Preclinical management of multiple trauma [Präklinisches management des polytraumas]

被引：0
作者：
Bernhard M. [1 ]
Helm M. [2 ]
Aul A. [3 ]
Gries A. [1 ,4 ,5 ]
机构：
[1] Bereich Notfallmedizin Klin. F. A., Universitätsklinikum Heidelberg
[2] Abt. F. Anasthesiologie I., Luftrettungszentrum Christoph 22, Bundeswehrkrankenhaus Ulm
[3] Abt. F. Anasthesie, I., Luftrettungszentrum Christoph 5, Berufsgenossenschaftliche U., Ludwigshafen
[4] Luftrettungszentrum Christoph 53, Deutsche Rettungsflugwacht, Mannheim
[5] Bereich Notfallmedizin Klin. F. A., Universitätsklinikum Heidelberg, 69120 Heidelberg
来源：
Der Anaesthesist | 2004年 / 53卷 / 9期
关键词：
Airway management; Multiple trauma; Preclinical management; Trauma management; Volume replacement therapy;
D O I：
10.1007/s00101-004-0732-y
中图分类号：
学科分类号：
摘要：
Approximately 8000 patients with multiple trauma are admitted annually to an emergency room in Germany. The prognosis of these severely injured patients is influenced in particular by concomitant craniocerebral injury, an abdominal wound, or thoracic trauma. Hypoxia and hypotension subsequent to shock induced by hemorrhagic-traumatic effects are of prime importance. Preclinical management thus includes examining the injured patient, immobilizing the spine, ensuring airway patency, stabilizing cardiovascular status suiting the approach to the injury pattern, commensurate care of partial injuries, pain therapy, as well as rapid and careful transportation to the nearest qualified trauma center. Management of patients with multiple trauma poses a particular challenge to the responding team. This article in the continuing education series deals with current algorithms for preclinical management of patients with multiple injuries with particular focus on the significant factor of time.
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页码：887 / 904
页数：17
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