patients showed that there was a significant difference between the groups (P=0.045). This study showed that there was no difference regarding the consequences of surgical and non-surgical approaches in patients with splenic trauma. The length of hospital stay was shorter in the non-surgical group, compared to that of the surgical group. The most commoncause of trauma in both groups was car accidents. Retroperitoneal hematoma was the most common intraabdominal trauma. The mortality rate was higher in the surgical group in comparison to that of the non-surgical group.

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