[Crisis treatment in emergency and disaster medicine from the perspective "trauma surgery" : Terminology, scenarios, existing concepts and challenges].

The war in Ukraine and the pandemic triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have brought the resilience of our healthcare system and the preparation for disaster medical situations into the focus of a broad and current professional discussion. All measures to improve medical care in disasters can be subsumed under the umbrella term civil health protection. Most damage events that result from the realization of the risks in our daily lives in the sense of a catastrophe or damage situation result in an acute presentation of injured people with an exceedance or a restriction of the treatment capacity of a hospital. Both lead to a shortage situation that endangers patients and that may require applying the principles and concepts of disaster medicine and activating the hospital alarm and deployment plan for structured implementation. As the clinics of the TraumaNetworks DGU® represent an essential pillar of trauma care in the event of a disaster, a prerequisite for dealing with a damage situation is to know the elements of the organization, competences and responsibilities as well as to elucidate the role of the hospitals from the perspective of trauma surgery. This article presents the principles of the nomenclature of medical care in disasters, organization and possible coping strategies and discusses the principles of risk stratification in the preparation. All of this happens with the aim of optimizing the preparation and functioning of one's own hospital in the event of damage or a disaster.