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  • Title: Suicide bombings: process of care of mass casualties in the developing world.
    Author: Umer M, Sepah YJ, Shahpurwala MM, Zafar H.
    Journal: Disasters; 2009 Oct; 33(4):809-21. PubMed ID: 19624704.
    Abstract:
    In recent times Pakistan's biggest city, Karachi, has witnessed numerous terrorist attacks. The city does not have an emergency response system and only one of the three public sector hospitals has a trauma centre. We describe the pattern of injuries and management of two terror-related mass casualty incidents involving suicide bombers in a developing nation with limited resources. The first incident occurred in May 2002 with 36 casualties, of whom 13 (36%) died immediately and 11 (30.5%) died at the primary receiving hospitals. The second incident was targeted against the local population in May 2004. The blast resulted in 104 casualties, of which 14 (13.46%) died at the site. All patients had their initial assessment and treatment based on Advanced Trauma and Life Support principles and documented on a trauma form.
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