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<p>Severe haemorrhage is one of the leading and often preventable causes of trauma-related death within the first 24 h, second only to traumatic brain injury. Pathophysiologically, hypovolemia, tissue hypoxia, and trauma-induced coagulopathy lead to a&#xa0;vicious cycle of acidosis, hypothermia, and coagulopathy. In emergency care, rapid bleeding control and adequate restoration of circulating volume are therefore essential to prevent progression of this vicious cycle. Critical measures are already required in the prehospital phase. Damage control resuscitation and structured treatment concepts can help to improve safety and prevent fatalities.</p>

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Notfallmanagement blutender Traumapatient:innen – aktuelle Empfehlungen

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月27日

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  • Barbara Hallmann,
  • Paul Zajic

摘要

Severe haemorrhage is one of the leading and often preventable causes of trauma-related death within the first 24 h, second only to traumatic brain injury. Pathophysiologically, hypovolemia, tissue hypoxia, and trauma-induced coagulopathy lead to a vicious cycle of acidosis, hypothermia, and coagulopathy. In emergency care, rapid bleeding control and adequate restoration of circulating volume are therefore essential to prevent progression of this vicious cycle. Critical measures are already required in the prehospital phase. Damage control resuscitation and structured treatment concepts can help to improve safety and prevent fatalities.