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Education and training as a key enabler of successful patient care in mass-casualty terrorist incidents
BACKGROUND AND PURPOSE: The increase in terrorist attacks with sometimes devastating numbers of victims has become a reality in Europe and has led to a fundamental change in thinking and a reorientation in many fields including health policy. The purpose of this original work was to improve the prep...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10175327/ https://www.ncbi.nlm.nih.gov/pubmed/36810695 http://dx.doi.org/10.1007/s00068-023-02232-w |
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author | Hoth, Patrick Roth, Johanna Bieler, Dan Friemert, Benedikt Franke, Axel Paffrath, Thomas Blätzinger, Markus Achatz, Gerhard |
author_facet | Hoth, Patrick Roth, Johanna Bieler, Dan Friemert, Benedikt Franke, Axel Paffrath, Thomas Blätzinger, Markus Achatz, Gerhard |
author_sort | Hoth, Patrick |
collection | PubMed |
description | BACKGROUND AND PURPOSE: The increase in terrorist attacks with sometimes devastating numbers of victims has become a reality in Europe and has led to a fundamental change in thinking and a reorientation in many fields including health policy. The purpose of this original work was to improve the preparedness of hospitals and to provide recommendations for training. MATERIAL AND METHODS: We conducted a retrospective literature search based on the Global Terrorism Database (GTD) for the period 2000 to 2017. Using defined search strategies, we were able to identify 203 articles. We grouped relevant findings into main categories with 47 statements and recommendations on education and training. In addition, we included data from a prospective questionnaire-based survey on this topic that we conducted at the 3rd Emergency Conference of the German Trauma Society (DGU) in 2019. RESULTS: Our systematic review identified recurrent statements and recommendations. A key recommendation was that regular training should take place on scenarios that should be as realistic as possible and should include all hospital staff. Military expertise and competence in the management of gunshot and blast injuries should be integrated. In addition, medical leaders from German hospitals considered current surgical education and training to be insufficient for preparing junior surgeons to manage patients who have sustained severe injuries by terrorist events. CONCLUSION: A number of recommendations and lessons learned on education and training were repeatedly identified. They should be included in hospital preparations for mass-casualty terrorist incidents. There appear to be deficits in current surgical training which may be offset by establishing courses and exercises. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00068-023-02232-w. |
format | Online Article Text |
id | pubmed-10175327 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-101753272023-05-13 Education and training as a key enabler of successful patient care in mass-casualty terrorist incidents Hoth, Patrick Roth, Johanna Bieler, Dan Friemert, Benedikt Franke, Axel Paffrath, Thomas Blätzinger, Markus Achatz, Gerhard Eur J Trauma Emerg Surg Original Article BACKGROUND AND PURPOSE: The increase in terrorist attacks with sometimes devastating numbers of victims has become a reality in Europe and has led to a fundamental change in thinking and a reorientation in many fields including health policy. The purpose of this original work was to improve the preparedness of hospitals and to provide recommendations for training. MATERIAL AND METHODS: We conducted a retrospective literature search based on the Global Terrorism Database (GTD) for the period 2000 to 2017. Using defined search strategies, we were able to identify 203 articles. We grouped relevant findings into main categories with 47 statements and recommendations on education and training. In addition, we included data from a prospective questionnaire-based survey on this topic that we conducted at the 3rd Emergency Conference of the German Trauma Society (DGU) in 2019. RESULTS: Our systematic review identified recurrent statements and recommendations. A key recommendation was that regular training should take place on scenarios that should be as realistic as possible and should include all hospital staff. Military expertise and competence in the management of gunshot and blast injuries should be integrated. In addition, medical leaders from German hospitals considered current surgical education and training to be insufficient for preparing junior surgeons to manage patients who have sustained severe injuries by terrorist events. CONCLUSION: A number of recommendations and lessons learned on education and training were repeatedly identified. They should be included in hospital preparations for mass-casualty terrorist incidents. There appear to be deficits in current surgical training which may be offset by establishing courses and exercises. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00068-023-02232-w. Springer Berlin Heidelberg 2023-02-21 2023 /pmc/articles/PMC10175327/ /pubmed/36810695 http://dx.doi.org/10.1007/s00068-023-02232-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Hoth, Patrick Roth, Johanna Bieler, Dan Friemert, Benedikt Franke, Axel Paffrath, Thomas Blätzinger, Markus Achatz, Gerhard Education and training as a key enabler of successful patient care in mass-casualty terrorist incidents |
title | Education and training as a key enabler of successful patient care in mass-casualty terrorist incidents |
title_full | Education and training as a key enabler of successful patient care in mass-casualty terrorist incidents |
title_fullStr | Education and training as a key enabler of successful patient care in mass-casualty terrorist incidents |
title_full_unstemmed | Education and training as a key enabler of successful patient care in mass-casualty terrorist incidents |
title_short | Education and training as a key enabler of successful patient care in mass-casualty terrorist incidents |
title_sort | education and training as a key enabler of successful patient care in mass-casualty terrorist incidents |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10175327/ https://www.ncbi.nlm.nih.gov/pubmed/36810695 http://dx.doi.org/10.1007/s00068-023-02232-w |
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