A5028496974- Trauma and Emergency Care Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Shoulder Injury and Treatment
- Cardiac Arrest and Resuscitation
- Trauma Management and Diagnosis
- Shoulder and Clavicle Injuries
- Abdominal Trauma and Injuries
- Emergency and Acute Care Studies
- Knee injuries and reconstruction techniques
- Orthopedic Surgery and Rehabilitation
- Sports injuries and prevention
- Traumatic Brain Injury and Neurovascular Disturbances
- Airway Management and Intubation Techniques
- Total Knee Arthroplasty Outcomes
- Disaster Response and Management
- Injury Epidemiology and Prevention
- Elbow and Forearm Trauma Treatment
- Pelvic and Acetabular Injuries
- Pediatric Pain Management Techniques
- Respiratory Support and Mechanisms
- Clinical practice guidelines implementation
- Cardiac, Anesthesia and Surgical Outcomes
- Nerve Injury and Rehabilitation
- Blood transfusion and management
- Orthopaedic implants and arthroplasty
Witten/Herdecke University
2015-2024
University Hospital Cologne
2024
Kliniken der Stadt Köln
2013-2024
Krankenhaus Köln-Holweide
2018-2024
Lungenklinik Köln-Merheim
2011-2024
University Hospital Münster
2022
Essen University Hospital
2012-2013
Heinrich Heine University Düsseldorf
2012
Düsseldorf University Hospital
2012
Cologne Business School
2011
The recognition and management of hypovolemic shock still remain an important task during initial trauma assessment. Recently, we have questioned the validity Advanced Trauma Life Support (ATLS) classification by demonstrating that suggested combination heart rate, systolic blood pressure Glasgow Coma Scale displays substantial deficits in reflecting clinical reality. aim this study was to introduce validate a new based upon base deficit (BD) at emergency department (ED) arrival.Between 2002...
The objectives of this study were 1) to assess potential changes in the incidence and outcome sepsis after multiple trauma Germany between 1993 2008 2) evaluate independent risk factors for posttraumatic sepsis.Retrospective analysis a nationwide, population-based prospective database, Trauma Registry German Society Surgery.A total 166 voluntarily participating centers (levels I-III).Patients registered Surgery with complete data sets who presented relevant load (Injury Severity Score ≥ 9)...
In the severely injured who survive early posttraumatic phase, multiple-organ failure (MOF) is main cause of morbidity and mortality. An enhanced prediction MOF might influence individual monitoring therapy patients.We performed a retrospective analysis nationwide prospective database, TraumaRegister DGU German Trauma Society. Patients with complete data sets (2002-2011) relevant trauma load (Injury Severity Score [ISS] ≥ 16), were admitted to an intensive care unit, included.Of total 31,154...
The Trauma Associated Severe Haemorrhage (TASH)-Score has been recognized as an easy-to-calculate scoring system to predict the probability for massive transfusion (MT) a surrogate life-threatening haemorrhage after injury. Changes with respect management and outcome of these patients over time prompted revalidation update TASH-Score.The performance TASH-Score developed from 1993-2003 TR-DGU database (Trauma Registry Deutsche Gesellschaft für Unfallchirurgie/German Society) was revalidated...
Abstract Introduction The early aggressive management of the acute coagulopathy trauma may improve survival in population. However, timely identification lethal exsanguination remains challenging. This study validated six scoring systems and algorithms to stratify patients for risk massive transfusion (MT) at a very stage after on one single dataset severely injured derived from TR-DGU (TraumaRegister DGU ® German Trauma Society (DGU)) database. Methods Retrospective internal external...
Evidence on prehospital administration of the antifibrinolytic tranexamic acid (TXA) in civilian trauma populations is scarce. The aim was to study whether TXA use patients associated with improved outcomes. database ADAC (General German Automobile Club) Air Rescue Service linked TraumaRegister Trauma Society reidentify documented both registries. Primarily admitted (2012 until 2014) who were treated during phase matched had not received TXA, applying propensity score-based matching....
The role of acute coagulopathy after severe trauma as a major contributor to exsanguination and death has recently gained increasing appreciation, but the causes mechanisms are not fully understood. This study was conducted assess risk factors associated with traumatic together quantitative estimates their importance.Using multicentre Trauma Registry German Society for Surgery, adult patients an Injury Severity Score ≥16 were retrospectively analysed independent on arrival at emergency...
Retrospective studies have demonstrated a potential survival benefit from transfusion strategies using an early and more balanced ratio between fresh frozen plasma (FFP) concentration packed red blood cell (pRBC) transfusions in patients with acute traumatic coagulopathy requiring massive transfusions. These results mostly been derived non-head-injured patients. The aim of the present study was to analyze whether regime high FFP:pRBC (FFP:pRBC >1:2) would be associated similar severely...
Cardiac arrest following trauma occurs infrequently compared with cardiac aetiology. Within the German Resuscitation Registry a traumatic cause is documented in about 3% of patients. Regarding national Trauma Registry, only few these patients survive. The aim present study was to analyze outcome cardiopulmonary resuscitation (CPR) after by combining data from two different large registries Germany.This includes 368 (2.8%) out 13,329 registered within whereby 3,673 and successful CPR served...
BACKGROUND Despite poor evidence and high costs, fibrinogen concentrate (FC) represents one of the most frequently used hemostatic agents in exsanguinating trauma. The aim was to assess whether administration FC severely injured patients associated with improved outcomes. METHODS Patients documented Trauma Registry German Society for Surgery (primary admissions, Injury Severity Score [ISS] ≥16) who had received during initial care between emergency department (ED) arrival intensive unit...
Hypoxia and hypoxemia can lead to an unfavorable outcome after severe trauma, by both direct delayed mechanisms. Prehospital intubation is meant ensure pulmonary gas exchange. Limited evidence exists regarding indications for trauma. The aim of this study was analyze prehospital as independent risk factor the posttraumatic course moderately injured patients. Therefore, only patients who, in retrospect, would not have required were included matched-pairs analysis evaluate risks related intubation.
Objectives Although prehospital treatment algorithms have changed over the past years, time of multiple trauma patients some 70 min and on-scene-treatment (OST) 30 not since 1993. The aim this study was to critically assess specific interventions conditions at scene in relation their impact on rescue intervals. Methods We performed a retrospective data analysis all injured from TraumaRegister DGU (English: German Trauma Society) January 1993 December 2010. Exclusion criteria were missing or...
Background: Benefits of high ratios fresh frozen plasma (FFP) to packed red blood cells (pRBC) in massively transfused trauma patients have been reported previously. This study aimed assess the effect higher FFP:pRBC on outcome receiving less than massive transfusion during acute care. Methods: The multicenter registry German Trauma Society (2005–2008) was retrospectively analyzed for aged ≥16 years with an Injury Severity Score who had received multiple but not between emergency room...