Evidence map›Paper›PMID 32206880›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Emergency response to terrorist attacks: results of the federal-conducted evaluation process in Germany.

Thomas Wurmb, Axel Franke, Nora Schorscher, Barbara Kowalzik, Matthias Helm, Renate Bohnen, Jutta Helmerichs, Ulrich Grueneisen, Detlef Cwojdzinski, Georg Jung and 2 more

Abstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Education and training as a key enabler of successful patient care in mass-casualty terrorist incidents.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Pooled it
  3. Lessons learned from terror attacks: thematic priorities and development since 2001-results from a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
  4. Article
  5. Article
  6. Article
  7. The Field's mass shooting: emergency medical services response.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023
    Article
  8. Article
  9. The Great Belt train accident: the emergency medical services response.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021
    Article
  10. Terror preparedness as a service of general interest: the Terror and Disaster Surgical Care (TDSC®)-course.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Thomas WurmbDepartment of Anaesthesia and Critical Care, Emergency and Disaster Relief Medicine, Head of the Subsection Emergency and Disaster Relief Medicine, University Hospital of Wurzburg, Oberdürrbacherstrasse 6, 97080, Wurzburg, Germany. Wurmb_t@ukw.de.
Axel FrankeDepartment of Trauma Surgery and Orthopaedics, Reconstructive Surgery, Hand Surgery and Burn Medicine, German Armed Forces Central Hospital of Koblenz, Koblenz, Germany.
Nora SchorscherDepartment of Anaesthesia and Critical Care, University Hospital of Wurzburg, Wurzburg, Germany.
Barbara KowalzikHead of Division Public Health Protection, Federal Office of Civil Protection and Disaster Assistance, Bonn, Germany.
Matthias HelmDepartment of Anaesthesiology and Intensive Care Medicine, Section Emergency Medicine, Federal Armed Forces Medical Hospital, Ulm, Germany.
Renate BohnenGSG 9, Federal Police Germany, Sankt Augustin, Germany.
Jutta HelmerichsHead of Division Psychosocial Crisis Management, Federal Office of Civil Protection and Disaster Assistance, Bonn, Germany.
Ulrich GrueneisenPresident of the European Council of Disaster Medicine, Vice President of the German Society of Disaster Medicine, München, Germany.
Detlef CwojdzinskiManagement Emergency Planning and Disaster Preparedness, Senate Department for Health, Care and Gender Equality of the City of Berlin, Berlin, Germany.
Georg JungMedical Disaster Response Unit (MDRU), Health Protection Authority of the City of Frankfurt, Frankfurt, Germany.
Gesa LückingDivision 321 Health Protection, Health Security and Crisis Management of Biological Threats, Federal Ministry of Health, Bonn, Germany.
Martin WeberProgram Manager Public Health Protection and Course Director, Academy for Crisis Management, Emergency Planning and Civil Protection, Federal Office of Civil Protection and Disaster Assistance, Bad Neuenahr-Ahrweiler, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRescue missions during terrorist attacks are extremely challenging for all rescue forces (police as well as non-police forces) involved. To improve the quality and safety of the rescue missions during an active killing event, it is obligatory to adapt common rescue mission goals and strategies.

methodsAfter the recent attacks in Europe, the Federal Office of Civil Protection and Disaster Assistance started an evaluation process on behalf of the Federal Ministry of the Interior and the Federal Ministry of Health. This was done to identify weaknesses, lessons learned and to formulate new adapted guidelines.

resultsThe presented bullet point recommendations summarise the basic and most important results of the ongoing evaluation process for the Federal Republic of Germany. The safety of all the rescue forces and survival of the greatest possible number of casualties are the priority goals. Furthermore, the preservation and re-establishment of the socio-political integrity are the overarching goals of the management of active killing events. Strategic incident priorities are to stop the killing and to save as much lives as possible. The early identification and prioritised transportation of casualties with life-threatening non-controllable bleeding are major tasks and the shortest possible on-scene time is an important requirement with respect to safety issues.

conclusionWith respect to hazard prevention tactics within Germany, we attributed the highest priority impact to the bullet points. The focus of the process has now shifted to intense work about possible solutions for the identified deficits and implementation strategies of such solutions during mass killing incidents.

Indexed as

Disaster PlanningMass Casualty IncidentsTerrorismEmergency Medical ServicesGermanyHumansQuality ImprovementRescue WorkFirst respondersLessons learnedMission strategiesSafetyTerror attack

Identifiers

PMID32206880
PMCPMC7429537

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.