The urologist confronted with a mass killing
Copyright © 2021 Elsevier Masson SAS. All rights reserved..
INTRODUCTION: Following the Paris attacks in 2015, the French hospital system has had to organize itself in mass casualties of serious injuries, especially hemorrhagic shock. Recent experience shows that the first flow of casualties is spontaneously directed to the structure closest to the events, whether it is suitable or not. Any surgeon can face such a crisis regardless of their practice structure, because terrorist attacks are unpredictable. The urologist must anticipate the responsibilities that they might be forced to shoulder in such a situation.
MATERIAL AND METHOD: A systematic literature review based on PubMed, Embase and Google Scholar was conducted between January 2000 and June 2021.
RESULTS: In addition to a coordinator role, reserved for the most experienced, his visceral surgical expertise would allow a urologist to apply damage control (DC) at each stage. We describe here the principles of DC, in particular the DC laparotomy including its strategy concerning genitourinary lesions.
DISCUSSION: Whatever his role (sorter, organizer, technician) in the management of a mass casualties of hemorrhagic injuries, an urologist has to know the principles of DC. A damage control laparotomy (stage 1 of DC) requires the urologist surgeon to never seek to perform a primary reconstruction procedure but to favor speed and efficiency (both on the hemostatic and urostatic side) to lead the injured patient stabilized to faster in intensive care unit (stage 2). Revision surgery called "definitive surgical management" (stage 3) will be performed anyway at the end of this period.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:31 |
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| Enthalten in: |
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie - 31(2021), 15 vom: 01. Nov., Seite 1039-1053 |
| Sprache: |
Französisch |
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| Weiterer Titel: |
Le chirurgien urologue face à une tuerie de masse |
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| Beteiligte Personen: |
Savoie, P-H [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 10.12.2021 Date Revised 31.05.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.1016/j.purol.2021.07.007 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 500 | |a Date Revised 31.05.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a INTRODUCTION: Following the Paris attacks in 2015, the French hospital system has had to organize itself in mass casualties of serious injuries, especially hemorrhagic shock. Recent experience shows that the first flow of casualties is spontaneously directed to the structure closest to the events, whether it is suitable or not. Any surgeon can face such a crisis regardless of their practice structure, because terrorist attacks are unpredictable. The urologist must anticipate the responsibilities that they might be forced to shoulder in such a situation | ||
| 520 | |a MATERIAL AND METHOD: A systematic literature review based on PubMed, Embase and Google Scholar was conducted between January 2000 and June 2021 | ||
| 520 | |a RESULTS: In addition to a coordinator role, reserved for the most experienced, his visceral surgical expertise would allow a urologist to apply damage control (DC) at each stage. We describe here the principles of DC, in particular the DC laparotomy including its strategy concerning genitourinary lesions | ||
| 520 | |a DISCUSSION: Whatever his role (sorter, organizer, technician) in the management of a mass casualties of hemorrhagic injuries, an urologist has to know the principles of DC. A damage control laparotomy (stage 1 of DC) requires the urologist surgeon to never seek to perform a primary reconstruction procedure but to favor speed and efficiency (both on the hemostatic and urostatic side) to lead the injured patient stabilized to faster in intensive care unit (stage 2). Revision surgery called "definitive surgical management" (stage 3) will be performed anyway at the end of this period | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Attentats | |
| 650 | 4 | |a Choc hémorragique | |
| 650 | 4 | |a Damage control | |
| 650 | 4 | |a Damage control surgery | |
| 650 | 4 | |a Hemorrhagic shock | |
| 650 | 4 | |a Management | |
| 650 | 4 | |a Massive casualties | |
| 650 | 4 | |a Polytraumatism | |
| 650 | 4 | |a Polytraumatisé | |
| 650 | 4 | |a Prise en charge | |
| 650 | 4 | |a Terrorist attacks | |
| 650 | 4 | |a Triage | |
| 700 | 1 | |a Boissier, R |e verfasserin |4 aut | |
| 700 | 1 | |a Chiron, P |e verfasserin |4 aut | |
| 700 | 1 | |a Long, J-A |e verfasserin |4 aut | |
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