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Unfallchirurg. 2018 Jul;121(7):544-549. doi: 10.1007/s00113-018-0485-8.

[Vascular surgical training concept for military surgeons in Germany].

[Article in German]

Author information

1
Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Zentrum für Gefäßmedizin der Bundeswehr, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland. gefchir_bwkulm@yahoo.de.
2
Klinik für Gefäßchirurgie, Ammerland Klinik, Westerstede, Deutschland.
3
Klinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland.
4
Klinik für Gefäßchirurgie, Vaskuläre und Endovaskuläre Chirurgie, Marienhospital Stuttgart, Stuttgart, Deutschland.
5
Abteilung Unfallchirurgie und Orthopädie, Septisch-Rekonstruktive Chirurgie, Forschung- und Behandlungszentrum Rekonstruktion von Defektwunden, Bundeswehrkrankenhaus Berlin, Berlin, Deutschland.

Abstract

BACKGROUND:

Due to the increasing threat of terrorist attacks and assassinations even in Europe, the interest in management of severe vascular injuries, which, with an increased incidence of 10% are to be expected with such penetrating wounds, is also growing; however, with increasing subspecialization in surgery there is a threat that the know-how in vascular surgery will become lost among non-vascular surgical specialists. Therefore, the Germany military established an educational program, the so-called DUOplus concept, to ensure that future military surgeons acquire and retain the experience and skills to fulfill the demanding role of a deployed surgeon.

OBJECTIVE:

The DUOplus concept of the German Medical Forces is introduced with a special focus on vascular surgery training.

RESULTS:

All trainee German military surgeons attain a second specialization alongside general surgery. This residency includes several courses in various surgical specialties as well as a 12-month rotation in a vascular surgery department. The core elements of vascular trauma training are two practical courses on life-like models. In these courses, which were developed especially for the needs of non-vascular surgeons in hands-on training, open surgical techniques and damage control measures including resuscitative endovascular balloon occlusion of the aorta (REBOA) are taught on suitable models and intensively practiced.

CONCLUSION:

All surgeons potentially confronted with traumatic and iatrogenic vascular injuries should have some basic competence in the management of vascular trauma. Especially the courses in vascular surgery for non-vascular surgeons offer such a skill set for every surgeon. Next to the German military surgeons, the courses are attended more and more by civilian and military surgeons from different surgical specialties and nationalities.

KEYWORDS:

Armed conflicts; Exsanguination; Mass casualty incidents; Terrorist attacks; Vascular trauma

PMID:
29594359
DOI:
10.1007/s00113-018-0485-8

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