Undertriage in geriatric trauma: insights from a multicentre cohort study.

Background: With the aging population, the number of geriatric trauma patients continues to rise, posing significant challenges for emergency care and trauma management. Structured trauma team activation (TTA) protocols aim to provide timely and adequate treatment for severely injured patients. However, evidence suggests that current triage criteria may inadequately address the specific needs of geriatric patients, potentially leading to undertriage and worse outcomes.

Pre-hospital assessment of trauma associated severe hemorrhage (phTASH) - analysis of TraumaRegister DGU data from 2015-2021.

Background: Prehospital transfusions are becoming increasingly popular in Europe. Blood products play an important role in the treatment of massive hemorrhage but may pose a potential risk to the patient when the indication is inconclusive such as in a prehospital setting. Simple scores are required in order to initiate targeted therapy and to use the valuable resource of blood comprehensibly in the prehospital setting.

Preventing the disaster: severe abdominal injury in child passengers of motor vehicle accidents often indicate even more serious trauma.

Purpose: The purpose of this study was to assess severe abdominal injury in child passengers of different ages of motor vehicle accidents and analyze the concomitant pattern of injury regarding injury severity, trauma management and outcome.

Method: Data acquisition from Trauma Register DGU (TR-DGU) in a 10-years period (2010-2020) of seriously injured children (max. AIS 2+ / intensive care) 0-15 years of age, as motor vehicle passengers (cMVP) (n = 1,035).

[Composition of trauma room teams : Reality experienced in 12 transregional trauma centers].

Background: The provision of specialized trauma teams for the care of severely injured patients is mandatory according to the requirements of the S3 guidelines polytrauma and the composition is determined by the White Book Medical Care of the Severely Injured (Weißbuch Schwerverletztenversorgung). In each level of care the basic resuscitation room team is composed of four disciplines: orthopedics and trauma surgery, anesthesia, radiology and emergency medicine in the emergency department.

Material And Methods: A prospective, multicenter observational study was conducted in 12 supraregional trauma centers in Germany and Switzerland, where a total of 3753 patients were treated in the emergency department following accidents.