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Diese narrative \u00dcbersichtsarbeit fasst die Evidenz zu Epidemiologie und pr\u00e4klinischer Versorgung p\u00e4diatrischer Traumapatienten im deutschen Rettungsdienst zusammen und ordnet die Befunde in einen internationalen Kontext ein.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Es wurde eine PubMed-Suche mit den Begriffen \u201echildren\u201c, \u201etrauma\u201c und \u201eprehospital\u201c durchgef\u00fchrt. Eingeschlossen wurden Studien zur pr\u00e4klinischen Versorgung verletzter Kinder und Jugendlicher; von 421 Treffern wurden 20\u00a0Arbeiten ausgew\u00e4hlt und durch R\u00fcckw\u00e4rtssuche erg\u00e4nzt, mit Fokus auf Daten aus Deutschland und vergleichbaren Hochlohnl\u00e4ndern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>P\u00e4diatrische Notf\u00e4lle machen etwa 5\u202f% der bodengebundenen und 6\u201313\u202f% der luftgebundenen Eins\u00e4tze aus; schwer verletzte Kinder (z.\u202fB. NACA IV\u2013VII) stellen nur einen kleinen Bruchteil dar und machen das p\u00e4diatrische Polytrauma zu einem klassischen \u201eLow-frequency-high-impact\u201c-Szenario. Der Anteil traumatischer Notf\u00e4lle steigt mit dem Alter und ist im Jugendalter am h\u00f6chsten; Jungen sind in allen Kollektiven \u00fcberrepr\u00e4sentiert. St\u00fcrze und Verkehrsunf\u00e4lle dominieren, \u00fcberwiegend als stumpfe Traumata mit vorwiegend Kopf- und Extremit\u00e4tenverletzungen. Ein Polytrauma wird nur bei rund 5\u202f% der verletzten Kinder beschrieben und betrifft v.\u202fa. \u00e4ltere Kinder und Jugendliche. Sauerstoffgabe, ven\u00f6se Zug\u00e4nge, Immobilisation und Analgesie geh\u00f6ren zu den h\u00e4ufigen Ma\u00dfnahmen, w\u00e4hrend Intubation, intraoss\u00e4re Zug\u00e4nge, Thoraxdrainagen und andere invasive Prozeduren selten bleiben. Mehrere Studien belegen, dass Luftrettung sowie die prim\u00e4re Aufnahme in ein (p\u00e4diatrisches) Traumazentrum mit einer verbesserten \u00dcberlebensrate assoziiert sind.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>P\u00e4diatrische Traumapatienten bilden eine kleine, aber risikobehaftete Patientengruppe, bei der invasive Prozeduren unter Zeitdruck und emotionaler Belastung durchgef\u00fchrt werden m\u00fcssen. Die Versorgung komplexer F\u00e4lle durch spezialisierte HEMS-Teams und in klar ausgewiesenen (p\u00e4diatrischen) Traumazentren, eine gest\u00e4rkte notfallsanit\u00e4terbasierte Versorgung, simulationsbasiertes Training und eine standardisierte pr\u00e4- und innerklinisches Outcome-orientierte Datenerfassung sowie der weitere Ausbau regional koordinierter Traumanetzwerke sind zentrale Schritte zur Verbesserung der pr\u00e4klinischen Versorgung verletzter Kinder.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00101-025-01624-4","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T15:23:04Z","timestamp":1767972184000},"page":"125-137","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pr\u00e4klinische Versorgung schwer verletzter Kinder in Deutschland","Prehospital treatment of severely injured children in Germany"],"prefix":"10.1007","volume":"75","author":[{"given":"Lennart","family":"Burger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Rehberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl-Christian","family":"Thies","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"1624_CR1","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1007\/s100490050221","volume":"3","author":"M Albrech","year":"2000","unstructured":"Albrech\u00a0M, Berner\u00a0J, Altemeyer\u00a0K (2000) Kindernotf\u00e4lle im Luftrettungsdienst. 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