3 doden en 170+ gewonden bij bomexplosies tijdens marathon - Boston (V.S.) 15-04-2013

Auteur Topic: 3 doden en 170+ gewonden bij bomexplosies tijdens marathon - Boston (V.S.) 15-04-2013  (gelezen 49692 keer)

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Wouter

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RAdeR

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CNN Breaking News @cnnbrk

Nurses at Boston Marathon relied on trauma experience to help bombing wounded on.cnn.com/YZ9RXs
7:57am · 16 Apr 13


Nurses relied on trauma experience to help bombing wounded
CNN) -- Of all the Boston Marathons he's worked, and he's done a half-dozen of them, Stephen Segatore figured this one would be pretty easy.

The weather was cool, so the runners probably wouldn't be at much risk for heat stroke or dehydration. Maybe he'd help people with muscle cramps or twisted ankles, but not much more than that.

Segatore, a nurse for 18 years, started his day Monday with the elite athletes in Medical Tent B toward the start of the race. Once those runners were well on their way, he transferred to Tent A at the finish line. He was talking to a group of doctors and nurses when they heard the first explosion.

Instantly, a team meant to tend to the achy and exhausted became a trauma team. The first step: those who didn't have experience with trauma stepped aside. Those with experience dashed out in the direction of the noise.

Segatore, who works in the intensive care unit at nearby Tufts Medical Center, had experience.
"I ran out and saw people who were missing legs and part of their face and part of their abdomen," he said Monday evening. "My training prepared me for what to do, but nothing can ever really prepare you for what you see."

Segatore was one of a team of dozens of doctors and nurses who volunteered at Monday's Boston Marathon. They worked quickly to stop bleeding and start IVs so patients could get into ambulances and to hospital emergency rooms. They treated dozens of patients without proper supplies for severe trauma, such as dressings and pain medications.

"No one expects to work at the Boston Marathon and end up at a terrorist attack," he said.

One of his first patients was a young woman, he thinks maybe 20 or 22 years old, whose abdomen was torn open. Her left leg was broken and facing the wrong way and she wasn't breathing. He and his colleagues did CPR on her and kept checking for a pulse, but there was none. They stopped when they realized it was futile.

She became the first patient in their makeshift morgue.

Segatore and others checked her pockets for a wallet, an ID, a cell phone, anything that would help them find her parents' names. There was nothing.

"I still don't know who she was," he said. "She had blonde hair, blue eyes, the all-American girl. She was probably a student somewhere in Boston."

"I've seen people die all over the world, but I've never been this upset or angry in my career," Segatore said. "This is the Boston Marathon. People come from all over the world and all of a sudden that world exploded on them."

Working alongside Segatore in Tent A was Jim Asaiante, a nurse in the emergency room at the UMass Memorial Medical Center in Worcester, Massachusetts. Asaiante didn't run out after the explosion. He has plenty of experience in trauma, but as a veteran of the Iraq War, he's also had plenty of experience with explosions.

"I heard the first IED (improvised explosive device), and I know there's never one. The bad guys always set up two or three," said Asaiante, an Army captain who did an 18-month tour in Iraq in 2006 and 2007.

Another victim was brought into the tent, a man with his calves and feet blown off and blood pumping out of his knees. Asaiante put a tourniquet on him, started an IV, and in 15 minutes the man, who was screaming in pain, was in an ambulance.

After the second explosion, Asaiante ran out of the tent.
"There was lots of bleeding, shrapnel, glass. It was mayhem," he said. "The injuries were very similar to Iraq."
Despite the chaos, he said the work of the doctors, nurses and EMTs was "impeccable."

Segatore agreed.
"The most amazing thing was how everyone worked in tandem. They didn't even have to speak a word between each other," he said. "In 20 years of nursing, this was the most amazing two hours of nursing in my life."
http://edition.cnn.com/2013/04/16/us/boston-bombings-nurses/index.html


RAdeR

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CNN Breaking News @cnnbrk

At least 17 people still in critical condition after Monday's blasts in Boston on.cnn.com/YZ9FHN
7:54am · 16 Apr 13

Doctors amputate limbs as marathon celebration turns to carnage
(CNN) -- The full horror of Monday's bomb attacks in Boston was reflected in emergency rooms across the city as doctors were forced to perform amputations and treat injuries normally expected on a battlefield.

