Subject(s)
Blast Injuries/therapy , Explosions , First Aid , Blast Injuries/diagnosis , Germany, West , Humans , TriageABSTRACT
An osseous ligament rupture in the ankle joint can conceal a distorsion. The exact diagnosis is possible only by X-ray. The origin of those injuries is frequently twisting of the ankle by walking on smooth or uneven ground. Osseous ligament tear out injuries in the ankle joint are found frequently in defined areas of ligament-passage points and insertions of the ankle joint. Mostly the collateral ligaments are concerned.
Subject(s)
Ankle Injuries , Ligaments, Articular/injuries , Adolescent , Adult , Aged , Ankle Joint/diagnostic imaging , Ankle Joint/pathology , Casts, Surgical , Child , Female , Humans , Ligaments, Articular/diagnostic imaging , Male , Middle Aged , RadiographySubject(s)
Abdomen, Acute/surgery , Emergencies , Abdomen, Acute/diagnosis , Diagnosis, Differential , HumansABSTRACT
The constant improvement in the medical care of craniocerebral injuries requires the introduction of an emergency ambulance accompanied by an experienced doctor. The doctor carries out the decisive first aid at the scene of the accident and decides which hospital department the injured person shall be transferred to. Open craniocerebral injuries and intracranial hemorrhages must be taken directly into a neurosurgical department. Two-thirds of the craniocerebral injuries were acute subdural and epidural hematomas, the remaining third comprised the open craniocerebral injuries. The treatment demands great operative experience and teamwork between the doctors of neighboring specialist fields. The introduction of an emergency ambulance with a doctor included in the team has led to improvement of the chances of healing and surival of severely injured patients.
Subject(s)
Craniocerebral Trauma/surgery , Emergency Medical Services , First Aid , Accidents , Brain Injuries/surgery , Cerebral Hemorrhage/epidemiology , Cerebral Hemorrhage/surgery , Craniocerebral Trauma/diagnosis , Craniocerebral Trauma/epidemiology , Germany, West , Hematoma, Subdural/diagnosis , Hematoma, Subdural/surgery , Humans , Skull Fractures/surgery , WorkforceABSTRACT
The emergency ambulances of the emergency medical service in Munich have been called out on 89,748 occasions. From the point of view of the specialties involved, internist emergencies were the most frequent with more than half the calls. One fifth of the emergencies were street accidents, occupational and domestic accidents. Genuine saving of life was possible in 1.3% of the cases. Vital functions were disturbed in 10% of all emergencies. With increasing popularity, the emergency ambulance is called to every urgent medical case, because it appears for every patient with unsurpassed reliability and speed. Herein lies the dangers of misuse and decreasing efficiency of an organization originally conceived only for victims of street accidents.