{"title":"[Return to work-return to duty : The importance of rehabilitation in peace and armed conflict].","authors":"Andreas Lison, S Simmel, C Reimertz, J Meyer","doi":"10.1007/s00132-025-04680-1","DOIUrl":null,"url":null,"abstract":"<p><p>The MEDEVAC chain and acute treatment of severely injured patients is ensured in peacetime through the establishment of the DGU® Trauma Network and the three-link Network for Care after Work and Commuting Accidents (DGUV), even for a temporary mass incident. Due to the expected number of wounded and injury patterns, an armed conflict on German soil represents a considerable resource commitment of the health system to military and civilian war victims in Germany. Even in peacetime, there is a far-reaching gap in the rehabilitation care of severely injured patients with complex rehabilitation needs (\"rehabilitation gap\"). The considerable efforts to develop a resilient rehabilitation system in Ukraine make it clear that uninterrupted, phase-based and cross-sectoral rehabilitation is indispensable for maintaining the operational readiness of the armed forces, as well as for social resilience.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"585-592"},"PeriodicalIF":0.5000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopadie (Heidelberg, Germany)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00132-025-04680-1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/15 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The MEDEVAC chain and acute treatment of severely injured patients is ensured in peacetime through the establishment of the DGU® Trauma Network and the three-link Network for Care after Work and Commuting Accidents (DGUV), even for a temporary mass incident. Due to the expected number of wounded and injury patterns, an armed conflict on German soil represents a considerable resource commitment of the health system to military and civilian war victims in Germany. Even in peacetime, there is a far-reaching gap in the rehabilitation care of severely injured patients with complex rehabilitation needs ("rehabilitation gap"). The considerable efforts to develop a resilient rehabilitation system in Ukraine make it clear that uninterrupted, phase-based and cross-sectoral rehabilitation is indispensable for maintaining the operational readiness of the armed forces, as well as for social resilience.