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Abstract
From 1985 to 1987, three Palestinian refugee camps in Lebanon were attacked several
times by a Lebanese militia. We present a review of 1276 casualties who were wounded
in the refugee camp of Bourj al-Barajneh during two such attacks between December
1985 and April 1987. All were treated in Haifa Hospital (30–40 beds), which had limited
equipment, was situated inside the refugee camp and was badly damaged by war. During
both attacks, the refugee camp was surrounded and put under siege such that patients
could not be evacuated and supplies were not allowed in. The second period lasted
almost 6 months resulting in severe shortages of medicines, equipment and food, leading
to a rationing of resources and modification of treatment. More than 300 operations
were carried out under general anaesthesia, the remainder under local or without anaesthesia.
The overall operative mortality was 3.2 per cent. Despite the deprivation, many patients
survived severe and complicated wounds because they were quickly brought to the hospital,
provided with adequate quantities of fresh blood for transfusion, and sound surgical
principles were followed.
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References
- Medicine for Disasters. Wright, London1980: 404
- War injuries treated under primitive circumstances: Experiences in an Ugandan mission hospital.Am. R. Coll. Surg. Engl. 1987; 69: 193
- Surgery for Victims of War. ICRC, Geneva1988
- Surgery of violence, 5. Missile wounds of the head and spine.Br. Med. J. 1975; 1: 614
- The management of patients with major injuries: Report of the Working Party of the Royal College of Surgeons of England. 1988;
- The Falklands War: Army field surgical experience.Ann. R. Coll. Surg. Engl. 1983; 65: 281
- Ministry of Defence: Field Surgery Pocket Book. HMSO, London1981
- Medical lessons from the Falklands Islands' campaign.J. Bone Joint Surg. 1983; 65B: 507
- Medical statistics of battlefield casualties.Injury. 1987; 18: 96
- Management of war wounds.in: Advances in Surgery. Vol. 3. Yearbook Medical, Chicago1968: 227
Article info
Publication history
Accepted:
November 27,
1991
Identification
Copyright
© 1992 Published by Elsevier Inc.
