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24th European Congress of Trauma & Emergency Surgery 

The eposters will be accessible during the entire congress.

Healthcare challenges associated with undocumented arrivals via small boats in Europe: Addressing the urgent situation in the Canary Islands

Disaster & military surgery

Trauma and Emergency surgery | Miscellaneous

Introduction: Recently, illegal border crossings to Europe have surged due to economic issues, conflicts, and political instability. FOREX"s data indicates that Western African route, including Canary Islands, saw a 161% increase in 2023 compared to 2021. In 2023, 39090 people reached the Canary Islands, surpassing the 2006 crisis. By September 2024, 37970 migrants had arrived, mainly from Morocco, Mauritania, and Senegal, after journeys of up to 10 days under harsh conditions, including overcrowding, dehydration, violence and inclement weather. Upon arrival, migrants receive medical care, with urgent cases sent to hospitals. Common issues include dehydration and superficial injuries, but some arrive in critical condition or deceased. Many require surgery for fractures, tissue injuries, and infections caused by trauma, bacteria, or chemicals, leading to complications like necrosis or amputations.In 2023, the General Surgery department treated 6 patients with acute abdomen and septic shock caused by stress-related gastric ulcer perforations. Emergency surgery with primary suturing was performed with good outcomes. One patient with intestinal obstruction, post-appendectomy in his own country, required 15 cm resection, with a satisfactory outcome. While NSAIDs and H. pylori are common causes of gastric and duodenal perforations, prolonged stress can also lead to perforations by disrupting the balance between mucosal defenses and stomach and the acids and zymogens present in the lumen causing cellular damage and perforation.Conclusions: The influx of migrants is overwhelming healthcare services, especially on smaller islands with limited resources. The journey and arrival conditions present major medical challenges. The shortage of resources not only affects the quality of care for migrants but also for the local population, highlighting the need for better planning and increased resources to effectively manage this humanitarian and public health crisis.No

ePoster (self-study)

Mass gathering preparedness – The Notting Hill carnival experience

Polytrauma

Research

Introduction: The Notting Hill Carnival (NHC) is Europe's largest street carnival with over two million attendees and held annually over a UK Bank Holiday in West London.Aim: To review injury patterns and outcomes of trauma patients who attended St. Mary"s Hospital in London after it became a Major Trauma Centre in 2010 comparing carnival days and non-carnival days. Additionally, to assess the multi-professional planning involved in resource allocation.Methods: Demographic data was collected from the trauma registry of patients who visited St. Mary"s MTC between 2011 and 2024 in the two days before, during, and after the carnival.Results: 760 trauma patients were identified, 338 presenting on carnival days and 422 on non-carnival days. The analysis revealed a higher incidence of male patients on carnival days (n=278, 82%) with a median age of 29 (range 22-49) compared to non-carnival days (n=322, 76%) with a median age of 39 (range 27-60). Penetrating injuries were more frequent during the carnival (n=94, 28%) compared with non-carnival days (n=68, 16%). Conversely, blunt force injuries were more prevalent on non-carnival days (n=354, 84%) than carnival days (n=244, 72%). The median Injury Severity Scores (ISS) were lower on carnival days (n=4) compared to non-carnival days (n=6). Surgical intervention rates, intensive care unit admissions, and mortality rates were similar. Geographical analysis showed most injuries during the carnival occurred near the event location, with a higher number of patients coming from outside the London area compared to non-carnival days, where patients were predominantly local residents.Conclusions: While the number of trauma presentations increases during NHC, the severity of injuries remains comparable to non-carnival days. Continuous monitoring and inter-professional carnival planning with police, paramedics and medical institutions are essential to address the unique challenges posed by such large-scale public eventsNo

ePoster session (self-study)
Disaster & Military (self-study)

Termin

Thema

Beschreibung

Programm

ePoster session (self-study)Disaster & Military (self-study)

Termin

Thema

Beschreibung

Programm

ePoster session (self-study)
Disaster & Military (self-study)