Thomas M Gregory1, Thomas Bihel2, Pierre Guigui3, Jérôme Pierrart2, Benjamin Bouyer3, Baptiste Magrino3, Damien Delgrande2, Thibault Lafosse2, Jaber Al Khaili2, Antoine Baldacci4, Guillaume Lonjon3, Sébastien Moreau3, Laurent Lantieri5, Jean-Marc Alsac6, Jean-Baptiste Dufourcq7, Jean Mantz7, Philippe Juvin8, Philippe Halimi9, Richard Douard10, Olivier Mir11, Emmanuel Masmejean2. 1. Upper limb and Peripheral nerve Unit, Department of Traumatology and Orthopaedic Surgery, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. Electronic address: tms.gregory@gmail.com. 2. Upper limb and Peripheral nerve Unit, Department of Traumatology and Orthopaedic Surgery, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. 3. Spine surgery and General Orthopaedics Unit, Department of Traumatology and Orthopaedic Surgery, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. 4. Upper limb and Peripheral nerve Unit, Department of Traumatology and Orthopaedic Surgery, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France; Spine surgery and General Orthopaedics Unit, Department of Traumatology and Orthopaedic Surgery, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. 5. Department of Plastic and Reconstructive Surgery, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. 6. Department of Vascular Surgery, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. 7. Department of Anaesthesiology, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. 8. Department of Emergency Medicine, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. 9. Department of Imaging, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. 10. Department of Visceral Surgery, Teaching European Hospital Georges Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris Descartes, Sorbonne Paris Cité, Paris, France. 11. MOVEO Institute, University Paris Descartes, Sorbonne Paris Cité, Paris, France.
Abstract
BACKGROUND: On November 13th, 2015, terrorist bomb explosions and gunshots occurred in Paris, France, with 129 people immediately killed, and more than 300 being injured. This article describes the staff organization, surgical management, and patterns of injuries in casualties who were referred to the Teaching European Hospital Georges Pompidou. METHODS: This study is a retrospective analysis of the pre-hospital response and the in-hospital response in our referral trauma center. Data for patient flow, resource use, patterns of injuries and outcomes were obtained by the review of electronic hospital records. RESULTS: Forty-one patients were referred to our center, and 22 requiring surgery were hospitalized for>24h. From November 14th at 0:41 A.M. to November 15th at 1:10 A.M., 23 surgical interventions were performed on 22 casualties. Gunshot injuries and/or shrapnel wounds were found in 45%, fractures in 45%, head trauma in 4.5%, and abdominal injuries in 14%. Soft-tissue and musculoskeletal injuries predominated in 77% of cases, peripheral nerve injury was identified in 30%. The mortality rate was 0% at last follow up. CONCLUSION: Rapid staff and logistical response, immediate access to operating rooms, and multidisciplinary surgical care delivery led to excellent short-term outcomes, with no in-hospital death and only one patient being still hospitalized 45days after the initial event.
BACKGROUND: On November 13th, 2015, terrorist bomb explosions and gunshots occurred in Paris, France, with 129 people immediately killed, and more than 300 being injured. This article describes the staff organization, surgical management, and patterns of injuries in casualties who were referred to the Teaching European Hospital Georges Pompidou. METHODS: This study is a retrospective analysis of the pre-hospital response and the in-hospital response in our referral trauma center. Data for patient flow, resource use, patterns of injuries and outcomes were obtained by the review of electronic hospital records. RESULTS: Forty-one patients were referred to our center, and 22 requiring surgery were hospitalized for>24h. From November 14th at 0:41 A.M. to November 15th at 1:10 A.M., 23 surgical interventions were performed on 22 casualties. Gunshot injuries and/or shrapnel wounds were found in 45%, fractures in 45%, head trauma in 4.5%, and abdominal injuries in 14%. Soft-tissue and musculoskeletal injuries predominated in 77% of cases, peripheral nerve injury was identified in 30%. The mortality rate was 0% at last follow up. CONCLUSION: Rapid staff and logistical response, immediate access to operating rooms, and multidisciplinary surgical care delivery led to excellent short-term outcomes, with no in-hospital death and only one patient being still hospitalized 45days after the initial event.
Authors: T Wurmb; P Justice; S Dietz; R Schua; T Jarausch; U Kinstle; J Greiner; G Möldner; J Müller; M Kraus; S Simon; U Wagenhäuser; N Roewer; M Helm Journal: Anaesthesist Date: 2017-04-06 Impact factor: 1.041
Authors: Stephen Y Liang; LinLin Tian; Garrett A Cavaliere; Benjamin J Lawner; Gregory N Jasani Journal: Prehosp Disaster Med Date: 2022-08-09 Impact factor: 2.866