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Paris City Disaster: Response to the Recent Terror Attacks and Lessons Learned

  • Disaster Trauma (L Riddez, Section Editor)
  • Published:
Current Trauma Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The purposes of this review are to analyze the medical response to the terrorist attacks of November 2015 in Paris and to outline the lessons learned in France that can be useful for other trauma care systems.

Recent Findings

The recent published reports and the occurrence of new attacks in Europe and North America demonstrate the need for civilian emergency medical service (EMS) systems to be prepared to face mass casualties of victims injured by powerful military weapons such as assault rifles or bombings. A terrorist attack is not a natural or a technological disaster; it is a strategy using surprise and violence to spread fear and panic.

Summary

Adaptability, aggressive training program, and mutual trust of all the services involved in the neutralization of terrorists or the rescue and the care of casualties are mandatory to provide an efficient global answer. This will not only save lives, it will be also the first step of resilience.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Baker DJ, Telion C, Carli P. Multiple casualty incidents: the prehospital role of the anesthesiologist in Europe. Anesthesiol Clin. 2007;25:179–88.

    Article  PubMed  Google Scholar 

  2. Carli P, Telion C, Baker D. Terrorism in France. Prehosp Disaster Med. 2003;18:92–9.

    Article  PubMed  Google Scholar 

  3. de Ceballos JP, Turégano-Fuentes F, Perez-Diaz D, Sanz-Sanchez M, Martin-Llorente C, Guerrero-Sanz JE. 11 March 2004: the terrorist bomb explosions in Madrid, Spain—an analysis of the logistics, injuries sustained and clinical management of casualties treated at the closest hospital. Crit Care. 2005;9:104–11.

    Article  PubMed  Google Scholar 

  4. Lockey DJ, Mackenzie R, Redhead J, Wise D, Harris T, Weaver A, et al. London bombings July 2005: the immediate pre-hospital medical response. Resuscitation. 2005;66:ix–xii.

    Article  PubMed  CAS  Google Scholar 

  5. Roy N, Kapil V, Subbarao I, Ashkenazi I. Mass casualty response in the 2008 Mumbai terrorist attacks. Disaster Med Public Health Prep. 2011;5:273–9.

    Article  PubMed  Google Scholar 

  6. Gates JD, Arabian S, Biddinger P, Blansfield J, Burke P, Chung S, et al. The initial response to the Boston marathon bombing: lessons learned to prepare for the next disaster. Ann Surg. 2014;260:960–6.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Sollid JM, Rimstad R, Rehn M, Nakstad AR, Tomlinson AE, Strand T, et al. Collaborating group Oslo government district bombing and Utøya island shooting July 22, 2011: the immediate prehospital emergency medical service response. Scand J Trauma Resusc Emerg Med. 2012;20:3–13.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Tourtier JP, Palmier B, Tazarourte K, Raux M, Meaudre E, Ausset S, et al. The concept of damage control: extending the paradigm in the prehospital setting. Ann Fr Anesth Reanim. 2013;32:520–6.

    Article  PubMed  Google Scholar 

  9. Tourtier JP, Pelloux P, Minh PD, Klein I, Marx JS, Carli P. Charlie Hebdo attacks: lessons from the military milieu. Am J Emerg Med. 2015;33:843.

    Article  PubMed  Google Scholar 

  10. Service médical du RAID. Feedback on terrorist attacks on November 13, 2015. Bataclan’s terrorist attack management by the tactical medical support of the French Police. Ann Fr Med Urgence. 2016;6:3–8. In French English abstract

    Article  Google Scholar 

  11. Nahon M, Poirot N, Marx JS, Lejay M, Tartière S, Chastre C, et al. Feedback on terrorist attacks on November 13, 2015. The medical zonal regulation. Ann Fr Med Urgence. 2016;6:16–21. In French, English abstract

    Article  Google Scholar 

  12. Haug CJ. Report from Paris. N Engl J Med. 2015;373:2589–93.

    Article  PubMed  Google Scholar 

  13. Borel M, Le Saché F, Pariente D, Castro S, Delay M, Bouhaddou A, et al. Feedback on terrorist attacks on November 13, 2015. Mass casualty management in trauma center. Ann Fr Med Urgence. 2016;6:22–30. In French, English abstract

    Article  Google Scholar 

  14. Hirsch M, Carli P, Nizard R, Riou B, Baroudjian B, Baubet T, et al. The medical response to multisite terrorist attacks in Paris. Lancet. 2015;386:2535–8. First report of the Paris attacks

    Article  PubMed  Google Scholar 

  15. •• Carli P, Pons F, Levraut J, Millet B, Tourtier JP, Ludes B, et al. The French emergency medical services after the Paris and Nice terrorist attacks: what have we learnt? Lancet. 2017;390:2735–8. A comprehensive analysis of the lessons learned by the EMS system in France after major attacks

    Article  PubMed  Google Scholar 

  16. Philippe JM, Brahic O, Carli P, Tourtier JP, Riou B, Vallet B. French Ministry of Health’s response to Paris attacks of 13 November 2015. Crit Care. 2016;20:85.

    Article  PubMed  PubMed Central  Google Scholar 

  17. French Republic, Ministère des affaires sociales et de la santé, Décret no 2016-1327 du 6 octobre 2016 relatif à l’organisation de la réponse du système de santé (dispositif « ORSAN ») et au réseau national des cellules d’urgence médico-psychologique pour la gestion des situations sanitaires exceptionnelles NOR: AFSP1617819D.

  18. Goralnick E, Van Trimpont F, Carli P. Preparing for the next terrorism attack: lessons from Paris, Brussels, and Boston. JAMA Surg. 2017;152:419–20.

    Article  PubMed  Google Scholar 

  19. • Gold A, Strous RD. Second thoughts about who is first: the medical triage of violent perpetrators and their victims. J Med Ethics. 2017;43:293–300. An important analysis of the ethics of terrorist care

    Article  PubMed  Google Scholar 

  20. Goralnick E, Van Trimpont F, Carli P. A unique program to incorporate volunteers into a nationwide emergency medical system-reply. JAMA Surg. 2017;152:1089.

    Article  PubMed  Google Scholar 

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Correspondence to Pierre Carli.

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The authors declare no conflicts of interest relevant to this manuscript.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Disaster Trauma

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Carli, P., Telion, C. Paris City Disaster: Response to the Recent Terror Attacks and Lessons Learned. Curr Trauma Rep 4, 96–102 (2018). https://doi.org/10.1007/s40719-018-0119-1

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  • DOI: https://doi.org/10.1007/s40719-018-0119-1

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