Verteilung der Sichtungskategorien bei Terroranschlägen mit einem Massenanfall von Verletzten

Juncken, K.; Heller, Axel R.; Cwojdzinski, Detlef; Disch, Alexander C.; Kleber, Christian

doi:10.1007/s00113-018-0543-2

Cited by 19 publications

(8 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The majority of published literature report on mass casualties with a terrorist background. 1 Naturally, attacks with motorized vehicles, as in the case of Berlin, are associated with a high percentage of blunt trauma. The number of victims is high, and the overall severity of the injuries is higher when compared to daily business in orthopedic trauma care.…”

Section: Methods and Resultsmentioning

confidence: 99%

“…4 An analysis of the distribution of injured patients (categories: minor, severe and lifethreatening) showed that in such events, the number of severely injured (that need acute care surgery) may reach a portion beyond 30%, which exceeded previous planning figures of 15%. 1 In conclusion, the number of exercises for MCIs in the hospitals involved was increased and the necessary personnel costs disbursed.…”

mentioning

confidence: 98%

“…T he risks for mass casualty incidents (MCI), especially terror attacks, have become more evident in recent years, [1][2][3] making thorough planning and preparation essential. At first, general recommendations for the whole country to carry out in-hospital mass casualty exercises were issued in 1983.…”

mentioning

confidence: 99%

See 2 more Smart Citations

The Berlin Acute Trauma Care Instrument Set (BATMIN) – A Selected Combination of Surgical Instruments for Damage Control and Hemostasis Surgery in Severe Acute Trauma

Märdian

Klein

Solarek

et al. 2020

Disaster med. public health prep.

View full text Add to dashboard Cite

A lack of sterile surgical instrument sets for damage control surgeries of severely injured patients became evident in a series of in-hospital mass casualty trainings in the German capital of Berlin. Moreover, the existing instrument trays contained mostly specialized instruments for elective interventions and were not well composed for the treatment of poly-traumatized patients. After a literature search on the most common injury patterns in Mass Casualty Incidents (MCIs), an expert group of surgeons from different disciplines designed an optimized instrument set. A set of 194 instruments was assembled and distributed into two containers. These 2 sets were subjected to a 6-month trial phase in our hospital, and the evaluation of usability was subsequently analyzed through feedback forms administered to the staff. After analysis of the feedback sheets, only minor alterations had to be incorporated. The Berlin Acute Trauma Care Instrument Set (BATMIN) was then made available by the state of Berlin to Berlin Hospitals providing acute trauma care. Out of the need to be prepared for mass casualties, we created an instrument set suitable for the damage control surgery of severely injured patients in individual care and MCIs.

show abstract

Section: Methods and Resultsmentioning

confidence: 99%

mentioning

confidence: 98%

See 1 more Smart Citation

The Berlin Acute Trauma Care Instrument Set (BATMIN) – A Selected Combination of Surgical Instruments for Damage Control and Hemostasis Surgery in Severe Acute Trauma

Märdian

Klein

Solarek

et al. 2020

Disaster med. public health prep.

View full text Add to dashboard Cite

show abstract

“…Although European EDs might have some experience in mass casualties following isolated major incidents ( 17 ), few, if any, will be familiar with looking after an ongoing stream of acute or delayed presentations of children with war-related injuries. Some of these children will have received rudimentary initial medical or surgical management.…”

