| 1. |
- Englund, Liselotte, 1964-, et al.
(author)
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Bombattentatet i Oslo och skjutningarna på Utøya 2011 : Kamedo-rapport 97
- 2012
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Reports (other academic/artistic)abstract
- Fredagen den 22 juli 2011 kl. 15.25 detonerade en sprängladdning i regeringskvarteret i centrala Oslo. Bomben var mycket kraftig – åtta personer dödades, minst 90 skadades och kringliggande byggnader fick omfattande skador. Senare samma eftermiddag klev en man som utgav sig för att vara polis iland på ön Utøya, där det norska Arbeiderpartiets ungdomsförbund höll ett sommarläger. Väl iland på ön började mannen skjuta omkring sig. När han senare greps av polis hade 69 personer dödats och 65 skadats. De flesta var barn eller ungdomar. Händelserna den 22 juli involverade stora delar av det norska samhället. De många skadade krävde stora insatser från hälso- och sjukvården och det fanns ett stort behov av psykosocialt stöd till de många överlevande och deras anhöriga, samt till de avlidnas anhöriga. Vidare väckte händelserna ett mycket stort medialt intresse som de berörda aktörerna var tvungna att förhålla sig till.Rapporten omfattar en diskussion kring den norska hanteringen av 22 juli 2011, samt hur det svenska samhället hade kunnat hantera en motsvarande händelse.Tre huvudområden belyses: hälso- och sjkukvård, psykosocialt stöd samt kommunikation och mediehantering.
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| 2. |
- Englund, Liselotte, 1964-, et al.
(author)
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The bomb attack in Oslo and the shootings at Utøya, 2011 : Kamedo report 97
- 2012
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Reports (other academic/artistic)abstract
- The Kamedo observer reports study the medical, psychological, organizational and social aspects of disasters. This report summaries experiences from the bomb attack in Oslo and the shootings at Utøya, 2011. That may be valuable for the further development of the Swedish disaster preparedness system.
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| 3. |
- Axelsson, Christer, et al.
(author)
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A description of the prehospital phase of aortic dissection in terms of early suspicion and treatment.
- 2015
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In: Prehospital and Disaster Medicine. - 1049-023X .- 1945-1938. ; 30:2
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Journal article (peer-reviewed)abstract
- PURPOSE: Aortic dissection is difficult to detect in the early phase due to a variety of symptoms. This report describes the prehospital setting of aortic dissection in terms of symptoms, treatment, and suspicion by the Emergency Medical Service (EMS) staff.BASIC PROCEDURES: All patients in the Municipality of Gothenburg, Sweden, who, in 2010 and 2011, had a hospital discharge diagnosis of aortic dissection (international classification of disease (ICD) I 71,0) were included. The exclusion criteria were: age<18 years of age and having a planned operation. This was a retrospective, descriptive study based on patient records. In the statistical analyses, Fisher's exact test and the Mann-Whitney U test were used for analyses of dichotomous and continuous/ordered variables.MAIN FINDINGS: Of 92 patients, 78% were transported to the hospital by the EMS. The most common symptom was pain (94%). Pain was intensive or very intensive in 89% of patients, with no significant difference in relation to the use of the EMS. Only 47% of those using the EMS were given pain relief with narcotic analgesics. Only 12% were free from pain on admission to the hospital. A suspicion of aortic dissection was reported by the EMS staff in only 17% of cases. The most common preliminary diagnosis at the dispatch center (31%) and by EMS clinicians (52%) was chest pain or angina pectoris. In all, 79% of patients were discharged alive from the hospital (75% of those that used the EMS and 95% of those that did not).CONCLUSION: Among patients who were hospitalized due to aortic dissection in Gothenburg, 78% used the EMS. Despite severe pain in the majority of patients, fewer than half received narcotic analgesics, and only 12% were free from pain on admission to the hospital. In fewer than one-in-five patients was a suspicion of aortic dissection reported by the EMS staff.
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| 5. |
- Blimark, Magnus, 1963, et al.
