Waydhas C
Klinik für Unfallchirurgie, Universitätsklinikum Essen, Hufelandstraße 55, Essen, Germany.
Unfallchirurg. 2012 Jan;115(1):8-13. doi: 10.1007/s00113-011-2102-y.
The guidelines follow the priorities established by the A-B-C-D-E scheme. They focus on the treatment of actual disturbances of vital functions and not so much on their anticipated development. Important recommendations with regard to the indication for intubation and ventilation, fluid therapy, diagnosis and treatment of severe chest injuries (tension pneumothorax in particular), management of severe traumatic brain injury, pelvic and vertebral injuries, priorities in the management of extremity fractures as well as indications for the choice of the receiving hospital are given. The recommendations are discussed in view of future concerns and developments.
这些指南遵循A-B-C-D-E方案确定的优先事项。它们侧重于对生命功能实际紊乱的治疗，而非过多关注其预期发展。给出了关于插管和通气指征、液体治疗、严重胸部损伤（尤其是张力性气胸）的诊断和治疗、严重创伤性脑损伤的管理、骨盆和脊柱损伤、四肢骨折管理的优先事项以及接收医院选择指征的重要建议。针对未来的关注点和发展对这些建议进行了讨论。
