{"id":11385,"date":"2013-12-13T11:41:56","date_gmt":"2013-12-13T17:41:56","guid":{"rendered":"https:\/\/www.crescentcityjewishnews.com\/?p=11385"},"modified":"2013-12-13T11:51:13","modified_gmt":"2013-12-13T17:51:13","slug":"hadassah-doctor-reveals-life-saving-measures","status":"publish","type":"post","link":"https:\/\/www.crescentcityjewishnews.com\/blog\/hadassah-doctor-reveals-life-saving-measures\/","title":{"rendered":"Hadassah doctor reveals life-saving measures"},"content":{"rendered":"<p>Dr. Avraham Rivkind, one of 13 healthcare officials visiting New Orleans from Israel at the behest of the Jewish Federation of Greater New Orleans, used statistics and graphic emergency room photos to demonstrate how effective his team has been in saving the lives of terrorist victims.<\/p>\n<div id=\"attachment_11386\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11386\" class=\"size-medium wp-image-11386 lazyload\" title=\"Rivkind\" data-src=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" data-srcset=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind-300x225.jpg 300w, https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind-1024x768.jpg 1024w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/225;\" \/><noscript><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11386\" class=\"size-medium wp-image-11386\" title=\"Rivkind\" src=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind-300x225.jpg 300w, https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind-1024x768.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/noscript><\/a><\/p>\n<p id=\"caption-attachment-11386\" class=\"wp-caption-text\">Dr. Avraham Rivkind speaks to health professionals and interested community members about the work his team is doing in saving the victims of terrorism. (Photo by Alan Smason)<\/p>\n<\/div>\n<p>Rivkind, the head of the Department of General Surgery and Shock Trauma Unit at Hadassah-Hebrew University Hospital Ein Kerem in Jerusalem, spoke at length about how his team has saved the lives of bombing victims in Israel and made a difference in the crucial seconds that count between triage and surgery.<\/p>\n<p>Members of Rivkind&#8217;s team spoke to doctors at Boston Mass General Hospital three to four years ago and set up emergency trauma measures there that were already in place at the time of the Boston Marathon bombings on April 15. The Boston Mass General Hospital staff acknowledged the importance of what they learned from the Israelis.<\/p>\n<p>Rivkind and others appeared in New Orleans as part of the Partnership on Emergency Response and Medicine facilitated by Federation.<\/p>\n<p>&#8220;Out of adversity, when fueled with integrity, comes great success,&#8221; said Dr. Michael Bernstein, a member of the Governing Board of the Tulane Health System, in introducing Rivkind and describing the important work that he and the Hadassah medical staff have accomplished in the face of terrorism.<\/p>\n<p>The objective Rivkind stated at the outset of his talk is how to save lives by reviewing hospital preparedness and to propose simple out-of-the-box solutions.<\/p>\n<div id=\"attachment_11387\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Terrorist_slide.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11387\" class=\"size-medium wp-image-11387 lazyload\" title=\"Terrorist_slide\" data-src=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Terrorist_slide-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" data-srcset=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Terrorist_slide-300x225.jpg 300w, https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Terrorist_slide-1024x768.jpg 1024w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/225;\" \/><noscript><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11387\" class=\"size-medium wp-image-11387\" title=\"Terrorist_slide\" src=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Terrorist_slide-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Terrorist_slide-300x225.jpg 300w, https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Terrorist_slide-1024x768.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/noscript><\/a><\/p>\n<p id=\"caption-attachment-11387\" class=\"wp-caption-text\">A slide gives details on terrorist victims in Israel. (Photo by Alan Smason)<\/p>\n<\/div>\n<p>Rivkind discussed the mechanisms of injuries from terrorist bombings including the primary blast injuries and shock wave from those closest to the explosion. Injuries to the lungs took on a &#8220;butterfly appearance&#8221; on chest x-rays, he said. Injuries in the secondary and tertiary radii from the blast were largely due to penetrating missiles expelled from the point of the blast.<\/p>\n<p>Rivkind pointed out that burns from blasts were usually quite severe and stated that temperatures at the heart of explosive blasts could reach as high as 3,000 degrees Centigrade.<\/p>\n<p>In the case of bleeding, Rivkind and his staff have utilized injections of NovoSeven to control rampant bleeding, where victims may have been exposed to blood thinners such as coumadin. The problem, Rivkin noted, is that one injection costs $9310.