Der Aufwachraum als Behandlungsplatz.Vorbereitet im Falle von Terror vor den Toren kommunaler Kliniken

Ventzke, M. -M. und Kemming, G. I. (2019): Der Aufwachraum als Behandlungsplatz.Vorbereitet im Falle von Terror vor den Toren kommunaler Kliniken. In: Notfall & Rettungsmedizin, Bd. 22, Nr. 3: S. 240-247

Abstract

Introduction and problem definitionMass casualty events due to terrorist attacks (TMASCAL) present particular challenges. In contrast to classical MASCAL (mass casualty) events, small hospitals have repeatedly been overrun by high numbers of victims during recent TMASCAL scenarios. This is particularly problematic for smaller, rural hospitals in view of their limited resources. The objective of this investigation was to set-up a robust treatment unit in a rural hospital within a short space of time.Materials and methodsTaking into consideration current treatment strategies, expert consent, and recent case reports, the authors developed aconcept for the emergency care of eight casualties.Structural aspects and approachDaily care in smaller hospitals takes place at avery high duty cycle. Effective precautions to cope with TMASCAL are difficult to implement. Short distances and its availability in the case of an emergency make the treatment unit in the recovery room an attractive approach.ConceptThe recovery room provides sufficient space, logistics, and is accessible 24/7. Medical gas supply, patient monitoring, and personnel capable of emergency treatment are at hand. Eight emergency backpacks are located in the peripheral patient wards of the hospitals during routine care. As soon as aTMASCAL is called, these backpacks are brought to the recovery room, while the patients under care there at that time are transferred to the surgical wards, where they continue to receive treatment. At the same time, the recovery room is cleared and prepared for the TMASCAL: the personnel are immediately available to handle the expected casualties. Together, the trauma-specific contents of the backpacks and the mobile monitoring devices form asuitable emergency unit. During real TMASCAL, the personnel in the recovery room are already familiar with the facilities and equipment, since the backpacks are part of the in-house medical emergency concept. The concept is also as cost-efficient as possible.AssessmentDelivering emergency care in the recovery room in the case of TMASCAL, hereby proposed as the Gunzburg model for small rural hospitals, appears an attractive approach.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 1434-6222
• Sprache: Deutsch