Lison Andreas, Simmel S, Reimertz C, Meyer J
Zentrum für Sportmedizin der Bundeswehr, Dr. Rau-Allee 32, 48231, Warendorf, Deutschland.
Berufsgenossenschaftliche Unfallklinik, Murnau, Deutschland.
Orthopadie (Heidelb). 2025 Jul 15. doi: 10.1007/s00132-025-04680-1.
The MEDEVAC chain and acute treatment of severely injured patients is ensured in peacetime through the establishment of the DGU® Trauma Network and the three-link Network for Care after Work and Commuting Accidents (DGUV), even for a temporary mass incident. Due to the expected number of wounded and injury patterns, an armed conflict on German soil represents a considerable resource commitment of the health system to military and civilian war victims in Germany. Even in peacetime, there is a far-reaching gap in the rehabilitation care of severely injured patients with complex rehabilitation needs ("rehabilitation gap"). The considerable efforts to develop a resilient rehabilitation system in Ukraine make it clear that uninterrupted, phase-based and cross-sectoral rehabilitation is indispensable for maintaining the operational readiness of the armed forces, as well as for social resilience.
在和平时期，通过建立德国创伤外科学会（DGU®）创伤网络以及工伤和通勤事故三联护理网络（DGUV），即使是应对临时大规模事件，也能确保医疗后送链和重伤患者的紧急治疗。鉴于预计的伤员数量和受伤模式，德国本土发生武装冲突将使卫生系统对德国军事和民用战争受害者投入大量资源。即使在和平时期，对于有复杂康复需求的重伤患者，康复护理也存在深远差距（“康复差距”）。乌克兰为建立有韧性的康复系统付出了巨大努力，这表明不间断的、分阶段的和跨部门的康复对于维持武装部队的作战准备以及社会复原力而言不可或缺。
