iTRAPs − Interdisziplinäre Schockraumversorgung im Kindesalter

Lehner, M.; Hoffmann, F.; Kammer, B.; Heinrich, M.; Falkenthal, L. und Kurz, M. (2018): iTRAPs − Interdisziplinäre Schockraumversorgung im Kindesalter. In: Notfall & Rettungsmedizin, Bd. 21, Nr. 2: S. 90-99

Abstract

Accidents are one of the main causes of death in children and adolescents in industrialized countries. The prognosis of trauma patients is directly dependent on the time interval between the accident and arrival at the hospital. In addition to shortened rescue and transport times, selection of the specific trauma center is essential. The treatment of polytraumatized children in the trauma department requires a rapid and systematic assessment of acute life-threatening injuries and thus the interplay of all pediatric specialties. At the level one trauma center Dr. von Hauner'schen Kinderspital, the iTRAP(s) concept for the care of seriously injured children was developed by an interdisciplinary group. It includes the priority-oriented treatment algorithm and the assignment to specialists. The goal was to establish a trauma department concept for severely injured children, including graded diagnostic and treatment instructions, which also resulted in a clearly structured task distribution. The phases of the iTRAP(s) have been adapted to the special needs of severely injured children requiring trauma care. In order to ensure a priority-oriented and structured care ranging from admission to the trauma department to surgery or to the pediatric intensive care station, the process has been divided into four phases, which are named accordingly: phase 1: life-saving emergency measures, phase 2: the stabilization phase, phase 3: urgent diagnostics/therapy, phase 4: completion of diagnostics/therapy. The Munich concept, designated by the acronym iTRAPs, is intended to be a basic framework for the trauma department care of children. In addition to structured trauma department care, the extremely positive acceptance should encourage even more clinics to develop and maintain specific pediatric protocols for the trauma department in order to optimize the structural and process quality in the treatment of severely injured children.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 1434-6222
• Sprache: Deutsch