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Vom Schockraum-Management bis zur definitiven Versorgung in der Unfallchirurgie


Neuhaus, Valentin; Simmen, Hans-Peter (2017). Vom Schockraum-Management bis zur definitiven Versorgung in der Unfallchirurgie. Praxis, 106(5):249-253.

Abstract

The care of severly injured patients is a major task in trauma. Due to a high mortality, especially in the first 24 hours after the accident, and morbidity of these patients, a structured assessment according to the ABCDE algorithm (ATLS®) is necessary. After life-threatening injuries are excluded, further injuries can be sought and treated. The timing and extent of these treatments depends on pathophysiological criteria, the injuries and the planned interventions. In the presence of negative predictors, only shortened procedures, so-called «damage control surgery», should be used. The definitive care is provided after a phase of stabilization and normalization of these pathophysiological values (body temperature, pH, coagulation). This is followed by a rehabilitation with the aim of re-integration.

Abstract

The care of severly injured patients is a major task in trauma. Due to a high mortality, especially in the first 24 hours after the accident, and morbidity of these patients, a structured assessment according to the ABCDE algorithm (ATLS®) is necessary. After life-threatening injuries are excluded, further injuries can be sought and treated. The timing and extent of these treatments depends on pathophysiological criteria, the injuries and the planned interventions. In the presence of negative predictors, only shortened procedures, so-called «damage control surgery», should be used. The definitive care is provided after a phase of stabilization and normalization of these pathophysiological values (body temperature, pH, coagulation). This is followed by a rehabilitation with the aim of re-integration.

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Additional indexing

Other titles:Managing the severely injured patient from hospital admission until discharge
Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Trauma Surgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Algorithm; Algorithme; Behandlungsalgorithmus; Morbidität; Mortalität; Polytrauma; morbidity; morbidité; mortality; mortalité; polyblessé; polytraumatized
Language:German
Date:2017
Deposited On:02 Oct 2017 15:25
Last Modified:05 Oct 2017 08:04
Publisher:Hogrefe Verlag
ISSN:1661-8157
Publisher DOI:https://doi.org/10.1024/1661-8157/a002611
PubMed ID:28253806

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Content: Accepted Version
Filetype: PDF - Registered users only until 1 March 2018
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Embargo till: 2018-03-01