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Franke A, Bieler D, Achatz G, Suda AJ, Hoth P, Paffrath T, Friemert B. [Care of the severely injured in mass casualty incidents : What is the difference compared to emergency room management?]. Unfallchirurgie (Heidelb) 2023:10.1007/s00113-023-01332-x. [PMID: 37270728 DOI: 10.1007/s00113-023-01332-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Accepted: 04/17/2023] [Indexed: 06/05/2023]
Abstract
The management of a severely injured patient according to the standards and principles of individualized trauma care is a well-established procedure in many hospitals. The process is structured and standardized by the content of several course formats. In contrast, a mass casualty incident (MCI, MANV) is a rare and exceptional situation. In this case the treatment priorities and approaches are changed. The main aim in this situation is to ensure the best possible chance of survival for every casualty by organizational measures to mobilize rooms, personnel and material and to temporarily abandon the standards of individualized trauma care. To be prepared for a MCl situation it is necessary to know the realistic scenarios, to update the hospital emergency plan and to adapt all treatment procedures to the transient lack of resources. This article gives an overview of this process and summarizes the current clinical concepts to cope with a MCl situation and the current principles for the care of the severely injured involving many casualties.
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Affiliation(s)
- Axel Franke
- Klinik für Unfallchirurgie, Orthopädie, Hand- und Rekonstruktive Chirurgie, Verbrennungsmedizin, BundeswehrZentralkrankenhaus Koblenz, Rübenacherstr. 170, Koblenz, Deutschland.
| | - Dan Bieler
- Klinik für Unfallchirurgie, Orthopädie, Hand- und Rekonstruktive Chirurgie, Verbrennungsmedizin, BundeswehrZentralkrankenhaus Koblenz, Rübenacherstr. 170, Koblenz, Deutschland
- Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Düsseldorf, Medizinische Fakultät, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland
| | - Gerhard Achatz
- Klinik für Unfallchirurgie, Orthopädie, Hand- und Rekonstruktive Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland
| | - Arnold J Suda
- Abteilung für Orthopädie und Traumatologie, Unfallkrankenhaus Salzburg, Salzburg, Österreich
| | - Patrick Hoth
- Klinik für Unfallchirurgie, Orthopädie, Hand- und Rekonstruktive Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland
| | - Thomas Paffrath
- Klinik für Unfallchirurgie, Krankenhaus der Augustinerinnen - Severinsklösterchen, Köln, Deutschland
| | - Benedikt Friemert
- Klinik für Unfallchirurgie, Orthopädie, Hand- und Rekonstruktive Chirurgie, Verbrennungsmedizin, BundeswehrZentralkrankenhaus Koblenz, Rübenacherstr. 170, Koblenz, Deutschland
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