Uwe Schweigkofler - Academia.edu (original) (raw)
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Papers by Uwe Schweigkofler
Notfallmedizin up2date, Mar 30, 2015
Internal and Emergency Medicine, Sep 6, 2020
European Journal of Trauma and Emergency Surgery
Fragestellung: Durch längere Luxationsstellung des OSG kann es zu erheblichen Weichteilschädigung... more Fragestellung: Durch längere Luxationsstellung des OSG kann es zu erheblichen Weichteilschädigungen kommen, welche zu Komplikationen und verlängertem Krankenhausaufenthalt führen. Trotz der technisch einfachen Reposition wird eine frühzeitige Reposition nur durch einen darin[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Fragestellung: In der präklinischen Versorgung von instabilen Beckenfrakturen stellt der Beckengu... more Fragestellung: In der präklinischen Versorgung von instabilen Beckenfrakturen stellt der Beckengurt ein flächendeckend angewendetes Hilfsmittel zur nicht invasiven Stabilisierung dar. Die korrekte Anlage und Position ist entscheidend für eine adäquate Kompression des Beckenrings.[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Fragestellung: Im Rahmen der Behandlung von Schockraumpatienten ereignen sich trotz bestehender h... more Fragestellung: Im Rahmen der Behandlung von Schockraumpatienten ereignen sich trotz bestehender hoher Standards immer wieder Missed Injury Ereignisse. Im Laufe der letzten Jahre konnte eine sukzessive Reduktion der Missed Injury Rate nachgewiesen werden. In dieser Arbeit wird die Auftretensrate von [zum vollständigen Text gelangen Sie über die oben angegebene URL]
Fragestellung: Vor dem Hintergrund einer neuen Gefährdungslage in Europa ist eine adäquate Priori... more Fragestellung: Vor dem Hintergrund einer neuen Gefährdungslage in Europa ist eine adäquate Prioritätenmedizin bei zivilen Schadensereignisse (MANV) notwendig. Auch im Krankenhaus muss eine optimale Ressourcenzuweisung anhand der Behandlungsdringlichkeit erfolgen. Die Sichtung des Triage-Arztes[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Notfallmedizin up2date, 2018
Notfall + Rettungsmedizin, 2021
Fragestellung: Wahrend die Luftrettung in der Anfangsphase vor allem bei der Versorgung von traum... more Fragestellung: Wahrend die Luftrettung in der Anfangsphase vor allem bei der Versorgung von traumatologischen Patienten zum Einsatz kam, decken Rettungshubschrauber heute zunehmend auch als Ersatz der bodengebunden notarztlichen Versorgung das gesamte Gebiet der Notfallmedizin ab. Durch die[for full text, please go to the a.m. URL]
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2021
BackgroundThe extent to which Point-of-care of ultrasound (POCUS) is used in different European h... more BackgroundThe extent to which Point-of-care of ultrasound (POCUS) is used in different European helicopter EMS (HEMS) is unknown. We aimed to study the availability, perception, and future aspects of POCUS in the European HEMS using an online survey.MethodA survey about the use of POCUS in HEMS was conducted by a multinational steering expert committee and was carried out from November 30, 2020 to December 30, 2020 via an online web portal. Invitations for participation were sent via email to the medical directors of the European HEMS organizations including two reminding notes.ResultsDuring the study period, 69 participants from 25 countries and 41 different HEMS providers took part in the survey. 96% (n = 66) completed the survey. POCUS was available in 75% (56% always when needed and 19% occasionally) of the responding HEMS organizations. 17% were planning to establish POCUS in the near future. Responders who provided POCUS used it in approximately 15% of the patients. Participan...
Internal and Emergency Medicine, 2020
Journal of Clinical Medicine, 2020
Since the introduction of rental E-scooters in Germany in mid-June 2019, the safety of this new m... more Since the introduction of rental E-scooters in Germany in mid-June 2019, the safety of this new means of transport has been the subject of extensive public debate. However, valid data on injuries and usage habits are not yet available. This retrospective two-center study included a total of 76 patients who presented to the emergency department following E-scooter-related accidents. The mean age was 34.3 ± 12.4 years and 69.7% of the patients were male. About half of the patients were admitted by ambulance (42.1%). Fractures were found in 48.6% of patients, and 27.6% required surgical treatment due to a fracture. The upper extremities were the most commonly affected body region, followed by injuries to the lower extremity and to the head and face. Only one patient had worn a helmet. In-hospital treatment was necessary for 26.3% of the cases. Patients presented to the emergency department mainly during the weekend and on-call times. This is the first report on E-scooter-related injuri...
