title: [Preclinical and clinical management after mass disaster : Experiences from the train collision in Bad Aibling on 9 February 2016].
abstract: Mass casualty incidents (MCI) in this day and age represent a special challenge, which initially require on-site coordination and logistics and then a professional distribution of victims (triage) to surrounding hospitals. Technical, logistical and even specialist errors can impair this flow of events. It therefore seems advisable to make a detailed analysis of every MCI. In this article the railway incident from 9 February 2016 is analyzed taking the preclinical and clinical cirumstances into consideration and conclusions for future management are drawn. As a special entity it could be determined that fixed table units in passenger trains represent a particularly dangerous hazard and in many instances in this analysis led to characteristic abdominal and thoracic injuries.
authors.affiliation: Unfallchirurgie und Orthopädie, RoMed Kliniken Rosenheim/Prien, Pettenkoferstr. 10, 83022, Rosenheim, Deutschland. gerd.regel@ro-med.de.
authors.forename: G
authors.initials: G
authors.lastname: Regel
authors.affiliation: Rettungsdienst Rosenheim, Notarztgruppe Kiefersfelden, Kiefersfelden, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Bracht
authors.affiliation: Viszeralchirurgie, Chirurgie, RoMed Klinikum Prien, Prien, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Huth
authors.affiliation: Allgemein-, Viszeral- und Unfallchirurgie, RoMed Klinikum Bad Aibling, Bad Aibling, Deutschland.
authors.forename: K J
authors.initials: KJ
authors.lastname: Maier
authors.affiliation: Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Campus Innenstadt mit Campus Großhadern der LMU München, München, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Böcker
mesh_terms: D054597:Disaster Medicine / Q000379:methods / Q000458:organization & administration*; D004189:Disaster Planning / Q000458:organization & administration*; D004632:Emergency Medical Services / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005858:Germany; D054527:Mass Casualty Incidents; D014218:Triage / Q000458:organization & administration*
keywords: Disaster planning; Disease management; Mass casualty incidents; Thoracic injuries; Triage