[Framework conditions and basic assumptions in the preparation of a German guideline on clinical disaster medicine...

In order to prepare hospitals better for the necessary crisis care in a shortage situation, the Clinical Disaster Medicine Germany (LeiKliKatMeD) guidelines are currently being developed. They are funded by a research and development project of the Federal Office of Civil Protection and Disaster Assistance (BBK) and are being developed by the section assignment, disaster and tactical surgery (EKTC) of the German Society for Trauma Surgery (DGU) in collaboration with 38 specialist societies. This article describes the framework conditions and basic assumptions that were taken into account. In addition to recommendations for the treatment of typical injury and illness patterns in disasters, crises and war, the guidelines describe, for example, the requirements of hospital alert and operational planning as well as general points. After successful preparation and implementation these can lead to a reduction in the workload of medical treatment facilities in a crisis, so that the stage of compensated crisis care can be maintained for as long as possible in the exceptional situation of an extensive or prolonged damage position. For the prioritization and disposition of medical treatment measures in this situation, the categorization according to the urgency of treatment as part of the initial triage is an important point for the successful management of a damage situation. As a preview of the content of the guidelines, which are expected to be completed by the end of this year, these points are summarized and explained in order to facilitate the successful consideration and implementation of the expected recommendations even now.