ArticleDeutsches Arzteblatt international2017
The First Aid and Hospital Treatment of Gunshot and Blast Injuries.
Article in Deutsches Arzteblatt international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed, 79 citations in OpenAlex.
- The burden of blast injuries on a level i trauma center: a comparative analysis of blast versus blunt trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Bridging the Evidence-Practice Gap in Early Burn Injury Care: A Comprehensive Evidence Synthesis of Global Guidelines, Consensus, and Systematic Reviews for Resource-Limited Settings.European burn journal · 2026Review
- [Orthopedics and trauma surgery in national and collective defence : Resilient emergency and palliative care in crises and armed conflict situations].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Terminal ballistics performance of 9 × 19 mm cartridges in 10% ballistic gelatin: FBI Protocol based analysis of Brazilian-made law enforcement ammunition.Forensic science, medicine, and pathology · 2025Article
- [Consideration and implementation of the elements of hospital mass casualty planning in the hospitals of the TraumaNetworks DGU® : An evaluation within the framework of the development process of the guidelines for clinical disaster medicine in Germany (LeiKliKatMeD) by the EKTC, NIS, AKUT, AUC].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- [Terror attacks : Recommendations for cooperation between police, hospitals and non-police security services].Die Anaesthesiologie · 2024Article
- [Development of violence-associated penetrating trauma in the Düsseldorf metropolitan region over a 5-year period (GewPen study)].Die Anaesthesiologie · 2024Article
- Dragon's Blood-Loaded Mesoporous Silica Nanoparticles for Rapid Hemostasis and Antibacterial Activity.Molecules (Basel, Switzerland) · 2024Article
- Evaluating emergency response at a hospital near the Gaza border within 24 h of increased conflict.BMC emergency medicine · 2024Article
- [Inpatient surgical treatment in mass casualty situations and disasters-Principles, targets, concepts, preparation].Chirurgie (Heidelberg, Germany) · 2024Review
- [Keeping the big picture in Terror-MASCAL-A new hospital concept].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Tissue adhesive hemostatic microneedle arrays for rapid hemorrhage treatment.Bioactive materials · 2023Article
- Fatal and nonfatal firearm injuries in the eastern Democratic Republic of Congo: a hospital-based retrospective descriptive cohort study assessing correlates of adult mortality.BMC emergency medicine · 2021Article
- Penetrating injuries in Germany - epidemiology, management and outcome an analysis based on the TraumaRegister DGU®.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Emergency response to terrorist attacks: results of the federal-conducted evaluation process in Germany.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Terrorist incidents: strategic treatment objectives, tactical diagnostic procedures and the estimated need of blood and clotting products.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Terrorist attacks: common injuries and initial surgical management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Terror and disaster surgical care: training experienced trauma surgeons in decision making for a MASCAL situation with a tabletop simulation game.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Specificities of terrorist attacks: organisation of the in-hospital patient-flow and treatment strategies.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Evaluation of the Terror and Disaster Surgical Care course.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhen gunshot and blast injuries affect only a single person, first aid can always be delivered in conformity with the relevant guidelines. In contrast, when there is a dynamic casualty situation affecting many persons, such as after a terrorist attack, treatment may need to be focused on immediately life-threatening complications.
methodsThis review is based on pertinent publications retrieved by a selective search in Medline and on the authors' clinical experience.
resultsIn a mass-casualty event, all initial measures are directed toward the survival of the greatest possible number of patients, in accordance with the concept of "tactical abbreviated surgical care." Typical complications such as airway obstruction, tension pneumothorax, and hemorrhage must be treated within the first 10 minutes. Patients with bleeding into body cavities or from the trunk must be given priority in transport; hemorrhage from the limbs can be adequately stabilized with a tourniquet. In-hospital care must often be oriented to the principles of "damage control surgery," with the highest priority assigned to the treatment of life-threatening conditions such as hemodynamic instability, penetrating wounds, or overt coagulopathy. The main considerations in initial surgical stabilization are control of bleeding, control of contamination and lavage, avoidance of further consequences of injury, and prevention of ischemia. Depending on the resources available, a transition can be made afterward to individualized treatment.
conclusionIn mass-casualty events and special casualty situations, mortality can be lowered by treating immediately life-threatening complications as rapidly as possible. This includes the early identification of patients with lifethreatening hemorrhage. Advance preparation for the management of a masscasualty event is advisable so that the outcome can be as favorable as possible for all of the injured in special or tactical casualty situations.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.