{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:34:32Z","timestamp":1761708872513,"version":"3.43.0"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Army Med Corps"],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:p>It has been recognised for some time that a terrorist incident was threatened in the UK and it has been noted previously in the JRAMC that the locations for terrorist atrocities are likely to be more diverse than previously experienced (1). July 7th 2005 witnessed the first terrorist suicide bombing on the UK mainland, targeting the public transport system in London. These attacks were unprecedented in both scale and intensity but they were anticipated in London. However there were clear difficulties, relating to multiple sites, their location underground and early problems with communication (2). This article highlights some of the experiences and learning points of the Intensive Care Medicine Service at the Royal London Hospital (RLH) in the wake of the July 7th bombings. The RLH was the single biggest receiver of casualties (195); seven of whom were admitted to the Intensive Care Unit.<\/jats:p>\n               <jats:p>The Defence Medical Services have tri-service representation (both regular and reserve) at the RLH in Emergency Medicine and Pre-hospital Care, Surgical Services and Intensive Care Medicine.<\/jats:p>","DOI":"10.1136\/jramc-152-01-04","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T19:43:32Z","timestamp":1363722212000},"page":"17-21","source":"Crossref","is-referenced-by-count":13,"title":["Critical Care Delivery: The Experience Of A Civilian Terrorist Attack"],"prefix":"10.1136","volume":"152","author":[{"given":"PJ","family":"Shirley","sequence":"first","affiliation":[{"name":"612 Squadron, Royal Auxiliary Air Force"},{"name":"Royal London Hospital, Whitechapel, London, E1 1BB Peter.Shirley@bartsandthelondon.nhs.uk"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2006,3,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1136\/jramc-147-02-06","article-title":"Terrorism \u2013 new threats, new challenges?","volume":"147","author":"Greaves, I.","year":"2001","unstructured":"Greaves I. Terrorism \u2013 new threats, new challenges? J R Army Med Corps 2001;147:142-146.","journal-title":"J R Army Med Corps"},{"key":"ref_2","first-page":"543","volume":"353","author":"Ryan, J.; Montgomery, H.","year":"2005","unstructured":"Ryan J, Montgomery H. Terrorism and the Medical Response. NEJM 2005;353:543-545.","journal-title":"Terrorism and the Medical Response. NEJM"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1097\/01.CCM.0000151063.85112.5A","article-title":"The provision of sophisticated critical care beyond the hospital: lessons from physiology and military experiences that apply to civil disaster medical response","volume":"33","author":"Gissom, T.E.; Farmer, J.C.","year":"2005","unstructured":"Gissom TE, Farmer JC. The provision of sophisticated critical care beyond the hospital: lessons from physiology and military experiences that apply to civil disaster medical response. Crit Care Med 2005;33:S13-S21.","journal-title":"Crit Care Med"},{"key":"ref_4","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/cc3762","article-title":"The Israeli experience: conventional terrorism and critical care","author":"Aschenasy -Steuer G, Shamir M, Rivkind A","year":"2005","unstructured":"Aschenasy -Steuer G, Shamir M, Rivkind A et al. The Israeli experience: conventional terrorism and critical care. Critical Care 2005:9 (DOI 10.1186\/cc3762).","journal-title":"Critical Care"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1056\/NEJMra042083","article-title":"Blast Injuries","volume":"352","author":"DePalma, R.G.; Burris, D.G.; Champion, H.R.; Hodgson, M.J.","year":"2005","unstructured":"DePalma RG, Burris DG, Champion HR, Hodgson MJ. Blast Injuries. 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Br J Anaes 2002;89:306-324.","journal-title":"Br J Anaes"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/00001503-200404000-00011","article-title":"Management of blast injuries and shock lung","volume":"17","author":"Lavery, G.G.; Lowry, K.G.","year":"2004","unstructured":"Lavery GG, Lowry KG. Management of blast injuries and shock lung. Curr Opin in Anaesthesiology 2004;17:151-157.","journal-title":"Curr Opin in Anaesthesiology"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1136\/bmj.331.7509.119","article-title":"Blast injury in enclosed spaces","volume":"331","author":"Chaloner, E.","year":"2005","unstructured":"Chaloner E.Blast injury in enclosed spaces. BMJ 2005;331:119-120.","journal-title":"BMJ"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/01.CCM.0000151068.33935.3E","article-title":"Conventional terrorism and critical care","volume":"33","author":"Singer, P.; Cohen, J.D.; Stein, M.","year":"2005","unstructured":"Singer P, Cohen JD, Stein M. Conventional terrorism and critical care. Crit Care Med 2005;33:S61S65.","journal-title":"Crit Care Med"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1097\/01.ccx.00001186916.92757.ab","article-title":"Disaster management teams","volume":"11","author":"Briggs, S.M.","year":"2005","unstructured":"Briggs SM. Disaster management teams. Curr Opin Crit Care 2005;11:585-589.","journal-title":"Curr Opin Crit Care"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1097\/00005373-200208000-00001","article-title":"Medical management of disasters and mass casualties from terrorist bombings: how can we cope?","volume":"53","author":"Frykberg, E.R.","year":"2002","unstructured":"Frykberg ER. Medical management of disasters and mass casualties from terrorist bombings: how can we cope? J Trauma 2002;53:201-212.","journal-title":"J Trauma"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"548550","DOI":"10.1056\/NEJMp058180","article-title":"The London attacks \u2013 aftermath. Victimhood and resilience","volume":"353","author":"Wessely, S.","year":"2005","unstructured":"Wessely S. The London attacks \u2013 aftermath. Victimhood and resilience. NEJM 2005;353:548550.","journal-title":"NEJM"}],"container-title":["Journal of the Royal Army Medical Corps"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jramc-152-01-04","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T17:04:55Z","timestamp":1755104695000},"score":1,"resource":{"primary":{"URL":"https:\/\/militaryhealth.bmj.com\/lookup\/doi\/10.1136\/jramc-152-01-04"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,3]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2006,3,1]]},"published-print":{"date-parts":[[2006,3]]}},"alternative-id":["10.1136\/jramc-152-01-04"],"URL":"https:\/\/doi.org\/10.1136\/jramc-152-01-04","relation":{},"ISSN":["0035-8665","2052-0468"],"issn-type":[{"type":"print","value":"0035-8665"},{"type":"electronic","value":"2052-0468"}],"subject":[],"published":{"date-parts":[[2006,3]]}}}