The characteristics of patients in mass public shootings among coup attempt in Turkey: A single-center hospital response [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. Ahead of Print: UTD-96821 | DOI: 10.14744/tjtes.2019.96821  

The characteristics of patients in mass public shootings among coup attempt in Turkey: A single-center hospital response

Kurtulus Aciksari1, MEHMET KOCAK2, Gorkem Alper Solakoglu3, Ömer Turan4, Samet Erinc5, Ozgür Ekinci6, Ebuzer Aydin7
1Istanbul Medeniyet University Emergency Department
2Health Science University, Fatih Sultan Mehmet Training and Research Hospital
3Goztepe Training and Research Hospital, Emergency Department
4Istanbul Medeniyet University Forensic Medicine
5Helath Science University, Sisli Etfal Training and Research Hospital Orthopedics Department
6Istanbul Medeniyet University General Surgery Department
7Istanbul Medeniyet University Cardiovascular Surgery Department

Background: Turkey is an experienced country for both military and civilian mass casualties caused by explosions and shootings by various terrorist groups. In this study, we aimed to investigate the characteristics of patient flow admitted to our hospital caused by primarily gunshot wounds during coup attempt on 15th of July.
Methods: This descriptive, retrospective study included a total of 50 patients who were injured during coup attempt on the date of July 15, 2016 and admitted to our emergency department (ED). Demographic characteristics, anatomical injury sites, postoperative clinical outcomes, and hospitalization settings were recorded. The Glasgow Coma Scale (GCS), Trauma and Injury Severity Score (TRISS), Abbreviated Injury Scale (AIS), Revised Trauma Score (RTS), and Injury Severity Score (ISS) were used to measure the severity of injuries.
Result: A total of 63 medical personnel voluntarily reached the ED within two hours. Extremity injuries were the most common injuries. The mean RTS, GCS, and TRISS scores did not differ significantly between the patients discharged from the ED and those who were hospitalized (p>0.005); however, there was a statistically significant difference in the ISS scores (p<0.001, independent t-test). There was no statistically significant difference in the GCS and RTS scores between the discharged and hospitalized patients, although the ISS scores were higher in hospitalized patients (p>0.05 and p<0.001, respectively). A total of 33 patients (66%) were admitted to the hospital for follow-up and/or a surgical intervention. Five (10%) of the patients were hospitalized for more than 14 days.
Conclusion: The management of each disaster is unique. Armed conflicts result in gunshot wounds and preparations must be focused on surge capacity and a prolonged hospital stay of patients.

Keywords: Mass Casualty Incidents, Gunshot, Injury Severity Score, Emergency Department

Corresponding Author: Kurtulus Aciksari, Türkiye

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