ReviewChirurgie (Heidelberg, Germany)2026
[Damage control surgery (DCS) and tactical abbreviated surgical care (TASC) in thoracoabdominal trauma : Courses and consequences].
Review in Chirurgie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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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.
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0 citing papers in PubMed.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The management of hemodynamically unstable critically injured trauma patients requires specialized expertise in acute surgical care and prioritization. In crisis and disaster scenarios or mass casualty incidents, these demands are further intensified by limited resources, time pressure and organizational complexity. The concepts of damage control surgery (DCS) and tactical abbreviated surgical care (TASC) describe patient-adapted and situation-adapted strategies focused on immediate life-saving interventions, rapid stabilization and limitation of further physiological deterioration, with definitive surgical treatment deferred to a later stage. While these approaches are taught as standardized procedures internationally and within the military, they remain insufficiently integrated into civilian surgical education in Germany. Current surgical specialist ("Facharzt") curricula predominantly emphasize elective procedures performed under optimal conditions and provide limited training in temporary damage control techniques, surgical prioritization under resource constraints and the management of multiple critically injured patients simultaneously. Given the rarity of such situations, these competencies cannot be solely acquired in routine clinical practice. To date, there is no dedicated specialist training pathway in emergency and acute care surgery in Germany. Existing stand-alone course formats, including definitive surgical trauma care (DSTC), advanced surgical skills for exposure in trauma (ASSET), acute care in trauma (ACT!) or terror and disaster surgical care (TDSC®), address only selected aspects of the required skill set. The introduction of the DGU training program "Emergency surgeon - Crisis and disaster situations" in 2024 represents the first structured national curriculum specifically designed for these scenarios. In future, a mandatory training framework is required that integrates surgical, tactical and organizational skills. Emergency and acute care surgery should be more firmly established as a system-relevant core competency within surgical curricula, institutional structures and healthcare policy.
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Registered trials
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.