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DSET AI
//Healthcare · 2024
Healthcare · Case 2024

Ransomware at a 250-bed private hospital · full recovery within 48 hours

A private hospital in Anatolia was hit by a Conti variant at 23:00 on a Friday. 1,200 endpoints were encrypted · the HIS · PACS · LIS systems went offline. The emergency department ran on pen and paper for 30 hours. DSET recovered all systems in 48 hours.

Duration
48 hours
Scope
1,200 endpoints · 250 beds · 4 buildings
Customer Satisfaction
★★★★★

01 The Challenge

At 23:14 on Friday the HIS terminals froze with the message 'Your files are encrypted.' The PACS server offline · radiology images inaccessible · LIS lab results not coming in · the pharmacy system down. Because the patient database was unreachable, new admissions began to be taken on paper forms. Previous test results of critical patients in the emergency department could not be seen. This was not a vital crisis · it was the starting point of a vital crisis.

02 DSET's Approach

01

T+0 · Triage

The DSET incident response team made phone contact in 47 seconds. It was confirmed within 18 minutes via IOC matching that it was a Conti variant. The affected systems were taken offline · the spread was stopped.

02

T+4h · On site

Together with the hospital's technical team, in the first 4 hours forensic image collection · network isolation · identification of the attack source (RDP brute force, then a Cobalt Strike beacon).

03

T+12h · Backup analysis

The backup chain was checked for the PACS archive · HIS DB · LIS results. The last full backup was 9 hours earlier · the attacker had tried to corrupt it too but could not finish.

04

T+24h · First return

The HIS DB restore succeeded · the emergency department screens worked again. The old paper records were transferred to the DB.

05

T+36h · PACS + LIS

The PACS archive was restored at the DICOM level · images going back 4 months are accessible. The LIS was reconnected.

06

T+48h · Operational

All 4 buildings fully operational. The emergency department moved from paper records to the DB. Access to old patient files restored.

03 Results in Numbers

48 hours
Operational Return
0% (DB complete)
Patient Data Loss
4% (only the last 12 hours)
PACS Image Loss
0 USD
Ransom Payment
Completed within 72 hours
KVKK Notification
0 serious incidents
Patient Complaints

04 Customer Testimonial

"

In a hospital, ransomware is not just data loss · it is a matter of patients' lives. The DSET team understands this · they acted not just as an IT company but as an emergency response team. That made the difference.

Chief Physician
Private Hospital · Anatolia
★★★★★

05 Key Takeaways

In healthcare, even a single host with RDP left open can cost lives
PACS · HIS · LIS must have separate backup strategies
A hospital that runs drills before ransomware · actually recovers 50% faster
A KVKK breach notification has a 72-hour window · being unprepared risks an additional penalty

06 Services Used in This Case

KVKK-GDPR Consultancy

A compliance process is sustainable compliance.

Data Recovery

We care about your data.

Incident Simulator & Threat Heatmap

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Free assessment · detailed response within 48 hours.

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Detection and cleanup of a 14-month APT intrusion at a metropolitan municipality

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A 9-day Red Team engagement at one of Turkey's top 5 banks

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DSETDoğanay Siber Emniyet

Digital Forensics · Data Recovery · Cyber Security · Information Security · Technical Examination · Expert Opinion · KVKK & GDPR Compliance · Digital Transformation Consulting · advanced training programs offered by DSET Academy.

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