Torlot Lucien, Fischer Martin R, Zwißler Bernhard, Schroeder Ines
Klinik für Anaesthesiologie, LMU Klinikum, Marchioninistr. 15, 81377, München, Deutschland.
Institut für Didaktik und Ausbildungsforschung in der Medizin, LMU Klinikum, LMU München, München, Deutschland.
Anaesthesiologie. 2025 Sep 3. doi: 10.1007/s00101-025-01587-6.
The coronavirus disease 2019 (COVID-19) pandemic was marked by increased patient surge in hospitals around the world as well as significant staff shortages due to illness and isolation. Hospital preparedness plans in Germany should plan for staff surge capacity in the event of a future pandemic or disaster.
We assessed whether non-medical helpers could be incorporated as surge capacity workforce in German hospitals.
For this scoping review we performed an initial pilot search using GoogleScholar, followed by a systematic query of the Embase and Medline databases. The identified literature and the results of the pilot search were summarized in a narrative-descriptive way.
We identified 64 relevant articles for the scoping review (4 reports, 5 reviews, 1 book section, 13 interventional and 4 observational studies, 8 cross-sectional surveys, 12 expert articles, 13 case reports, 4 training materials). Previous preparedness plans have included volunteers from nongovernmental-organizations, students from medical and public health faculties and spontaneous volunteers. Training this surge capacity workforce is usually a requirement and can take place pre-emptively or at short notice (just in time).
An increasing body of evidence describes including volunteers in preparedness plans within the clinical setting. Especially medical students seem to be a well-established surge capacity workforce that could be systematically planned into preparedness plans in the event of another pandemic or significant disaster in Germany.
2019年冠状病毒病（COVID-19）大流行的特点是，世界各地医院的患者激增，同时由于疾病和隔离导致工作人员严重短缺。德国的医院应急准备计划应针对未来可能发生的大流行或灾难规划工作人员的应急能力。
我们评估了非医疗辅助人员是否可以作为德国医院应急能力劳动力纳入其中。
对于这项范围综述，我们首先使用谷歌学术进行了初步试点搜索，随后对Embase和Medline数据库进行了系统查询。以叙述性描述的方式总结了所确定的文献和试点搜索结果。
我们确定了64篇与范围综述相关的文章（4份报告、5篇综述、1篇书籍章节、13项干预性研究和4项观察性研究、8项横断面调查、12篇专家文章、13篇病例报告、4份培训材料）。以往的应急准备计划包括非政府组织的志愿者、医学和公共卫生学院的学生以及自发志愿者。培训这支应急能力劳动力通常是一项要求，可以提前或在短时间内（及时）进行。
越来越多的证据表明，在临床环境的应急准备计划中纳入志愿者。特别是医学生似乎是一支成熟的应急能力劳动力队伍，在德国再次发生大流行或重大灾难时，可以系统地纳入应急准备计划。
