Effective medical response reduced deaths of critically injured after London bombings

Rapid deployment of trained prehospital medical teams and triage* to a specialist trauma centre is likely to have reduced deaths in those critically injured in the London bombings on July 7, 2005, according to an Article in this week's issue of The Lancet.

The multiple bomb explosions in London on July 7, 2005, resulted in the largest mass casualty event in the UK since World War 2. Karim Brohi (The Royal London Hospital, UK) and colleagues assessed the response by the Royal London Hospital, which received 194 casualties from the incident and is London's primary trauma centre.

The researchers looked at over-triage rates, where non-critically injured causalities are assigned to a high priority for early evacuation and treatment. They found that the Royal London's Helicopter Emergency Medical Service (London-HEMS) achieved low over-triage rates (33%) at Aldgate and King's Cross when compared with the other sites and other previous events, such as the Madrid train bombing in March 2004 (89%). They also found the death rate among critically injured was 15% - lower than that of most previous terrorist mass casualty events. The improved triage by London-HEMS and the "damage control" response of the Trauma Centre is likely to be responsible for the low rate of death among the critically injured say the authors.

Dr Brohi comments: "A 'damage control' response shifts the trauma centre to an almost military footing, where all efforts are directed precisely at saving life and limb while maintaining the hospital's casualty receiving capability." (Quote by e-mail; does not appear in published paper)

The authors conclude that reducing the death rate in urban terrorist events requires a robust trauma system combining advanced prehospital teams and dedicated trauma centres.

See also accompanying Comment.


Contact: Joe Santangelo

Page: 1

Related medicine news :

1. Effectiveness of first renin inhibitor drug for treating hypertension is limited
2. Effectiveness of over-the-counter decongestant questioned in new study
3. Effective HIV control may depend on viral protein targeted by immune cells
4. Effective treatments for panic disorder not reaching patients
5. Effective alcohol dependence treatments defined
6. Effective treatment of a mothers depression reduces risk of psychiatric disorders in her children
7. Effective government/industry collaboration bolsters flu vaccine supply
8. Effective hospital patient handoffs require better training for physicians
9. Test project of patient-centered medical home model endorsed by American College of Physicians
10. Heroes of Chemistry honored for medical, energy, environmental breakthroughs
11. Refusal of medical and surgical interventions common among chronically ill elderly

Post Your Comments:

(Date:8/14/2019)... ... August 14, 2019 , ... Inc. magazine today revealed that RKC Products, a ... the most prestigious ranking of the nation’s fastest-growing private companies. With 200% revenue growth ... in the Health sector. The list represents a unique look at the most successful ...
(Date:8/14/2019)... Nev. (PRWEB) , ... August 13, 2019 , ... In ... and the purpose of doubt in your belief systems. , “Doubt can obliterate your ... start on the path to examining them to expand your understanding and your awareness. ...
(Date:8/12/2019)... ... August 12, 2019 , ... Cryotherapy has recently been the target of negative ... However, the cause of Brown’s injury was not due to cryotherapy, but due to ... NFL teams, such as the Dallas Cowboys, the Washington Redskins, the Denver Broncos and ...
(Date:8/9/2019)... ... , ... The Los Angeles employment law lawyers at Blumenthal Nordrehaug Bhowmik ... Food Markets, Inc., failed to provide their California employees with meal and rest periods ... lawsuit, Case No. 19STCV26728, is currently pending in the Los Angeles County Superior Court ...
(Date:8/9/2019)... ... August 08, 2019 , ... Guruji Mahendra Trivedi ... affecting humanity at practical and spiritual levels. , Founder of the Trivedi ... the God of their understanding, as well as, to illuminate the path of ...
Breaking Medicine News(10 mins):
(Date:8/16/2019)... ... August 16, 2019 , ... SignatureCare Emergency ... residents of Houston, TX including Montrose, Heights, Memorial City, and Bellaire, TX. , ... in Houston Heights, is aimed at helping Houston families get their children caught ...
(Date:8/16/2019)... , ... August 16, 2019 , ... ... Innovator, Tricia Lee (Wilkins) Rolle, PharmD, PhD, has joined the company as a ... with public and private sectors and industry standards organizations to advance use of ...
(Date:8/15/2019)... ... , ... On Sunday, August 4th, volunteers from Bright Now!® Dental ... the South LA community. Six doctors joined with their dedicated support staff to provide ... more at the South Gate Day of Giving. , Over 50 individuals were ...
Breaking Medicine Technology:
Cached News: