Ackermann O, Lahm A, Pfohl M, Vogel T, Köther B, Tio K L, Kutzer A, Weber M, Marx F, Hax P-M
Klinik für Orthopädie und Unfallchirurgie, Klinikum Duisburg, Zu den Rehwiesen 9, 47055 Duisburg.
Unfallchirurg. 2011 Sep;114(9):794-800. doi: 10.1007/s00113-011-2089-4.
Tragic incidents at the 2010 Love Parade attracted significant public attention. As the frequency of similar events increases, more hospitals and practitioners will face the necessities of planning and response to unforeseeable occurrences. Obligatory guidelines for physicians do not exist, so that essential aspects are repeatedly discussed for each new event. This paper summarizes the experience of hospitals and emergency departments and draws conclusions, allowing recommendations for reasonable proposals for hospitals and practitioners.
A structured analysis of data concerning planning, patient flow and injury statistics led to a profile determining personnel, rooms and material which have to be provided by the hospitals. In a consensus conference afterwards and personal interviews with clinical coordinators the preparation of hospitals was evaluated to separate reasonable from needless efforts.
We describe various measures concerning staff, logistics and rooms from the viewpoint of actual application. Reasonable measures for preparation and management of mass panic are analysed and described in detail. Problems are explained and solutions discussed. The result is a qualitative catalogue, which supports the organization of future events.
Knowledge and reflection on the experience of the 2010 Love Parade optimizes local emergency guidelines and planning for similar events. A coordinated cooperation of all involved is essential.
2010年爱之游行发生的悲剧事件引起了公众的广泛关注。随着类似事件发生频率的增加，越来越多的医院和从业者将面临对不可预见事件进行规划和应对的必要性。目前不存在针对医生的强制性指南，因此每发生一起新事件，都会反复讨论一些基本问题。本文总结了医院和急诊科的经验并得出结论，从而为医院和从业者提出合理建议。
对有关规划、患者流量和伤害统计数据进行结构化分析，得出一份确定医院必须提供的人员、空间和物资的概况。在随后的共识会议以及与临床协调员的个人访谈中，对医院的准备情况进行了评估，以区分合理与不必要的工作。
我们从实际应用的角度描述了有关人员、后勤和空间的各种措施。详细分析并描述了应对大规模恐慌的合理准备和管理措施。对问题进行了解释并讨论了解决方案。结果形成了一份定性目录，为未来活动的组织提供支持。
对2010年爱之游行经验的了解和反思优化了当地的应急指南以及针对类似事件的规划。所有相关方的协调合作至关重要。
