Franke Axel, Bieler Dan, Lehmann Wolfgang, Pohlemann Tim, Friemert Benedikt, Achatz Gerhard
Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland.
Sektion Septische‑, Rekonstruktive- und Handchirurgie, Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie am Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
Unfallchirurgie (Heidelb). 2024 Jul;127(7):492-499. doi: 10.1007/s00113-024-01442-0. Epub 2024 Jun 11.
Due to the war in Ukraine and the treatment of patients with war wounds in the hospitals of the TraumaNetworks of the German Society for Trauma Surgery (TraumaNetzwerke DGU®), injuries from life-threatening mission situations (LebEL), terrorism, violence and war have become a matter of daily professional life. Furthermore, the societal and global feeling of security has fundamentally changed. The much-cited term "turning point in history", the reorientation of the Armed Forces and the investigation of the resilience of the healthcare system with respect to the "fitness for war", approximate to the description of the current challenges for trauma surgery (UCH) in Germany. Based on the developments following the terrorist attacks in Paris in 2015 and in Brussels in 2016, a clarification is given as to which adaptations have already been successful and how quickly an improvement could successfully be achieved. In this context, the concept of tactical care and the course on Terror and Disaster Surgical Care (TDSC), for example, have been game changing. The main challenge currently lies in overcoming the structural alterations in the German healthcare system and professionally in the treatment of war wounded personnel from Ukraine. The knowledge gained from these two national tasks must be analyzed for the future development and adaptation of established treatment structures, e.g., of the TraumaNetzwerke DGU®, under the requirements of the increased resilience against war, terrorism and violence. The aim is to name that which has already been achieved with respect to the national challenges for UCH and at the same time to outline or discuss further necessities for improvements and elimination of possible gaps in capabilities.
由于乌克兰战争以及德国创伤外科学会创伤网络（TraumaNetzwerke DGU®）医院对战伤患者的治疗，来自危及生命的任务情境（LebEL）、恐怖主义、暴力和战争造成的伤害已成为日常职业生活中的一部分。此外，社会和全球的安全感也发生了根本性变化。常被提及的“历史转折点”、武装部队的重新定位以及对医疗系统在“战争适应性”方面恢复力的调查，都近似于对德国创伤外科（UCH）当前挑战的描述。基于2015年巴黎和2016年布鲁塞尔恐怖袭击后的发展情况，阐明了哪些调整已经取得成功以及如何能够迅速成功实现改进。在此背景下，例如战术护理概念和恐怖与灾难外科护理课程（TDSC）已经改变了局面。当前的主要挑战在于克服德国医疗系统的结构变革以及专业地治疗来自乌克兰的战伤人员。必须分析从这两项国家任务中获得的知识，以便在增强应对战争、恐怖主义和暴力的恢复力的要求下，对现有治疗结构（例如TraumaNetzwerke DGU®的结构）进行未来发展和调整。目的是指出在UCH的国家挑战方面已经取得的成果，同时概述或讨论进一步改进的必要性以及消除可能存在的能力差距。
