title: [Prehospital treatment of severely injured patients with focus on damage control-surgery].
abstract: The majority of patients undergoing damage control surgery initially receive prehospital treatment. Bleeding causes 40% of trauma deaths, half of which happen in the prehospital setting. Future research and improved treatment before hospital admission should focus on control of the bleeding, avoidance of hypothermia, minimising the time to definitive surgery, and a restrictive and goal directed therapy with regard to the intake of fluids. On occasion, lifesaving procedures could be performed during transport to the hospital.
authors.affiliation: TraumeCenter og Akut Modtagelse 3193, Rigshospitalet, Blegdamsvej 9, 2100 København Ø. ams1@rh.regionh.dk
authors.forename: Anne Marie
authors.initials: AM
authors.lastname: Sørensen
authors.forename: Claus Falck
authors.initials: CF
authors.lastname: Larsen
authors.forename: Jacob
authors.initials: J
authors.lastname: Steinmetz
mesh_terms: D003422:Critical Care / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods*; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D009104:Multiple Trauma / Q000601:surgery; D010343:Patient Admission; D012771:Shock, Hemorrhagic / Q000628:therapy; D014947:Wounds and Injuries / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000601:surgery / Q000628:therapy; D014950:Wounds, Penetrating / Q000401:mortality / Q000601:surgery / Q000628:therapy