PMID: 8594959Dec 1, 1995Paper

The efficiency of emergency therapy in patients with head-brain, multiple injury. Quality assurance in emergency medicine

Der Anaesthesist
J SchüttlerM Fischer

Abstract

For cardio-pulmonary resuscitation there are standardized treatment concepts, but there have been few prospective investigations examining the efficacy of prehospital advanced trauma life support and its effect on the outcome in patients with severe head injury and multiple trauma treated within the German emergency system. The results of this study underline the importance of intensive prehospital treatment and highlight some problems that should be taken into account in future in the training of emergency physicians. METHODS. A total of 179 patients with cerebral trauma were investigated. Data obtained included demographic and logistic data of the patients and the emergency physicians, diagnoses and treatment at the scene of the accident and state of the patient on admission in each case. Having divided the patients into three groups by severity of the trauma, we distinguished between sufficient and insufficient treatment and assessed infusion therapy, ventilatory support, positioning and immobilization, and analgesic and sedative therapy. For statistical analysis of the data we used chi 2-test and Fisher's exact test. P < 0.05 was considered significant. RESULTS. There were 102 patients who had sustained a cerebral trauma wi...Continue Reading

Citations

Jul 28, 2001·American Journal of Physical Medicine & Rehabilitation·L ZhangK J Ottenbacher
Dec 26, 2003·Prehospital and Disaster Medicine·Wolfgang F Dick
Feb 14, 2007·The Journal of Trauma·Christian ProbstUNKNOWN Polytrauma Study Group of the German Trauma Society
Apr 25, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Gerhard PrauseGeza Gemes

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