Evidence map›Paper›PMID 39468448›Full record

ArticleBMC emergency medicine2024

A novel operational protocol for the establishment of a medical facility for receiving returning hostages: structure, process and outcomes.

Daniel Trotzky, Idit Segal, Ronit Koren, Orna Tal, Gal Pachys, Galina Goltzman, Karen Or, Margarita Alpro, Ronit Zaidenstein, Maayan Bachar and 7 more

Abstract read
In one paragraph

Article in BMC emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Daniel TrotzkyMedical Management, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel. danielt@shamir.gov.il.
Idit SegalMedical Management, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Ronit KorenDepartment of Internal Medicine A, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Orna TalMedical Management, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Gal PachysDepartment of Emergency Medicine, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Galina GoltzmanDepartment of Internal Medicine D, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Karen OrDepartment of Internal Medicine D, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Margarita AlproDepartment of Emergency Medicine, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Ronit ZaidensteinDepartment of Internal Medicine A, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Maayan BacharDepartment of Internal Medicine A, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Baruch BerzonDepartment of Internal Medicine A, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Roni Enten VissokerShamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Inbar HartmannPediatric Neurology Unit, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Miri AvrahamNursing Administration, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Vered ShinarDepartment of Social Work, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Ada AzarDepartment of Nutrition, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.
Osnat Levtzion KorachMedical Management, Shamir Medical Center (Formerly Assaf-Harofeh), Zerifin, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOn October 7, 2023, Hamas carried out an unprecedented attack on the State of Israel and kidnapped 251 people into captivity to the Gaza Strip. Several months later, as part of a humanitarian exchange deal, 105 hostages were released in five phases and admitted to one of six hospitals throughout the country for treatment. Shamir Medical Center (SMC) was one of these facilities. This study aims to describe the structure, process and outcomes of establishing a comprehensive, multi-step, operational protocol for receiving hostages returning from captivity.

methodThe process of preparing SMC as a receiving center, the establishment of procedures for implementation of the medical protocol, and the assessment of multi-disciplinary team preparedness and implementation and outcomes in an institutional protocol are described.

results24 returning hostages were received at SMC. Social workers, dietitians and translators were used by 100% of the majority group of returning hostages from the same country of origin and the sole individual from the other country of origin utilized a dietitian, social worker, ENT consultations, and a hearing test. Among the majority group, orthopedic and dermatological consultations were utilized by 17.4% and 13% received an ENT consultation. Of the administered imaging, 13% received a chest X-ray, 8.7% received a limb X-ray, 17.4% received a head CT scan, and 4.3% received an abdominal CT. In addition, 21.7% were provided antibiotic therapy. Protocol efficacy was measured by assessing time to various operational aspects of protocol implementation and medical procedures such as mean hours to room assignment, primary physician evaluation and social worker session. No correlation between age and operational variables was found.

conclusionThis novel operational protocol was successfully implemented and may serve as a framework for managing similar unpredictable sensitive events in the case of future need.

Indexed as

Clinical ProtocolsAdultFemaleHumansIsraelMalePatient Care TeamRelief WorkCaptivesCaptivityHostagesPOWTerror attack

Identifiers

PMID39468448
PMCPMC11520820

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.