[The Referral Field Hospital of the Emergency Response Unit (ERU) of the German Red Cross].
BACKGROUND
Emergency Response units (ERUs) have been developed as a part of the International Federation of Red Cross and Red Crescent Societies strategy to provide fast and effective medical and technical help to victims of disasters of any kind. ERUs provide timely, professional and organised response in a standardised and streamlined way by a balanced composition of professional staff and predesigned equipment.


METHODS
The German Red Cross ERUs "Referral Hospital" and "Specialised Water" took part in the world wide humanitarian help for refugees during the Kosovo war and actually for earthquake victims in Turkey. During the Kosovo-operation the ERU "Referral Hospital" and "Specialised Water" were situated in Macedonia close to the kosovarian boarder at refugee camp Stenkovec I. The Field-Hospital was responsible for all kind of medical emergencies, for a total number of more than 50,000 refugees.


RESULTS
During the mission 6225 patients were treated in our Out Patient Department; 541 were hospitalised. Among those 102 medium and major surgical procedures and 105 deliveries were performed. Surprisingly there was no increased rate of infections or perinatal deaths.


CONCLUSIONS
During the Kosovo war and actually in Turkey the ERU concept prove itself to be a powerful strategy to provide fast needed medical help to victims of different kind of disasters. Humanitarian work in situations of war, internal disorder and various states of emergency in foreign countries and cultures demand flexibility and the ability to improvise while working under such conditions. The confrontation with non-combatants injured by buried landmines is underlining the growing world-wide demand for a total ban on these vile weapons.
Schnabel
M
M
Klinik für Unfallchirurgie der Philipps-Universität Marburg. schnabem@mailer.uni-marburg.de
Munz
R
R
Bohe
M
M
D000328:Adult; D000533:Altruism; D000673:Amputation, Traumatic / Q000628:therapy; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D004190:Disasters; D004632:Emergency Medical Services / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D005858:Germany; D006801:Humans; D007391:International Cooperation; D007869:Leg Injuries / Q000628:therapy; D008297:Male; D012011:Red Cross / Q000458:organization & administration*; D012036:Refugees; D018843:Republic of North Macedonia; D014421:Turkey; D014857:Warfare; D015022:Yugoslavia