Argentine Jewish community institution bomb explosion.
BACKGROUND
Descriptive study of physical injuries and implemented organization from a nearby, unwarned university hospital after the July 18, 1994, bombing of the seven-story Argentine Israeli Mutual Association (AMIA) building in Buenos Aires. Data were obtained from hospital medical records.


RESULTS
A total of 86 victims arrived at the emergency department, 2 victims were dead on arrival, 41 victims were admitted, and 43 victims with minor injuries were assisted and allowed to go home. The explosion caused a total of 86 deaths and left more than 200 people injured. Mortality rate among hospitalized survivors was 8.3% and among critically injured victims was 28.6%.


CONCLUSIONS
The total collapse of a multiple-story building immediately kills most of its occupants. In the present study, the few surviving victims were located at the lower floors. The majority of hospitalized victims were outside the building at the moment of the blast. Rapid overcrowding of the emergency department with minor and moderate injuries that do not require hospitalization should be anticipated by disaster management plans. Centralization of severely injured patients in critical areas seems appropriate, because this method keeps major cases from spreading through different wards.
Biancolini
C A
CA
Intensive Care Division, Clínicas University Hospital, Buenos Aires, Argentina.
Del Bosco
C G
CG
Jorge
M A
MA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001118:Argentina / Q000453:epidemiology; D001753:Blast Injuries / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D004189:Disaster Planning / Q000458:organization & administration*; D004638:Emergency Treatment / Q000379:methods*; D005107:Explosions; D017809:Fatal Outcome; D005260:Female; D017052:Hospital Mortality; D006785:Hospitals, University; D006801:Humans; D015601:Injury Severity Score; D007585:Jews; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016019:Survival Analysis; D014218:Triage / Q000458:organization & administration*; D014754:Violence