Around 11 p.m. ET, at least 144 people were reported to have been taken to hospital with wounds sustained from the blasts that brought terror and chaos to the city's annual marathon race.

Three people, including an eight-year-old boy, were killed, while at least 17 people are reported to be in a critical condition.

Designed to propel shrapnel
Images in the immediate aftermath showed people being carried away on stretchers -- one man in a wheelchair had blood all over his face and legs.

While many patients were treated for cuts and scrapes, doctors have also been "pulling ball bearings out of people in the emergency room," suggesting the bombs were designed to propel shrapnel, according to one terrorism expert briefed on the Boston blasts, though CNN is yet to confirm this.

Medical teams have also carried out at least 10 amputations and treated many leg injuries, suggesting the device was low to the ground, according to CNN's Deborah Feyerick.

Among the 28 people taken to the city's Brigham and Women's Hospital, the most common types of injuries are to the bone and tissue, hospital spokesman Tom Langford told CNN.

He said nine of those patients have potentially limb-threatening wounds. A 3-year-old victim was transferred to Boston Children's Hospital for treatment.

Amputated limbs

Dr. Peter Fagenholz, a trauma surgeon at Massachusetts General Hospital, told reporters he treated many of the 29 patients who arrived at the hospital for shrapnel wounds.

"Many of the victims were hit with "a lot of small, metal debris," he said.

"Some people have asked already whether they were BBs or parts of bombs," he said, referring to earlier reports that ball bearings have been pulled from victims. "We can't say whether they were placed their intentionally or whether they were just part of the environment."

He said the most serious wounds "have been combined, complex lower injuries that involve blood vessels, bone and tissue." Some of the patients had to have limbs amputated, Fagenholz added.

"A number of patients will require repeat operations and serial operations over the next couple of days," he said, adding that he had been in surgery for almost 14 hours.

Describing the horror

Theresa Panter, who had been running in the marathon, described the scene as she approached the finishing line.

"When I heard the bomb and saw the reaction of the spectators, I was just alarmed. Then I was pushed back by a spectator and then a Boston Athletic official -- he grabbed a bunch of us and pushed us back. It was pretty upsetting."

Her husband, Dr. Allan Panter, was in the crowd and described how he ended up tending to people on the streets.

"I saw at least six to seven people down next to me -- they protected me from the blast. One lady expired, one gentleman lost both his limbs, his lower extremities. Most of the injuries were mainly lower extremity injuries.

"I could not figure out why the young lady had expired, I could not find any injury on her thorax."
http://edition.cnn.com/2013/04/15/us/boston-bombings-injuries/index.html


RAdeR

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Citaat
Huiszoeking na aanslag Boston
Op een adres in een voorstad van Boston wordt een woning doorzocht. De politie bevestigt dat de huiszoeking in Revere te maken heeft met het onderzoek naar de aanslag tijdens de marathon van Boston.lees verder
bron: NOS


Live

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Obama belooft aanpak aanslagplegers Boston
Obama belooft aanpak aanslagplegers Boston
 zoominnl·    
Gepubliceerd op 16 apr 2013
Citaat
Bij de finish van de marathon in Boston zijn maandag twee bommen afgegaan. Daarbij vielen zeker drie doden en 144 gewonden. President Obama reageerde maandag in een korte televisietoespraak. Ook wereldleiders lieten weten mee te leven met de slachtoffers van het drama.
Samen sterk in de hulpverlening!


RAdeR

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Israelis helped prepare Boston hospital for mass-casualty event


An Israeli team has been credited for having prepared the Massachusetts General Hospital for the current influx of victims of the Boston marathon bombing.
Seventeen critically injured people are being treated at the hospital after two explosions in downtown Boston on Tuesday afternoon.
Alastair Conn, Chief of Emergency Services at Massachusetts General Hospital told reporters: “About two years ago in actual fact we asked the Israelis to come across and they helped us set up our disaster team so that we could respond in this manner.”

