TY  - JOUR
A1  - Wurmb, Thomas
A1  - Franke, Axel
A1  - Schorscher, Nora
A1  - Kowalzik, Barbara
A1  - Helm, Matthias
A1  - Bohnen, Renate
A1  - Helmerichs, Jutta
A1  - Grueneisen, Ulrich
A1  - Cwojdzinski, Detlef
A1  - Jung, Georg
A1  - Lücking, Gesa
A1  - Weber, Martin
T1  - Emergency response to terrorist attacks: results of the federal-conducted evaluation process in Germany
JF  - European Journal of Trauma and Emergency Surgery
N2  - Purpose
Rescue missions during terrorist attacks are extremely challenging for all rescue forces (police as well as non-police forces) involved. To improve the quality and safety of the rescue missions during an active killing event, it is obligatory to adapt common rescue mission goals and strategies.

Methods
After the recent attacks in Europe, the Federal Office of Civil Protection and Disaster Assistance started an evaluation process on behalf of the Federal Ministry of the Interior and the Federal Ministry of Health. This was done to identify weaknesses, lessons learned and to formulate new adapted guidelines.

Results
The presented bullet point recommendations summarise the basic and most important results of the ongoing evaluation process for the Federal Republic of Germany. The safety of all the rescue forces and survival of the greatest possible number of casualties are the priority goals. Furthermore, the preservation and re-establishment of the socio-political integrity are the overarching goals of the management of active killing events. Strategic incident priorities are to stop the killing and to save as much lives as possible. The early identification and prioritised transportation of casualties with life-threatening non-controllable bleeding are major tasks and the shortest possible on-scene time is an important requirement with respect to safety issues.

Conclusion
With respect to hazard prevention tactics within Germany, we attributed the highest priority impact to the bullet points. The focus of the process has now shifted to intense work about possible solutions for the identified deficits and implementation strategies of such solutions during mass killing incidents.
KW  - terror attack
KW  - mission strategies
KW  - lessons learned
KW  - first responders
KW  - safety
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-231777
SN  - 1863-9933
VL  - 46
ER  - 
TY  - JOUR
A1  - Shityakov, Sergey
A1  - Puskás, István
A1  - Pápai, Katalin
A1  - Salvador, Ellaine
A1  - Roewer, Norbert
A1  - Förster, Carola
A1  - Broscheit, Jens-Albert
T1  - Sevoflurane-sulfobutylether-\(\beta\)-cyclodextrin complex: preparation, characterization, cellular toxicity, molecular modeling and blood-brain barrier transport studies
JF  - Molecules
N2  - The objective of the present investigation was to study the ability of sulfobutylether-\(\beta\)-cyclodextrin (SBECD) to form an inclusion complex with sevoflurane (SEV), a volatile anesthetic with poor water solubility. The inclusion complex was prepared, characterized and its cellular toxicity and blood-brain barrier (BBB) permeation potential of the formulated SEV have also been examined for the purpose of controlled drug delivery. The SEV-SBE\(\beta\)CD complex was nontoxic to the primary brain microvascular endothelial (pEND) cells at a clinically relevant concentration of sevoflurane. The inclusion complex exhibited significantly higher BBB permeation profiles as compared with the reference substance (propranolol) concerning calculated apparent permeability values (P\(_{app}\)). In addition, SEV binding affinity to SBE\(\beta\)CD was confirmed by a minimal Gibbs free energy of binding (ΔG\(_{bind}\)) value of -1.727 ± 0.042 kcal・mol\(^{-1}\) and an average binding constant (K\(_{b}\)) of 53.66 ± 9.24 mM indicating rapid drug liberation from the cyclodextrin amphiphilic cavity.
KW  - pharmaceutical applications
KW  - in vitro
KW  - propranolol
KW  - water
KW  - primary microvascular endothelial cells
KW  - molecular liphophilicity potential
KW  - molecular docking
KW  - blood-brain barrier
KW  - ulfobutylether-\(\beta\)-cyclodextrin
KW  - sevoflurane
KW  - cyclodextrin formulations
KW  - safety
KW  - etomidate
KW  - formulations
KW  - hydrochloride
KW  - ether
KW  - intestinal absorption
Y1  - 2015
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-148543
VL  - 20
ER  -