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Schockraummanagement beim Schwer- und Schwerstverletzten

Eine interdisziplinäre Aufgabe

Emergency trauma room management in severely and most severely injured patients

A multidisciplinary task

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Zusammenfassung

Die Behandlung schwerstverletzter Patienten stellt für das behandelnde Schockraumteam eine große Herausforderung dar. Neben dem Faktor Zeit, der in der Schwerstverletztenversorgung einen entscheidenden Eckpfeiler der Behandlung darstellt, und der suffizienten Behandlung vital bedrohlicher Verletzungen, dürfen aber auch nichtlebensbedrohliche und kleinere Verletzungen nicht übersehen werden. Hierbei nehmen interdisziplinäre Prozessabläufe eine herausragende Rolle ein. Advanced Trauma Life Support®, Definitive Surgical Trauma Care oder der European Trauma Course stellen Ausbildungskonzepte dar, die einen strukturierten Diagnostik- und Behandlungsablauf vorgeben. Hierbei haben Verletzungen, die für den Patienten unmittelbar tödlich enden können, die höchste Behandlungsrelevanz. Neben den vital bedrohlichen Verletzungen, die häufig unter dem Begriff „deathly six“ zusammengefasst werden, sollten auch zusätzliche Bagatelltraumen strukturiert abgearbeitet werden, da sie die Lebensqualität nach dem Trauma mitunter entscheidend beeinflussen können.

Abstract

The treatment of most severely injured patients represents a great challenge for the trauma room team. Besides the time factor, which is a crucial cornerstone of the treatment in general and of the appropriate treatment of life-threatening injuries in particular, minor injuries and non-life-threatening injuries must also be taken into account. For this task, multidisciplinary processes play a paramount role. Advanced Trauma Life Support®, Definitive Surgical Trauma Care and the European Trauma Course represent training concepts, which predefine structured diagnostic and treatment procedures. These concepts allocate the highest treatment priority to injuries that may be immediately fatal for the patient. Besides those life-threatening injuries that are commonly summarised under the term “deathly six”, other minor traumas should also be assessed and treated in a structured manner as they may often considerably affect the quality of life after trauma.

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  1. Klinik für Unfallchirurgie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland

    B. Hußmann, C. Waydhas & S. Lendemans

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  1. B. Hußmann
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  2. C. Waydhas
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  3. S. Lendemans
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Correspondence to B. Hußmann.

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Hußmann, B., Waydhas, C. & Lendemans, S. Schockraummanagement beim Schwer- und Schwerstverletzten. Med Klin Intensivmed Notfmed 107, 217–229 (2012). https://doi.org/10.1007/s00063-012-0093-2

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  • DOI: https://doi.org/10.1007/s00063-012-0093-2

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