Mass Casualty Incident Management in Germany: From Ramstein to Eschede
BoD – Books on Demand, 2004 - 138 Seiten
This study examines the management of major incidents in Germany. Over the last decade Germany has developed a successful approach to incident response. The study argues that the `transformation of war' (van Creveld) from traditional war to modern low intensity conflicts/ terrorism led to a `transformation of civil defence'. A total quality approach to incident response leads to the development of audit tools for structural, procedural, and outcome quality. The outcomes compare favourably to that of paramedic systems. The study describes the components of the German model (incident command system, resources, structures, ...) in detail. Two case studies (air show disaster, Ramstein 1988; ICE train crash, Eschede 1998) show how these concepts evolved. The book will interest emergency planners and responders alike. It also is a useful guide for armed forces medical staff deploying to Germany.
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List of Figures
An Audit Tool for the Medical Management of Major
The Ramstein Air Show Disaster 1988
Command and Control
Mobilising Support and Reserves
Management of Mass Casualty Incidents
The Train Derailment at Eschede 1998
12 stretcher advanced life support advanced medical post aircrash ambulance control ambulance incident officers ambulance service ambulance waiting area audit tool basic life support BLEVE burns centre civilian coach accidents Command Squad command structure CSqL disaster control disaster units distribution of death distribution of trauma emergency medical service emergency services emergency units equipment Eschede federal civil defence ﬁgure ﬁre brigade ﬁve German German Red Cross gold command helicopters helpers hospital immediate care doctors incident command injuries integrated intensive care unit intubation Landstuhl large number Lower Saxony major incidents mass casualty incident medical incident officer medical management medical platoon Medical Section military mobile intensive mutual aid oﬂicer outcome paramedic peacetime prehospital emergency doctor process quality qualiﬁcation radio Ramstein rapid response teams Red Cross rescue resuscitation room scene SL SqL staff staffed stretcher ambulance support ambulances Table trauma centres trauma deaths trauma system treatment triage trimodal distribution Trunkey