@article{ref1,
title="Trauma management under military conditions. A German field hospital in Afghanistan in comparison with the National Trauma Registry",
journal="Chirurg: Zeitschrift fur alle Gebiete der Operativen Medizen",
year="2007",
author="Helm, M. and Kulla, M. and Birkenmaier, H. and Lefering, Rolf and Lampl, L.",
volume="78",
number="12",
pages="1130-6, 1138",
abstract="BACKGROUND: The German armed forces run a role-III field hospital in Kabul, Afghanistan. Emergency room (ER) management is of utmost importance as a link between pre- and in-hospital treatment. PATIENTS AND METHODS: Prospective data were acquired of all patients admitted to the ER over a 3-month period. The quality of ER management was tested using established audit filters and comparing the results with those of the National Trauma Registry. RESULTS: A total of 353 patients were admitted to the ER (48.4% trauma cases). Fifty-nine patients were major trauma cases, and the proportion of combat-related injury was 33.2%. In comparison to the National Trauma Registry, significant differences were observed regarding age (25.2 vs 41.7 years, P<0.0001) and injury severity (NISS 18.8 vs 28.8, P<0.0001). The demands on the quality of ER management have increased. Using the audit filters of the National Trauma Registry, significant differences were observed regarding ER management. CONCLUSION: In a military setting, medical treatment of major trauma victims is influenced by multiple adverse factors significantly affecting the quality of trauma management.<p /><p>Language: de</p>",
language="de",
issn="0009-4722",
doi="10.1007/s00104-007-1383-8",
url="http://dx.doi.org/10.1007/s00104-007-1383-8"
}