Manchester Arena bombing: lessons learnt from a mass casualty incident

Manchester Arena bombing: lessons learnt from a mass casualty incident
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DOI:
10.1136/jramc-2018-000930
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发表时间:
2020-04-01
影响因子:
1.5
通讯作者:
Jones, D. J.
Jones, D. J.
中科院分区:
医学4区
文献类型:
--
作者:
Craigie, Ross J.;Farrelly, P. J.;Jones, D. J.

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2017年5月22日,萨勒曼·阿贝迪在曼彻斯特竞技场引爆简易爆炸装置,造成23人死亡(包括袭击者)。这是自2005年伦敦爆炸案以来英国本土发生的最致命的恐怖袭击,但只是2017年英国发生的五起大规模伤亡恐怖袭击之一。大规模伤亡事件(MCI)的准备是必须的,包括多机构桌面演习、模拟医院演习以及对临床医生进行模拟和培训,以处理此类事件中可能发生的伤害。即使在准备最充分的部队,由于这些事件在时间和伤亡人数方面的不可预测性,这样的事件也将构成重大挑战。在MCI之后,进行了地方和国家审查,以评估应对措施的有效性,但也要确定可以吸取经验教训的领域,并传播这些经验教训,以便将其纳入未来规划。我们介绍了一次大规模伤亡恐怖事件后的经验以及从这一事件中吸取的一些教训。
On 22 May 2017 Salman Abedi detonated an improvised explosive device in the Manchester Arena resulting in 23 deaths (including the attacker). This was the deadliest terrorist attack on UK soil since the 2005 London bombings, but was only one of five mass casualty terrorist attacks in the UK in 2017. Preparation for mass casualty incidents (MCI) is obligatory, involving such methods as multiagency tabletop exercises, mock hospital exercises, as well as simulation and training for clinicians in managing the injuries that would be anticipated in such an event. Even in the best prepared units, such an incident will pose significant challenges due to the unpredictable nature of these events with respect to timing and number of casualties. Following an MCI, local and national reviews are undertaken to assess the effectiveness of the response, but also to identify areas where lessons can be learnt and to disseminate these to allow inclusion in future planning. We present the experience following a mass casualty terrorist incident along with a number of lessons learnt from this event.