title: [The surgeon in emergency medicine--early management in the areas of the extremities].
abstract: The general principles at the scene of the accident are the following: Soft tissue wounds are covered with local sterile compresses to stop bleeding and abandon contamination. In fracture or luxation of small joints immediate reposition by careful traction and splint-fixation in neutral position ist most important. The correct primary management of open fractures combines the measures for wound and fracture treatment. Even in cases of spine trauma primary careful traction is essential, with emphasis on physiologic lordoses. Gentle transport and observation for neurologic changes ensue. The primary destination should be the nearest trauma center, not a specialist clinic.
authors.affiliation: Unfallchirurgische Klinik, Klinik am Eichert, Göppingen, Bundesrepublik Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Ulrich
mesh_terms: D004630:Emergencies; D005121:Extremities / Q000293:injuries*; D005592:Fracture Fixation / Q000379:methods; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D013124:Spinal Injuries / Q000601:surgery
vernacular_title: Der Chirurg in der Notfallmedizin--Frühversorgung im Extremitätenbereich.