Rehabilitation resource planning for mass casualty incidents: A retrospective analysis of blast and ballistic injuries

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured Pub Date : 2025-08-23 DOI:10.1016/j.injury.2025.112692

C Barmatz , M Crowe , E Biros , D Mendez , I Dudkiewicz , JE Reznik

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引用次数: 0

Abstract

Introduction

Mass casualty incidents (MCIs) involving extensive ballistic and explosive injuries place considerable pressure on healthcare resources. This study aimed to evaluate the rehabilitation resources required for individuals who sustained blast and ballistic injuries during an MCI.

Methods

A retrospective review was conducted using Electronic Medical Records (EMRs) of patients admitted to Sheba Medical Center (SMC), Israel, following an MCI on 7 October 2023. Patients diagnosed with gunshot wounds (GSW), or blast injuries (BI) were included. Data were collected over an almost 7-month period, focusing on injury patterns, rehabilitation department admissions, total hospital length of stay, and associated budgetary requirements.

Results

A total of 419 patients received rehabilitation at SMC: 205 with BI, 175 with GSW, 10 with both, and 9 with unknown injury causes. Two patients were under 18; the majority (76 %) of adults were aged 18–29. Military personnel comprised 90 % of the cohort, with 95 % male. Paediatric rehabilitation admitted the two minors, while adult patients were distributed across respiratory (n = 7), neurological (n = 32), head trauma (n = 44), and orthopaedic (n = 68) rehabilitation units. Additionally, 266 patients were treated in three newly established rehabilitation wards. BI patients experienced more complex, multi-trauma injuries, including traumatic brain injuries (11 %) and spinal cord injuries (11 %), underwent more surgical procedures, and had longer hospital stays. Consequently, the average rehabilitation cost per BI patient exceeded that of GSW patients.

Conclusion

Through strategic planning and multidisciplinary collaboration, SMC effectively managed a high volume of MCI-related injuries. BIs required significantly more rehabilitation resources than GSWs. These findings underscore the importance of preparedness, resource allocation, and interdepartmental coordination in managing rehabilitation during MCIs. SMC’s experience offers valuable insights for global healthcare systems facing similar high-demand emergency scenarios.

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大规模伤亡事件的康复资源规划：爆炸和弹道伤害的回顾性分析

涉及广泛的弹道和爆炸伤害的大规模伤亡事件（MCIs）给医疗资源带来了相当大的压力。本研究旨在评估MCI期间遭受爆炸和弹道伤害的个体所需的康复资源。方法对2023年10月7日以色列Sheba医疗中心（SMC） MCI患者的电子病历（EMRs）进行回顾性分析。包括被诊断为枪伤（GSW）或爆炸伤（BI）的患者。在近7个月的时间内收集数据，重点关注损伤模式、康复科入院情况、住院总时间和相关预算要求。结果419例患者在SMC接受康复治疗，其中BI 205例，GSW 175例，两者均有10例，损伤原因不明9例。两名患者未满18岁；大多数成年人（76%）年龄在18-29岁之间。军人占90%，其中95%为男性。两名未成年人接受了儿科康复治疗，而成人患者分布在呼吸（n = 7）、神经（n = 32）、头部创伤（n = 44）和骨科（n = 68）康复病房。此外，266名患者在3个新建立的康复病房接受治疗。BI患者经历了更复杂的多创伤性损伤，包括创伤性脑损伤（11%）和脊髓损伤（11%），接受了更多的外科手术，住院时间更长。因此，BI患者的平均康复费用高于GSW患者。结论SMC通过战略规划和多学科合作，有效地管理了大量mci相关损伤。他需要的康复资源明显多于GSWs。这些发现强调了准备、资源分配和部门间协调在MCIs期间康复管理中的重要性。SMC的经验为面临类似高需求紧急情况的全球医疗保健系统提供了宝贵的见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Injury-International Journal of the Care of the Injured 医学-急救医学

CiteScore

4.00

自引率

8.00%

发文量

699

审稿时长

96 days

期刊介绍： Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.