A multicasualty event: Out-of-hospital and in-hospital organizational aspects

Malka Avitzour, Meir Libergal, Jacob Assaf, Jakov Adler, Shaul Beyth, Rami Mosheiff, Amir Rubin, Zvi Feigenberg, Ruth Slatnikovitz, Rosa Gofin, Shmuel Chaim Shapira

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

In a wedding celebration of 700 participants, the third floor of the hall in which the celebration was taking place suddenly collapsed. While the walls remained intact, all three floors of the building collapsed, causing Israel's largest disaster.To study the management of a multicasualty event (MCE), in the out-of-hospital and in-hospital phases, including rescue, emergency medical services (EMS) deployment and evacuation of casualties, emergency department (ED) deployment, recalling staff, medical care, imaging procedures, hospitalization, secondary referral, and interhospital transfer of patients.Data on all the victims who arrived at the four EDs in Jerusalem were collected through medical files, telephone interviews, and hospital computerized information.The disaster resulted in 23 fatalities and 315 injured people; 43% were hospitalized. During the first hour, 42% were evacuated and after seven hours the scene was empty. Ninety-seven basic life support ambulances, 18 mobile intensive care units, 600 emergency medical technicians, 40 paramedics, and 15 physicians took part in the out-of-hospital stage. At the hospitals, about 1,300 staff members arrived immediately, either on demand or voluntarily, a number that seems too large for this disaster. Computed tomography (CT) demand was over its capability.During this MCE, the authors observed "rotating" bottleneck phenomena within out-of-hospital and in-hospital systems. For maximal efficiency, hospitals need to fully coordinate the influx and transfer of patients with out-of-hospital rescue services as well as with other hospitals. Each hospital has to immediately deploy its operational center, which will manage and monitor the hospital's resources and facilitate coordination with the relevant institutions.

Original languageEnglish (US)
Pages (from-to)1102-1104
Number of pages3
JournalAcademic Emergency Medicine
Volume11
Issue number10
DOIs
StatePublished - Oct 1 2004

Fingerprint

Disasters
Patient Transfer
Emergency Medical Technicians
Allied Health Personnel
Ambulances
Emergency Medical Services
Israel
Diagnostic Imaging
Intensive Care Units
Hospital Emergency Service
Hospitalization
Referral and Consultation
Tomography
Interviews
Physicians

Keywords

  • disaster management
  • emergency medical services
  • hospitals
  • mass-casualty event
  • multicasualty event

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Avitzour, M., Libergal, M., Assaf, J., Adler, J., Beyth, S., Mosheiff, R., ... Shapira, S. C. (2004). A multicasualty event: Out-of-hospital and in-hospital organizational aspects. Academic Emergency Medicine, 11(10), 1102-1104. https://doi.org/10.1197/j.aem.2004.06.010

A multicasualty event : Out-of-hospital and in-hospital organizational aspects. / Avitzour, Malka; Libergal, Meir; Assaf, Jacob; Adler, Jakov; Beyth, Shaul; Mosheiff, Rami; Rubin, Amir; Feigenberg, Zvi; Slatnikovitz, Ruth; Gofin, Rosa; Shapira, Shmuel Chaim.

In: Academic Emergency Medicine, Vol. 11, No. 10, 01.10.2004, p. 1102-1104.

Research output: Contribution to journalArticle

Avitzour, M, Libergal, M, Assaf, J, Adler, J, Beyth, S, Mosheiff, R, Rubin, A, Feigenberg, Z, Slatnikovitz, R, Gofin, R & Shapira, SC 2004, 'A multicasualty event: Out-of-hospital and in-hospital organizational aspects', Academic Emergency Medicine, vol. 11, no. 10, pp. 1102-1104. https://doi.org/10.1197/j.aem.2004.06.010
Avitzour M, Libergal M, Assaf J, Adler J, Beyth S, Mosheiff R et al. A multicasualty event: Out-of-hospital and in-hospital organizational aspects. Academic Emergency Medicine. 2004 Oct 1;11(10):1102-1104. https://doi.org/10.1197/j.aem.2004.06.010
Avitzour, Malka ; Libergal, Meir ; Assaf, Jacob ; Adler, Jakov ; Beyth, Shaul ; Mosheiff, Rami ; Rubin, Amir ; Feigenberg, Zvi ; Slatnikovitz, Ruth ; Gofin, Rosa ; Shapira, Shmuel Chaim. / A multicasualty event : Out-of-hospital and in-hospital organizational aspects. In: Academic Emergency Medicine. 2004 ; Vol. 11, No. 10. pp. 1102-1104.
@article{bd4580693411411d8c4761a412e09f9f,
title = "A multicasualty event: Out-of-hospital and in-hospital organizational aspects",
abstract = "In a wedding celebration of 700 participants, the third floor of the hall in which the celebration was taking place suddenly collapsed. While the walls remained intact, all three floors of the building collapsed, causing Israel's largest disaster.To study the management of a multicasualty event (MCE), in the out-of-hospital and in-hospital phases, including rescue, emergency medical services (EMS) deployment and evacuation of casualties, emergency department (ED) deployment, recalling staff, medical care, imaging procedures, hospitalization, secondary referral, and interhospital transfer of patients.Data on all the victims who arrived at the four EDs in Jerusalem were collected through medical files, telephone interviews, and hospital computerized information.The disaster resulted in 23 fatalities and 315 injured people; 43{\%} were hospitalized. During the first hour, 42{\%} were evacuated and after seven hours the scene was empty. Ninety-seven basic life support ambulances, 18 mobile intensive care units, 600 emergency medical technicians, 40 paramedics, and 15 physicians took part in the out-of-hospital stage. At the hospitals, about 1,300 staff members arrived immediately, either on demand or voluntarily, a number that seems too large for this disaster. Computed tomography (CT) demand was over its capability.During this MCE, the authors observed {"}rotating{"} bottleneck phenomena within out-of-hospital and in-hospital systems. For maximal efficiency, hospitals need to fully coordinate the influx and transfer of patients with out-of-hospital rescue services as well as with other hospitals. Each hospital has to immediately deploy its operational center, which will manage and monitor the hospital's resources and facilitate coordination with the relevant institutions.",
keywords = "disaster management, emergency medical services, hospitals, mass-casualty event, multicasualty event",
author = "Malka Avitzour and Meir Libergal and Jacob Assaf and Jakov Adler and Shaul Beyth and Rami Mosheiff and Amir Rubin and Zvi Feigenberg and Ruth Slatnikovitz and Rosa Gofin and Shapira, {Shmuel Chaim}",
year = "2004",
month = "10",
day = "1",
doi = "10.1197/j.aem.2004.06.010",
language = "English (US)",
volume = "11",
pages = "1102--1104",
journal = "Academic Emergency Medicine",
issn = "1069-6563",
publisher = "Wiley-Blackwell",
number = "10",

