Evidence map›Paper›PMID 32728899›Full record

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

Specificities of terrorist attacks: organisation of the in-hospital patient-flow and treatment strategies.

Benedikt Friemert, Gerhard Achatz, Patrick Hoth, Thomas Paffrath, Axel Franke, Dan Bieler, and the Deployment, Disaster and Tactical Surgery Working Group of the German Trauma Society

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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 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 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. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Observational
  10. [Keeping the big picture in Terror-MASCAL-A new hospital concept].Unfallchirurgie (Heidelberg, Germany) · 2023
    Article
  11. 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 · 2022
    Article
  12. Review
  13. Article
  14. 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 · 2021
    Article
  15. 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

5 · Who and what money

Authors and funding

7 authors.

Benedikt FriemertDepartment for Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sportstraumatology, German Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany.
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
Patrick HothDepartment for Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sportstraumatology, German Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany.
Thomas PaffrathDepartment for Trauma Surgery, Krankenhaus der Augustinerinnen Cologne, 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.
and the Deployment, Disaster and Tactical Surgery Working Group of the German Trauma Society

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMass-casualty incidents are always a particular challenge not only for healthcare providers and other emergency service responders at the scene but also for receiving hospitals. Terrorism-related mass-casualty incidents can result in a wide variety of different scenarios so that hospitals and their personnel must prepare for far more complex and demanding requirements. PURPOSE: In this article, we describe and discuss in-hospital aspects of mass-casualty terrorist incidents and focus on the special medical and in particular surgical care that is required in this setting.

methodsThe overview presented here is based on the Terror and Disaster Surgical Care (TDSC

resultsThe management of a mass-casualty terrorist incident and the care of victims present multiple and unique challenges to hospitals. This applies in particular to the number and distribution of patients arriving at the hospital, injury patterns, infrastructural aspects, and personnel resources. Particular attention must be given to the surgical approach to caring for these patients, e.g., early total care, damage control surgery, or tactical abbreviated surgical care.

conclusionMass-casualty terrorist incidents are different from other mass-casualty events in many respects that require special attention. The provision of appropriate public services requires in particular that the preparation and training of personnel as well as the organisation of the in-hospital response be tailored to the incident.

Indexed as

Disaster PlanningMass Casualty IncidentsTerrorismEmergency Medical ServicesEmergency Service, HospitalHumansTriageWorkflowWounds and InjuriesMass-casualty incidentPreparednessTactical abbreviated surgical careTerrorismTreatment approachesTreatment priorities

Identifiers

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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.