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<p>The emergency department (ED) represents the central point of entry for trauma surgical care of occupational, school and commuting accidents within the German hospital system. In addition to providing acute medical treatment, the ED plays a&#xa0;crucial role as an interface to the occupational accident insurance health system. In particular, the transition physician (D-physician) system entails specific structural, procedural and documentation-related requirements that are largely shaped by trauma surgery. This article analyzes the role of trauma surgery in the ED from the perspective of the D‑physician. It outlines the legal framework and care structures of the D‑physician system, the distinction from general emergency care and the importance of interdisciplinary interfaces and standardized decision-making processes. Special emphasis is placed on the management of complex injury patterns in the context of the injury type and severe injury type procedures as well as on the integration of trauma surgery into modern concepts of clinical acute and emergency medicine. The aim of this article is to highlight the key role of trauma surgery in the ED and to identify practice-relevant aspects for ensuring high-quality, legally compliant and efficient care of patients covered by the occupational accident insurance.</p>

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Rolle der Unfallchirurgie in der Zentralen Notaufnahme aus Sicht des Durchgangsarztverfahrens

  • 期刊论文

  • 发表日期：

    2026年2月13日

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  • Andreas Gather,
  • Philipp Faul,
  • Paul Alfred Grützner,
  • Matthias Münzberg

摘要

The emergency department (ED) represents the central point of entry for trauma surgical care of occupational, school and commuting accidents within the German hospital system. In addition to providing acute medical treatment, the ED plays a crucial role as an interface to the occupational accident insurance health system. In particular, the transition physician (D-physician) system entails specific structural, procedural and documentation-related requirements that are largely shaped by trauma surgery. This article analyzes the role of trauma surgery in the ED from the perspective of the D‑physician. It outlines the legal framework and care structures of the D‑physician system, the distinction from general emergency care and the importance of interdisciplinary interfaces and standardized decision-making processes. Special emphasis is placed on the management of complex injury patterns in the context of the injury type and severe injury type procedures as well as on the integration of trauma surgery into modern concepts of clinical acute and emergency medicine. The aim of this article is to highlight the key role of trauma surgery in the ED and to identify practice-relevant aspects for ensuring high-quality, legally compliant and efficient care of patients covered by the occupational accident insurance.