}

TY - JOUR

T1 - A multicasualty event

T2 - Out-of-hospital and in-hospital organizational aspects

AU - Avitzour, Malka

AU - Libergal, Meir

AU - Assaf, Jacob

AU - Adler, Jakov

AU - Beyth, Shaul

AU - Mosheiff, Rami

AU - Rubin, Amir

AU - Feigenberg, Zvi

AU - Slatnikovitz, Ruth

AU - Gofin, Rosa

AU - Shapira, Shmuel Chaim

PY - 2004/10/1

Y1 - 2004/10/1

N2 - In a wedding celebration of 700 participants, the third floor of the hall in which the celebration was taking place suddenly collapsed. While the walls remained intact, all three floors of the building collapsed, causing Israel's largest disaster.To study the management of a multicasualty event (MCE), in the out-of-hospital and in-hospital phases, including rescue, emergency medical services (EMS) deployment and evacuation of casualties, emergency department (ED) deployment, recalling staff, medical care, imaging procedures, hospitalization, secondary referral, and interhospital transfer of patients.Data on all the victims who arrived at the four EDs in Jerusalem were collected through medical files, telephone interviews, and hospital computerized information.The disaster resulted in 23 fatalities and 315 injured people; 43% were hospitalized. During the first hour, 42% were evacuated and after seven hours the scene was empty. Ninety-seven basic life support ambulances, 18 mobile intensive care units, 600 emergency medical technicians, 40 paramedics, and 15 physicians took part in the out-of-hospital stage. At the hospitals, about 1,300 staff members arrived immediately, either on demand or voluntarily, a number that seems too large for this disaster. Computed tomography (CT) demand was over its capability.During this MCE, the authors observed "rotating" bottleneck phenomena within out-of-hospital and in-hospital systems. For maximal efficiency, hospitals need to fully coordinate the influx and transfer of patients with out-of-hospital rescue services as well as with other hospitals. Each hospital has to immediately deploy its operational center, which will manage and monitor the hospital's resources and facilitate coordination with the relevant institutions.

AB - In a wedding celebration of 700 participants, the third floor of the hall in which the celebration was taking place suddenly collapsed. While the walls remained intact, all three floors of the building collapsed, causing Israel's largest disaster.To study the management of a multicasualty event (MCE), in the out-of-hospital and in-hospital phases, including rescue, emergency medical services (EMS) deployment and evacuation of casualties, emergency department (ED) deployment, recalling staff, medical care, imaging procedures, hospitalization, secondary referral, and interhospital transfer of patients.Data on all the victims who arrived at the four EDs in Jerusalem were collected through medical files, telephone interviews, and hospital computerized information.The disaster resulted in 23 fatalities and 315 injured people; 43% were hospitalized. During the first hour, 42% were evacuated and after seven hours the scene was empty. Ninety-seven basic life support ambulances, 18 mobile intensive care units, 600 emergency medical technicians, 40 paramedics, and 15 physicians took part in the out-of-hospital stage. At the hospitals, about 1,300 staff members arrived immediately, either on demand or voluntarily, a number that seems too large for this disaster. Computed tomography (CT) demand was over its capability.During this MCE, the authors observed "rotating" bottleneck phenomena within out-of-hospital and in-hospital systems. For maximal efficiency, hospitals need to fully coordinate the influx and transfer of patients with out-of-hospital rescue services as well as with other hospitals. Each hospital has to immediately deploy its operational center, which will manage and monitor the hospital's resources and facilitate coordination with the relevant institutions.

KW - disaster management

KW - emergency medical services

KW - hospitals

KW - mass-casualty event

KW - multicasualty event

UR - http://www.scopus.com/inward/record.url?scp=4544362897&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4544362897&partnerID=8YFLogxK

U2 - 10.1197/j.aem.2004.06.010

DO - 10.1197/j.aem.2004.06.010

M3 - Article

C2 - 15466156

AN - SCOPUS:4544362897

VL - 11

SP - 1102

EP - 1104

JO - Academic Emergency Medicine

JF - Academic Emergency Medicine

SN - 1069-6563

IS - 10

ER -