Zusammenfassung
Die Versorgung schwerstverletzter Patienten im Schockraum bedeutet für das multidisziplinäre Behandlungsteam einen strukturierten Evaluationsprozess in einen zielgerichteten Behandlungsprozess zu überführen. Neben dem Faktor Zeit und dem Erkennen vital bedrohlicher Verletzungen, die häufig unter dem Begriff „deadly six“ zusammengefasst werden, sollten aber auch sog. „Bagatellverletzungen“ nicht übersehen werden, da sie die Lebensqualität nach Trauma mitunter entscheidend beeinflussen können. Die S3-Leitlinie Polytrauma erhebt nicht den Anspruch auf Vollständigkeit. Wichtige Inhalte, wie z. B. die Versorgung von Kindern sind bisher noch nicht in die Leitlinie eingeflossen, werden aber für die Überarbeitung fest eingeplant.
Abstract
For the multidisciplinary treatment team, the medical care of the most severely injured patients in the trauma room means they have to convert a structured evaluation process into a target-oriented treatment process. Apart from the time factor and the detection of life-threatening injuries that are often summarised under the term“deadly six“, also so-called trivial injuries should not be overlooked, because they occasionally can crucially affect the quality of life after trauma. The S3 guideline on polytrauma does not claim to be complete. Important subjects such as the medical care of children have not yet been integrated into the guideline, but it is planned to include them in the next revision.
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Lendemans, S., Ruchholtz, S. S3-Leitlinie Polytrauma/Schwerverletzten-Behandlung. Unfallchirurg 115, 14–21 (2012). https://doi.org/10.1007/s00113-011-2103-x
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DOI: https://doi.org/10.1007/s00113-011-2103-x