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Leichtes Schädel-Hirn-Trauma bei Kindern und Erwachsenen

Diagnostische Herausforderungen in der Notfallaufnahme

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Weiterbildung Notfallmedizin

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Zusammenfassung

Das leichte Schädel-Hirn-Trauma (SHT) ist eines der häufigsten Verletzungsbilder in Notfallaufnahmen und birgt besondere Herausforderungen. Einerseits sind relevante Verletzungsfolgen selten, andererseits gibt es Fälle, bei denen verzögert oder gar nicht erkannte Verletzungen fatale Konsequenzen nach sich ziehen. Das initial meist unauffällige klinische Erscheinungsbild korreliert häufig nicht mit dem Verletzungsausmaß. Säuglinge und kleine Kinder sind aufgrund ihrer noch fehlenden oder erst beginnenden kognitiven und sprachlichen Entwicklung oftmals schwierig einzuschätzen, besonders für im Eimgang mit dieser Altersgruppe nichterfahrene Untersucher. Etablierte Checklisten für klinische Risikofaktoren einer intrakraniellen Verletzung bei Kindern und Erwachsenen ermöglichen allerdings die differenzierte und rationale Indikationsstellung zur Computertomographie des Schädels. Relevante Verletzungsfolgen können so sicher erkannt und zugleich eine unnötige Strahlenbelastung vermieden werden.

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Author information

Authors and Affiliations

  1. Interdisziplinäre Rettungsstelle, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin

    B.A. Leidei

  2. Chirurgische Rettungsstelle, Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Berlin

    T. Lindner

  3. Klinik für Neurochirurgie, Charité - Universitätsmedizin Berlin, Berlin

    S. Wolf

  4. Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Campus Innenstadt, Klinikum der Universität München, München

    V. Bogner

  5. Pädiatrische Intensivmedizin, Campus Großhadern, Klinikum der Universität München, München

    A. Steinbeck

  6. Klinik für Pädiatrie, Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Berlin

    N. Börner & C. Peiser

  7. Klinik und Hochschulambulanz für Neurologie, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin

    H J. Audebert

  8. Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München

    P. Biberthaler & K.-G. Kanz

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Leidei, B. et al. (2016). Leichtes Schädel-Hirn-Trauma bei Kindern und Erwachsenen. In: Weiterbildung Notfallmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49554-4_1

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  • DOI: https://doi.org/10.1007/978-3-662-49554-4_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49553-7

  • Online ISBN: 978-3-662-49554-4

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