January 1, 1997

Stab Wounds Associated With Terrorist Activities in Israel-Reply

Author Affiliations

Hadassah University Hospital Jerusalem, Israel

JAMA. 1997;277(1):22. doi:10.1001/jama.1997.03540250030023

In Reply.  —The case-fatality rate (25.3%) we reported in our article was 7 times higher than fatality rates from stab wounds reported elsewhere. Our series of stab wounds—70% of which occurred in the morning hours—was highly lethal for 3 reasons: the length of the penetrating knife, the force of the thrust, and the multiple stabs sustained by each patient. This information, together with our warning against removing the knife prior to surgery, is important to physicians who treat patients with stab wounds.In response to Mr Sosebee, we note that a terrorist is defined as "a supporter of or participant in use of violence and intimidation, especially for political purposes."1 He objects to the use of the term, since "[a]ttacking an armed soldier on patrol... [during] military occupation is... legal... and was a method used by our forefathers in our liberation struggle." In our study only 1 of the 154 victims