title: [Quality indicators for rescue operations in terrorist attacks or other threats : A pilot study after the Würzburg terrorist attack of July 2016].
abstract: BACKGROUND
  Terrorist attacks have become reality in Germany. The aim of this work was, after the Würzburg terrorist attack, to define quality indicators and application characteristics for rescue missions in life-threatening situations. The results can be used to record data from future missions using this template in order to make them comparable with each other.
  
  
  METHODS
  After approval of the local ethic committee, the first step was to designate a group of experts in order to define the template in a consensus process. The next step was to perform the consensus process by defining the template. An independent expert for emergency medicine and disaster management reviewed and approved the results afterwards.
  
  
  RESULTS
  The expert group defined 13 categories and 158 parameters that will further serve the systematic evaluation of the rescue mission of the Würzburg terror attack. Preliminary results of this evaluation process are given in this paper; the full evaluation has not yet been completed.
  
  
  CONCLUSIONS
  In this study we first describe quality indicators and parameters suitable for the German rescue system in order to evaluate rescue operations for violence caused mass casualties. There is similar international documentation, but it does not specifically focus on life-threatening operations and are not adapted to the German context.
  
  
  CONCLUSIONS
  There is an important need to systematically evaluate rescue missions after mass killing incidents. In this study we report a template of parameters and quality indicators in order to systematically evaluate mass violence events. The presented template is the result of an expert consensus process and may serve as a basis for further development and research.
authors.affiliation: Sektion Notfall- und Katastrophenmedizin, Klinik und Poliklinik für Anästhesiologie des Universitätsklinikums Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Deutschland. Wurmb_t@ukw.de.
authors.forename: T
authors.initials: T
authors.lastname: Wurmb
authors.affiliation: Geschäftsführer des Zweckverbands für Rettungsdienst und Feuerwehralarmierung, Landratsamt Würzburg, Würzburg, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Justice
authors.affiliation: Organisatorischer Leiter, Bayerisches Rotes Kreuz, Kreisverband Würzburg, Würzburg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Dietz
authors.affiliation: Leitender Medizinaldirektor, Regierung von Unterfranken, Würzburg, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Schua
authors.affiliation: Leitender Notarzt für Würzburg Stadt, Würzburg, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Jarausch
authors.affiliation: Mitglied Regionalvorstand, Johanniter-Unfall-Hilfe, Würzburg, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Kinstle
authors.affiliation: Sachgebietsleiter Einsatzdienste, Kreisverband Würzburg, Bayerisches Rotes Kreuz, Würzburg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Greiner
authors.affiliation: Leiter der Integrierten Leitstelle Würzburg, Amt für Zivil- und Brandschutz der Stadt Würzburg, Würzburg, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Möldner
authors.affiliation: Integrierte Leitstelle Würzburg, Amt für Zivil- und Brandschutz der Stadt Würzburg, Würzburg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Müller
authors.affiliation: Ärztlicher Leiter Rettungsdienst (Bezirksbeauftragter), Würzburg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Kraus
authors.affiliation: Malteser Hilfsdienst, Würzburg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Simon
authors.affiliation: Leiter der Notfallseelsorge, Diözese Würzburg, Würzburg, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Wagenhäuser
authors.affiliation: Klinik und Poliklinik für Anästhesiologie des Universitätsklinikums Würzburg, Würzburg, Deutschland.
authors.forename: N
authors.initials: N
authors.lastname: Roewer
authors.affiliation: Sektion Notfallmedizin - Klinik für Anästhesiologie & Intensivmedizin, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Helm
mesh_terms: D032921:Consensus; D005858:Germany; D006801:Humans; D054527:Mass Casualty Incidents; D010865:Pilot Projects; D018635:Rescue Work / Q000592:standards*; D023481:Terrorism; D014754:Violence
keywords: Evaluation; Mass casualties; Quality indicators; Rescue mission; Terror attack