{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:33:02Z","timestamp":1785407582677,"version":"3.56.0"},"reference-count":44,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"unspecified","delay-in-days":201,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009779","name":"Region Kronoberg","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326104078_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Hospital mass casualty incident (MCI) plans must be able to remain operational during wartime. This study examined the impact of the October 7, 2023, attacks on the activation and execution of an MCI protocol in a hospital in southern Israel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104078_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study employed thematic analysis of semi-structured interviews conducted with 19 Emergency Department (ED) staff members who worked on October 7, 2023. Interview questions were developed by the authors, based on their professional experiences as physicians, with input from personnel involved in the October 7, 2023, response. Thematic saturation was considered achieved when consecutive interviews yielded no new themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104078_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three themes were identified. Threats to staff safety affected staff mobilization and prevented evacuation of patients from the ED. The prolonged and evolving nature of the attacks created unpredictability. Limited official information was partially compensated for through alternative information sources. Finally, a culture of frequent MCI drills contributed to maintaining patient flow and standards of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104078_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>During wartime, MCI plans can remain effective by prioritizing staff safety and mitigating burnout. Information should be collected from multiple sources to compensate for uncertainty and limited situational awareness. Frequent, realistic drills help to maintain operational performance under the extreme stress of war.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10407","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T10:21:57Z","timestamp":1784629317000},"source":"Crossref","is-referenced-by-count":0,"title":["Wartime Mass Casualty Incident Plan Operation: Staff Experiences from a Civilian Hospital in Southern Israel on October 7, 2023"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2512-4483","authenticated-orcid":false,"given":"Maximilian P.","family":"Nerlander","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05ynxx418","id-type":"ROR","asserted-by":"publisher"}],"name":"Link\u00f6ping University"},{"id":[{"id":"https:\/\/ror.org\/03qxff017","id-type":"ROR","asserted-by":"publisher"}],"name":"Hebrew University of Jerusalem Braun School of Public Health and Community Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam J.","family":"Rose","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03qxff017","id-type":"ROR","asserted-by":"publisher"}],"name":"Hebrew University of Jerusalem Braun School of Public Health and Community Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Gershov West","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"S1935789326104078_r31","doi-asserted-by":"publisher","DOI":"10.5055\/jem.2018.0388"},{"key":"S1935789326104078_r1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckaf210"},{"key":"S1935789326104078_r32","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000151068.33935.3E"},{"key":"S1935789326104078_r10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2025.07.032"},{"key":"S1935789326104078_r22","volume-title":"Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet].","author":"Elixhauser","year":"2006"},{"key":"S1935789326104078_r35","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.10.024"},{"key":"S1935789326104078_r4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.5965"},{"key":"S1935789326104078_r7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.6045"},{"key":"S1935789326104078_r12","unstructured":"12. World Bank. Accessed February 18, 2023. https:\/\/data.worldbank.org\/indicator\/NY.GDP.MKTP.CD?end=2021&start=1960&view=chart"},{"key":"S1935789326104078_r29","doi-asserted-by":"publisher","DOI":"10.1111\/j.1539-6924.2009.01264.x"},{"key":"S1935789326104078_r2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2025.18642"},{"key":"S1935789326104078_r27","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X21000327"},{"key":"S1935789326104078_r28","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000151067.76074.21"},{"key":"S1935789326104078_r16","doi-asserted-by":"publisher","DOI":"10.1002\/jhrm.21282"},{"key":"S1935789326104078_r23","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.3073"},{"key":"S1935789326104078_r26","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2021.264"},{"key":"S1935789326104078_r34","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2022.10.021"},{"key":"S1935789326104078_r43","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaf401"},{"key":"S1935789326104078_r13","doi-asserted-by":"publisher","DOI":"10.1089\/hs.2024.0058"},{"key":"S1935789326104078_r24","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-019-05724-9"},{"key":"S1935789326104078_r44","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-11-00123"},{"key":"S1935789326104078_r30","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.105051"},{"key":"S1935789326104078_r36","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2004.02.047"},{"key":"S1935789326104078_r25","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000914"},{"key":"S1935789326104078_r33","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-022-02198-1"},{"key":"S1935789326104078_r15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2020.10.051"},{"key":"S1935789326104078_r40","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-016-0064-7"},{"key":"S1935789326104078_r42","doi-asserted-by":"publisher","DOI":"10.1177\/145749690509400405"},{"key":"S1935789326104078_r5","doi-asserted-by":"publisher","DOI":"10.4324\/9781003265214-35"},{"key":"S1935789326104078_r8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.2787"},{"key":"S1935789326104078_r37","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002674"},{"key":"S1935789326104078_r6","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-023-00557-2"},{"key":"S1935789326104078_r14","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X16639015"},{"key":"S1935789326104078_r19","unstructured":"19. Swedish Civil Contingencies Agency. Heightened state of alert and war. Swedish Civil Contingencies Agency. Accessed December 21, 2024. https:\/\/www.krisinformation.se\/en\/hazards-and-risks\/hojd-beredskap-och-krig"},{"key":"S1935789326104078_r41","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-024-02685-7"},{"key":"S1935789326104078_r9","unstructured":"9. The Institute for National Security Studies. The Reserve Forces in the Gaza War: Challenges for the Continuation of the Fighting. Tel Aviv University. Accessed December 22, 2024. https:\/\/www.inss.org.il\/publication\/reserve-october-7\/"},{"key":"S1935789326104078_r11","doi-asserted-by":"publisher","DOI":"10.3389\/ijph.2024.1606907"},{"key":"S1935789326104078_r18","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X12000623"},{"key":"S1935789326104078_r20","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X17006793"},{"key":"S1935789326104078_r38","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.7.803"},{"key":"S1935789326104078_r3","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2025-001786"},{"key":"S1935789326104078_r17","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X16001217"},{"key":"S1935789326104078_r39","volume-title":"Reference Manual to Mitigate Potential Terrorist Attacks against Buildings: Providing Protection to People and Building","author":"Chipley","year":"2003"},{"key":"S1935789326104078_r21","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2022.175"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789326104078","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T10:22:02Z","timestamp":1784629322000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789326104078\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":44,"alternative-id":["S1935789326104078"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2026.10407","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e135"}}