Citation

Matthes G, Trentzsch H, Wölfl CG, Paffrath T, Flohé S, Schweigkofler U, Ekkernkamp A, Schulz-Drost S. Unfallchirurg 2015; 118(8): 652-656.

Vernacular Title

Wesentliche Maßnahmen zur prähospitalen Versorgung schwerverletzter Patienten : Das Trauma Care Bundle.

Affiliation

Klinik für Unfallchirurgie und Orthopädie, Unfallkrankenhaus Berlin, Warener Str.7, 12683, Berlin, Deutschland, gerrit.matthes@ukb.de.

Copyright

(Copyright © 2015, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00113-015-0042-7

PMID

26160129

Abstract

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