TY  - JOUR
PY  - 2007//
TI  - Trauma management under military conditions. A German field hospital in Afghanistan in comparison with the National Trauma Registry
JO  - Chirurg: Zeitschrift fur alle Gebiete der Operativen Medizen
A1  - Helm, M.
A1  - Kulla, M.
A1  - Birkenmaier, H.
A1  - Lefering, Rolf
A1  - Lampl, L.
SP  - 1130
EP  - 6, 1138
VL  - 78
IS  - 12
N2  - 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> 
LA  - de
SN  - 0009-4722
UR  - http://dx.doi.org/10.1007/s00104-007-1383-8
ID  - ref1
ER  -