The Joint Medical Service (German: Zentraler Sanitätsdienst der Bundeswehr, short form: Zentraler Sanitätsdienst, pronounced [t͡sɛnˈtʁaːlɐ zaniˈtɛːt͡sˌdiːnst] (listen)) is a part of the Bundeswehr, the armed forces of Germany and serves all three armed services (Army, Navy and Air Force, as well as the Cyber and Information Domain Service). Members of the central medical corps remain members of their respective military branches. Only a few specialized medical units such as the medical care for divers and aircraft crews are not incorporated in the Joint Medical Service. Prior to 2002 each military branch had its own medical service. The services were then largely merged, forming the Joint Medical Service. In May 2021 the minister of defense Annegret Kramp-Karrenbauer together with Inspector General of the Bundeswehr Eberhard Zorn published a plan to dissolve the Joint Medical Service and to reintegrate its units into the army, navy, airforce and cyber command..
Durch den demografischen Wandel wird sich die bestehende rheumatologische Mangelversorgung in Deutschland vor allem im ländlichen Raum weiter verschärfen. Als Ansätze zur Verbesserung der Versorgung rheumatologischer Patient:innen werden daher eine vermehrte Einbindung von Hausärzt:innen und mehr Digitalisierung vorgeschlagen. Erhebung des Status quo der hausärztlichen Versorgung rheumatologischer Patient:innen unter besonderer Berücksichtigung des Einsatzes von Digitalisierung. Zur Beantwortung dieser Fragen erfolgte eine Querschnittsstudie unter Hausärzt:innen im Bereich des Rheumazentrums Würzburg unter Verwendung eines Fragebogens mit 10 Domänen und 13 Fragenitems. An der Umfrage nahmen 92 Hausärzt:innen teil, was etwa 10
DRONEVAC describes a highly innovative concept to treat and transport severely injured or medically endangered patients. It is based on the most recent scientific data revealing that the combination of very few but effective lifesaving maneuvers with an autonomous most rapid airborne transport might have a substantial impact on patient survival. DRONEVAC is planned as an addition to existing rescue systems for preserving critical resources, such as medical staff or transportation vehicles. It can be utilized in potential mass casualty incidents in the civil setting, such as flooding and terrorist bombing as well as for military scenarios. The medical concept is very pragmatic: first line treatment is applied based on the MARCH criteria from tactical combat casualty care (TCCC): bleeding control by tourniquets and hemostatics, airway control by nasopharyngeal tube and needle thoracic decompression, hypothermia prevention by heating inside the drone. Additionally, the vital signs of the patient are monitored using telemedical devices and the operator can communicate with the trauma victim to prevent panic reactions. Transport is performed by an autonomously flying high-tech hexacopter drone.
Anamnese und Befund: Die 71-jährige Patientin stellte sich mit "über Nacht" neu aufgetretenen Knoten an beiden Beinen und Schmerzen in den Sprunggelenken vor.Am Vortag habe sie auf einer Familienfeier üppig gegessen und Alkohol getrunken.Ein metabolisches Syndrom und ein chronischer Alkoholabusus konnten als Vorerkrankungen eruiert werden.Es zeigten sich an beiden Beinen, v.a. an den Oberschenkeln, unregelmäßig verteilt, multiple bis zu 3 cm große lividrote Knoten.Die Sprunggelenke beidseits waren diskret geschwollen, gerötet und leicht überwärmt.Diagnostik: Histologisch zeigte sich eine regelrechte Epidermis und obere Dermis.In der Subkutis war ein lobulär betontes entzündliches Infiltrat zu sehen.Randlich ließen sich nekrotische Anteile des Fettgewebes mit sog.Geisterzellen und fokaler Verseifung von Adipozyten nachweisen.Im Serum waren Lipase mit 4208 U/l (<60 U/l), Amylase 1693 U/l (<100 U
Introduction: The world is facing the devastating impact a biological event can have on human health, economies, and political stability. COVID-19 has revealed that national governments and the international community are woefully unprepared to respond to pandemics—underscoring our shared vulnerability to future catastrophic biological threats that could meet or exceed the severe consequences of the current pandemic. This study examines potential threats related to deliberate Russian military use and misuse of the tools of modern biology or an accident caused by a CBRN event evolving rapidly in the highly volatile political environment in and around Ukraine and other conflicts. Method: A participatory foresight, co-creative, future and transformation-oriented methodology was used to structure a transformative model for a disciplined exploration of scenarios to confront complex challenges and facilitate improved outcomes. Foresight helps to evaluate current policy priorities and potential new policy directions; see how the impact of possible policy decisions may combine with other developments; inform, support and link policy-making in and across a range of sectors; identify future directions, emerging technologies, new societal demands and challenges; and anticipate future developments, disruptive events, risks and opportunities. Results: The study found that the “mitigation scenarios” are based on the “Confront, Regulate, Overcome” metamodel combined with the “Security, Rescue, Care” response modalities. These require the cooperation/coordination of law enforcement forces along with military forces, fire departments and civil security resources, hospital and first-line responder teams, in order to appropriately address populations, assets and territories issues elicited by the identified threat, which drives key decision makers’ tasks at the strategic level. Conclusion: The participatory foresight exercise demonstrated gaps in national and international biosecurity and pandemic preparedness architectures highlighted by the challenges of the Ukraine war—exploring opportunities for better cooperation to improve prevention and response capabilities for high-consequence biological events, and generate actionable recommendations for the international community.
