[The traumatic emergency patient in emergency service. Critical evaluation of 718 emergency cases].
The emergency service activities of 718 traumatic cases during a two years period are critically analyzed: Reanimations in traumatic patients are rare (3.8%) and have a bad outcome. Regarding stabilization of vital functions, intravenous infusion is the most frequent kind of treatment (ca. 75%). Compared to other studies endotracheal intubation and ventilation are rather often carried out (greater than 17%). Catheterization of the vena cava is rarely used (less than 3%), coniotomia of the trachea never performed. The emergency doctor's first diagnosis was verified in 97%. In the remainder he was wrong, however, this being of no grave consequence. First aid treatment was adequate in 87% but incomplete in 13%. Nevertheless, incompleteness of treatment did not caused any patient's death.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D004632:Emergency Medical Services / Q000592:standards*; D005860:Germany, West; D006801:Humans; D011787:Quality of Health Care; D012151:Resuscitation; D014947:Wounds and Injuries / Q000175:diagnosis / Q000628:therapy*
Der traumatologische Notfallpatient im Rettungsdienst. Kritische Beurteilung von 718 Notarzteinsätzen.