European Journal of Trauma and Emergency Surgery, 2020
Background The application of pelvic binders in the preclinical and early clinical phase is advis... more Background The application of pelvic binders in the preclinical and early clinical phase is advisable to avoid or treat C-problems in unstable and potential bleeding pelvic ring fractures, even if the clinical effectivity is not completely proved. The use for pathologies in the posterior pelvic ring is still debatable. Questions/purposes We determined if there is a difference in achievable compression in the dorsal pelvic ring depending on position and pelvic binder model. Can this effect be tested with a simplified artificial model? Methods We simulated a Tile type C fracture within the established pelvic emergency trainer and measured in a test series the effectivity of reduction with a non-invasive stabilization technique using 3 different pelvic binders. Results Any therapeutic effect of a pelvic binder with compression to the posterior pelvic ring requires at first a reduction maneuver. While the compression effect in the symphysis depends only on positioning of the binder, in the posterior pelvic ring, the result varies with the used model. The achievable pressure in the SI joint with a pelvic binder is only 20-25% (33.5-47 N) compared to the C-Clamp values (156 N). Conclusions The use of pelvic binders for non-invasive pelvic ring stabilization, even with a posterior pathology, could be proven in a simplified fracture model. A proper fracture reduction and an adequate device positioning influence the effectiveness. Clinical relevance The use of an emergency pelvic trainer even for a non-invasive maneuver is advisable.
Notfallmedizin up2date, 2020
Ein 68-jähriger Patient wird von einer Straßenbahn erfasst. Zu sehen ist eine subtotale Skalpieru... more Ein 68-jähriger Patient wird von einer Straßenbahn erfasst. Zu sehen ist eine subtotale Skalpierungsverletzung (▶ Abb. 1). Diese Verletzungen können potenziell mit einer Hb-relevanten Blutung einhergehen. ▶ Abb. 1 Skalpierungsverletzung eines Patienten nach Überrolltrauma durch eine Straßenbahn.
Journal of Orthopaedic Trauma, 2019
Summary: The management of complex fractures at the time of revision surgery remains one of the m... more Summary: The management of complex fractures at the time of revision surgery remains one of the most challenging tasks for orthopaedic trauma surgeons. As the major principle of treatment remains to achieve an anatomic reduction and a stable fixation, precise preoperative diagnostics and treatment planning are of utmost importance. Thus, knowledge of the 3-dimensional anatomy of the fracture site and its surrounding tissue is indispensable. However, radiographic tools have thus far mostly been unable to recapitulate the complexity of the fracture site in toto. In recent years, the development of 3-dimensional (3D) printers has led to novel opportunities in preoperative planning of complex operative procedures. Although the application of 3D printers has become increasingly popular in orthopaedic surgery, its implementation in trauma surgery is so far mostly limited to the preoperative planning of surgery in patients with pelvic and acetabular fractures/defects. Moreover, reports des...
Notfallmedizin up2date, 2019
Orthopädie und Unfallchirurgie up2date, 2019
Notfallmedizin up2date, 2015
Notfallmedizin up2date, Mar 30, 2015
Internal and Emergency Medicine, Sep 6, 2020
European Journal of Trauma and Emergency Surgery
Fragestellung: Durch längere Luxationsstellung des OSG kann es zu erheblichen Weichteilschädigung... more Fragestellung: Durch längere Luxationsstellung des OSG kann es zu erheblichen Weichteilschädigungen kommen, welche zu Komplikationen und verlängertem Krankenhausaufenthalt führen. Trotz der technisch einfachen Reposition wird eine frühzeitige Reposition nur durch einen darin[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Fragestellung: In der präklinischen Versorgung von instabilen Beckenfrakturen stellt der Beckengu... more Fragestellung: In der präklinischen Versorgung von instabilen Beckenfrakturen stellt der Beckengurt ein flächendeckend angewendetes Hilfsmittel zur nicht invasiven Stabilisierung dar. Die korrekte Anlage und Position ist entscheidend für eine adäquate Kompression des Beckenrings.[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Fragestellung: Im Rahmen der Behandlung von Schockraumpatienten ereignen sich trotz bestehender h... more Fragestellung: Im Rahmen der Behandlung von Schockraumpatienten ereignen sich trotz bestehender hoher Standards immer wieder Missed Injury Ereignisse. Im Laufe der letzten Jahre konnte eine sukzessive Reduktion der Missed Injury Rate nachgewiesen werden. In dieser Arbeit wird die Auftretensrate von [zum vollständigen Text gelangen Sie über die oben angegebene URL]
Fragestellung: Vor dem Hintergrund einer neuen Gefährdungslage in Europa ist eine adäquate Priori... more Fragestellung: Vor dem Hintergrund einer neuen Gefährdungslage in Europa ist eine adäquate Prioritätenmedizin bei zivilen Schadensereignisse (MANV) notwendig. Auch im Krankenhaus muss eine optimale Ressourcenzuweisung anhand der Behandlungsdringlichkeit erfolgen. Die Sichtung des Triage-Arztes[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Notfallmedizin up2date, 2018
Notfall + Rettungsmedizin, 2021
Fragestellung: Wahrend die Luftrettung in der Anfangsphase vor allem bei der Versorgung von traum... more Fragestellung: Wahrend die Luftrettung in der Anfangsphase vor allem bei der Versorgung von traumatologischen Patienten zum Einsatz kam, decken Rettungshubschrauber heute zunehmend auch als Ersatz der bodengebunden notarztlichen Versorgung das gesamte Gebiet der Notfallmedizin ab. Durch die[for full text, please go to the a.m. URL]
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2021
BackgroundThe extent to which Point-of-care of ultrasound (POCUS) is used in different European h... more BackgroundThe extent to which Point-of-care of ultrasound (POCUS) is used in different European helicopter EMS (HEMS) is unknown. We aimed to study the availability, perception, and future aspects of POCUS in the European HEMS using an online survey.MethodA survey about the use of POCUS in HEMS was conducted by a multinational steering expert committee and was carried out from November 30, 2020 to December 30, 2020 via an online web portal. Invitations for participation were sent via email to the medical directors of the European HEMS organizations including two reminding notes.ResultsDuring the study period, 69 participants from 25 countries and 41 different HEMS providers took part in the survey. 96% (n = 66) completed the survey. POCUS was available in 75% (56% always when needed and 19% occasionally) of the responding HEMS organizations. 17% were planning to establish POCUS in the near future. Responders who provided POCUS used it in approximately 15% of the patients. Participan...
