• Langenbecks Arch Surg · Apr 2011

    Review

    Civil protection and disaster medicine in Germany today.

    • Philipp Fischer, Arasch Wafaisade, Hermann Bail, Bernd Domres, Koroush Kabir, and Thomas Braun.
    • Department of Trauma and Orthopedic Surgery, University Clinics Bonn, Sigmund Freud Str. 25, 53127, Bonn, Germany. Philipp.Fischer@ukb.uni-bonn.de
    • Langenbecks Arch Surg. 2011 Apr 1;396(4):523-8.

    PurposeThis paper seeks to outline the development of disaster medicine services in Germany and the preparedness of the security and rescue forces for mass casualty incidents after an accident, a natural disaster or a terrorist attack.MethodThe method used was review of articles and interview with experts.ResultsThe plane crash at the 1988 Ramstein air show highlighted problems in the approach to incident management. Following this event, Germany improved the medical management of major incidents. At the railway accident in Eschede in 1998, a "proof of concept" was evident. The newest increases of terrorist threats were also turning points in the further development of disaster medicine in Germany.ConclusionsEmergency medical training must be adapted to the increase in disasters, mass casualty incidents, and terrorist threats.

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