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[创伤患者的复苏室管理]

[Resuscitation room management for trauma patients].

作者信息

Thelen S, Michael M, Ashmawy H, Knoefel W T, Picker O, Windolf J, Bernhard M

机构信息

Klinik für Unfall- und Handchirurgie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.

Klinik für Anästhesiologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.

出版信息

Anaesthesist. 2019 Jan;68(1):49-66. doi: 10.1007/s00101-018-0523-5.

DOI:10.1007/s00101-018-0523-5
PMID:30649571
Abstract

Resuscitation rooms in central emergency admissions are the first point of contact for potentially severely or multiply injured patients. Here priority is given to the interdisciplinary treatment of these patients, which includes the structured and standardized hospital admission as well as the appropriate initial diagnostics and treatment of potentially life-threatening conditions. The resuscitation room is a central vital link between the prehospital and internal hospital treatment chain. This article describes the core tasks of the resuscitation room team as well as concepts and strategies of initial treatment of severely injured and polytrauma patients.

摘要

中央急诊收治处的复苏室是潜在重伤或多发伤患者的首个接触点。在此,这些患者的跨学科治疗被置于优先地位,这包括有条理且标准化的医院收治,以及对潜在危及生命状况的适当初步诊断和治疗。复苏室是院前与院内治疗链之间至关重要的核心环节。本文描述了复苏室团队的核心任务,以及重伤和多发伤患者初始治疗的理念与策略。

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[Resuscitation room management for trauma patients].[创伤患者的复苏室管理]
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2
[Care for severely injured persons : Update of the 2016 S3 guideline for the treatment of polytrauma and the severely injured].[重伤员护理:2016年多创伤和重伤治疗S3指南更新]
Anaesthesist. 2017 Mar;66(3):195-206. doi: 10.1007/s00101-017-0265-9.
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[Interdisciplinary treatment of severely injured patients in the trauma resuscitation room].[创伤复苏室中重伤患者的多学科治疗]
Anasthesiol Intensivmed Notfallmed Schmerzther. 2010 Jun;45(6):390-8. doi: 10.1055/s-0030-1255346. Epub 2010 Jun 10.
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[Interdisciplinary management of trauma patients : Update 3 years after implementation of the S3 guidelines on treatment of patients with severe and multiple injuries].[创伤患者的多学科管理:严重多发伤患者治疗S3指南实施3年后的更新]
Anaesthesist. 2014 Nov;63(11):852-64. doi: 10.1007/s00101-014-2375-y.
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[Patient safety in differentiated (in-hospital) activation of the resuscitation room for severely injured patients].[严重受伤患者复苏室差异化(院内)启动中的患者安全]
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[Present concept for management of severely injured patients in Trauma Centre Faculty Hospital Královské Vinohrady].[克拉洛夫斯基·维诺赫拉迪大学医院创伤中心严重创伤患者的当前管理理念]
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[Polytrauma Management - Treatment of Severely Injured Patients in ER and OR].[多发伤管理——急诊科和手术室中重伤患者的治疗]
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Introduction of a treatment algorithm can improve the early management of emergency patients in the resuscitation room.引入治疗算法可改善复苏室中急诊患者的早期管理。
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本文引用的文献

1
Synthetic colloid resuscitation in severely injured patients: analysis of a nationwide trauma registry (TraumaRegister DGU).严重创伤患者的合成胶体复苏:全国创伤登记处(TraumaRegister DGU)分析。
Sci Rep. 2018 Aug 1;8(1):11567. doi: 10.1038/s41598-018-30053-0.
2
Clinical consequences of chest tube malposition in trauma resuscitation: single-center experience.创伤复苏中胸腔引流管位置不当的临床后果:单中心经验。
Eur J Trauma Emerg Surg. 2019 Aug;45(4):687-695. doi: 10.1007/s00068-018-0966-z. Epub 2018 May 31.
3
[Prehospital application of tourniquets for life-threatening extremity hemorrhage : Systematic review of literature].
急诊科非创伤患者重症监护的短期结局和特点。
Anaesthesist. 2022 Jan;71(1):30-37. doi: 10.1007/s00101-021-00953-4. Epub 2021 Apr 8.
4
[Nontraumatic resuscitation room management of critically ill patients].危重症患者的非创伤性复苏室管理
Med Klin Intensivmed Notfmed. 2021 Jun;116(5):405-414. doi: 10.1007/s00063-021-00789-1. Epub 2021 Feb 18.
5
[36-years-old male following motorcycle accident with high velocity trauma : Preparation for the medical specialist examination: part 34].[36岁男性,经历高速创伤的摩托车事故:医学专家检查准备:第34部分]
Anaesthesist. 2019 Nov;68(Suppl 3):239-242. doi: 10.1007/s00101-019-00650-3.
[院前使用止血带治疗危及生命的肢体出血:文献系统评价]
Unfallchirurg. 2018 Jul;121(7):516-529. doi: 10.1007/s00113-018-0510-y.
4
Central venous catheterization for acute trauma resuscitation: Tip position analysis using routine emergency computed tomography.用于急性创伤复苏的中心静脉置管:使用常规急诊计算机断层扫描进行尖端位置分析
J Vasc Access. 2018 Sep;19(5):461-466. doi: 10.1177/1129729818758998. Epub 2018 Mar 12.
5
[Resuscitative endovascular balloon occlusion of the aorta : Option for incompressible trunk bleeding?].[主动脉内复苏性球囊阻断术:不可压迫性躯干出血的选择?]
Anaesthesist. 2018 Apr;67(4):280-292. doi: 10.1007/s00101-018-0418-5.
6
Mechanical complications and outcomes following invasive emergency procedures in severely injured trauma patients.严重创伤患者接受侵入性急救手术后的机械并发症和结局。
Sci Rep. 2018 Mar 5;8(1):3976. doi: 10.1038/s41598-018-22457-9.
7
[Hypovolemic and hemorrhagic shock].[低血容量性和失血性休克]
Anaesthesist. 2018 Mar;67(3):225-244. doi: 10.1007/s00101-018-0411-z.
8
Analgesia in Patients with Trauma in Emergency Medicine.创伤患者在急诊医学中的镇痛。
Dtsch Arztebl Int. 2017 Nov 17;114(46):785-792. doi: 10.3238/arztebl.2017.0785.
9
[Management of critically ill patients in the resuscitation room. Different than for trauma?].[复苏室中危重症患者的管理。与创伤患者的管理不同吗?]
Anaesthesist. 2014 Feb;63(2):144-53. doi: 10.1007/s00101-013-2258-7.
10
[Interaction of emergency medical services and the emergency department--challenges in the acute care of seriously ill or injured patients].[紧急医疗服务与急诊科的相互作用——重症或受伤患者急性护理中的挑战]
Anasthesiol Intensivmed Notfallmed Schmerzther. 2010 Jun;45(6):400-6. doi: 10.1055/s-0030-1255347. Epub 2010 Jun 10.