Lampl L, Helm M, Weidringer J W, Bock K H
Abt. für Anästhesiologie und Intensivmedizin, Bundeswehrkrankenhaus Ulm.
Aktuelle Traumatol. 1994 Aug;24(5):163-8.
In a retrospective study conducted from 1.1. 1988-31.12.1991, we at our rescue helicopter station "Christoph 22" identified the special circumstances, which arise for the trauma anaesthesiologist during prehospital treatment of entrapped trauma patients. During the time frame of our study, we observed a continuous increase of patients suffering an entrapment trauma (from 8.3% to 15.9%). Motor vehicle accidents were the primary cause of entrapment (78.4%). Patients with an entrapment trauma in comparison to those without, to a much higher degree suffered more severe injuries (proportion of multi-system trauma: 49.4% versus 26%). Upon arrival of the trauma anaesthesiologist at the scene, the vital functions in the majority of the cases were already disturbed and unstable. The emergency medical measures required at the emergency scene therefore had to be timely and to the point and taken in close coordination with the technical rescue team. The proven procedures which we apply in such cases will be illustrated. Hospital of preference should, if possible, always be a trauma center.
在一项于1988年1月1日至1991年12月31日开展的回顾性研究中，我们在“克里斯托夫22号”救援直升机站确定了创伤麻醉医生在院前救治被困创伤患者过程中出现的特殊情况。在我们的研究时间段内，我们观察到被困创伤患者数量持续增加（从8.3%增至15.9%）。机动车事故是被困的主要原因（78.4%）。与未受困创伤的患者相比，受困创伤患者遭受更严重损伤的程度要高得多（多系统创伤比例：49.4%对26%）。创伤麻醉医生抵达现场时，大多数情况下生命功能已受到干扰且不稳定。因此，现场急救措施必须及时、到位，并与技术救援团队密切协作。我们将说明在此类情况下采用的经过验证的程序。如有可能，首选医院应始终是创伤中心。
