Evidence map›Paper›PMID 40742439›Full record

GuidelineUnfallchirurgie (Heidelberg, Germany)2025

[Clinical disaster medicine: recommendations of the Surgical Working Group for Military and Emergency Surgery].

Christian Beltzer, Wolfgang E Thasler, Jürgen Tepel, Arnulf Willms, Aliona Wöhler, Lena Heidelmann, Andreas Westerfeld, Christof Schreyer, Clemens Schafmayer, Sebastian Schaaf and 1 more

Abstract readEnglish AbstractPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Unfallchirurgie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
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

11 authors.

Christian BeltzerKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland. christianbeltzer@bundeswehr.org.
Wolfgang E ThaslerAllgemein‑, Viszeral, Thorax- und Minimalinvasive Chirurgie, Rotkreuzklinikum München, München, Deutschland.
Jürgen TepelKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Klinikum Osnabrück, Osnabrück, Deutschland.
Arnulf WillmsKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.
Aliona WöhlerKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.
Lena HeidelmannKlinik für Allgemein- und Viszeralchirurgie, Bundeswehrkrankenhaus Hamburg, Hamburg, Deutschland.
Andreas WesterfeldKlinik für Allgemein- und Viszeralchirurgie, Bundeswehrkrankenhaus Hamburg, Hamburg, Deutschland.
Christof SchreyerKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.
Clemens SchafmayerKlinik und Poliklinik für Allgemein‑, Viszeral‑, Thorax‑, Gefäß- und Transplantationschirurgie, Universitätsmedizin Rostock, Rostock, Deutschland.
Sebastian SchaafKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.
Christoph GüsgenKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In-hospital disaster medicine demands a structured, pragmatic and resource-efficient approach in the surgical treatment of patients under extreme conditions. The Surgical Working Group for Military and Emergency Surgery (CAMIN) of the German Society of General and Visceral Surgery (DGAV) has developed guideline-based recommendations for making decisions, prioritization and management in disaster scenarios. The guidelines address the special challenges of atypical trauma patterns, as can be found in terrorist attacks or situations with mass casualties, such as gunshot or blast injuries. They highlight the use of damage control surgery (DCS), the differentiated application of laparotomy, open abdominal management and the triage of general and oncological procedures. The clinical assessment, focused diagnostics (e.g., extended focussed assessment with sonography in trauma, eFAST) and staged surgical algorithms are at the heart of this concept, aiming to ensure the highest level of patient safety and effectiveness despite critical resource limitations. The overriding principle is: "do the most for the most."

Indexed as

Disaster MedicineGeneral SurgeryMilitary MedicineGermanyHumansMass Casualty IncidentsTriageAbdomenDamage control surgeryPenetrating woundsThoraxTriage

Identifiers

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.