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Ingo Marzi |
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Preclinical Diagnostic of Trauma Victims is mostly demanding within a very short time frame. One of the major issues to solve is the airway management and treatment of acute thoracic threats, such as neumothorax or hematothorax. Clinical training in these demanding situations is diffi cult to teach, thus simulation and training programs have been shown to improve performance in these situation. In this issue, the study of Albrecht et al. focuses on the early airw ay management by residents in the prehospital setting [1]. Berkenstadt et al. report on the learning possibilities of a standardized simulation protocol- the Trauma Man® – a procedure that may help to train emergency techniques [2]. During the next step of trauma care - in the emergency room - a number of diagnostic procedures will have to be applied in a short time frame – again following a standardized protocol, e.g. the ATLS concept. However, computer tomography (CT scan) has been established in most emergency rooms in the world and the future implementation of CT technology is evident. However, this does not lead to a delay of urgent treatment procedures in bleeding patients, in which the clinical success is a function of time. Nethertheless, the merits of CT results have to be considered. Czechowsky et al. report on the role of multi-detector CT scan within the emergency room and Elgamal et al. critically discuss the role of the Canadian Head CT in tertiary trauma centers [3, 4].
Following emergency treatment and diagnostics of a trauma victim, a reliable description of the degree
of injury is warranted. Even the injury severity score (ISS) is internationally accepted as most precise
description of the anatomical injury pattern, several aspects of new or extended scores are discussed in this issue [5]. Finally, scoring may help to study prognosis and outcome. Husain et al. nicely fi nish the focus issue by evaluation severe trauma in children [6].
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