TY - JOUR PY - 2015// TI - Essential measures for prehospital treatment of severely injured patients : the trauma care bundle JO - Unfallchirurg A1 - Matthes, Gerrit A1 - Trentzsch, H. A1 - Wölfl, C. G. A1 - Paffrath, T. A1 - Flohé, S. A1 - Schweigkofler, U. A1 - Ekkernkamp, A. A1 - Schulz-Drost, S. SP - 652 EP - 656 VL - 118 IS - 8 N2 - BACKGROUND: In order to ensure adequate treatment and to avoid complications, care bundles are increasingly being implemented. These are comprehensive and evidence-based procedures for the treatment of individual diseases or injuries which should be carried out for every patient. The aim of this study was to define a care bundle for the prehospital treatment of severely injured patients. MATERIAL AND METHODS: The scientific contents of the bundle were gathered from the interdisciplinary evidence-based S3 guidelines for the treatment of severely injured patients by the German Trauma Society. The ABCDE scheme suggested by the prehospital trauma life support (PHTLS®) and the advanced trauma life support (ATLS®) functioned as a matrix for the individual elements in the bundles. The identified elements were finalized by a consensus process.

RESULTS AND DISCUSSION: A bundle of six elements was suggested and a comprehensive summary of key items during prehospital management of severely injured patients was identified. In a next step the effectiveness of the care bundle should be evaluated in a clinical trial.

Language: de

LA - de SN - 0177-5537 UR - http://dx.doi.org/10.1007/s00113-015-0042-7 ID - ref1 ER -