Zusammenfassung
Das Trauma ist nach wie vor eine der führenden Todesursachen. Interdisziplinäre Analysen verstorbener Traumapatienten zeigten eine Rate vermeidbarer Todesfälle von ca. 15%. Definitiv vermeidbare Traumatodesfälle waren bedingt durch unbehandelte Spannungspneumothoraces, unerkannte Verletzungen, Blutungssituationen und Erstickungsvorgänge. Nicht nur in der Reanimationssituation nach Trauma müssen potenziell reversible Ursachen des Herz-Kreislauf-Stillstandes standardisiert adressiert werden.
Abstract
Trauma remains a leading cause of death in the western industrialized nations. Sufficient pre-hospital care for trauma patients is extremely demanding, but such missions are rare. The results of interdisciplinary analyses of all deceased trauma patients with regard to the preventability of the particular trauma death resulted in an adapted algorithm for traumatic resuscitation: the mortality after trauma in the study population was – compared with international literature – low(er), yet 15% of deaths were considered to have been theoretically preventable. Definitely preventable trauma deaths were caused by untreated tension pneumothorax, unrecognized injuries, bleeding and missed airway management. Not only in resuscitation after trauma, potentially reversible causes of cardiac arrest must be addressed in a standardized way. All emergency service workers must provide invasive medical skills. Besides accident prevention, further establishment and continuous training of
pre-hospital trauma management algorithms and strategies has the highest potential to further reduce mortality after severe trauma.
Schlüsselwörter
Trauma - kardiopulmonale Reanimation - reversible Ursache(n) des Herz-Kreislauf-Stillstandes - vermeidbarer Tod nach Trauma
Key words
trauma - cardiopulmonary resuscitation - reversible cause(s) of cardiac arrest - preventable trauma death
