Der Unfallchirurg
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The indication for radiography should strictly follow the ALARA (as low as reasonably achievable) principle in pediatric and adolescent trauma patients. The effect of radiation on the growing sensitive tissue of these patients should not be disregarded. ⋯ Comparing the results of the survey with the consensus findings of the SKT recently published in this journal, persuasion is still needed to change the use of radiography in primary diagnosis.
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The indication for radiographic examinations in pediatric and adolescent trauma patients should follow ALARA (as low as reasonably achievable). Because of the effect of radiation on the growing sensitive tissues of these young patients, a strict indication should always be given for radiation use and during controls after fracture repair.
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Periprosthetic infections with problematic and multiresistant pathogens represent a great challenge for trauma surgeons, especially when repetitive surgical débridement combined with calculated i.v. antibiotic treatment does not lead to resolution of the infection. This can necessitate a deviation from state of the art treatment concepts, such as the additive implementation of a rifampicin-loaded polymethyl methacrylate (PMMA) spacers.
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Presentation of a 16-year-old male patient due to a cycling accident while mountain biking 14 days after primary treatment after open epiphyseal injury. Metaphyseal intraosseous stones within the anatomically reduced distal radius fracture were misinterpreted as an incidental osteoma.
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Review
[Use of drones for the rescue service and transport of medicaments : Possibilities and risks].
The market for drones has been growing for years and the prognosis for the future assumes a further increase in growth. Currently, drones deliver retail goods, foodstuffs, industrial and medicinal goods. Furthermore, drones can relieve rescue services and first responders in difficult situations, such as the assessment of the situation at scenes of accidents. ⋯ This article presents research projects and specific cases of application, which range from the needs-based supply of regional hospitals with medicaments using drones, the delivery of blood conserves in rural areas of South Africa by drones and many scenarios in the rescue service. The next developmental steps affect the scalability and automation of drone-supported missions; however, technical progress alone is insufficient; the legal and regulatory frameworks must be set for certain drone scenarios. In order to safely and efficiently administrate the European airspace and to achieve further possible applications for drones, the U‑Space concept of the European Union represents a possible essential prerequisite.