Der Unfallchirurg
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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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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.
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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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For years e‑bike (Pedelec) sales have been steadily increasing. Therefore, the incidence of e‑bike-related injuries and deaths has been growing. Due to clinical experience, emergency personnel are suspecting that e‑bikers might be injured more severely compared to conventional bicyclists suffering from an accident. This topic has not yet been analyzed for Germany. ⋯ E‑bikers are more severely injured in accidents compared to conventional cyclists. Due to older age and comorbidity they form a sensitive trauma subgroup. Based on demographics, an increase of old age, more frail cyclists and a growing incidence of serious e‑bike accidents is to be expected. Preventive measures, such as helmet usage and riding lessons should be introduced, especially in e‑bikers. E‑bikers in the emergency department should be examined and treated with special care and aggressive diagnostics. A low threshold for an initial interdisciplinary assessment (shock room management) is advised.