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Schockraumdiagnostik

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Kompendium bildgebende Frakturdiagnostik

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Zusammenfassung

Der Schockraum ist die Nahtstelle zwischen prä- und innerklinischer Versorgung akut vital bedrohter Patienten. Die Indikationen reichen vom Polytrauma, der akuten Neurologie über den akuten Brust- oder Bauchschmerz bis hin zur unklaren Situation bei komatösen Patienten. Daher erfolgt die Versorgung immer interdisziplinär und stellt höchste Anforderungen an alle Beteiligten. Dies erfordert abgestimmte, ursachenspezifische Standards und gegenseitiges Verständnis der beteiligten Partner. Die Radiologie ist in der Diagnostik und der interventionellen Therapie integraler Bestandteil der Versorgung. Zentrale diagnostische Modalitäten sind die FAST-Sonografie („focused assessment with sonography for trauma“) und die Ganzkörper-Computertomografie (GK-CT) sowie für spezielle Fragestellungen auch die Magnetresonanztomografie (MRT). Dabei kommt es in der Notfallradiologie auf die schnelle Erfassung und klare Kommunikation und Dokumentation der relevanten Befunde an. Analog zur Maxime des Advanced Trauma Life Support (ATLS) gilt „diagnose first what kills first“.

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Authors and Affiliations

  1. Institut für Radiologie und Nuklearmedizin, Schwarzwald-Baar-Klinikum, Schwenningen, Deutschland

    Alexander Gäble & Muhammad AlMatter

  2. Klinik und Poliklinik für Radiologie, Klinikum der Ludwig-Maximilians-Universität München, München, Deutschland

    Marco Armbruster & Marc Mühlmann

  3. Abteilung für Diagnostische und Interventionelle Neuroradiologie, Klinikum rechts der Isar der Technischen Universität München, München, Deutschland

    Maria Berndt

  4. Institut für Rechtsmedizin, Ludwig-Maximilians-Universität München, München, Deutschland

    Florian Fischer & Oliver Peschel

  5. Institut für Radiologie und Nuklearmedizin/Klinik für Neurochirurgie, Schwarzwald-Baar-Klinikum, Schwenningen, Deutschland

    Adisa Kuršumovic

  6. Klinik für Neurologie, Schwarzwald-Baar-Klinikum, Schwenningen, Deutschland

    Hubert Kimmig & Rainer Ritz

  7. Zentrale Notaufnahme und Aufnahmestation, Schwarzwald-Baar-Klinikum, Schwenningen, Deutschland

    Bernhard Kumle

  8. Klinik für Anästhesiologie, Intensiv-, Notfall- und Schmerzmedizin, Schwarzwald-Baar-Klinikum, Schwenningen, Deutschland

    Sebastian Russo

  9. Institut für Radiologie und Nuklearmedizin, Schwarzwald-Baar-Klinikum, Schwenningen, Deutschland

    Frank Schmid & Stefan Wirth

  10. Klinik für Unfallchirurgie und Orthopädie, Schwarzwald-Baar-Klinikum, Schwenningen, Deutschland

    Guido Wanner

  11. Institut für Radiologie und Nuklearmedizin, Schwarzwald-Baar-Klinikum, Schwenningen, Deutschland

    Birgit Zieger & Stefan Wirth

  12. European Society of Emergency Radiology, Wien, Austria

    Stefan Wirth

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  1. Alexander Gäble
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  16. Stefan Wirth
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Correspondence to Stefan Wirth .

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  1. Institut für Radiologie, Universitätsmedizin Rostock, Rostock, Mecklenburg-Vorpommern, Deutschland

    Marc-André Weber

  2. Unfallchirurgie, Universitätsmedizin Rostock, Rostock, Mecklenburg-Vorpommern, Deutschland

    Thomas Mittlmeier

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Gäble, A. et al. (2023). Schockraumdiagnostik. In: Weber, MA., Mittlmeier, T. (eds) Kompendium bildgebende Frakturdiagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63602-2_16

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  • DOI: https://doi.org/10.1007/978-3-662-63602-2_16

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