In diesem Artikel werden wichtige Aspekte der Polytraumaversorgung mit Fokus auf neue
Empfehlungen im Update 2022 der S3-Leitlinie „Polytrauma/Schwerverletzten-Behandlung“
dargestellt und
bewertet. Von besonderer Bedeutung für den präklinisch tätigen Notarzt sind hierbei
die Empfehlungen zur prähospitalen sowie zur Schockraumphase.
Abstract
The emergency care of a polytraumatized patient is a medical, logistical, and socio-economic
challenge. On the one hand due to the complexity of the life-threatening injuries,
and on the
other hand due to the need of acting quickly and precisely. Therefore, a number of
guidelines, e.g. the latest version of the “S3 guideline on treatment of polytrauma/severe
injuries” give
recommendations for the initial care of polytraumatized patients. They are of the
utmost importance for survival and the restoration of physical functionality.
Important recommendations regarding bleeding control, indications and management of
emergency anesthesia and airway management, the use of blood products in volume therapy,
particularities of traumatic cardiac arrest, possibilities of analgesia as well as
the increasing use of devices like sonography, capnography and blood gas analysis
are given.
Furthermore, indications for an emergency room alarm based on the ABCDE algorithm,
type of injury and prehospital procedures are discussed.
The goal of this paper is to inform all kind of emergency medicine practitioners about
the management of severe injury treatment.
Schlüsselwörter
kritische Blutungen - Atemwegsmanagement - Notfallnarkose - Schockraum - Gerinnungsmanagement
Keywords
critical bleeding - airway management - emergency anesthesia - shock room - coagulation
management
