title: [Essential measures for prehospital treatment of severely injured patients: The trauma care bundle].
abstract: BACKGROUND
  In order to ensure adequate treatment and to avoid complications, care bundles are increasingly being implemented. These are comprehensive and evidence-based procedures for the treatment of individual diseases or injuries which should be carried out for every patient. The aim of this study was to define a care bundle for the prehospital treatment of severely injured patients.
  
  
  METHODS
  The scientific contents of the bundle were gathered from the interdisciplinary evidence-based S3 guidelines for the treatment of severely injured patients by the German Trauma Society. The ABCDE scheme suggested by the prehospital trauma life support (PHTLS®) and the advanced trauma life support (ATLS®) functioned as a matrix for the individual elements in the bundles. The identified elements were finalized by a consensus process.
  
  
  CONCLUSIONS
  A bundle of six elements was suggested and a comprehensive summary of key items during prehospital management of severely injured patients was identified. In a next step the effectiveness of the care bundle should be evaluated in a clinical trial.
authors.affiliation: Klinik für Unfallchirurgie und Orthopädie, Unfallkrankenhaus Berlin, Warener Str.7, 12683, Berlin, Deutschland, gerrit.matthes@ukb.de.
authors.forename: G
authors.initials: G
authors.lastname: Matthes
authors.forename: H
authors.initials: H
authors.lastname: Trentzsch
authors.forename: C G
authors.initials: CG
authors.lastname: Wölfl
authors.forename: T
authors.initials: T
authors.lastname: Paffrath
authors.forename: S
authors.initials: S
authors.lastname: Flohe
authors.forename: U
authors.initials: U
authors.lastname: Schweigkofler
authors.forename: A
authors.initials: A
authors.lastname: Ekkernkamp
authors.forename: S
authors.initials: S
authors.lastname: Schulz-Drost
mesh_terms: D000465:Algorithms; D003266:Continuity of Patient Care / Q000592:standards; D003422:Critical Care / Q000592:standards*; D019091:Critical Pathways / Q000592:standards; D004632:Emergency Medical Services / Q000592:standards*; D005858:Germany; D006801:Humans; D064872:Patient Care Bundles / Q000592:standards*; D017410:Practice Guidelines as Topic; D055502:Secondary Prevention / Q000592:standards; D015599:Trauma Severity Indices; D014194:Traumatology / Q000592:standards*; D014947:Wounds and Injuries / Q000175:diagnosis / Q000628:therapy*