According to the Algemeiner, when Dr Conn was asked about the explosions, “Would you characterise these as almost something you would see in a military setting?”
He responded: “Absolutely, this is like a bomb explosion that we hear about in the news in Baghdad, or Israel or some other tragic place in the world.”

At the latest count, the attacks have killed three and injured 140.

The two devices exploded amongst spectators near the finish line.

Rabbi Mayer Zarchi from Boston Chabad synagogue was at the scene. He said: “People just started running away from the centre, from the finish line.”
“I’ve never seen anything like this before – the nature of the carnage, you can’t really articulate it in words. It was unreal.”
Abraham Foxman ADL National Director said in a statement: “Like all Americans, we were deeply shocked by the apparent bombing of the Boston Marathon. It is sad that any time a bomb explodes in public place we are conditioned as a first reflex to think of it as a terrorist attack; but unfortunately, in this instance it appears that our fears have been realised.”

When asked whether it was a terrorist attack, Boston Police commissioner Ed Davis told reporters: "We're not being definitive about this right now, but you can reach your own conclusions based on what happened."

At a briefing at the White House, US President Barack Obama said: "The American people will say a prayer for Boston tonight. Michelle and I send our deepest thoughts and prayers to the families of the victims in the wake of this senseless loss."

"We will find out who did this and we will hold them accountable," he said. "Make no mistake, we will find out who did this and why they did this, and the groups or individuals responsible will feel the full weight of justice."
http://www.thejc.com/news/world-news/105833/israelis-helped-prepare-boston-hospital-mass-casualty-event


RAdeR

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Boston EMS @BOSTON_EMS

EMS staff watching presser on event. Many were in tent treating runners and jumped into action to treat trauma pts pic.twitter.com/8OUdcmwo0m
10:53pm · 15 Apr 13


RAdeR

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Update from Boston Children's Hospital

Update regarding explosion at the Boston Marathon


Boston Children’s Hospital received 10 patients injured in the explosion at the Boston Marathon on the afternoon of April 15. Our Trauma Activation Protocol was activated at 4 PM, and we expect it will be deactivated shortly.  All clinical and operational activities will occur as scheduled on Tuesday, April 16, 2013.

As more news becomes available, we will continue to send out updates and post them on bostonchildrens.org.
http://www.childrenshospital.org/


RAdeR

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At least 21 of the injured were taken to Beth Israel ­Deaconess, where about 100 additional physicians, nurses, and other personnel descended on emergency rooms to help out the 25 or so typically there during a Monday afternoon.

Dr. Richard Wolfe, chief of the emergency department, said that in his 14 years at the hospital, “nothing comes close” to what he witnessed Monday. Of the 21 people brought into the emergency room, at least seven had life-threatening injuries. He said one patient had both legs amputated and one person had one leg removed in the operating room. One or two patients were in a very “dicey” situation, Wolfe said, in their ability to survive their injuries.

Patients had severe eye damage, deep flesh wounds, and ruptured internal organs.

ER staff at the hospital are trained to handle the kinds of critical injuries they handled Monday — many were similar to the trauma seen in serious car accidents — but by around 6:30 p.m., when most patients had been transferred out of the emergency room and into ­other parts of the hospital, many staff members could not contain their suppressed emotions any longer. Several openly wept at memories of the initial hours of the blast, Wolfe said.

“Some people were quite traumatized,” he said.
http://www.boston.com/news/local/massachusetts/2013/04/16/boston-hospitals-treat-injured-with-wounds-more-often-seen-war-zones/YOH8K51BZ0sC3OEMwZv12M/story.html


honderd

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Een filmpje op youtube van thebostonglobe met beeld van de eerste explosie (0:06) en de tweede explosie (0:19).
De eerste explosie vond plaats bij de finish van de marathon.
De tweede explosie iets verder terug in de straat. De rookwolk van de tweede explosie is op onderstaande video te zien van 0:21 tot 0:23.

http://www.youtube.com/watch?v=046MuD1pYJg#ws
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