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<p>Major emergencies, mass casualty incidents, and disasters are characterized by a&#xa0;considerable disproportion between the number of casualties in need of treatment and the availability of treatment capacities. The aim of crisis response must be to prioritize and effectively deploy the available resources in such a&#xa0;way that the survival of as many individuals as possible can be ensured with the best possible subsequent quality of life. To prioritize treatment according to urgency, the principle of triage was developed for this purpose in military medicine as early as the 16th&#xa0;century. The aim of the process presented here and moderated by the authors was to develop a&#xa0;triage procedure that is consistent throughout Germany and based on both current scientific knowledge and practical experience. It was particularly important to create consensus-based principles and procedures that are easy to understand and safe to use in practice. From 2015–2020, three expert consensus conferences were held at the Federal Academy for Civil Protection and Civil Defense in Bad Neuenahr-Ahrweiler, Germany under the auspices of the Federal Office of Civil Protection and Disaster Assistance. Participants were representatives of authorities and organizations with security tasks, as well as institutions that take on either strategic or tactical–operational responsibility in disaster control and civil protection. Consensus statements were prepared in workshops, which were then discussed by the delegates at the conferences and approved in line with an S2k guideline from the Association of the Scientific Medical Societies in Germany. Of the original 108 consensus points, 88&#xa0;(84.3%) were voted by strong consensus (&gt; 95% agreement), 14&#xa0;(13.0%) by consensus (&gt; 76% agreement), and 3&#xa0;(2.7%) by majority vote. This article summarizes the recommendations from the 6th–8th&#xa0;Consensus Conferences on Triage in a&#xa0;consistent and structured form and supplements them with the latest findings.</p>

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Ergebnisse der Sichtungs-Konsensus-Konferenzen und Glossar Sichtung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年6月11日

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  • Axel R. Heller,
  • Frank Hähn,
  • Fritjof Brüne,
  • Thomas Wurmb,
  • Axel Franke,
  • Barbara Kowalzik

摘要

Major emergencies, mass casualty incidents, and disasters are characterized by a considerable disproportion between the number of casualties in need of treatment and the availability of treatment capacities. The aim of crisis response must be to prioritize and effectively deploy the available resources in such a way that the survival of as many individuals as possible can be ensured with the best possible subsequent quality of life. To prioritize treatment according to urgency, the principle of triage was developed for this purpose in military medicine as early as the 16th century. The aim of the process presented here and moderated by the authors was to develop a triage procedure that is consistent throughout Germany and based on both current scientific knowledge and practical experience. It was particularly important to create consensus-based principles and procedures that are easy to understand and safe to use in practice. From 2015–2020, three expert consensus conferences were held at the Federal Academy for Civil Protection and Civil Defense in Bad Neuenahr-Ahrweiler, Germany under the auspices of the Federal Office of Civil Protection and Disaster Assistance. Participants were representatives of authorities and organizations with security tasks, as well as institutions that take on either strategic or tactical–operational responsibility in disaster control and civil protection. Consensus statements were prepared in workshops, which were then discussed by the delegates at the conferences and approved in line with an S2k guideline from the Association of the Scientific Medical Societies in Germany. Of the original 108 consensus points, 88 (84.3%) were voted by strong consensus (> 95% agreement), 14 (13.0%) by consensus (> 76% agreement), and 3 (2.7%) by majority vote. This article summarizes the recommendations from the 6th–8th Consensus Conferences on Triage in a consistent and structured form and supplements them with the latest findings.