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Background <p>Since the update of the guidelines for polytrauma patient care in Germany in 2023, numerous traffic accident mechanisms are no longer used as secondary criteria for trauma team activation. However, the subjective understanding of the accident can be objectified by third-party-service emergency calls (TPS-eCalls).</p> Objectives <p>In the current study, we evaluate documentation differences in preclinical and hospital treatments as well as eCall datasets after accident events with TPS-eCall alerts.</p> Materials and methods <p>All treatment protocols after TPS-eCall alerts from the municipal rescue service and further treatment in the local supraregional trauma center from 01&#xa0;January–31&#xa0;March&#xa0;2023 were prospectively evaluated. Nontraumatological dispatches were filtered out. Accident details (e.g., time, location, speed) were then checked. For transports to the study clinic and consent, the data records were linked with TPS-eCall data. The study was reviewed and approved by the responsible ethics committee (20-9161-BO).</p> Results <p>After keyword filtering, there were 19&#xa0;accident events triggered by TPS-eCalls with 48&#xa0;casualties. A total of 18&#xa0;persons were treated clinically; 9&#xa0;of them in the authors’ emergency department. Documentation weaknesses are evident both preclinically and clinically due to estimated, contradictory or even missing information.</p> Conclusion <p>TPS-eCalls improve the understanding of individual accident components. In the future, quantitative and qualitative improvements in data availability in the rescue chain and hospital treatment can be expected because of the further implementation of TPS-eCall systems.</p>

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Evaluation von Unfallereignissen nach eCall-Alarmierung

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月9日

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  • Bastian Brune,
  • Maximilian Wolf,
  • Daniel Stappert,
  • Sascha Keil,
  • André Nohl,
  • Frank Herbstreit,
  • Oliver Kamp,
  • Dan Bieler,
  • Lars Becker,
  • Christian Waydhas,
  • Marcel Dudda

摘要

Background

Since the update of the guidelines for polytrauma patient care in Germany in 2023, numerous traffic accident mechanisms are no longer used as secondary criteria for trauma team activation. However, the subjective understanding of the accident can be objectified by third-party-service emergency calls (TPS-eCalls).

Objectives

In the current study, we evaluate documentation differences in preclinical and hospital treatments as well as eCall datasets after accident events with TPS-eCall alerts.

Materials and methods

All treatment protocols after TPS-eCall alerts from the municipal rescue service and further treatment in the local supraregional trauma center from 01 January–31 March 2023 were prospectively evaluated. Nontraumatological dispatches were filtered out. Accident details (e.g., time, location, speed) were then checked. For transports to the study clinic and consent, the data records were linked with TPS-eCall data. The study was reviewed and approved by the responsible ethics committee (20-9161-BO).

Results

After keyword filtering, there were 19 accident events triggered by TPS-eCalls with 48 casualties. A total of 18 persons were treated clinically; 9 of them in the authors’ emergency department. Documentation weaknesses are evident both preclinically and clinically due to estimated, contradictory or even missing information.

Conclusion

TPS-eCalls improve the understanding of individual accident components. In the future, quantitative and qualitative improvements in data availability in the rescue chain and hospital treatment can be expected because of the further implementation of TPS-eCall systems.