Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000139.xml
Notfallmedizin up2date 2023; 18(04): 367-372
DOI: 10.1055/a-2112-1496
DOI: 10.1055/a-2112-1496
Schritt für Schritt
Wundtamponade mit Hämostyptika – Schritt für Schritt
Die Behandlung lebensbedrohlicher externer Blutungen steht im <c>ABCDE-Trauma-Algorithmus an erster Stelle. Neben manueller Kompression und Tourniquet-Anlage ist die Wundtamponade mit oder ohne Hämostyptika eine wesentliche Behandlungsoption. Dieser Beitrag stellt die Grundzüge der korrekten Anwendung vor.
Publication History
Article published online:
05 December 2023
© 2023. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
Literatur
- 1 Kelly JF, Ritenour AE, McLaughlin DF. et al. Injury severity and causes of death from Operation Iraqi Freedom and Operation Enduring Freedom: 2003–2004 versus 2006. J Trauma 2008; 64: S21-S26
- 2 Eastridge BJ, Mabry RL, Seguin P. et al. Death on the battlefield (2001–2011): implications for the future of combat casualty care. J Trauma Acute Care Surg 2012; 73: S431-S437
- 3 Teixeira PGR, Inaba K, Hadjizacharia P. et al. Preventable or potentially preventable mortality at a mature trauma center. J Trauma 2007; 63: 1338-1346
- 4 Kleber C, Giesecke MT, Tsokos M. et al. Trauma-related preventable deaths in Berlin 2010: need to change prehospital management strategies and trauma management education. World J Surg 2013; 37: 1154-1161
- 5 Berry C, Gallagher JM, Goodloe JM. et al. Prehospital Hemorrhage Control and Treatment by Clinicians: A Joint Position Statement. Prehosp Emerg Care 2023; 27: 544-551
- 6 Kalkwarf KJ, Drake SA, Yang Y. et al. Bleeding to death in a big city: An analysis of all trauma deaths from hemorrhage in a metropolitan area during 1 year. J Trauma Acute Care Surg 2020; 89: 716-722
- 7 Deutsche Gesellschaft für Unfallchirurgie e. V.. S3-Leitlinie Polytrauma/Schwerverletzten-Behandlung. (AWMF Registernummer 187–023), Version 4.0. 31.12.2022 Accessed September 25, 2023 at: https://register.awmf.org/de/leitlinien/detail/187–023
- 8 Committee on TCCC. TCCC Guidelines 2021. Accessed October 12, 2023 at: https://deployedmedicine.com/content/475
- 9 Chou T-C, Fu E, Wu C-J. et al. Chitosan enhances platelet adhesion and aggregation. Biochem Biophys Res Commun 2003; 302: 480-483
- 10 Peng HT. Hemostatic agents for prehospital hemorrhage control: a narrative review. Mil Med Res 2020; 7: 13
- 11 Boulton AJ, Lewis CT, Naumann DN. et al. Prehospital haemostatic dressings for trauma: a systematic review. Emerg Med J 2018; 35: 449-457
- 12 Rossaint R, Afshari A, Bouillon B. et al. The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Crit Care 2023; 27: 80
- 13 Lechner R, Hanke K, Schmid A. et al. Hemostatics in patients with inhibited coagulation (HEMPIC) – a viscoelastic in-vitro analysis. Transfusion 2023; 63 (Suppl. 3): S159-S167
- 14 Lechner R, Helm M, Mueller M. et al. Efficacy of Hemostatic Agents in Humans With Rotational Thromboelastometry: An in-vitro Study. Mil Med 2016; 181: 907-912
- 15 Littlejohn LF, Devlin JJ, Kircher SS. et al. Comparison of Celox-A, ChitoFlex, WoundStat, and combat gauze hemostatic agents versus standard gauze dressing in control of hemorrhage in a swine model of penetrating trauma. Acad Emerg Med 2011; 18: 340-350
- 16 Watters JM, Van PY, Hamilton GJ. et al. Advanced hemostatic dressings are not superior to gauze for care under fire scenarios. J Trauma 2011; 70: 1413-1419
- 17 Kunio NR, Riha GM, Watson KM. et al. Chitosan based advanced hemostatic dressing is associated with decreased blood loss in a swine uncontrolled hemorrhage model. Am J Surg 2013; 205: 505-510
- 18 JTS/CoTCCC. Wound packing. Accessed April 18, 2023 at: https://deployedmedicine.com/market/11/content/45
- 19 Teleflex. QuikClot Combat Gauze directions for use/Gebrauchsanweisung.
- 20 Medtrade Products Limited. Celox directions for use/Gebrauchsanweisung.
- 21 Neitzel C, Ladehof K, Josse F. Leitlinien zur Verwundetenversorgung. In: Neitzel C, Ladehof K. Taktische Medizin. Notfallmedizin und Einsatzmedizin. 2. Berlin, Heidelberg: Springer; 2015: 127-212
- 22 Kragh JF, Steinbaugh J, Parsons DL. et al. A manikin model for study of wound-packing interventions to control out-of-hospital hemorrhage. Am J Emerg Med 2014; 32: 1130-1131
- 23 Latuska KM, Graf RL, Zwislewski A. et al. Stop the bleed training improves knowledge, skills, and confidence among school nurses. J Contin Educ Nurs 2019; 50: 501-507
- 24 Poltermann A, Koch S. Tourniquet – Schritt für Schritt. retten! 2021; 10: 369-371