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
