S02.9
Conditions
Interventions
Group 1: patients with facial scull fracture: prehospital emergency medicine management according to medical guidelines
Body-Check and documentation of assumed injuries, measuring of vital sings (hear
Sponsors
Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie am Bundeswehrkrankenhaus Ulm
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: trauma patients in the period from 2008 to 2021; prehospital treatment by the ADAC air rescue
Exclusion criteria
Exclusion criteria: death before arrival of emergency medicine doctor; incomplete documentation with regard to outcome parameters.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Facial scull fracture and if and how the securing of the airway took place: Examination of facial scull fracture based on clinical impression of the emergency medicine doctor (crepitation during Body Check, swelling, unusual mobility, reduced or no jaw opening, bone fragments visible, anatomy changed) before arrival to the hospital and documentation in the intended protocol of the ADAC-HEMS, with following classification: no evident injury; light injury; moderately injured; serious injury; severely injured, but not life threatening; severe, life threatening injury; critical, life threatening injury; deadly injury; not classified injury. If and how the securing of the airway took place is written in the emergency medicine doctor protocol. The following parameters are possible: no securing of the airway, nasal intubation, oral intubation, laryngeal mask, combitubus, surgical airway management, other, no securing of the airway. | — |
Secondary
| Measure | Time frame |
|---|---|
| Method of airway management and arising difficulties, concomitant injuries, vital parameters. Documentation of traumatic brain injury, cervical spine, chest, abdominal, thoracic/lumbal vertebral, pelvic, upper limb, lower limb and soft tissue trauma, respectively as follows classified: no evident injury; light injury; moderately injured; serious injury; severely injured, but not life threatening; severe, life threatening injury; critical, life threatening injury; deadly injury; not classified injury. Burning: Burning/scalding; additional inhalation trauma; electrical accident; unknown. Vital signs: Documentation of heart rate, blood pressure, respiratory rate, GCS, breathing (normal/spontaneous breathing, dyspnea, cyanosis, spastic, rattling noise, stridor, obstruction of ariway, agonal respiration, apnea) Level of training: record of speciality (internal medicine, surgery, anaesthisiology, pediatric, other) and level of training (resident, specialist/attending, specialist with optional training in intensive care medicine) Documentation respectively in the ADAC-HEMS protocol | — |
Countries
Germany
Contacts
Public ContactBjörn Hossfeld
Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie am Bundeswehrkrankenhaus Ulm
Outcome results
None listed