Der Unfallchirurg
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The digitalization of healthcare systems is no longer a trend but a reality, which is driven by the rapid developments in the fields of medicine, information and communication technology (ICT). It revolutionizes the practice of medicine by making innovative treatment forms possible by the accelerated exchange of patient data. In this way it brings tremendous advantages to all stakeholders in healthcare delivery. ⋯ Examples of such projects are emergency triage, online video consultations and digital care projects. There are many emerging trends in the field of digital health, which are developing at different paces. Examples of such trends are artificial intelligence, robotics, blockchain and augmented reality.
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Review Case Reports
[Bilateral well-leg compartment syndrome in a child after abdominal trauma : A review of the literature and treatment recommendations illustrated by a case study].
This article reports a case of a bilateral well leg compartment syndrome (WLCS) in a 9-year-old girl who presented to the emergency room 24 h after blunt abdominal trauma and liver laceration. The abdomen was already packed on presentation. ⋯ In an analysis of literature only five cases of WLCS after surgery in a supine position were found. The young age of the patient and the intra-abdominal packing were identified as risk factors for increased intra-abdominal pressure and reperfusion was suspected to be the cause of the lower leg compartment syndrome.
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Digital exchange of images and diagnostic findings has become more and more popular in German hospitals in recent years. Solutions such as the TKmed telecooperation platform, which was developed on behalf of the German Trauma Society (DGU), have meanwhile also become established in the clinical routine of trauma surgery and can be very useful in cases of emergency relocation, for requesting second opinions, in questions with respect to the severely injured type procedure (SAV) and other applications. A fast, secure and privacy-conform exchange of treatment and imaging data can be beneficial, particularly in the care of severely injured patients. This article provides an overview of the development and use of teleradiology tools in trauma networks across Germany.
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Telemedical concepts, already successfully established in various clinical areas, such as radiology, are increasingly being implemented in the preclinical setting throughout Germany (tele-emergency physician). ⋯ With its special structures and processes, the overall concept of the telemedical emergency physician meets the changing challenges in the preclinical healthcare system and opens up new possibilities for patient care that meet the current requirements.
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Driving a motor vehicle is one of the most important aspects of personal mobility in our society. However, there is a lack of evidence regarding driving fitness after orthopedic or trauma surgery-related diseases. Aim of this systematic review was to support the treating physician to determine the individual driving fitness in patients with musculosceletal disorders. ⋯ This article supports the treating physician to individually determine the driving fitness in patients with musculoskeletal disorders. However, only a few standardized tests exist to individually determine the driving fitness in patients with musculoskeletal disorders. A particular shortcoming was observed for impairments of the upper extremity.