(author)
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Swedish emergency hospital surgical surge capacity to mass casualty incidents
- 2020
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In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. - : Springer Science and Business Media LLC. - 1757-7241. ; 28:1
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Journal article (peer-reviewed)abstract
- Background In Sweden the surgical surge capacity for mass casualty incidents (MCI) is managed by county councils within their dedicated budget. It is unclear whether healthcare budget constraints have affected the regional MCI preparedness. This study was designed to investigate the current surgical MCI preparedness at Swedish emergency hospitals. Methods Surveys were distributed in 2015 to department heads of intensive care units (ICU) and surgery at 54 Swedish emergency hospitals. The survey contained quantitative measures as the number of (1) surgical trauma teams in hospital and available after activating the disaster plan, (2) surgical theatres suitable for multi-trauma care, and (3) surgical ICU beds. The survey was also distributed to the Armed Forces Centre for Defence Medicine. Results 53 hospitals responded to the survey (98%). Included were 10 university hospitals (19%), 42 county hospitals (79%), and 1 private hospital (2%). Within 8 h the surgical capacity could be increased from 105 to 399 surgical teams, while 433 surgical theatres and 480 ICU beds were made available. The surgical surge capacity differed between university hospitals and county hospitals, and regional differences were identified regarding the availability of surgical theatres and ICU beds. Conclusions The MCI preparedness of Swedish emergency care hospitals needs further attention. To improve Swedish surgical MCI preparedness a national strategy for trauma care in disaster management is necessary.
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| 6. |
- Buendia, Ruben, 1982, et al.
(author)
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Bioimpedance technology for detection of thoracic injury
- 2017
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In: Physiological Measurement. - : IOP Publishing. - 0967-3334 .- 1361-6579. ; 38:11, s. 2000-2014
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Journal article (peer-reviewed)abstract
- Objective: Thoracic trauma is one of the most common and lethal types of injury, causing over a quarter of traumatic deaths. Severe thoracic injuries are often occult and difficult to diagnose in the field. There is a need for a point-of-care diagnostic device for severe thoracic injuries in the prehospital setting. Electrical bioimpedance (EBI) is non-invasive, portable, rapid and easy to use technology that can provide objective and quantitative diagnostic information for the prehospital environment. Here, we evaluated the performance of EBI to detect thoracic injuries. Approach: In this open study, EBI resistance (R), reactance (X) and phase angle (PA) of both sides of the thorax were measured at 50 kHz on patients suffering from thoracic injuries (n = 20). In parallel, a control group consisting of healthy subjects (n = 20) was recruited. A diagnostic mathematical algorithm, fed with input parameters derived from EBI data, was designed to differentiate patients from healthy controls. Main results: Ratios between the X and PA measurements of both sides of the thorax were significantly different (p < 0.05) between healthy volunteers and patients with left-and right-sided injuries. The diagnostic algorithm achieved a performance evaluated by leave-one-out cross-validation analysis and derived area under the receiver operating characteristic curve of 0.88. Significance: A diagnostic algorithm that accurately discriminates between patients suffering thoracic injuries and healthy subjects was designed using EBI technology. A larger, prospective and blinded study is thus warranted to validate the feasibility of EBI technology as a prehospital tool.
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| 10. |
- Deverell, E., et al.
(author)
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KAMEDO report no. 87: bomb attack in Finnish shopping center, 2002
- 2007
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In: Prehospital and disaster medicine. - 1049-023X. ; 22:1, s. 86-8
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Journal article (peer-reviewed)abstract
- The detonation of a bomb in a shopping center in Vantaa, Finland, took place on 11 October 2002. Seven people died as a result and > 160 people required medical attention. Because the rescue teams were inadequately trained to respond to terrorist attacks, the event was handled according to protocol. A number of problems arose, including: people from different rescue agencies were difficult to distinguish from each other; there was inadequate communication between the incident site and the main hospital; relatives of victims were not kept informed; and psychiatric problems in the wake of the disaster were not addressed sufficiently.
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