Skip to main content

Advertisement

Log in

Civil protection and disaster medicine in Germany today

  • Review Article
  • Published:
Langenbeck's Archives of Surgery Aims and scope Submit manuscript

Abstract

Purpose

This paper seeks to outline the development of disaster medicine services in Germany and the preparedness of the security and rescue forces for mass casualty incidents after an accident, a natural disaster or a terrorist attack.

Method

The method used was review of articles and interview with experts.

Results

The plane crash at the 1988 Ramstein air show highlighted problems in the approach to incident management. Following this event, Germany improved the medical management of major incidents. At the railway accident in Eschede in 1998, a “proof of concept” was evident. The newest increases of terrorist threats were also turning points in the further development of disaster medicine in Germany.

Conclusions

Emergency medical training must be adapted to the increase in disasters, mass casualty incidents, and terrorist threats.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Aylwin CJ, Konig TC, Brennan NW, Shirley PJ, Davies G, Walsh MS, Brohi K (2006) Reduction in critical mortality in urban mass casualty incidents: analysis of triage, surge, and resource use after the London bombings on July 7, 2005. Lancet 368(9554):2219–2225

    Article  PubMed  Google Scholar 

  2. Turegano-Fuentes F, Perez-Diaz D (2006) Medical response to the 2005 terrorist bombings in London. Lancet 368(9554):2188–2189

    Article  PubMed  Google Scholar 

  3. Uscher-Pines L (2007) “But for the hurricane”: measuring natural disaster mortality over the long-term. Prehosp Disaster Med 22(2):149–151

    PubMed  Google Scholar 

  4. Dvorak J, Junge A, Grimm K, Kirkendall D (2007) Medical report from the 2006 FIFA World Cup Germany. Br J Sports Med 41(9):578–581

    Article  PubMed  Google Scholar 

  5. Niska RW, Burt CW (2003) Bioterrorism and mass casualty preparedness in hospitals: United States. Adv Data 2005(364):1–14

    Google Scholar 

  6. Wetter DC, Daniell WE, Treser CD (2001) Hospital preparedness for victims of chemical or biological terrorism. Am J Public Health 91(5):710–716

    Article  PubMed  CAS  Google Scholar 

  7. Ciraulo DL, Frykberg ER, Feliciano DV, Knuth TE, Richart CM, Westmoreland CD, Williams KA (2004) A survey assessment of the level of preparedness for domestic terrorism and mass casualty incidents among Eastern Association for the Surgery of Trauma members. J Trauma 56(5):1033–1039, discussion 1039–1041

    Article  PubMed  Google Scholar 

  8. Sohn VY, Runser LA, Puntel RA, Sebesta JA, Beekley AC, Theis JL, Merrill NL, Roth BJ, Rush RM Jr (2007) Training physicians for combat casualty care on the modern battlefield. J Surg Educ 64(4):199–203

    Article  PubMed  Google Scholar 

  9. Galante JM, Jacoby RC, Anderson JT (2006) Are surgical residents prepared for mass casualty incidents? J Surg Res 132(1):85–91

    Article  PubMed  Google Scholar 

  10. Frykberg ER, Tepas JJ 3rd (1988) Terrorist bombings. Lessons learned from Belfast to Beirut. Ann Surg 208(5):569–576

    Article  PubMed  CAS  Google Scholar 

  11. Shapira SC, Adatto-Levi R, Avitzour M, Rivkind AI, Gertsenshtein I, Mintz Y (2006) Mortality in terrorist attacks: a unique modal of temporal death distribution. World J Surg 30(11):2071–2077, Discussion 2078–2079

    Article  PubMed  CAS  Google Scholar 

  12. Ruchholtz S, Kuhne CA, Siebert H (2007) Trauma network of the German Association of Trauma Surgery (DGU). Establishment, organization, and quality assurance of a regional trauma network of the DGU. Unfallchirurg 110(4):373–379

    Article  PubMed  CAS  Google Scholar 

  13. Stein M, Hirshberg A, Gerich T (2003) Mass casualties after an explosion. Unfallchirurg 106(10):802–810

    Article  PubMed  CAS  Google Scholar 

  14. Stein M, Hirshberg A (1999) Medical consequences of terrorism. The conventional weapon threat. Surg Clin North Am 79(6):1537–1552

    Article  PubMed  CAS  Google Scholar 

  15. Born CT, Briggs SM, Ciraulo DL, Frykberg ER, Hammond JS, Hirshberg A, Lhowe DW, O’Neill PA, Mead J (2007) Disasters and mass casualties: II. explosive, biologic, chemical, and nuclear agents. J Am Acad Orthop Surg 15(8):461–473

    PubMed  Google Scholar 

  16. Weidringer JW, Ansorg J, Ulrich BC, Polonius MJ, Domres BD (2004) Terrorists’ target World Cup 2006: disaster medicine on the sidelines?! Aspects of hospital disaster planning. Unfallchirurg 107(9):812–816

    Article  PubMed  CAS  Google Scholar 

  17. Schächinger U, Nerlich M (2005) Disaster medical response concerns us all. Internist (Berl) 46(9):1014, 1016–1020

    Article  Google Scholar 

  18. Henning KJ, Brennan PJ, Hoegg C, O’Rourke E, Dyer BD, Grace TL (2004) Health system preparedness for bioterrorism: bringing the tabletop to the hospital. Infect Control Hosp Epidemiol 25(2):146–155

    Article  PubMed  Google Scholar 

  19. Madge SN, Kersey JP, Murray G, Murray JR (2004) Are we training junior doctors to respond to major incidents? A survey of doctors in the Wessex region. Emerg Med J 21(5):577–579

    Article  PubMed  CAS  Google Scholar 

  20. Wong K, Turner PS, Boppana A, Nugent Z, Coltman T, Cosker TD, Blagg SE (2006) Preparation for the next major incident: are we ready? Emerg Med J 23(9):709–712

    Article  PubMed  CAS  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Philipp Fischer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fischer, P., Wafaisade, A., Bail, H. et al. Civil protection and disaster medicine in Germany today. Langenbecks Arch Surg 396, 523–528 (2011). https://doi.org/10.1007/s00423-011-0767-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00423-011-0767-x

Keywords

Navigation