• G Matthes, H Trentzsch, C G Wölfl, T Paffrath, S Flohe, U Schweigkofler, A Ekkernkamp, S Schulz-Drost, and Sektion Notfallmedizin, Intensivmedizin und Schwerverletztenversorgung (NIS) der Deutschen Gesellschaft für Unfallchirurgie e. V.
• Klinik für Unfallchirurgie und Orthopädie, Unfallkrankenhaus Berlin, Warener Str.7, 12683, Berlin, Deutschland, gerrit.matthes@ukb.de.
• Unfallchirurg. 2015 Aug 1; 118 (8): 652-6.

BackgroundIn order to ensure adequate treatment and to avoid complications, care bundles are increasingly being implemented. These are comprehensive and evidence-based procedures for the treatment of individual diseases or injuries which should be carried out for every patient. The aim of this study was to define a care bundle for the prehospital treatment of severely injured patients.Material And MethodsThe scientific contents of the bundle were gathered from the interdisciplinary evidence-based S3 guidelines for the treatment of severely injured patients by the German Trauma Society. The ABCDE scheme suggested by the prehospital trauma life support (PHTLS®) and the advanced trauma life support (ATLS®) functioned as a matrix for the individual elements in the bundles. The identified elements were finalized by a consensus process.Results And DiscussionA bundle of six elements was suggested and a comprehensive summary of key items during prehospital management of severely injured patients was identified. In a next step the effectiveness of the care bundle should be evaluated in a clinical trial.

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