title: [Algorithm for extrication and medical care in vehicular trauma].
abstract: The rescue and treatment of trapped persons in car accidents requires a close cooperation and coordination between firefighters and medical personnel. Priorities of medical care as well as aspects of extrication should be considered equally. Procedures on scene should follow a sequence securing life support and careful rescue of the trapped patient.The developed algorithm allows for prioritized and coordinated management and represents a transparent guide for both teams, during training as well as practical application. The concept incorporates the ABC priorities for polytrauma management and also the structure of the ATLS((R))-programme. The algorithm was validated in simulated scenarios and was by affirmed by the German Trauma Surgeons Task Force on Emergency Care under the regulations of a nominal group process via resolution.
authors.affiliation: Chirurgische Klinik und Poliklinik, Innenstadt-Klinikum, Universität München, Germany. kanz@ch-i.med.uni-muenchen.de
authors.forename: K G
authors.initials: KG
authors.lastname: Kanz
authors.forename: G
authors.initials: G
authors.lastname: Schmöller
authors.forename: K
authors.initials: K
authors.lastname: Enhuber
authors.forename: G
authors.initials: G
authors.lastname: Hölzl
authors.forename: J A
authors.initials: JA
authors.lastname: Sturm
authors.forename: W
authors.initials: W
authors.lastname: Mutschler
mesh_terms: D000063:Accidents, Traffic; D000465:Algorithms; D004632:Emergency Medical Services / Q000458:organization & administration*; D005858:Germany; D006801:Humans; D009104:Multiple Trauma / Q000628:therapy*; D010348:Patient Care Team / Q000458:organization & administration; D017410:Practice Guidelines as Topic