Der Unfallchirurg
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Severely injured patients need a qualified and seamless rehabilitation after the end of the acute treatment. This post-acute rehabilitation (phase C) places high demands on the rehabilitation facility in terms of personnel, material, organizational and spatial requirements. The working group on trauma rehabilitation of the German Society for Orthopedics and Traumatology e. V. (DGOU) and other experts have agreed on requirements for post-acute phase C rehabilitation for seriously injured people. ⋯ A seamless transition to the follow-up and further treatment of seriously injured people in the TraumaNetzwerk DGU® is ensured through a high level of qualification and the corresponding infrastructure of supraregional trauma rehabilitation centers. This also places new demands on the TraumaZentren DGU®. Only if these are met can the treatment and rehabilitation of seriously injured people be optimized.
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Transosseous reconstruction of the triceps tendon. ⋯ Authors have reported good results after surgical treatment of triceps tendon ruptures. Regardless of possible extension deficits described in the literature, in the case presented an excellent postoperative outcome with a free range of motion was achieved.
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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.
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Trauma surgery has always been driven forward by innovative technological advancements. The recent appearance of "advanced air mobility" (AAM) represents one of the next steps in these technological developments. These innovative flying systems have major implications for all of the various healthcare stages in trauma surgery: Unmanned aircraft systems, or drones, can deliver critical supplies on demand, just in time, without physical contact, within the "last mile delivery" concept, such as AEDs, critical medication, blood for transfusion etc. ⋯ These eVTOLs are not only new aircraft but, thanks to the autonomous flying options, they are flying computers with novel technological opportunities on board. With these new, flying operation systems, the whole rescue chain will be completely revolutionized by much faster response intervals, patient transportation times, telemedical applications, optimized emergency medical services, laboratory transportation etc. Hence, this article aims to provide a tentative overview of these new exciting technological developments in the field of trauma surgery for the benefit of our patients.
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Do drones have the potential to become established as a new member of the rescue chain? This article attempts to provide answers to this important question. In addition to a brief historical review, the many possible applications are described. ⋯ This shows how far developments have come today and which applications are conceivable in the near future. The associated challenges, such as compliance with legal requirements or training, are also addressed.