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Multiple Trauma and Emergency Room Management.

Michael Frink1, Philipp Lechler, Florian Debus

  • 1Center for Orthopedics and Trauma Surgery, Gießen and Marburg University Hospital, Marburg Campus, Marburg.

Deutsches Arzteblatt International
|August 19, 2017
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Summary
This summary is machine-generated.

Initial emergency room care for severely injured patients focuses on rapid assessment and treatment of life-threatening injuries. Structured care using the A-B-C-D-E approach ensures prompt management and stabilization for better outcomes.

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Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Critical Care

Background:

  • Severely injured patients present a significant challenge in emergency care.
  • Initial emergency room treatment is critical for bridging field first aid and definitive hospital care.

Purpose of the Study:

  • To outline essential elements for the initial in-hospital management of severely injured patients.
  • To integrate current guidelines and literature for optimal trauma care.

Main Methods:

  • Selective literature search in PubMed.
  • Inclusion of the German S3 guideline for severe and multiple trauma (2016).

Main Results:

  • Prioritized treatment of life-threatening injuries using physical examination and Focused Assessment with Sonography in Trauma (FAST).
  • Emergency thoracotomy/laparotomy for specific critical injuries; contrast-enhanced CT for hemodynamically stable patients.
  • Decision-making based on physiological parameters, trauma severity, and injury complexity, potentially involving damage control surgery.

Conclusions:

  • Structured care following the A-B-C-D-E (Airway, Breathing, Circulation, Deficits, Exposure) scheme is crucial.
  • Interdisciplinary team approach is essential for comprehensive assessment and management.
  • The goal is rapid stabilization and restoration of organ function or damage control surgery.