A5103174685- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Pelvic and Acetabular Injuries
- Neuroscience and Neuropharmacology Research
- Radiation Dose and Imaging
- Injury Epidemiology and Prevention
- Sepsis Diagnosis and Treatment
- Trauma Management and Diagnosis
- Shoulder and Clavicle Injuries
- Traumatic Brain Injury and Neurovascular Disturbances
- Shoulder Injury and Treatment
- Healthcare Decision-Making and Restraints
- Neurological disorders and treatments
- Abdominal Surgery and Complications
- Parkinson's Disease Mechanisms and Treatments
- Neurological diseases and metabolism
- Amoebic Infections and Treatments
- Abdominal Trauma and Injuries
- Neuroendocrine Tumor Research Advances
- Pregnancy-related medical research
- Patient Safety and Medication Errors
- Muscle and Compartmental Disorders
- Clinical practice guidelines implementation
- Traumatic Brain Injury Research
- Molecular Biology Techniques and Applications
Ludwig-Maximilians-Universität München
2013-2025
Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation
2024-2025
LMU Klinikum
2020-2025
University Medical Centre Mannheim
2024
Heidelberg University
2024
University Hospital Heidelberg
2024
Institute of Groundwater Ecology
2022
München Klinik
2020
University Hospital of Basel
2019-2020
École Polytechnique Fédérale de Lausanne
2003
Zusammenfassung Die Notaufnahmen deutscher Krankenhäuser sind ein zentraler Anlaufpunkt für über 20 Millionen Notfallpatienten pro Jahr. Um eine hochwertige Patientenversorgung sicherstellen zu können, personelle, apparative und infrastrukturelle Voraussetzungen erforderlich, die nur bedingt im Beschluss des Gemeinsamen Bundesausschusses (G-BA) einem gestuften System von Notfallstrukturen an Krankenhäusern 2018 festgeschrieben sind. Darüber hinaus gibt es bislang in Deutschland keine...
Zusammenfassung Hintergrund Die Bereitstellung spezialisierter Schockraumteams zur Schwerverletztenversorgung ist nach den Vorgaben der S3-Leitlinie Polytrauma/Schwerverletztenversorgung AMWF obligat und die Zusammensetzung durch das Weißbuch festgelegt. In jeder Versorgungsstufe wird Basisteam aus 4 Disziplinen Orthopädie Unfallchirurgie, Anästhesie, Radiologie Notfallpflege Notaufnahme zusammengesetzt, mit weiteren Anpassungen je des Krankenhauses. Ziel vorliegenden Studie Untersuchung...
In the event of a mass casualty incident (MASCAL) decisions on spatial, personnel and organizational restructuring emergency department have to be made in very short time from initial alert arrival first patient at hospitals. Due rarity MASCAL this complex task is special challenge. The aim study was optimize immediate preparation phase after alarm by means concise instructions for action shorten automated external alerting. structured dialogue involving departments medicine, anesthesia...
BACKGROUND/OBJECTIVES To determine the prevalence and severity of traumatic intracranial hemorrhage (tICH) in a large cohort older adults presenting with low‐energy falls association anticoagulation or antiplatelet medication. DESIGN Bicentric retrospective analysis. SETTING Two level 1 trauma centers Switzerland Germany. PARTICIPANTS Consecutive sample (aged ≥65 y) to emergency department (ED) over 1‐year period who received cranial computed tomography (cCT) within 48 hours ED presentation....
Coracoid process fractures are rare and often associated with dislocations of the acromioclavicular (AC) joint. There is little evidence about treatment these injuries in adolescents, but few case reports published recommend surgery. We report a dislocated epiphyseal fracture to base coracoid AC joint dislocation 14-year-old ice-hockey player following direct impact his left shoulder. Since magnetic resonance tomography revealed intact coracoclavicular ligaments, we initiated non-operative...
Background: Plain radiography (XR) series are standard of care for detection fall-related fractures in older patients with low-energy falls (LEF) the emergency department (ED). We have investigated prevalence and diagnostic accuracy XR imaging ED. Methods: 2839 LEF, who were presented to two urban level I trauma centers 2016 received computed tomography (CT), consecutively included this retrospective cohort study. The primary endpoint was vertebral column, rib cage, pelvic ring, proximal...
Computed tomography (CT) is commonly used in trauma care, with increasing implementation during the emergency work-up of elderly patients low-energy falls (LEF). The prevalence incidental findings (IFs) resulting from CT imaging and requiring down-stream actions this patient cohort unknown. We have investigated urgency IFs examinations these patients.A total 2871 LEF were consecutively included retrospective study. primary endpoint was IFs; secondary their urgency.The median age 82 years...
Background/Objective: This prospective, multicenter observational cohort study was carried out in 12 trauma centers Germany and Switzerland. Its purpose to evaluate the rate of undertriage, as well potential consequences, relate these with different Trauma Team Activation Protocols (TTA-Protocols), this has not been done before Germany. Methods: Each center collected data during a three-month period between December 2019 February 2021. All participating hospitals are certified supra-regional...
Background and importance Agitation of elderly patients in the emergency department (ED) often complicates workup therapy. Objective In this study, we investigated if agitation ED can be reduced by showing calming video sequences agitated patients. Designs Prospective randomized intervention study. Settings participants aged ≥65 years were screened for risk agitation/delirium using 4-A’s test (4-AT) test. case ≥4 4-AT points, scored Richmond Agitation-Sedation Scale (RASS) Nursing Delirium...
Purpose: To assess the technical (TS) and clinical success (CS) of CT fluoroscopy-guided drainage (CTD) in patients with symptomatic deep pelvic fluid collections following colorectal surgery. Methods: A retrospective analysis (years 2005 to 2020) comprised 43 drain placements 40 undergoing low-dose (10–20 mA tube current) quick-check CTD using a percutaneous transgluteal (n = 39) or transperineal 1) access. TS was defined as sufficient collection by ≥50% absence complications according...
Zusammenfassung Es wird von einem 42-jährigen Patienten berichtet, der sich bei opiatinduzierten Liegetrauma ein gluteales Kompartmentsyndrom mit Affektion des N. ischiadicus und nachfolgender Rhabdomyolyse zugezogen hat. Im Gegensatz zum Unterarms oder Unterschenkels stellt dieses eine Rarität dar. Nach notfallmäßiger Kompartmentspaltung Anlage eines Vakuumsystems vorübergehenden Wundverschluss konnte mittels forcierter Diurese Hämofiltration akutem Nierenversagen vermieden werden. Die...
Low energy falls (LEF) in older adults constitute a relevant cause for emergency department (ED) visits, hospital admission and in-hospital mortality. Patient-reported outcome measures containing information about patients' medical, mental social health problems might support disposition therapy decisions. We investigated the value of tablet-based (self-)assessment predicting Patients 65 years or older, consecutively presenting with LEF to our level I trauma center ED (from November 2020...