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<p>The Magdeburg attack in December 2024 provided valuable insights into the management of mass casualty incidents (MCI). A&#xa0;well-coordinated trauma network, meticulously developed hospital alarm and deployment planning (HADEP), intensive training, as well as clear leadership and disposition structures were critical for the effective handling of the situation. The concept was developed in an interdisciplinary and interprofessional manner, involving national experts from the Section for Emergency and Disaster Surgery (EKTC) of the German Society for Trauma Surgery (DGU e. V.) and was taught by the Academy for Trauma Surgery (AUC). In addition to low-threshold in-house training sessions, specific roles such as the Central Operational Emergency Coordination (ZONK) and the Lead Triage Physician (LArS) were established and regularly trained. The insights from Magdeburg complement the lessons identified from global terrorist attacks and MCI. Future challenges lie in the consistent implementation of these findings, including structural and material preparedness, mandatory general training for all staff, specific courses such as Terror and Disaster Surgical Care (TDSC®) for key roles (LArS, ZONK), as well as regularly conducted partial and full-scale exercises funded by public authorities. Additionally, adaptive and agile response strategies tailored to potentially dynamic scenarios (e.g., terrorist attacks) must be implemented. These strategies should incorporate more efficient information and communication measures to ensure the safe deployment of emergency services and high-quality prehospital and in-hospital patient care.</p>

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„Lessons identified“ des Anschlags auf den Magdeburger Weihnachtsmarkt – Erkenntnisse, Ausblick und notwendige Strukturanpassungen für eine suffiziente Versorgung bei Großschadensereignissen in Deutschland

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月10日

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  • Felix Walcher,
  • Alexandra Ramshorn-Zimmer,
  • Axel Franke,
  • Benedikt Friemert,
  • Robert Werdehausen,
  • Thomas Wurmb

摘要

The Magdeburg attack in December 2024 provided valuable insights into the management of mass casualty incidents (MCI). A well-coordinated trauma network, meticulously developed hospital alarm and deployment planning (HADEP), intensive training, as well as clear leadership and disposition structures were critical for the effective handling of the situation. The concept was developed in an interdisciplinary and interprofessional manner, involving national experts from the Section for Emergency and Disaster Surgery (EKTC) of the German Society for Trauma Surgery (DGU e. V.) and was taught by the Academy for Trauma Surgery (AUC). In addition to low-threshold in-house training sessions, specific roles such as the Central Operational Emergency Coordination (ZONK) and the Lead Triage Physician (LArS) were established and regularly trained. The insights from Magdeburg complement the lessons identified from global terrorist attacks and MCI. Future challenges lie in the consistent implementation of these findings, including structural and material preparedness, mandatory general training for all staff, specific courses such as Terror and Disaster Surgical Care (TDSC®) for key roles (LArS, ZONK), as well as regularly conducted partial and full-scale exercises funded by public authorities. Additionally, adaptive and agile response strategies tailored to potentially dynamic scenarios (e.g., terrorist attacks) must be implemented. These strategies should incorporate more efficient information and communication measures to ensure the safe deployment of emergency services and high-quality prehospital and in-hospital patient care.