Intensivmed 1 2008 C. Probst F. Hildebrand A. Gänsslen C. Krettek H.-A. Adams Der Notfallplan des Krankenhauses bei Massenanfall von Verletzten (MANV) Intensivmed 45:40–50 (2008) DOI 10.1007/s00390-008-0853-7 NOTFALLMEDIZIN Eingegangen: 22. Oktober 2007 Akzeptiert: 8. November 2007 Online publiziert: 21. Januar 2008 Serie: Der Notfallplan des Krankenhauses Herausgegeben von H.-A. Adams Hannover Dr. med. Christian Probst ( ) ) Frank Hildebrand · Axel Gänsslen Christian Krettek Unfallchirurgische Klinik Medizinische Hochschule Hannover Carl-Neuberg-Str. 1 30625 Hannover, Germany Tel.: +49-511/532-2050 Fax: +49-511/532-5877 E-Mail: Probst.Christian@MH-Hannover.de Hans Anton Adams Stabsstelle für Interdisziplinäre Notfall- und Katastrophenmedizin Hospital emergency response plan for mass casualty care " Abstract During the prepara- tions for the world soccer cham- pionship in Germany in 2006, a revised concept (Hannover con- cept) of response to mass casual- ties was developed. The goal of this concept is the immediate transportation of the severely in- jured patients to nearby initial care hospitals (ICH) for emer- gency surgical care. As an essen- tial part of our concept, a medical rescue task force (MRTF) with the equipment for a mobile emer- gency treatment unit (METU) is implemented into the organiza- tion and campus of the ICH. An interdisciplinary task force of doctors of different specialities, nurses, technicians, and the fire department developed and opti- mized the emergency plan in accordance to the new concept. The existing stock of emergency equipment was reorganized and exact equipment depots during the emergency phase were defined. Transportation and communica- tion routes were established as well as extended infrastructure such as a kindergarten and care for rela- tives. For example, at the Hann- over Medical School, the full switch from routine to emergency organization is defined at a num- ber of more than 100 expected patients. The emergency entrance is shifted to the outpatient hall, where patients are registered and triaged. The triage results in either the immediate assignment to an emergency team (surgeon, anaes- thesiologist, nurses) or the referral to the METU for monitoring and stabilization. It takes about 60 min to establish full readiness for mass casualty care. Treatment is pro- vided as “damage control surgery” followed by admission to intensive care or regular wards or transfer to other hospitals. Following the systematic train- ing of the staff, the concept was evaluated in a realistic mass casualty exercise. The majority of emergency patients reached the hospital after a period of about 60 min. This period was sufficient to switch from routine to emer- gency organization. Due to strict regulations, a chaotic situation was avoided. Proven pathways of daily work allowed the fast and smooth care of a large number of emer- gency patients. About 3.5 h after beginning of the exercise, the last patient entered the operating room. A temporary shortness of instruments was managed by im- provisation. " Key words mass casualty – emergency plan – medical rescue task force – initial care hospital – disaster plan – disaster – catastrophe " Zusammenfassung In der Vor- bereitung zur Fußball-WM 2006 wurden die bestehenden Planun- gen zur Bewältigung eines Mas- senanfalls von Verletzten (MANV) überarbeitet. Ziel des Hannover- schen Konzepts ist der unverzüg- liche Transport der Schwerstver-