Internal and Emergency Medicine, 2020
Journal of Clinical Medicine, 2020
Since the introduction of rental E-scooters in Germany in mid-June 2019, the safety of this new m... more Since the introduction of rental E-scooters in Germany in mid-June 2019, the safety of this new means of transport has been the subject of extensive public debate. However, valid data on injuries and usage habits are not yet available. This retrospective two-center study included a total of 76 patients who presented to the emergency department following E-scooter-related accidents. The mean age was 34.3 ± 12.4 years and 69.7% of the patients were male. About half of the patients were admitted by ambulance (42.1%). Fractures were found in 48.6% of patients, and 27.6% required surgical treatment due to a fracture. The upper extremities were the most commonly affected body region, followed by injuries to the lower extremity and to the head and face. Only one patient had worn a helmet. In-hospital treatment was necessary for 26.3% of the cases. Patients presented to the emergency department mainly during the weekend and on-call times. This is the first report on E-scooter-related injuri...
European Journal of Trauma and Emergency Surgery, 2020
Background The application of pelvic binders in the preclinical and early clinical phase is advis... more Background The application of pelvic binders in the preclinical and early clinical phase is advisable to avoid or treat C-problems in unstable and potential bleeding pelvic ring fractures, even if the clinical effectivity is not completely proved. The use for pathologies in the posterior pelvic ring is still debatable. Questions/purposes We determined if there is a difference in achievable compression in the dorsal pelvic ring depending on position and pelvic binder model. Can this effect be tested with a simplified artificial model? Methods We simulated a Tile type C fracture within the established pelvic emergency trainer and measured in a test series the effectivity of reduction with a non-invasive stabilization technique using 3 different pelvic binders. Results Any therapeutic effect of a pelvic binder with compression to the posterior pelvic ring requires at first a reduction maneuver. While the compression effect in the symphysis depends only on positioning of the binder, in the posterior pelvic ring, the result varies with the used model. The achievable pressure in the SI joint with a pelvic binder is only 20-25% (33.5-47 N) compared to the C-Clamp values (156 N). Conclusions The use of pelvic binders for non-invasive pelvic ring stabilization, even with a posterior pathology, could be proven in a simplified fracture model. A proper fracture reduction and an adequate device positioning influence the effectiveness. Clinical relevance The use of an emergency pelvic trainer even for a non-invasive maneuver is advisable.
Notfallmedizin up2date, 2020
Ein 68-jähriger Patient wird von einer Straßenbahn erfasst. Zu sehen ist eine subtotale Skalpieru... more Ein 68-jähriger Patient wird von einer Straßenbahn erfasst. Zu sehen ist eine subtotale Skalpierungsverletzung (▶ Abb. 1). Diese Verletzungen können potenziell mit einer Hb-relevanten Blutung einhergehen. ▶ Abb. 1 Skalpierungsverletzung eines Patienten nach Überrolltrauma durch eine Straßenbahn.
Journal of Orthopaedic Trauma, 2019
Summary: The management of complex fractures at the time of revision surgery remains one of the m... more Summary: The management of complex fractures at the time of revision surgery remains one of the most challenging tasks for orthopaedic trauma surgeons. As the major principle of treatment remains to achieve an anatomic reduction and a stable fixation, precise preoperative diagnostics and treatment planning are of utmost importance. Thus, knowledge of the 3-dimensional anatomy of the fracture site and its surrounding tissue is indispensable. However, radiographic tools have thus far mostly been unable to recapitulate the complexity of the fracture site in toto. In recent years, the development of 3-dimensional (3D) printers has led to novel opportunities in preoperative planning of complex operative procedures. Although the application of 3D printers has become increasingly popular in orthopaedic surgery, its implementation in trauma surgery is so far mostly limited to the preoperative planning of surgery in patients with pelvic and acetabular fractures/defects. Moreover, reports des...
Notfallmedizin up2date, 2019
Orthopädie und Unfallchirurgie up2date, 2019
Notfallmedizin up2date, 2015