Prätherapeutische Ablaufanalyse bei einem Massenanfall von Verletzten

Mück, Fabian; Wirth, Kathrin; Muggenthaler, Maximilian; Kanz, Karl‐Georg; Kreimeier, U.; Maxien, Daniel; Linsenmeier, U.; Mutschler, Wolf; Wirth, Stéfan

doi:10.1007/s00113-016-0200-6

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…The CT used should offer 64 rows and modern technology (cardiac capability is welcome but not essential) [15,24,[26][27][28][29]. Radiology departments as part of Trauma centres should optimise communication and drive quality assurance/ management [15,31,32,34,150,151]. eFAST should be part of the primary survey and Radiography should be immediately available [15, 37-41, 43, 46].…”

Section: Discussionmentioning

confidence: 99%

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

et al. 2020

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Background Although some national recommendations for the role of radiology in a polytrauma service exist, there are no European guidelines to date. Additionally, for many interdisciplinary guidelines, radiology tends to be under-represented. These factors motivated the European Society of Emergency Radiology (ESER) to develop radiologically-centred polytrauma guidelines. Results Evidence-based decisions were made on 68 individual aspects of polytrauma imaging at two ESER consensus conferences. For severely injured patients, whole-body CT (WBCT) has been shown to significantly reduce mortality when compared to targeted, selective CT. However, this advantage must be balanced against the radiation risk of performing more WBCTs, especially in less severely injured patients. For this reason, we recommend a second lower dose WBCT protocol as an alternative in certain clinical scenarios. The ESER Guideline on Radiological Polytrauma Imaging and Service is published in two versions: a full version (download from the ESER homepage, https://www.eser-society.org) and a short version also covering all recommendations (this article). Conclusions Once a patient has been accurately classified as polytrauma, each institution should be able to choose from at least two WBCT protocols. One protocol should be optimised regarding time and precision, and is already used by most institutions (variant A). The second protocol should be dose reduced and used for clinically stable and oriented patients who nonetheless require a CT because the history suggests possible serious injury (variant B). Reading, interpretation and communication of the report should be structured clinically following the ABCDE format, i.e. diagnose first what kills first.

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Section: Discussionmentioning

confidence: 99%

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

et al. 2020

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“…about 20 million out of 80 million inhabitants in Germany annually [ 1 ]) and a further increase in the number of patient contacts in emergency departments worldwide [ 2 ]. Radiology takes a central role in this key process by delivering early and precise diagnoses at the beginning of patient treatment, which is not only medically, but also economically important [ 3 ], [ 4 ], [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Subspecialisation in Emergency Radiology: Proposal for a harmonised European curriculum

Wagner

Fischer²,

Scaglione

et al. 2017

GMS Journal for Medical Education; 34(5):Doc61

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Prä- und innerklinisches Management bei MANV und Terroranschlag

Franke

Bieler

Friemert

et al. 2017

Chirurg

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Due to the recent terrorist attacks in Paris, Brussels, Ansbach, Munich, Berlin and more recently Manchester and London, terrorism is realized as a present threat to our society and social life, as well as a challenge for the health care system. Without fueling anxiety, there is a need for sensitization to this subject and to familiarize all concerned with the special kind of terrorist attack-related injuries, the operational priorities and tactics and the individual basic principles of preclinical and hospital care. There is a need to adapt the known established medical structure for a conventional mass casualty situation to the special requirements that are raised by this new kind of terrorist threat to our social life. It is the aim of this article, from a surgical point of view, to depict the tactics and challenges of preclinical care of the special kind of terrorist attack-related injuries from the site of the incident, via the advanced medical post or casualty collecting point, to the triage point at the hospital. The special needs of medical care and organizational aspects of the primary treatment in the hospital are highlighted and possible decisional options and different approaches are discussed.

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Prätherapeutische Ablaufanalyse bei einem Massenanfall von Verletzten

Abstract: Although short in-house distances accelerated pretherapeutic treatment processes significantly, both sites remained clearly within the "golden hour". The strongest potential bottleneck was the time interval until images were available at the endpoints.

Cited by 4 publications

References 26 publications

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

Subspecialisation in Emergency Radiology: Proposal for a harmonised European curriculum

Prä- und innerklinisches Management bei MANV und Terroranschlag

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