European Journal of Trauma

, Volume 32, Issue 4, pp 374–380

Triage in a Bomb Disaster with 166 Casualties

Authors

    • Department of Orthopedics and TraumatologyTöölö Hospital, Helsinki University Hospital
    • Department of Orthopedics and TraumatologyUniversity Hospital
  • Virve Koljonen
    • Department of Plastic SurgeryTöölö Hospital, Helsinki University Hospital
  • Kirsi Sillanpää
    • Department of Orthopedics and TraumatologyTöölö Hospital, Helsinki University Hospital
  • Erkki Tukiainen
    • Department of Plastic SurgeryTöölö Hospital, Helsinki University Hospital
  • Sari Pyörälä
    • Department of Pediatric SurgeryHospital for Children and Adolescents, Helsinki University Hospital
  • Esko Kemppainen
    • Department of Gastrointestinal SurgeryHelsinki University Hospital
  • Juha Kalske
    • Department of SurgeryJorvi Hospital
  • Eero Arajärvi
    • Department of SurgeryPeijas Hospital
  • Ulla Keränen
    • Department of SurgeryHyvinkää Hospital
  • Eero Hirvensalo
    • Department of Orthopedics and TraumatologyTöölö Hospital, Helsinki University Hospital
Original Article

DOI: 10.1007/s00068-006-6039-8

Cite this article as:
Torkki, M., Koljonen, V., Sillanpää, K. et al. Eur J Trauma (2006) 32: 374. doi:10.1007/s00068-006-6039-8

Abstract

Background:

We describe the surgical response of the Helsinki University Hospitals to a bomb disaster with 166 casualties. According to the Helsinki Area Disaster Plan, severely injured patients were transported to several hospitals with emergency facilities to avoid overtriage.

Methods:

The patient data were gathered from hospitals, health centers and other doctor visit/ appointments records. Injury Severity Scores (ISS), critical mortality rate and death/wounded ratio were calculated.

Results:

Of the 166 injured patients, 5 died immediately at the bombing site. Sixty-six patients were transported to the six affiliated hospitals. The mean ISS score for survivors was 12. Seventeen percent of the acute survivors were critically injured (ISS>15). The critical mortality rate was 8%. There were no later deaths; the dead/wounded ratio was 4.4. Operative treatment was performed for 38% of the patients treated in surgical emergency departments.

Conclusion:

The bombing attack in Myyrmanni shopping center led to 166 casualties, of whom 66 patients were received at six affiliated hospitals in Helsinki and Uusimaa Area. The critical mortality rate was low. A local disaster plan was implemented. The surgical response was rapid and well coordinated. In a mass casualty disaster not all disaster victims need to go to a trauma center.

Key Words

Bomb explosionTerrorismMass casualtiesSurgical response

Copyright information

© Urban & Vogel München 2006