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:2/19/2020)... LOUIS (PRWEB) , ... February 19, 2020 , ... ... the availability of and application deadline for its new Lifestyle Medicine Residency Curriculum ... designed for integrated implementation into medical residency programs. Driven by resident involvement, ...
(Date:2/19/2020)... ... 2020 , ... In 2017, the EU’s revamped Medical Device ... currently govern medical device manufacturers under the Medical Devices Directive (MDD); the timeline ... changes from the previous MDD include:, , Elimination of ...
(Date:2/19/2020)... ... February 19, 2020 , ... SEAL SHIELD, LLC - Almost a hundred ... infections (HAIs.) According to The Centers for Disease Control (CDC), 80% of infections are ... screens that are now acting as an extension of people’s hands, but not getting ...
(Date:2/16/2020)... ... February 16, 2020 , ... Canadian digital healthcare portal Ask The ... who are concerned about the Coronavirus. , "It is our duty and it is ... this deadly virus" said Prakash Chand, CEO of Ask The Doctor. , Doctors and ...
(Date:2/15/2020)... ... ... It all started back in 2010, when Jennifer Martinez (Founder) was delighted that ... on to something special. The Heartsters have now become a circle of friends ... condition or illness, a disability or just having a bad day. , “It ...
Breaking Medicine News(10 mins):
(Date:2/20/2020)... ... February 20, 2020 , ... PAINWeekEnd on March ... Arizona, will be a timely and relevant 2-day program providing busy clinicians and ... of chronic pain. , In 2020, paper prescriptions for certain painkillers have been ...
(Date:2/19/2020)... ... February 19, 2020 , ... Today, ... skilled nursing facility rehospitalization rate are the lowest in the company’s history. ... 29 percent drop year over year. GHC’s skilled nursing facility (SNF) rehospitalization rate ...
(Date:2/19/2020)... ... February 19, 2020 , ... ... platform for research data management, has released a new SnapGene ... management features. With a ‘Quick View’ of supported DNA files, the molecular ...
Breaking Medicine Technology:
Cached News: