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February 2007 issue of the SICOT newsletter (No. 103)

February 2007 issue of the SICOT newsletter (No. 103)

February 2007 issue of the SICOT newsletter (No. 103)

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Hospital under fire: <strong>the</strong> experience<strong>of</strong> <strong>the</strong> Western Galilee Hospitalin IsraelPr<strong>of</strong> Gershon Volpin | National Delegate <strong>of</strong> IsraelWorldwidenewsWestern GalileeHospital <strong>of</strong> Nahariyais located innor<strong>the</strong>rn Israel,about 10 kilometresfrom <strong>the</strong>border with Lebanon.Weserve 450,000 residents <strong>of</strong><strong>the</strong> Western Galilee, 50% <strong>of</strong> whomare Jews and 50% are Muslims,Christians and Druze.Over <strong>the</strong> past 30 years, ourhospital has been threatened manytimes by rockets launched into nor<strong>the</strong>rnIsrael.Four years ago, we constructeda new surgery building and underneathit an underground hospital.The underground hospital has a capacity<strong>of</strong> 450 beds and an undergroundnetwork <strong>of</strong> roads enablesambulances to access <strong>the</strong> hospitalfacilities. Most <strong>of</strong> <strong>the</strong> undergroundfacilities are also protectedagainst biological and chemicalwarfare with an elaborateair filtering system.When <strong>the</strong> war startedon 12 July 2006 and <strong>the</strong>rockets began falling, all patientswere evacuated to<strong>the</strong> underground hospitalwithin three hours. During<strong>the</strong> month-long war, 800rockets fell on Nahariyaalone and several fell in <strong>the</strong>fields surrounding ourhospital.On 28 July,a rocket hit <strong>the</strong> fourthfloor <strong>of</strong> <strong>the</strong> surgery wing, causingsevere damage to <strong>the</strong> ophthalmologydepartment, leaving a gapinghole in <strong>the</strong> wall and destroying patients’rooms and medical equipment.Thedamage was estimatedat about USD 200,000. Fortunately,<strong>the</strong>re were no injuries since all patientsand medical staff had beenevacuated to <strong>the</strong> underground facilities.Despite <strong>the</strong> constant sirens andattacks, we managed to continuewith routine medical and surgicalcare.About 2,400 patients wereadmitted to our hospital duringthat month. Some <strong>of</strong> <strong>the</strong> orthopaedicpatients were elderly peoplewho had fallen while running toshelters and had to be admitted tohospital with various types <strong>of</strong> injuries.Patients being treated in <strong>the</strong> underground hospital1,858 patients were treated by<strong>the</strong> hospital staff during <strong>the</strong> monthlongwar.All patients were transferredfrom ambulances or helicoptersto special trauma emergencyrooms, according to <strong>the</strong>severity <strong>of</strong> <strong>the</strong> injury. 947 <strong>of</strong> <strong>the</strong>m(about 51%) had symptoms <strong>of</strong>psychological trauma and weretreated in a special emergencyroom, separated from <strong>the</strong> physicallyinjured patients.The remainingpatients had various degrees<strong>of</strong> injuries as follows: 839 patientshad mild injuries such as shrapnellacerated wounds <strong>of</strong> <strong>the</strong> body orclosed simple fractures <strong>of</strong> limbs; 42patients had moderate injuries suchas open comminuted fractures <strong>of</strong>limbs, extensive s<strong>of</strong>t t<strong>issue</strong> injuries,amputation <strong>of</strong> limbs; and 18 patientshad multiple trauma includingchest and abdominal injuries,vascular and head injuries.Some had associated compoundfractures <strong>of</strong> limbs.Twelve patients,two <strong>of</strong> <strong>the</strong>mfrom <strong>the</strong> same family, died<strong>of</strong> rocket injuries.For contact:volpinger@yahoo.com■page 9

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