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  1. Article: Surgical priorities in damage control in polytrauma.

    Giannoudis, P V

    The Journal of bone and joint surgery. British volume

    2003  Volume 85, Issue 4, Page(s) 478–483

    MeSH term(s) Abdominal Injuries/surgery ; Clinical Protocols ; Fracture Fixation/methods ; Fractures, Bone/surgery ; Humans ; Multiple Trauma/surgery ; Orthopedics/methods ; Preoperative Care/adverse effects ; Time Factors
    Language English
    Publishing date 2003-04-28
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 220626-2
    ISSN 2044-5377 ; 0301-620X ; 0447-9076
    ISSN (online) 2044-5377
    ISSN 0301-620X ; 0447-9076
    DOI 10.1302/0301-620x.85b4.14217
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.58/1: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Decision-Making in Management of the Complex Trauma Patient: Changing the Mindset of the non-trauma Surgeon.

    Sonesson, Linda / Boffard, Kenneth / Lundberg, Lars / Rydmark, Martin / Karlgren, Klas

    World journal of surgery

    2018  Volume 42, Issue 8, Page(s) 2392–2397

    Abstract: ... physiologically, (2) the application of damage control resuscitation and surgery, (3) differing priorities and ... surgical techniques. As trauma leaders, they may occasionally have to deal with complex polytrauma ... advanced management techniques, differing priorities, and the need for multidisciplinary care. There is ...

    Abstract Background: European surgeons are frequently subspecialized and trained primarily in elective surgical techniques. As trauma leaders, they may occasionally have to deal with complex polytrauma, advanced management techniques, differing priorities, and the need for multidisciplinary care. There is a lack of expertise, experience, and a low trauma volume, as well as a lack of research, with limited support as to the decision-making and teaching challenges present. We studied what experienced trauma experts describe as the challenges that are specific to the advanced surgical decision-making required, whether civilian, humanitarian, or military.
    Methods: Design-based research using combined methods including interviews, reviews of authentic trauma cases, and video-recorded resuscitations performed at a high-volume civilian academic trauma center.
    Results: Several educational dilemmas were identified: (1) thinking physiologically, (2) the application of damage control resuscitation and surgery, (3) differing priorities and time management, (4) impact of environment, (5) managing limited resources, (6) lack of general surgical skills, (7) different cultural behavior, and (8) ethical issues.
    Conclusion: The challenges presented, and the educational domains identified, constitute a basis for improved development of education and training in complex surgical decision-making. This study contributes new knowledge about the mindset required for decision-making in patients with complex multisystem trauma and competing priorities of care. This is, especially important in countries having a low intensity of trauma in both military and civilian environments, and consequential limited skills, and lack of expertise. Guidelines focused on the same decision-making process, using virtual patients and blended learning, can be developed.
    MeSH term(s) Decision Making ; Humans ; Multiple Trauma/surgery ; Multiple Trauma/therapy ; Resuscitation ; Surgeons/education ; Trauma Centers ; Traumatology/education ; Traumatology/ethics
    Language English
    Publishing date 2018-01-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-018-4460-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1336: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Polytrauma und begleitendes Schädel-Hirn-Trauma : Die Rolle des Unfallchirurgen.

    Antoni, A / Heinz, T / Leitgeb, J

    Der Unfallchirurg

    2017  Volume 120, Issue 9, Page(s) 722–727

    Abstract: ... strategies and strict adherence to principles of damage control surgery. Patients with polytrauma and TBI are ... adhering to principles of damage control surgery. ... of polytrauma and concomitant TBI by focusing on priority-based diagnostic and therapeutic strategies and ...

    Title translation Polytrauma and concomitant traumatic brain injury : The role of the trauma surgeon.
    Abstract Background: Concomitant traumatic brain injury (TBI) increases mortality and reduces quality of life of polytrauma patients. These facts demand effective treatment strategies while the growing specialization of medicine is questioning the role of the trauma surgeon in the management of these patients.
    Objectives: Which factors influence outcome of polytrauma with concomitant TBI? Who should be responsible for the management of these patients and what is the limit of management?
    Materials and methods: A literature search using Medline via PubMed was performed with Medical Subject Headings and text word search.
    Results: The crucial factors for outcome are absence of hypotension, adherence to pre- and in-hospital standards like fast transportation to appropriate centers, priority-based diagnostic and therapeutic strategies and strict adherence to principles of damage control surgery. Patients with polytrauma and TBI are treated by different specialties around the world based on the trauma system, geographic circumstances and resources. Investigations of operative and conservative management by different medical specialties showed comparable outcomes.
    Conclusions: In an age of standardization and a high degree of specialization in the field of medicine, the trauma surgeon still seems to be able to ensure an optimal treatment of polytrauma and concomitant TBI by focusing on priority-based diagnostic and therapeutic strategies and adhering to principles of damage control surgery.
    MeSH term(s) Brain Injuries, Traumatic/diagnosis ; Brain Injuries, Traumatic/surgery ; Comorbidity ; Humans ; Interdisciplinary Communication ; Intersectoral Collaboration ; Multiple Trauma/diagnosis ; Multiple Trauma/surgery ; Patient Care Team ; Prognosis ; Specialization ; Treatment Outcome
    Language German
    Publishing date 2017-06-13
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 605965-x
    ISSN 1433-044X ; 0177-5537
    ISSN (online) 1433-044X
    ISSN 0177-5537
    DOI 10.1007/s00113-017-0354-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Un I Zs.190: Show issues Location:
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