Introduction
Objective
Materials and methods
Headings | |
---|---|
1 | Short summary of the scenario* |
2 | Description of hazard(s) causing the accident* |
3 | Description of the accident* |
4 | Prehospital resources available and alerted |
5 | Hospital resources available and alerted* |
6 | Utilization of transport resources |
7 | Hospital alert plan and response* |
8 | Coordination and command* |
9 | Hospital damage* |
10 | Communication system* |
11 | Computer Technology and back-up systems* |
12 | Total number and type of injuries* |
13 | Severity of injuries* |
14 | Hospital load* |
15 | Psychological reactions* |
16 | Outcome |
17 | Estimated number of people affected but not injured |
18 | Post-accident evaluation* |
Results
Year | Number of patients | Incident characteristics (location of incident) | Distance, or country if abroad | Quarantine | Main scenario* |
---|---|---|---|---|---|
1991 | 9 | Methyl bromide intoxication (used by gardeners decontaminating greenhouses) | 45 km | No | 3 |
1991 | 9 | Carbon monoxide intoxication; insufficient boiler in non ventilated space (Utrecht) | 5–10 km | No | 3 |
1992 | 10 | Carbon monoxide intoxication of fireman on duty | 5–10 km | No | 3 |
1992 | 5 | Exposure to nitrous damps (…) | 5–10 km | No | 3 |
1992 | 28 | Evacuation of a hospital in a war setting (Bosnia Herzegovina) | Bosnia | Yes | 4 |
1992 | 13 | Plane crash (Faro) with a fire | Portugal | Yes | 2 |
1993 | 43 | Bus accident (Lyon) | France | Yes | 2 |
1993 | 5 | Evacuation of a hospital in a war setting (Bosnia Herzegovina) | Bosnia | Yes | 4 |
1994 | 4 | Bus accident (Regensburg, Germany) | Germany | Yes | 2 |
1995 | 143 | Evacuation of a flooded Hospital | 52 km | No | 3 |
1995 | 7 | Benzyl bromide exposure (Utrecht) | 5–10 km | No | 3 |
1996 | 29 | Bus accident of Dutch singing choir (Winterberg) | Germany | Yes | 2 |
1996 | 12 | Cannabis intoxication (Zeist) | 8 km | No | 3 |
1996 | 6 | Aluminium pollution of fluids in dialysis centre | Curacao | No | 4 |
1996 | 11 | Bus accident (Antalya) | Turkey | Yes | 2 |
1996 | 15 | Carbon monoxide intoxication by inadequate boiler in insufficiently ventilated building | 5–10 km | No | 3 |
1996 | 10 | Bus accident of tourist bus from Netherlands (Thionville) | France | Yes | 2 |
1997 | 7 | Military accident (Novi Travnik, Bosnia Herzegovina) | Bosnia | Yes | 1 |
1997 | 13 | Bus accident | Syria | Yes | 2 |
1998 | 20 | Bus accident of tourist bus from the Netherlands (Metz) | France | Yes | 2 |
1999 | 5 | Repatriation of fugitives | Kososvo | Yes | 4 |
1999 | 12 | Earthquake, Turkish, Dutch residents on holiday | Turkey | Yes | 2 |
2000 | 9 | Military accident | Germany | No | 1 |
2002 | 25 | Bus accident of tourist bus from Netherlands (Metz, France) | France | Yes | 2 |
2002 | 21 | Bus accident of tourist bus from Netherlands (Manching, Germany) | Germany | Yes | 2 |
2003 | 13 | Lab accident, analysis of glue-damp with eye and airway irritation (methyl metacrylate) | 0.3 km | No | 3 |
2005 | 25 | Repatriation of wounded Dutch tsunami victims | Asia | Yes | 2 |
2007 | 6 | Collapse of crane on a campus building | 0.4 km | No | 3 |
2007 | 4 | Repatriation of soldiers from Afghanistan (victims of a suicide bombing while on patrol) | Afghanistan | Yes | 1 |
2008 | 25 | Evacuation (350 emloyees) from a contaminated building in Amersfoort (unknown substance) | 23 km | No | 3 |
2009 | 6 | Airplane crash near Schiphol airport (“Polder Crash”) with 135 passengers | 60 km | No | 3 |
2009 | 4 | Repatriation of military victims Afghanistan | Afghanistan | Yes | 1 |
2009 | 2 | Repatriation of military victims Afghanistan | Afghanistan | Yes | 1 |
2009 | 3 | Repatriation of military victims Afghanistan | Afghanistan | Yes | 1 |
Total | 559 |
Type | Number of injured |
---|---|
Mechanical violence | 254 |
Military (29) | |
Non-military (225) | |
Fire | 13 |
Inhalation | 93 |
Methyl bromide (9) | |
Carbon monoxide (34) | |
Nitrous damps (5) | |
Other (45) | |
Corrosive agents | 0 |
Irradiation | 0 |
Cold | 0 |
Drowning | 0 |
Biological contamination | 0 |
Other | 199 |
Mixed hospital population, external evacuation causes (war, flooding) (181) | |
Cannabis intoxication (12) | |
Aluminium intoxication (6) | |
Total | 559 |
Type | Number | ||
---|---|---|---|
Repatriation | National incident | Total | |
Less severe injuries not examined or treated by medical professionalsa
| n.a. | ||
Less to moderately severe injuries examined and/or treated by medical professionalsa
| |||
Outside hospital | n.a. | ||
In hospital | 2 | 13 | 15 |
Injuries requiring in-hospital care/observation in | 297 | 247 | 544 |
Regular ward | 289 | 175 | 464 |
Medium care | 4 | 72 | 76 |
Intensive care | 4 | 0 | 4 |
Requiring ventilator | 4 | 0 | 4 |
Injuries requiring surgery (general anaesthesia) | 31* | 0* | 31* |
Immediately | 0 | 0 | 0 |
Within 6 h | 7 | 0 | 7 |
Delayed | 24* | 0* | 24* |
Discussion
Conclusions
-
Better imbedding in regional and national procedures to optimize use of availability in case of national disasters; expand involvement of other trauma centers.
-
Continued training, research and development, preservation of a pool of dedicated staff to keep the organization alive and moving.
-
Improvement of nuclear/biological/chemical decontamination facilities, adaptation to external developments.
-
Expansion of the PBRS within the MIH and in the prehospital phase: create fully electronic patient charts and prehospital patient tracking and tracing.
-
Implementation of standardized scoring systems to record injury type and severity to facilitate research and comparability.