Care of victims of suicide bombing 2018

Raymond L. Kao, and Vivian C. McAlister
From the Royal Canadian Medical Service.

Suicide bombers often target crowds. This commentary discusses the additional features required in a medical response beyond conventional mass casualty care, including forensic documentation, preservation of evidence, suspect tissue identification and viral status, victim counselling and postexposure prophylaxis. We propose a pathway for care of victims of a suicide bomb, adapting elements from protocols for child abuse, sexual assault and needle-stick exposure.

UI MeSH Term Description Entries
D001753 Blast Injuries Injuries resulting when a person is struck by particles impelled with violent force from an explosion. Blast causes pulmonary concussion and hemorrhage, laceration of other thoracic and abdominal viscera, ruptured ear drums, and minor effects in the central nervous system. (From Dorland, 27th ed) Injuries, Blast,Blast Injury,Injury, Blast
D002959 Civil Defense Preventive emergency measures and programs designed to protect the individual or community in times of hostile attack or natural disaster. Civil Defenses,Defense, Civil,Defenses, Civil
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013405 Suicide The act of killing oneself. Suicides
D054042 Bombs A weapon designed to explode when deployed. It frequently refers to a hollow case filled with EXPLOSIVE AGENTS. Bomb
D054527 Mass Casualty Incidents Events that overwhelm the resources of local HOSPITALS and health care providers. They are likely to impose a sustained demand for HEALTH SERVICES rather than the short, intense peak customary with smaller scale disasters. Mass Casualties,Casualties, Mass,Casualty Incident, Mass,Casualty Incidents, Mass,Casualty, Mass,Incident, Mass Casualty,Incidents, Mass Casualty,Mass Casualty,Mass Casualty Incident
D018562 Disease Transmission, Infectious The transmission of infectious disease or pathogens. When transmission is within the same species, the mode can be horizontal or vertical (INFECTIOUS DISEASE TRANSMISSION, VERTICAL). Close-Contact Infectious Disease Transmission,Close-Contact Transmission,Community Spread,Community Transmission,Disease Superspreader Event,Disease Superspreading,Droplet Transmission of Infectious Disease,Droplet Transmission, Infectious Disease,Infectious Disease Droplet Transmission,Person-to-Person Transmission,Autochthonous Transmission,Communicable Disease Transmission,Horizontal Transmission of Infection,Horizontal Transmission of Infectious Disease,Infection Transmission,Infection Transmission, Horizontal,Infectious Disease Transmission,Infectious Disease Transmission, Horizontal,Pathogen Transmission,Pathogen Transmission, Horizontal,Transmission of Infectious Disease,Transmission, Infectious Disease,Autochthonous Transmissions,Close Contact Infectious Disease Transmission,Close Contact Transmission,Close-Contact Transmissions,Community Transmissions,Disease Superspreader Events,Disease Superspreadings,Disease Transmission, Communicable,Event, Disease Superspreader,Events, Disease Superspreader,Infection Horizontal Transmission,Person to Person Transmission,Superspreader Event, Disease,Superspreader Events, Disease,Superspreading, Disease,Superspreadings, Disease,Transmission, Autochthonous,Transmission, Close-Contact,Transmission, Communicable Disease,Transmission, Infection,Transmission, Pathogen,Transmission, Person-to-Person,Transmissions, Autochthonous,Transmissions, Community
D023481 Terrorism The use or threatened use of force or violence against persons or property in violation of criminal laws for purposes of intimidation, coercion, or ransom, in support of political or social objectives. Radioactive Terrorism,Terrorism, Radioactive
D064891 Disaster Victims Persons adversely effected by DISASTERS, occurrences that result in property damage, deaths, and/or injuries to a community. Disaster Victim,Victim, Disaster,Victims, Disaster

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