Franke A, Bieler D, Friemert B, Kollig E, Flohe S
Klinik für Unfallchirurgie, Orthopädie, Rekonstruktive- und Handchirurgie, Verbrennungsmedizin, Bundeswehrzentralkrankenhaus Koblenz, Rübenacherstrasse 170, 56072, Koblenz, Deutschland.
Klinik Unfallchirurgie und Orthopädie, Septische und Rekonstruktive Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland.
Chirurg. 2017 Oct;88(10):830-840. doi: 10.1007/s00104-017-0489-x.
Due to the recent terrorist attacks in Paris, Brussels, Ansbach, Munich, Berlin and more recently Manchester and London, terrorism is realized as a present threat to our society and social life, as well as a challenge for the health care system. Without fueling anxiety, there is a need for sensitization to this subject and to familiarize all concerned with the special kind of terrorist attack-related injuries, the operational priorities and tactics and the individual basic principles of preclinical and hospital care. There is a need to adapt the known established medical structure for a conventional mass casualty situation to the special requirements that are raised by this new kind of terrorist threat to our social life. It is the aim of this article, from a surgical point of view, to depict the tactics and challenges of preclinical care of the special kind of terrorist attack-related injuries from the site of the incident, via the advanced medical post or casualty collecting point, to the triage point at the hospital. The special needs of medical care and organizational aspects of the primary treatment in the hospital are highlighted and possible decisional options and different approaches are discussed.
由于近期在巴黎、布鲁塞尔、安斯巴赫、慕尼黑、柏林，以及最近在曼彻斯特和伦敦发生的恐怖袭击事件，恐怖主义已被视为对我们社会和社会生活的现实威胁，同时也是医疗保健系统面临的一项挑战。在不加剧焦虑的情况下，有必要提高对这一主题的认识，并让所有相关人员熟悉与恐怖袭击相关的特殊类型伤害、行动重点和策略以及临床前和医院护理的个人基本原则。有必要使已知的针对常规大规模伤亡情况的既定医疗结构适应这种新型恐怖主义对我们社会生活构成的威胁所提出的特殊要求。本文旨在从外科角度描述从事件现场到高级医疗站或伤员收集点，再到医院分诊点，对与恐怖袭击相关的特殊类型伤害进行临床前护理的策略和挑战。突出了医院初级治疗中医疗护理的特殊需求和组织方面，并讨论了可能的决策选项和不同方法。
