The Treatment of Patients With Severe and Multiple Traumatic Injuries.
Background: The care of severely and multiply injured patients is an interdisciplinary challenge. The only existing German-language guideline up to now has been the S1-guideline issued in 2002 by the German Society for Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie, DGU). In this article,...
| Publicado en: | Deutsches Ärzteblatt International Vol. 109; no. 6; pp. 102 - 109 |
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| Autores principales: | , , , , , |
| Formato: | practice guidelines research systematic review tables/charts Journal Article |
| Publicado: |
Deutscher Aerzte-Verlag GmbH
2/10/2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104539124&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104539124 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18660452 5F0N jtl: Deutsches Ärzteblatt International issn: 18660452 maglogo: N pubinfo: dt: 2/10/2012 vid: 109 iid: 6 pid: 25312 pub: Deutscher Aerzte-Verlag GmbH artinfo: ui: 104539124 73461043 10.3238/arztebl.2012.0102 104539124 ppf: 102 ppct: 7 formats: fmt: @attributes: type: P tig: atl: The Treatment of Patients With Severe and Multiple Traumatic Injuries. aug: au: Neugebauer, Edmund A. M. Waydhas, Christian Lendemans, Sven Rixen, Dieter Eikermann, Michaela Pohlemann, Tim affil: Institut für Forschung in der Operativen Medizin (IFOM) Universität Witten/Herdecke, Campus Köln-Merheim sug: subj: Multiple Trauma Therapy Severity of Injury Multidisciplinary Care Team Human Germany Practice Guidelines Medical Organizations Delphi Technique Prehospital Care Emergency Care Decision Making, Clinical ab: Background: The care of severely and multiply injured patients is an interdisciplinary challenge. The only existing German-language guideline up to now has been the S1-guideline issued in 2002 by the German Society for Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie, DGU). In this article, we present a new, comprehensive, evidence and consensus based S3-guideline for the treatment of severely and multiply injured patients in the pre-hospital and early in-hospital phases which has been developed with the aim of structural and procedural quality optimization. Its implementation should lower these patients' mortality and improve their quality of life. Methods: The guideline was developed by a panel consisting of 18 delegates from 11 specialty societies under the lead of the DGU, with designated coordinators for each of three phases of treatment: the pre-hospital phase, the emergency-room phase, and the emergency surgery phase. The key questions to be answered were determined by vote, and then the relevant literature (in English and German, 1995-2010) was systematically searched and evaluated. Key recommendations with explanatory texts were formulated and agreed upon in a nominal group process (NGP) with five consensus conferences and three further Delphi rounds. Results: 264 recommendations were issued: 66 for the pre-hospital phase, 102 for the emergency-room phase, and 96 for the emergency surgery phase. The three phases were subcategorized according to organizational and anatomical considerations. Topics of major emphasis were, in the pre-hospital phase, the establishment and implementation of correct priorities for treatment; in the emergency-room phase, the creation of clear structures and processes; and, in the emergency surgery phase, the avoidance of secondary injury (i.e., the principle of damage control). Conclusion: This guideline can only improve outcomes if it is implemented in routine practice. Aside from the guideline itself, the DGU trauma network (www.dgu-traumanetzwerk.de) has issued a set of directions as an aid to its implementation. pubtype: Academic Journal doctype: practice guidelines research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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