Surgery Department, Rambam Medical Center, HaAliya Hashnia St. 8, PO Box 9602, 31096, Haifa, Israel.
Sahlgrenska Universitetssjukhuset, Gothenburg, Sweden.
Eur J Trauma Emerg Surg. 2022 Oct;48(5):3593-3597. doi: 10.1007/s00068-021-01600-8. Epub 2021 Jan 24.
The Terror and Disaster Surgical Care (TDSC®) course on mass casualty incident management was formulated in Germany by military medical personnel, who have been deployed to conflict areas, but also work in hospitals open for the lay public. In this manuscript we discuss different concepts and ideas taught in this course as these are described in a focused issue recently published in the European Journal of Trauma and Emergency Surgery. We provide reinforcement for some of the ideas conveyed. We provide alternative views for others. Injuries following explosions are different from blunt and penetrating trauma and at times demand a different approach. There are probably several ways to manage a mass casualty incident depending on the setup of the organization. An open discussion on the topics presented in the manuscripts included in the focused issue on military and disaster surgery should enrich everyone.
恐怖事件与灾难手术救治（TDSC®）课程专注于大规模伤亡事件管理，由曾被部署到冲突地区的军医制定，也适用于向公众开放的医院。在本文中，我们讨论了该课程中所教授的不同概念和理念，这些内容最近在《欧洲创伤与急诊外科学杂志》的一个特刊中进行了详细介绍。我们对其中一些观点表示认可，对另一些观点则提供了不同的看法。爆炸伤不同于钝性和穿透性创伤，有时需要不同的处理方法。根据组织的设置，可能有几种方法可以处理大规模伤亡事件。对特刊中军事与灾难外科学相关论文中呈现的主题进行公开讨论，将使每个人都受益。
