[Assessment of prehospital injury severity in children: challenge for emergency physicians].

摘要: BACKGROUND: The prognosis of polytraumatized patients is dependent on the quality emergency room (ER) management and a smooth transition from prehospital to ER therapy essential. accurate assessment injury severity by physicians influences level care destination hospital. It also helps ensure that medical resources are immediately available. Overestimation wastes underestimation puts at risk. in adults unreliable. In children, seems be even more challenging. MATERIALS AND METHODS: For comparison documented diagnosed after phase, score (ISS) trauma-ISS (TRISS) were calculated. TRISS consists ISS revised trauma (RTS). All diagnoses admission charts collected an was allocated according abbreviated scale (AIS). concordance within different tolerances evaluated. A tolerance than ± 25 % calculated diagnostics considered as overestimation or underestimation. phase body regions AIS mechanism physician protocol judged being detailed, satisfactory poor. RESULTS: results showed 69 children reached during on-call hours. Furthermore 92 daytime between 08.00 h 20.00 h. transportation private basis. mean ER-ISS 10 points (range 1-57). 42 cases concordant with ER-ISS. According this criterion 38 found 20 Within 75 based ER-ISS, half (52 %). Using observed 46 cases. 50 high hospital region face (75 head, thorax, extremities pelvis soft tissue ranged 43 Of suffered traffic accident, 52 fall less 3 m m. detail 70 8 %. CONCLUSIONS: order evaluate use anatomical scores alone insufficient. adequate documentation implies play relevant role severity. unreliable severity, arrival hours transport challenge leader life support for children. Language: de