Strukturierte, prioritätenorientierte Schwerverletztenversorgung nach ATLS®-Kriterien View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-05-14

AUTHORS

M. Münzberg, J.A. Thiele, B. Swartman, W. Armbruster, P.A. Grützner, C.G. Wölfl

ABSTRACT

Advanced trauma life supportAdvanced trauma life support (ATLS) has been one of the most successful standardized course formats in the treatment of complex injuries for several decades worldwide. It teaches a structured, priority oriented concept of treatment. Problem of multiple trauma patientsFor admission and treatment of multiple trauma patients a well organized infrastructure is required. These corresponding structural requirements are part of the certification procedure of existing and developing trauma networks. One of the most important procedures is the preparation for the treatment of severely injured patients (be prepared). Furthermore, all actors in the trauma bay must communicate in the same language and must therefore be trained in a standardized treatment concept.Standardized conceptsIn order to achieve this, concepts, such as prehospital trauma life support (PHTLS®, pre hospital), ATLS® (trauma room doctors) and advanced trauma care for nurses (ATCN®) have been established. The patient should be handed over at the interfaces according to the approved ABCDE scheme (primary survey) which stands for A airway, B breathing, C circulation, D disability and E environment. Not only therapy is carried out in a priority oriented procedure (treat first what kills first) but also the team leader supervises treatment, organizes further logistics and performs trauma room team time out (TRTO®) at certain times. Depending on the patient’s situation a multi-slice computed tomography (MSCT), operative treatment according to the damage control principle or, in cases of a stable patient, an exact examination from head to foot (secondary survey) are performed. ObjectivesThis article demonstrates the structured, interdisciplinary and interprofessional treatment of severely injured patients exemplified by the procedure at the BG Trauma Clinic Ludwigshafen. More... »

PAGES

122-128

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10039-014-2098-y

DOI

http://dx.doi.org/10.1007/s10039-014-2098-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1008569633


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