<\/p>\n<p>In 101 terrorist attacks, Rivkind confirmed 523 deaths and 4,051 injuries. In Jerusalem there were 26 bombings in which 183 people died and 1,551 were injured. One of the worst of these was the attack on the Sbarro pizzaria in Jerusalem\u00a0 in which a 10-kilogram improvised explosive device (IED) was detonated, resulting in 18 deaths in 45 minutes.<\/p>\n<div id=\"attachment_11388\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind_GNO_Hadassah.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11388\" class=\"size-medium wp-image-11388 lazyload\" title=\"Rivkind_GNO_Hadassah\" data-src=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind_GNO_Hadassah-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" data-srcset=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind_GNO_Hadassah-300x225.jpg 300w, https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind_GNO_Hadassah-1024x768.jpg 1024w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/225;\" \/><noscript><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11388\" class=\"size-medium wp-image-11388 \" title=\"Rivkind_GNO_Hadassah\" src=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind_GNO_Hadassah-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind_GNO_Hadassah-300x225.jpg 300w, https:\/\/www.crescentcityjewishnews.com\/blog\/wp-content\/uploads\/2013\/12\/Rivkind_GNO_Hadassah-1024x768.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/noscript><\/a><\/p>\n<p id=\"caption-attachment-11388\" class=\"wp-caption-text\">New Orleans Hadassah members (from left) Bonnie Lustig, Southern Region president Lee Kansas, Paula Picker, chapter president Julie Schwartz and Stacey Weinreb pose with Dr. Avraham Rivkind, center. (Photo by Alan Smason)<\/p>\n<\/div>\n<p>By contrast, the recent terrorist attacks on the Westgate Mall in Nigeria resulted in 200 people wounded and 72 deaths, he said. &#8220;The largest hospital in Kenya received no victims,&#8221; Rivkind noted. &#8220;Ambulances were scattered and some hospitals were overwhelmed.&#8221;<\/p>\n<p>Rivkind revealed the process by which terrorist victims at Hadassah Hospital undergo triage to determine if they will go immediately to surgery or to a waiting room for treatment. His figures state that half of the admissions will require a hospital stay of indeterminate length. The fatality rate is 18.5% for all victims, he said.<\/p>\n<p>Sixth year medical students in Israel undergo a two-week trauma course as part of the curriculum. Several drills with fake victims are staged. &#8220;I spoke a lot about drills in the last two days,&#8221; Rivkind acknowledged, after having spoken with many area medical professionals.<\/p>\n<p>Despite some conventional thinking to the contrary, &#8220;the judicious use of a tourniquet may be helpful and lifesaving,&#8221; Rivkind continued. &#8220;Boston used a lot of tourniquets and they saved a lot of lives as a result.&#8221;<\/p>\n<p>It is essential, he emphasized, that proper training in the use of tourniquets be given.<\/p>\n<p>&nbsp;<\/p>\n<div style=\"padding-bottom:20px; padding-top:10px;\" class=\"hupso-share-buttons\"><!-- Hupso Share Buttons - https:\/\/www.hupso.com\/share\/ --><a class=\"hupso_toolbar\" href=\"https:\/\/www.hupso.com\/share\/\"><img decoding=\"async\" data-src=\"https:\/\/static.hupso.com\/share\/buttons\/share-medium.png\" style=\"border:0px; padding-top: 5px; float:left;\" alt=\"Share Button\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" class=\"lazyload\" \/><noscript><img decoding=\"async\" src=\"https:\/\/static.hupso.com\/share\/buttons\/share-medium.png\" style=\"border:0px; padding-top: 5px; float:left;\" alt=\"Share Button\"\/><\/noscript><\/a><script type=\"text\/javascript\">var hupso_services_t=new Array(\"Twitter\",\"Facebook\",\"Google Plus\",\"Pinterest\",\"Linkedin\",\"Tumblr\",\"Email\");var hupso_background_t=\"#EAF4FF\";var hupso_border_t=\"#66CCFF\";var hupso_toolbar_size_t=\"medium\";var hupso_image_folder_url = \"\";var hupso_url_t=\"\";var hupso_title_t=\"Hadassah%20doctor%20reveals%20life-saving%20measures\";<\/script><script type=\"text\/javascript\" src=\"https:\/\/static.hupso.com\/share\/js\/share_toolbar.js\"><\/script><!-- Hupso Share Buttons --><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":11386,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[3],"tags":[4585,4587,4586,378,8790,8795,8788,4588],"_links":{"self":[{"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/posts\/11385"}],"collection":[{"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/comments?post=11385"}],"version-history":[{"count":3,"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/posts\/11385\/revisions"}],"predecessor-version":[{"id":11390,"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/posts\/11385\/revisions\/11390"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/media\/11386"}],"wp:attachment":[{"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/media?parent=11385"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/categories?post=11385"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.crescentcityjewishnews.com\/blog\/wp-json\/wp\/v2\/tags?post=11385"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}