Wurmb T, Kolibay F, Heller A R, Franke A
Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Sektion Notfall- und Katastrophenmedizin, Universitätsklinikum Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Deutschland.
DAKEP e. V. Köln, Deutsche Arbeitsgemeinschaft Krankenhaus Einsatzplanung, Köln, Deutschland.
Unfallchirurgie (Heidelb). 2025 Jul 31. doi: 10.1007/s00113-025-01609-3.
There is an increasing focus on preparation for disasters, crises and wars. The ability to react to such exceptional situations affects many pillars of a society. A key component of crisis response is the maintenance of medical care. This, in turn, has a significant impact on care in the outpatient and inpatient settings. Accordingly, hospitals must be prepared for such situations. An important element of such preparation is the hospital emergency and contingency planning (HECP). This requires detailed organization, structuring, planning, training and practice. Important elements of HECP are leadership, communication, zoning and the management of personnel, space and resources. The establishment of a leader of the HECP who coordinates and implements the planning is important and must be accompanied by an appropriate indemnification. Funding must be considered but cannot be an argument for failing to make serious and effective planning. Disasters that hit us unprepared will seriously jeopardize the healthcare system and thus the health of the population. Robust healthcare systems and robust hospitals can play their part in reducing the medical and social impact of disasters.
人们越来越关注对灾难、危机和战争的准备工作。应对此类特殊情况的能力会影响社会的诸多方面。危机应对的一个关键组成部分是维持医疗护理。这进而会对门诊和住院环境中的护理产生重大影响。因此，医院必须为此类情况做好准备。此类准备工作的一个重要要素是医院应急与应变计划（HECP）。这需要详细的组织、架构、规划、培训和实践。医院应急与应变计划的重要要素包括领导能力、沟通、分区以及人员、空间和资源的管理。设立一位协调并实施该计划的医院应急与应变计划负责人很重要，并且必须有适当的保障措施。资金必须予以考虑，但不能成为不进行认真有效规划的借口。毫无准备地遭遇灾难将严重危及医疗保健系统，进而危及民众的健康。强大的医疗保健系统和稳固的医院能够在减轻灾难的医疗和社会影响方面发挥作用。
