[Essential measures for prehospital treatment of severely injured patients: The trauma care bundle].

Research paper by G G Matthes, H H Trentzsch, C G CG Wölfl, T T Paffrath, S S Flohe, U U Schweigkofler, A A Ekkernkamp, S S Schulz-Drost,

Indexed on: 15 Jul '15Published on: 15 Jul '15Published in: Der Unfallchirurg


In order to ensure adequate treatment and to avoid complications, care bundles are increasingly being implemented. These are comprehensive and evidence-based procedures for the treatment of individual diseases or injuries which should be carried out for every patient. The aim of this study was to define a care bundle for the prehospital treatment of severely injured patients.The scientific contents of the bundle were gathered from the interdisciplinary evidence-based S3 guidelines for the treatment of severely injured patients by the German Trauma Society. The ABCDE scheme suggested by the prehospital trauma life support (PHTLS®) and the advanced trauma life support (ATLS®) functioned as a matrix for the individual elements in the bundles. The identified elements were finalized by a consensus process.A bundle of six elements was suggested and a comprehensive summary of key items during prehospital management of severely injured patients was identified. In a next step the effectiveness of the care bundle should be evaluated in a clinical trial.