Features of flow of victims after terrorist attacks in the subway

Abstract

The objective of the study was to compare the order of admission and distribution in hospitals of the incoming flow of victims with explosive peacetime injuries (based on the analysis of terrorist acts in Minsk on April 11, 2011 and in St. Petersburg on April 3, 2017).Methods and Materials. We analyzed the organization of inpatient medical care for 2 groups of victims who applied for medical care to hospital health organizations on the day of the terrorist attack. The first group – 195 victims of the explosion in the subway of Minsk. The second group – 55 victims of the explosion in the subway of St. Petersburg. Results. The order of admission of victims to the healthcare organization in both groups was similar, as was the number of requests for medical care within 1.5 hours from the time of the first treatment (72.7 and 63.6 %, p>0.05). In both groups, there were identical indicators of the victims aimed at inpatient treatment (80.5 and 83.6 %, p>0.05), and cases when the profile of the hospitalization department was crucial for the nature of medical care (74.5 and 76.1 %, p>0.05). The victims of both groups hospitalized in hospital healthcare organizations had identical indicators of subsequent transfers to other medical institutions or to other departments.Conclusion. The first 1.5 hours after the first call to hospitals after explosions in the subway are the most stressful, which may require limiting medical care only to emergency operations. Up to 20 % of the victims had no serious injuries and were referred for outpatient treatment.

Keywords

• explosive trauma
• terrorist attack
• victims
• medical care
• hospitalization