Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2022
[Clinical Treatment after Terrorist Attacks - Structures and Processes in Hospitals for terror-related Mass Casualty Incidents].
Due to several peculiarities the clinical treatment after terror-related mass casualty incidents (TerrorMASCAL) differs from handling a conventional MCI. For this reason, TerrorMASCAL situations should get attention as an own entity in hospitals emergency preparedness and response. Among other challenges hospitals surrounding the emergency area will have to deal with a large amount of non-triaged, non-treated and seriously harmed patients, some of them with unfamiliar and disfiguring injuries. ⋯ It is recommended that this algorithm should be defined in hospitals disaster and emergency planning. Surgical strategies concerning the treatment of terror victims might be oriented according to the principles of "tactical abbreviated surgical care" (TASC). This means that in extreme cases the initial measures have to be concerted to save as much lives as possible while accepting a reduced individual outcome.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2022
[Management of Clinical Capacity Overload Due to Mass Patient Influx].
Hospitals play a crucial role in the management of large-scale emergencies or disasters. This has been clearly demonstrated by the recent terrorist attacks in Europe, by the SARS-CoV-2 pandemic, and currently by the Ukraine war. In order to cope with extraordinary situations and large-scale emergencies, such as mass casualty incidents, hospitals need to be prepared in detail - by preparing and implementing a hospital contingency plan. The article presented here describes in hospital preparation for a mass casualty incident.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2022
[Hospital Crisis Management in the Pandemic].
Pandemics pose different challenges for hospitals than classic damage events. Crises require a specific management structure on the operational and the strategic level. Hospitals therefore need crisis management structures and processes. ⋯ They should also be established in hospitals on the operational and the strategic level. Since crisis teams in hospitals are not part of everyday work, regular training and exercises are indispensable. Furthermore, financing including training and staffing must be provided.