Kalbe P, Kant C J
Unfallchirurgische Klinik, Medizinischen Hochschule Hannover.
Orthopade. 1988 Feb;17(1):2-10.
A step-by-step therapy concept for prehospital care of the severely injured is presented. A schedule for effective organization of the rescue procedure is given, after which stress is placed on preservation of the vital functions. A therapy algorithm is explained, according to which the indications for intubation, ventilation and volume replacement depend on both physiological parameters (blood pressure, respiration frequency, Glasgow Coma Scale, capillary refill) and the type of injuries. Initial care of the injuries is discussed in some detail. Competent preclinical management of fractures and joint dislocations is a major topic. A flow chart for the selection of an adequate trauma center is proposed, which takes account of vital signs, the extent of the injuries, how the accident happened, and the force of the impact.
本文介绍了一种针对重伤患者院前护理的逐步治疗方案。给出了有效组织救援程序的时间表，之后重点强调维持生命功能。解释了一种治疗算法，根据该算法，插管、通气和容量补充的指征取决于生理参数（血压、呼吸频率、格拉斯哥昏迷量表、毛细血管再充盈）和损伤类型。对损伤的初始护理进行了较为详细的讨论。骨折和关节脱位的专业临床前处理是一个主要话题。提出了一个选择合适创伤中心的流程图，该流程图考虑了生命体征、损伤程度、事故发生方式以及撞击力。
