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Mass Medical Repatriation of Injured Civilians after Terrorist Attack in Mombassa, Kenya: Medical Needs, Resources Used, and Lessons Learned

Published online by Cambridge University Press:  28 June 2012

Meir Marmor ,
Liav Goldstein ,
Yeheskel Levi ,
Erez Onn ,
Amir Blumenfeld ,
Yona Kosashvili ,
Gad Levy ,
Gil Hirschorn ,
Eitan Heldenberg  and
Jacob Or
...Show all authors
Meir Marmor
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Liav Goldstein
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Yeheskel Levi
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Erez Onn
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Amir Blumenfeld
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Yona Kosashvili
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Gad Levy
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Gil Hirschorn
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Eitan Heldenberg
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Jacob Or
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Eric Setton
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Avishay Goldberg
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Yaron Bar-Dayan*
Affiliation:
Chief Medical Director, IDF Home Front Command and the Department of Medicine E Meir Hospital and the Department of Disaster and Emergency Medicine, and the Department of Healthcare Systems Management, the Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
*
16 Dolev st. Neve Savion, Or-Yehuda, Israel E-mail: bardayan@netvision.net.il
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Abstract

Introduction:

On 28 November 2002, three suicide bombers crashed their car into a hotel in Mombassa, Kenya; 12 people were killed, including three Israelis, and 80 were wounded (22 of whom were Israeli). The Israeli Defense Force Airborne Medical Evacuation Flight Teams participated in a repatriation mission to bring the wounded home.

Objectives:

The objectives of this study are to outline the distinctive aspects of this mission, as well as to share the experiences and lessons learned.

Methods:

Israeli Army debriefing reports were used to study the composition of the crew, medical equipment taken, injury distribution, mode of operation, and mission schedule.

Results:

A total of six fixed-wing aircraft were used—two Boeing 707s and four Hercules C-130s—with a total of 54 medical team members on board. A total of 260 Israelis were repatriated, 22 of whom were wounded, and three were dead. Of the casualties, 14 were conveyed sitting, and eight supine. The time from the first landing in Kenya to the evacuation of the last supine patient was 5.5 hours. Nurses, as well as social workers, played a central role in the mission. A forward team, including five doctors, was used for the initial organization and for gathering information on the medical status of the casualties.

Conclusions:

There was redundancy in the medical crew and medical equipment sent. The need for improved infrastructure on the medical aircraft was stressed. Based on this experience, a new mode for operation for similar missions in the future was formulated.

Keywords

civiliansearthquakemedical missionneedsrepatriationresourcesteams
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 20 , Issue 2 , April 2005 , pp. 98 - 102
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

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