ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
Terrorist attacks: common injuries and initial surgical management.
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 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Pattern of blast injuries. A Systematic Review: Part 1-Improvised, multiple and unspecified explosive devices.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- 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 · 2023Pooled it
- Blast and fragmentation injuries associated with cluster munitions in modern warfare: a narrative review.Forensic science, medicine, and pathology · 2026Review
- A national study of in-hospital preparedness for Mass Casualty Incidents and disasters.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 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
- [National challenges for trauma surgery in Germany due to violence and war].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- [Microbiological challenges in the treatment of war injuries].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- [Keeping the big picture in Terror-MASCAL-A new hospital concept].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Education, training and technological innovation, key components of the ESTES-NIGHTINGALE project cooperation for Mass Casualty Incident preparedness in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Review
- Paradigm change in mass casualty incident command by collective leadership and swarm intelligence.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- [Safety aspects, emergency preparedness and hazard prevention in hospitals concerning mass casualty incidents (MCI)/terror-related MCI : Prospects on future challenges based on survey results from the 3rd emergency conference of the DGU].Unfallchirurgie (Heidelberg, Germany) · 2022Review
- Mobilization of Resources and Emergency Response on the National Scale.The Surgical clinics of North America · 2022Review
- A call for a global terrorism-related mass casualty incident response research consortium.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- 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 · 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
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Terrorism-related incidents and shootings that involve the use of war weapons and explosives are associated with gunshot and blast injuries. Despite the perceived threat of terrorism, these incidents and injuries are rare in Germany. For this reason, healthcare providers are unlikely to have a full understanding of the special aspects of managing these types of injuries. Until a clear and complete picture of the situation is available after a terrorist or shooter incident, tactical and strategic approaches to the clinical management of the injured must be tailored to circumstances that have the potential to overwhelm resources temporarily. Hospitals providing initial care must be aware that the first patients who are taken to medical facilities will present with uncontrollable bleeding from injuries to the trunk and body cavities. To improve the outcome of these patients in extremis, the aim of the index surgery is to stop the bleeding and control the contamination. Unlike damage control surgery, which is tailored to the patient's condition, tactical abbreviated surgical care (TASC) is first and foremost adapted to the overall situation. Once the patients are stabilised and all information on the situation is available, the surgical management and reconstruction of gunshot and blast injuries can follow the principles of damage control (DC) and definitive early total care (ETC). The purpose of this article is to provide an overview of the pathophysiology of gunshot and blast injuries, wound ballistics, and the approach and procedures of successful surgical management.
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