The following is some information on the field of trauma surgery and the most current publications from our department.
Patients suffering several injuries are referred to as poly traumatized, meaning that at least one of these injuries or the combination of injuries is life-threatening. In Germany, the most common cause of poly traumas are road accidents and falls from considerable height.
After immediate emergency care at the location of the accident, the poly traumatized patient is transferred to our shock room where he/she is taken care of by an interdisciplinary team of trauma surgeons, anaesthetists, internists, radiologists, and depending on the type of injuries, neurosurgeons, plastic surgeons and urologists.
First, a clinical examination and an ultrasound scan of the abdomen (FAST sonography) are normally performed, followed by a full body computer tomography ("poly trauma spiral"). Depending on the examination results, the patient is then transferred to the surgery room or the intensive care unit. Life saving immediate measures such as e.g. thoracic drainage in the case of severe thorax injuries are taken directly in the shock room.
Severe accidents and poly traumas often include pelvic injuries.
Pelvic injuries often result in instabilities that require surgical treatment. A traumatized pelvis can also be life-threatening due to enormous blood loss or accompanying injuries (i.e. injuries of the colon, urogenital system, large vessels). Severe pelvic injuries sometimes require external stabilization as soon as in the shock room by means of a pelvic clamp.
During the surgery, an external fixator is employed for fast and effective stabilization. This method allows particular protection of soft tissues. In a second step, the injury is taken care of by surgical insertion of screws or plates for final treatment of the injury.