Vogl T J, Eichler K, Marzi I, Wutzler S, Zacharowski K, Frellessen C
Institut für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Frankfurt, Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland.
Zentrum der Chirurgie, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Frankfurt, Johann Wolfgang Goethe-Universität, Frankfurt, Deutschland.
Med Klin Intensivmed Notfmed. 2017 Oct;112(7):643-657. doi: 10.1007/s00063-017-0359-9.
Modern trauma room management requires interdisciplinary teamwork and synchronous communication between a team of anaesthesists, surgeons and radiologists. As the length of stay in the trauma room influences morbidity and mortality of a severely injured person, optimizing time is one of the main targets. With the direct involvement of modern imaging techniques the injuries caused by trauma should be detected within a very short period of time in order to enable a priority-orientated treatment. Radiology influences structure and process quality, management and development of trauma room algorithms regarding the use of imaging techniques. For the individual case interventional therapy methods can be added. Based on current data and on the Frankfurt experience the current diagnostic concepts of trauma diagnostics are presented.
现代创伤室管理需要麻醉师、外科医生和放射科医生团队之间的跨学科协作和同步沟通。由于在创伤室的停留时间会影响重伤患者的发病率和死亡率，因此优化时间是主要目标之一。在现代成像技术的直接参与下，应在极短时间内检测出创伤造成的损伤，以便进行优先治疗。放射学在成像技术的使用方面，会影响创伤室算法的结构、流程质量、管理和发展。针对个别病例，可增加介入治疗方法。基于当前数据和法兰克福的经验，本文介绍了创伤诊断的当前诊断概念。
