Emergency service experience following the terrorist attack in Mogadishu, 14 October 2017, a scene of lay rescuer triage

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dc.authorid0000-0001-5187-5737
dc.authorid0000-0002-3238-1827
dc.contributor.authorDemirel, Mustafa Enes
dc.contributor.authorAli, İbrahim Hussein
dc.contributor.authorBoğan, Mustafa
dc.date.accessioned2021-06-23T18:57:06Z
dc.date.available2021-06-23T18:57:06Z
dc.date.issued2021
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: A suicide bomber attack occurred in Somalia's capital city of Mogadishu on October 14, 2017. Over 500 people died, making it the third largest suicide bombing attack in world history. In this study, we aimed to share our experience and to discuss the importance of triage and prehospital care systems. Methods: These retrospective data included data from patients who suffered from severe explosions. Patient triage was performed using the START (Simple Triage and Rapid Treatment) triage algorithm at the entrance of the hospital. The patients included in the study were classified according to their age, sex, triage code, location of their major injury, department to which they were admitted, and discharge and/or exit status. Results: The patients included 188 (74.6%) males, and the mean age was 30.94 ± 12.23 years (range, 1–80 years). Eighty-six (34.1%) patients were marked with a red code indicating major injury, and 138 (54.8%) patients had superficial injuries. A total of 173 (68.7%) patients were managed in the emergency department (ED), and 7 (2.8%) patients died in the first 24 h. Multiple trauma injuries were detected in 43 (17.1%) patients, and 31 (12.3%) patients were admitted to the orthopedics department. Conclusion: Disaster management in a terrorist event requires rapid transport, appropriate triage, effective surgical approaches, and specific postoperative care. In this event, almost all patients were brought to the ED by lay rescuers. Appropriate triage algorithms for the public can be designed; for instance, green code: walking patient; yellow code: patient who is moving and asking for help; red code: unmoving or less mobile patient who is breathing; black code: nonbreathing patient.en_US
dc.description.sponsorshipMED, IHA: Conceptualization, Methodology, Software; MED,IHA: Data curation, Writing- Original draft preparation; MB,MED: Visualization, Investigation; MB: Supervision; MB: Validation, Formal analysis; MB,MED: Writing- Reviewing and Editing; MED: Project administration; None: Funding acquisition, Resources (no financial support for the research).en_US
dc.identifier.doi10.1016/j.ajem.2020.12.005
dc.identifier.endpage10en_US
dc.identifier.issn0735-6757
dc.identifier.pmid33326911en_US
dc.identifier.scopus2-s2.0-85097744425en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage6en_US
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2020.12.005
dc.identifier.urihttps://hdl.handle.net/20.500.12491/5133
dc.identifier.volume40en_US
dc.identifier.wosWOS:000616070800002en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorDemirel, Mustafa Enes
dc.language.isoenen_US
dc.publisherW.B. Saundersen_US
dc.relation.ispartofAmerican Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDisaster Managementen_US
dc.subjectEmergency Departmenten_US
dc.subjectMultiple Trauma Injuriesen_US
dc.subjectSuicide Bomberen_US
dc.titleEmergency service experience following the terrorist attack in Mogadishu, 14 October 2017, a scene of lay rescuer triageen_US
dc.typeArticleen_US

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