The Synergistic Relationship Between a Level I Trauma Center and a Regional Pediatric Trauma Center

Wachtel, Thomas L.; Coniglio, Ray; Bourg, Pam; Hawkes, Allison P.; Knight, Sue; Mayer, Kathleen M.; Bensard, Denis D.

doi:10.1053/spsu.2001.19394

Cited by 6 publications

(2 citation statements)

References 19 publications

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“…Vielmehr wird heute gefordert, sich auf die spezielle Physiologie und Anatomie von Kindern hinsichtlich Therapie und Diagnostik durch spezielles Training vorzubereiten. Jedoch sollte, wenn möglich, die Anwesenheit eines Facharztes für Pädiatrie oder Kinderchirurgie gesichert sein[29].…”

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Schnittstelle Schockraummanagement

Frink

Koppert

Andruszkow

et al. 2010

Trauma Berufskrankh

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Schnittstelle Schockraummanagement

Frink

Koppert

Andruszkow

et al. 2010

Trauma Berufskrankh

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“…Auch in Nordamerika, wo lange Jahre die Notwendigkeit spezieller pä diatrischer Traumazentren gesehen wurde, werden 77 % der polytraumatisierten Kinder in Traumazentren versorgt, die nicht auf die Behandlung von Kindern spezialisiert sind [39]. Doch sollte auch hier die Verfü gbarkeit eines Facharztes fü r Kinderchirurgie oder Pä diatrie gesichert sein, um auf die speziellen Bedü rfnisse von Kleinkindern und Sä uglingen eingehen zu kö nnen [44].…”

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Klinisches Polytrauma-Management im Schockraum - Was muss und kann der Unfallchirurg leisten?

Frink

Probst²,

Krettek³

et al. 2007

Zentralbl Chir

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After stabilization an optimal therapeutic strategy influences outcome in polytraumatized patients. A trauma team leader in early clinical course is necessary to optimize diagnostics and planning of further treatment. Special training systems like ATLS can help to standardize management of trauma patients. In most German trauma centers an orthopaedic trauma surgeon is the team leader in the emergency room during early clinical course of patients with multiple injuries. After identification of most threatening injuries he must decide next diagnostics steps and planning of further treatment within a short period of time. Especially in patients with abdominal bleeding and severe brain injury time is the most critical factor. If he is not able to treat these injuries alone, physicians from other specialties must be involved. The trauma team leader must be aware of different treatment concepts like early total care and damage control orthopaedics.

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Personelle und strukturelle Voraussetzungen der Schockraumbehandlung Polytraumatisierter

et al. 2004

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The aim of the study was the description of personal and structural preconditions essential for adequate diagnostic requirements and treatment in severely injured patients. Herein we give detailed information regarding both the composition and qualification of the trauma team and the activation criteria as well as instructions for the design of the emergency room and technical requirements. Clinical trials were systematically collected (MEDLINE, Cochrane, and hand searches) and classified into evidence levels (1 to 5 according to the Oxford system). The trauma team should consist of (trauma) surgeons, anesthesiologists, radiologists, and one to two nursing staff members of each department. The attending physician should be present within 20 min. Trauma team activation criteria are among others: high energy/velocity trauma, penetrating injuries, GCS < or =14, and intubation. The emergency room should be integrated in the emergency department with all technical equipment being permanently available for optimal diagnostic and therapeutic management. A CT scanner should be positioned nearby.Adequate management of severely injured patients requires optimal personal and structural conditions. High costs and additional personnel are justified by improved quality of treatment.

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The Synergistic Relationship Between a Level I Trauma Center and a Regional Pediatric Trauma Center

Cited by 6 publications

References 19 publications

Schnittstelle Schockraummanagement

Schnittstelle Schockraummanagement

Klinisches Polytrauma-Management im Schockraum - Was muss und kann der Unfallchirurg leisten?

Personelle und strukturelle Voraussetzungen der Schockraumbehandlung Polytraumatisierter

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