Evidence map›Paper›PMID 32725275›Full record

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

Terror and disaster surgical care: training experienced trauma surgeons in decision making for a MASCAL situation with a tabletop simulation game.

Gerhard Achatz, Benedikt Friemert, Heiko Trentzsch, Marzellus Hofmann, Markus Blätzinger, Simone Hinz-Bauer, Thomas Paffrath, Axel Franke, Dan Bieler, Deployment, Disaster, Tactical Surgery Working Group of the German Trauma Society

Abstract read
PubMed Publisher
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 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 6% of its field
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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. 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. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. [Keeping the big picture in Terror-MASCAL-A new hospital concept].Unfallchirurgie (Heidelberg, Germany) · 2023
    Article
  11. Review
  12. 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 · 2023
    Review
  13. Evaluation of the decision-making process within the table-top exercise of the Terror and Disaster Surgical Care (TDSCEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  14. Simulation training to retool practicing orthopedic surgeons is rare.Global surgical education : journal of the Association for Surgical Education · 2023
    Review
  15. Are orthopaedic surgeons prepared? An analysis of severe casualties from the 2021 flash flood and mudslide disaster in Germany.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  16. Review
  17. Incorporating mass casualty incidents training in surgical education program.Global surgical education : journal of the Association for Surgical Education · 2022
    Article
  18. 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

10 authors at 7 institutions in 2 countries.

Gerhard AchatzDepartment for Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sportstraumatology, German Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany. GerhardAchatz@Bundeswehr.org.ORCID http://orcid.org/0000-0001-5064-5913
Benedikt FriemertDepartment for Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sportstraumatology, German Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany.
Heiko TrentzschInstitut für Notfallmedizin und Medizinmanagement (INM), Klinikum der Universität München, LMU München, Schillerstraße 53, 80336, Munich, Germany.ORCID https://orcid.org/0000-0002-6395-6873
Marzellus HofmannFaculty of Health, Centre for Didactics and Educational Research in Health Sciences, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58448, Witten, Germany.
Markus BlätzingerAUC-Academy for Trauma Surgery GmbH, Wilhelm-Hale-Straße 46b, 80639, Munich, Germany.
Simone Hinz-BauerAUC-Academy for Trauma Surgery GmbH, Wilhelm-Hale-Straße 46b, 80639, Munich, Germany.
Thomas PaffrathDepartment for Trauma Surgery, Krankenhaus der Augustinnerinnen, Jacobstr. 27-31, 50678, Cologne, Germany.
Axel FrankeDepartment for Trauma Surgery and Orthopaedics, Reconstructive and Hand Surgery, Burn Medicine, German Armed Forces Central Hospital Koblenz, Rübenacher Straße 170, 56072, Koblenz, Germany.
Dan BielerDepartment for Trauma Surgery and Orthopaedics, Reconstructive and Hand Surgery, Burn Medicine, German Armed Forces Central Hospital Koblenz, Rübenacher Straße 170, 56072, Koblenz, Germany.ORCID https://orcid.org/0000-0002-0708-1259
Deployment, Disaster, Tactical Surgery Working Group of the German Trauma Society
Wilhelm Löhe University for Applied Sciences · DEBundeswehrkrankenhaus · DEBundeswehrzentralkrankenhaus Koblenz · DEDüsseldorf University Hospital · DEKrankenhaus der Augustinerinnen · DELMU Klinikum · DEWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMass-casualty incidents, especially in connection with a terrorist attack, can quickly overwhelm the capacities of receiving hospitals. After a mass-casualty terrorist incident, patients often arrive at hospitals in an uncoordinated manner on account of the chaotic situation. Many patients leave the incident site and refer themselves to hospitals independently. Hospital decision makers must, therefore, be able to make quick decisions on diagnostic procedures and treatment for every individual patient and, at the same time, take into consideration available resources. They require decision criteria and aids to properly manage such scenarios. MATERIALS AND

methodsAs part of the preparation of the Terror and Disaster Surgical Care (TDSC

resultsOur analysis involved 264 of 465 course-participants from 2017 to 2019 and showed that the overall evaluation was very good and that participants grew more positive about the tabletop simulation game during the course. The tabletop simulation game received an average rating of 1.53 (1 = very good, 6 = insufficient). This rating remained consistently high over 19 courses. DISCUSSION: Hospital decision makers must respond to mass-casualty terrorist situations in a defined tactical and strategic approach. Rapid decisions must be made that take into account the special situation and available capacities and resources to maximise the number of survivors even though individual patients may have a poorer functional outcome. As part of the TDSC

Indexed as

Decision MakingEducation, Medical, ContinuingMass Casualty IncidentsSimulation TrainingTerrorismDisaster PlanningEmergency Service, HospitalGeneral SurgeryGermanyHumansTriageWounds and InjuriesDecision makingDisasterGamePreparednessSimulationTable-top-ExerciseTerror

Identifiers

PMID32725275
OpenAlexW3045608986

What OpenQuestion holds

Textmetadata
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.