Section: Traumamentioning

confidence: 99%

Update on the Coordinated Efforts of Looking After the Health Care Needs of Children and Young People Fleeing the Conflict Zone of Ukraine Presenting to European Emergency Departments—A Joint Statement of the European Society for Emergency Paediatrics and the European Academy of Paediatrics

et al. 2022

View full text Add to dashboard Cite

This joint statement by the European Society for Emergency Paediatrics and European Academy of Paediatrics aims to highlight recommendations for dealing with refugee children and young people fleeing the Ukrainian war when presenting to emergency departments (EDs) across Europe. Children and young people might present, sometimes unaccompanied, with either ongoing complex health needs or illnesses, mental health issues, and injuries related to the war itself and the flight from it. Obstacles to providing urgent and emergency care include lack of clinical guidelines, language barriers, and lack of insight in previous medical history. Children with complex health needs are at high risk for complications and their continued access to specialist healthcare should be prioritized in resettlements programs. Ukraine has one of the lowest vaccination coverages in the Europe, and outbreaks of cholera, measles, diphtheria, poliomyelitis, and COVID-19 should be anticipated. In Ukraine, rates of multidrug resistant tuberculosis are high, making screening for this important. Urgent and emergency care facilities should also prepare for dealing with children with war-related injuries and mental health issues. Ukrainian refugee children and young people should be included in local educational systems and social activities at the earliest opportunity.

show abstract

“…Terrorist incidents may present not only as war-like scenarios with the injury patterns described above but also, for example, as traffic accidents, as the recent attacks at Breitscheidplatz in Berlin in 2016 and on the Promenade des Anglais in Nice in 2016 have shown [ 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Terrorist incidents: strategic treatment objectives, tactical diagnostic procedures and the estimated need of blood and clotting products

Franke

Bieler

Friemert³

et al. 2020

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Background Terrorism-related incidents that are associated with mass casualties (mass-casualty terrorist incidents) are a medical and organisational challenge for every hospital because of the special injury patterns involved, the time of the incident, the development of the situation, the initial lack of information, the number of injured, and the number of uninjured survivors who self-refer to a hospital. Methods The Terror and Disaster Surgical Care (TDSC®)-Course was developed in order to address mass-casualty terrorist incidents and to provide surgeons with the specialist medical and surgical knowledge and skills required for these special situations. The focus of the TDSC® course is on how to provide surgical care and how to deploy scarce resources in a particular tactical situation in such a way that the number of survivors is maximised. Results The effective management of such a tactical situation must be based on priorities and first and foremost requires the standardised sorting and categorisation of the injured at the hospital. The aim of triage, or the sorting of the injured, is to immediately identify patients with life-threatening injuries in environments with strained resources. The medical management of mass-casualty terrorist incidents requires tactical abbreviated surgical care (TASC) teams that have the skills needed to perform a primary survey and to provide care for casualties who need immediate surgery (triage category 1-T1). Initial fluid therapy should be restrictive (permissive hypotension) unless contraindicated. Clotting products are replaced in a standardised manner on the basis of patient requirements, which are calculated using rapidly available surrogates (blood gas analysis). Blood products can be administered or kept available depending on risks and triage categories. The highest priority should be given to the identification and management of haemodynamically unstable patients who require immediate surgery for injuries associated with bleeding into body cavities (T1 + +). Conclusion The recommendations and approaches described here should be considered as proposals for hospitals to develop standards or modify well-established standards that enable them to prepare themselves successfully for situations (e.g. masscasualty terrorist or shooter incidents) in which their resources are temporarily overwhelmed.

show abstract

Verteilung der Sichtungskategorien bei Terroranschlägen mit einem Massenanfall von Verletzten

Cited by 19 publications

References 7 publications

The Berlin Acute Trauma Care Instrument Set (BATMIN) – A Selected Combination of Surgical Instruments for Damage Control and Hemostasis Surgery in Severe Acute Trauma

The Berlin Acute Trauma Care Instrument Set (BATMIN) – A Selected Combination of Surgical Instruments for Damage Control and Hemostasis Surgery in Severe Acute Trauma

Update on the Coordinated Efforts of Looking After the Health Care Needs of Children and Young People Fleeing the Conflict Zone of Ukraine Presenting to European Emergency Departments—A Joint Statement of the European Society for Emergency Paediatrics and the European Academy of Paediatrics

Terrorist incidents: strategic treatment objectives, tactical diagnostic procedures and the estimated need of blood and clotting products

Contact Info

Product

Resources

About