Citation

Breuer F, Beckers SK, Poloczek S. Anaesthesist 2019; 68(7): 476-482.

Vernacular Title

Massenanfälle von Verletzten und Anschläge mit einer Vielzahl von Kindern und Jugendlichen – Überblick über Handlungsempfehlungen und Herausforderungen.

Affiliation

Ärztliche Leitung Rettungsdienst, Berliner Feuerwehr, Voltairestr. 2, 10179, Berlin, Deutschland.

Copyright

(Copyright © 2019, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00101-019-0626-7

PMID

31297543

Abstract

Fortunately, mass casualty incidents involving a large number of children and adolescents are rare and the experience in this field, both in terms of medical as well as psychosocial emergency care is comparatively low. Children represent a vulnerable group and have a particularly high risk of developing posttraumatic stress disorder in the aftermath of experiencing disasters. A selective literature search was carried out in Medline. The peculiarity of damaging events with a large number of children and adolescents affected is that in addition to emergency medical care, an early approach to psychosocial emergency care must be provided. Accordingly, it makes sense to integrate such structures into the respective deployment concepts. A specific screening algorithm for children could so far not prevail but due to the physiological and anatomical characteristics appropriate emergency medical care concepts should be provided. Furthermore, hospitals must adapt to this patient group in a suitable manner.

Language: de

Keywords

Emergency medical services; Pediatrics; Preliminary planning; Psychosocial emergency care/first aid; Terror