Trauma transport

  • M. Lipp
  • W. F. Dick
Part of the Topics in Anaesthesia and Critical Care book series (TIACC)


The qualified transport of trauma patients is a challenge for every emergency medical system (EMS). Any transport of a critically ill trauma patient may be associated with acute physiological changes, leading to complications in the cardiovascular system (i.e., insufficient volume substitution causing hypotension, tachycardia, and arrhythmias), the respiratory system (i.e., difficulties in artificial ventilation, resulting in hypercarbia and/or hypoxia), the central nervous system (i.e., increase in intracranial pressure with the consequence of brain edema), the thermoregulation and protection, the metabolic regulation, and the gastrointestinal system [4,7, 10,19,28].


Trauma Patient Emergency Medical Service Emergency Physician Fire Brigade Secondary Transport 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Ahnefeld FW, Weißauer W, Lippert H-D, Knuth P (1995) Rettungsdienst im Spannungsfeld zwischen Politik, Recht und Medizin. Dtsch Ärztebl 92:A674–A678.Google Scholar
  2. 2.
    Ahnefeld FW, Dick W, Schuster HP (1995) Die ärztliche Aufgabenstellung im deutschen Rettungsdienst. Notfallmedizin 21:165–169.Google Scholar
  3. 3.
    Anderson TEA, Rose WD, Leicht MJ (1987) Physician staffed helicopter scene response from a rural trauma center. Ann Emerg Med 16:58–61.PubMedCrossRefGoogle Scholar
  4. 4.
    Baxt WG (1985) Prehospital treatment and transport of the trauma patient. In: Baxt WG (ed) Trauma: the first hour. Appleton Century Crofts, East Norwalk, pp 293–303.Google Scholar
  5. 5.
    Bollinger CT, Kiener A, Weber W, Reigner M, Ritz R (1990) Helikoptertransport: Streßbelastung für Patienten? Notfallmedzin 16:36–41Google Scholar
  6. 6.
    DIVI (1997) Empfehlungen zur ärztlichen Qualifikation bei Intensivtransporten. DüsseldorfGoogle Scholar
  7. 7.
    Edlin S (1989) Physiological changes during transport of the critically ill. Intensive Care World 6:131–133.Google Scholar
  8. 8.
    Felleiter P (1996) Qualitätsmanagement in der Luftrettung. Notarzt 12:152–157.Google Scholar
  9. 9.
    Grande CM, Williams DA, McCauley M (1991) Critical care transport: mobile management of the trauma patient inside and outside the trauma center. In: Stene JK, Grande CM (eds) Trauma anesthesia. William and Wilkins, Baltimore, pp 1011–1042.Google Scholar
  10. 10.
    Guidelines Committee of the ACCCM, SCCM, AACCN (1993) Guidelines for the transfer of critically ill patients. Crit Care Med 21:931–937.CrossRefGoogle Scholar
  11. 11.
    Klingshirn H (1996) Der ärztliche Leiter Rettungsdienst. Notfallmedizin 22:101–103.Google Scholar
  12. 12.
    Krohmer JR, Hunt RC, Benson Nbieniek RB (1993) Flight physician training program-core content. Prehosp Disast Med 8:183–184.Google Scholar
  13. 13.
    Lampl L, Helm J, Weidringer JW, Winter M (1996) Stellenwert der differenten Formen der Luftrettung im Konzept des Rettungsdienstes. Notarzt 12:145–149.Google Scholar
  14. 14.
    Link J, Krause H, Wagner W, Papadopoulos G (1990) Intrahospital transport of critically ill patients. Crit Care Med 18:1427.PubMedCrossRefGoogle Scholar
  15. 15.
    Lipp M (1993) Preclinical emergency medicine systems: international comparisons. Anaesthesist 42:623–629.PubMedGoogle Scholar
  16. 16.
    Lipp MDW (1995) Fachkundenachweis “Rettungsdienst”. Notfallmedizin 21:37–41.Google Scholar
  17. 17.
    Lipp M, Mihaljevic V, Dick W (1994) Analysis of telephone calls placed to Fire Brigade, Emergency Medical Services, and General Practitioners’ Emergency Services in an emergency medical service system. Anaesthesist 43:187–193.PubMedCrossRefGoogle Scholar
  18. 18.
    Lipp M, Dick W, Ahnefeld FW, Bartels F, Knutz P, Thierbach A, Geier W (1995) Integrales Konzept Rettungsdienst/Großschadenslage. Notfallmedizin 21:589–592.Google Scholar
  19. 19.
    Manji M, Bion JF (1995) Transporting critically ill patients. Intensive Care Med 21:781–783.PubMedCrossRefGoogle Scholar
  20. 20.
    Pearl RG, Mihm FG, Rosenthal MH (1987) Care of the adult patient during transport. Int Anesthesiol Clin 25:43–75.PubMedCrossRefGoogle Scholar
  21. 21.
    Pepe PE, Almaguer DR (1989) Emergency medical services personnel and ground transport vehicles. Prob Crit Care 3:470–476.Google Scholar
  22. 22.
    Ridley S, Carter R (1989) The effects of secondary transport on critically ill patients. Anaesthesia 44:822–827.PubMedCrossRefGoogle Scholar
  23. 23.
    Silbergleit R, Dedrick DK, Burney RE, Pape P (1991) Forces acting during transport on patients stabilized by standard immobilisation techniques. Ann Emerg Med 20:875–877.PubMedCrossRefGoogle Scholar
  24. 24.
    Ufer MR (1996) Strukturwandel im Notarztdienst aufgrund höchstrichterlicher Rechtsprechung. Notfallmedizin 22:94–96.Google Scholar
  25. 25.
    Valenzuela TD, Criss E, Copass MK, Luna GK, Rice CL (1990) Critical care air transportation of the severely injured: does long distances transport adversely affect survival? Ann Emerg Med 19:169–172.PubMedCrossRefGoogle Scholar
  26. 26.
    Waydhas C, Schneck G, Duswald KH (1995) Deterioration of respiratory function after intra-hospital transport of critically ill surgical patients. Intensive Care Med 21:784–789.PubMedCrossRefGoogle Scholar
  27. 27.
    Wijngaarden M van, Kortbeek J, Lafreniere R, Cunningham R, Joughin E, Yim R (1996) Air ambulance trauma transport: a quality review. J Trauma 26:202–222.Google Scholar
  28. 28.
    Witzel K, Hoppe H, Raschka C (1998) Der präklinische Notfalltransport — welche zusätzliche Belastung stellt er für den Patienten dar? Notarzt 14:27–31Google Scholar

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© Springer-Verlag Italia 1999

Authors and Affiliations

  • M. Lipp
  • W. F. Dick

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