Zusammenfassung
Blutungen sind die Haupttodesursache beim Trauma. Der folgende Artikel soll aktuelle und neue Methoden zur Blutstillung im präklinischen Bereich aufzeigen. Neue Verbandsmittel, Hämostyptika und das Tourniquet werden kritisch betrachtet und anhand ihrer Vor- und Nachteile analysiert.
Abstract
Bleeding is the main cause of death after trauma. In this article the current and future methods of bleeding control in the prehospital setting will be shown. New bandages, hemostyptics and tourniquets will be critically discussed and analyzed on the basis of their advantages and disadvantages.
Literatur
Acheson EM, Kheirabadi BS, Deguzman R et al (2005) Comparison of hemorrhage control agents applied to lethal extremity arterial hemorrhages in swine. J Trauma 59(4):865–74; discussion 874–875
Alam HB, Chen Z, Jaskille A et al (2004) Application of a zeolite hemostatic agent achieves 100% survival in a lethal model of complex groin injury in Swine. J Trauma 56(5):974–983
Alam HB, Uy GB, Miller D et al (2003) Comparative analysis of hemostatic agents in a swine model of lethal groin injury. J Trauma 54(6):1077–1082
Arnaud PhD, Kohsuke Teranishi, MD et al (2009) Comparison of 10 hemostatic dressings in a groin puncture model in swine. J Vasc Surg 20(3):632–639
Bardenheuer M, Obertacke U, Waydhas C et al (2000) Epidemiologie des Schwerverletzten. Eine prospektive Erfassung der präklinischen und klinischen Versorgung. Unfallchirurg 103:355–363
Bellamy RF (1984) The cause of death in conventional land warfare: implications for combat casualty care research. Mil Med 149:55–62
Butler FKJ, Hagmann J, Butler EG (1996) Tactical combat casualty care in special operations. Mil Med 161:3–16
Champion HR, Bellamy RF et al (2003) A profile of combat injury. J Trauma 54(Suppl 5):13–19
Champion HR, Copes WS, Sacco WJ et al (1990) The major trauma outcome study: establishing national norms for trauma care. J Trauma 30:1356–1365
(n a) (n d) Committee on Tactical Combat Casualty Care, Chairman Butler FK
Doyle, Gerard S, Taillac, Peter P (2008) Tourniquets: A review of current use with proposals for expanded prehospital use. Prehosp Emerg Care 12(2):241–256
Holcomb JB, McMullin NR, Pearse L et al (2007) Causes of death in U.S. special operations forces in the global war on terrorism: 2001–2004. Ann Surg 245(6):986–991
Horlocker TT, Hebl JR, Gali B et al (2006) Anesthetic, patient, and surgical risk factors for neurologic complications after prolonged total tourniquet time during total knee arthroplasty. Anesth Analg 102(3):950–955
Joint Technical Coordination Group for Mutations Effective Evaluation of Wound Data and Munitions Effectiveness in Vietnam (WDMEV), Vol I of III. Final report, December 1970, Alexandria, VA, Defense Technical Information Center (AD879516)
Kheirabadi B et al (2008) Woundstat safety study. U.S. Army Institute of Surgcial Research
Kheirabadi B et al (2009) Comparison of new hemostatic granules/powders with currently deployed hemostatic products in a lethal model of extremity arterial hemorrhage in swine. J Trauma 66:316–328
Kragh JF, Holocomb JB (2009) Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg 249:1–7
Kreimeier U, Vincent JL, Waydhas C (2009) Damage control volume therapy in emergency care. Notfall Rettungsmed 12:201–204
Lakstein D, Blumenfeld A, Sokolov T et al (2003) Tourniquets for hemorrhage control on the battlefield: a 4-year accumulated experience. J Trauma 54(Suppl 5):221–225
Lison S, Innenhofer P, Spannagl M, Heindl B (2009) Interaktion von Volumentherapie und Gerinnung. Notfall Rettungsmed 12:176–180
Mabry RL, Holcomb J, Baker A et al (2000) United States Army Rangers in Somalia: An analysis of combat casualties on an urban battlefield. J Trauma 49:515–529
Neuhaus SJ (2007) Haemostasis in the Australian defence force: the tourniquet controversy. ANZ J Surg 77(Suppl 1):A95
Plurad D, Chandrasoma S (2009) A complication of intracorporal use of quikclot for pelvic hemorrhage. J Trauma 66:1482–1484
Pusateri AE, Delgado AV, Dick EJ Jr et al (2004) Application of a granular mineral-based hemostatic agent (QuikClot) to reduce blood loss after grad V liver injury in swine. J Trauma 57:555–562
Pusateri A, McCarthy SJ, Gregory KW et al (2003) Effect of chitosan-based hemostatic dressing on blood loss and survival in a model of severe venous hemorrhage and hepatic injury in swine. J Trauma 54:177–182
Raum MR, Waydhas C (2009) Präklinische Volumentherapie beim Trauma. Notfall Rettungsmed (12):188–192
Schneider CP, Faist E, Chaudry ICH, Angele MK (2009) Therapie des hämorrhagischen Schocks. Notfall Rettungsmed 12:193–200
Traumaregister der DGU-Jahresbericht 2007. URL: http://www.dgu.de
Tactical Rescue and Emergency Association e.V. URL: http://www.tremaonline.info
Wedmore (2006) The Chitosan-based Hemostatic Dressing: Experience in current combat situations, Brooke Army Medical Center, Fort Sam Houston, Tx. J Trauma 60:655–658
Interessenkonflikt
Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Fischer, C., Josse, F., Lampl, L. et al. „Stop the bleeding“!. Notfall Rettungsmed 13, 384–392 (2010). https://doi.org/10.1007/s10049-010-1295-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10049-010-1295-x