{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:37:23Z","timestamp":1763037443254},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurg"],"published-print":{"date-parts":[[2020,6]]},"DOI":"10.1007\/s00104-020-01176-w","type":"journal-article","created":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T07:02:54Z","timestamp":1588748574000},"page":"517-530","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Management beim Thoraxtrauma und bei intrathorakalen Verletzungen"],"prefix":"10.1007","volume":"91","author":[{"given":"C.","family":"Schreyer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Schwab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,5,6]]},"reference":[{"key":"1176_CR1","first-page":"9","volume-title":"Jahresbericht 2019","author":"C H\u00f6fer","year":"2019","unstructured":"H\u00f6fer\u00a0C, Lefering\u00a0R (2019) Jahresbericht 2019. