title: [Care concepts in mass casualty incidents and disasters. Concept for primary care clinic].
abstract: BACKGROUND
  Patient care in mass casualty incidents and disaster strongly demand a joint approach of all preclinical and clinical forces.
  
  
  OBJECTIVE
  Special emphasis must be placed on immediate triage, establishment and preservation of transportability of high-risk patients and their clinical treatment as soon as possible. During limited mass casualties, the preclinical rescue station additionally serves as a buffer for patients, whereby in case of disaster, the focus on transportation of high-risk patients is imperative.
  
  
  CONCLUSIONS
  Primary care hospitals are a decisive part in the chain of medical supply and are confronted with great challenges, which demand detailed emergency plans and also repeated exercises. In planning and exercises, special attention should be given to the cooperation with the fire department and other medical services.
authors.affiliation: Stabsstelle für Interdisziplinäre Notfall- und Katastrophenmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland, adams.ha@mh-hannover.de.
authors.forename: H A
authors.initials: HA
authors.lastname: Adams
authors.forename: A
authors.initials: A
authors.lastname: Flemming
authors.forename: C
authors.initials: C
authors.lastname: Lange
authors.forename: W
authors.initials: W
authors.lastname: Koppert
authors.forename: C
authors.initials: C
authors.lastname: Krettek
mesh_terms: D004190:Disasters; D004635:Emergency Medicine / Q000145:classification / Q000458:organization & administration*; D005858:Germany; D015276:Health Care Rationing / Q000145:classification / Q000458:organization & administration; D006801:Humans; D054527:Mass Casualty Incidents; D011320:Primary Health Care / Q000145:classification / Q000458:organization & administration*; D014218:Triage / Q000145:classification / Q000379:methods*