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[Terrorism--a new dimension in trauma care].
R Schwab1, C Güsgen, S Hentsch
1Abteilung für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus , Rübenacherstr. 170, 56072 Koblenz, Deutschland. robertschwab@bundeswehr.org
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 28, 2007
Summary
Terrorist bombings cause mass casualties and unique injuries. This review clarifies blast injury mechanisms and presents trauma care principles for effective mass casualty management.
Area of Science:
- Trauma Care
- Disaster Medicine
- Surgical Critical Care
Context:
- Global terrorism increasingly targets civilian populations, posing a significant threat in Europe.
- Hospitals face immense medical and logistical challenges in managing mass casualty incidents from terrorist bombings.
- Understanding blast injury mechanisms is crucial for preparing trauma care systems.
Purpose:
- To clarify the mechanisms of blast injuries.
- To present fundamental principles of triage and multiple trauma management for terrorist bombing victims.
- To orient treatment concepts on Advanced Trauma Life Support (ATLS) and Damage Control Surgery (DCS) guidelines.
Summary:
- This review details the pathophysiology of blast injuries.
- It outlines essential triage and multiple trauma management strategies based on ATLS and DCS.
- The principles emphasize continuous assessment and situational awareness for improved outcomes in bombing casualties.
Impact:
- Provides a framework for hospitals to prepare for and manage mass casualty events caused by terrorist bombings.
- Enhances the preparedness of trauma care systems to address novel injury patterns from explosions.
- Contributes to improved treatment results for victims of terrorist bombing incidents through evidence-based guidelines.
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