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Fleischhacker, E.; Linhart, C.; Kammerlander, C.; Böcker, W.; Zeckey, C.; Helfen, T. (2020): Extremitätentrauma in der Schockraumphase. In: Notfall & Rettungsmedizin, Vol. 23, No. 6: pp. 419-428
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Injuries of the extremities, occurring as isolated or combined injuries, influence functional outcome and are relevant for quality of life. They play a key role in the context of polytrauma. Neurovascular, bony, or soft tissue damage may lead to a complex injury pattern requiring defined treatment structures. Surgical and radiological experience during the initial emergency room treatment is crucial to assess the injury and plan an interdisciplinary emergency treatment. Whereas control of bleeding and immobilization take place during the prehospital phase, emergency room treatment is the first step toward reconstruction;thus, the injuries are assessed and treated in an interdisciplinary manner. Although the influence of extremity trauma on mortality has decreased in recent years and the hemodynamic instability in patients generally arises from other injuries, focusing and structured treatment of extremity trauma is immanent to achieve good life quality and functional results with return to work and sport.