Universität zu Köln

Muenzberg, Matthias, Mutschler, Manuel, Paffrath, Thomas, Trentzsch, Heiko ORCID: 0000-0002-6395-6873, Wafaisade, Arasch, Walcher, Felix, Raum, Marcus, Flohe, Sascha ORCID: 0000-0002-8033-1242 and Woelfl, Christoph (2015). Level of Evidence Analysis for the Latest German National Guideline on Treatment of Patients with Severe and Multiple Injuries and ATLS. World J.Surg., 39 (8). S. 2061 - 2068. NEW YORK: SPRINGER. ISSN 1432-2323

Full text not available from this repository.

Abstract

Advanced Trauma Life Support (ATLS(A (R))) is one of the world's best-known training programs for medical providers. Revisions of the ATLS manual have been evidence based for a number of years. In 2011, a level 3 (S3) evidence- and consensus-based guideline on the treatment of patients with severe and multiple injuries was published in Germany. The scope of this study was the systematic comparison of the educational content of the ATLS concept and the interdisciplinary S3 polytrauma guideline. A total of 123 key recommendations of the guideline were compared with the content of the ATLS manual (9th edition). Depending on the level of agreement, the recommendations were classed in the following categories: (1) Agreement. (2) Minor variation. (3) Major variation. An overall 86 % conformity was found between the key recommendations of the guideline and the ATLS(A (R)) manual. The ATLS(A (R)) primary survey (ABCDE) showed an 85 % conformity. The degree of conformity for the individual priorities was as follows: A (Airway) 79 %, B (Breathing) 79 %, C (Circulation) 86 %, D (Disability) 93 %, E (Exposure) 100 %. The ATLS(A (R)) secondary survey showed a 94 % conformity. The main differences were in the areas of anesthetic induction, fluid administration, and coagulation therapy. According to our comparison, the educational content and manual of the ATLS are largely compatible with a high level of evidence S3 guideline. However, subsequent editions of both the ATLS(A (R)) and the S3 guideline should re-examine and reassess a number of aspects.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Muenzberg, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Mutschler, Manuel UNSPECIFIED UNSPECIFIED UNSPECIFIED Paffrath, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Trentzsch, Heiko UNSPECIFIED orcid.org/0000-0002-6395-6873 UNSPECIFIED Wafaisade, Arasch UNSPECIFIED UNSPECIFIED UNSPECIFIED Walcher, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Raum, Marcus UNSPECIFIED UNSPECIFIED UNSPECIFIED Flohe, Sascha UNSPECIFIED orcid.org/0000-0002-8033-1242 UNSPECIFIED Woelfl, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-397916
DOI:	10.1007/s00268-015-3063-z
Journal or Publication Title:	World J.Surg.
Volume:	39
Number:	8
Page Range:	S. 2061 - 2068
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-2323
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PLATELET TRANSFUSION; NORMAL SALINE; ANTIPLATELET; HEMORRHAGE; ETOMIDATE; RINGERS Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39791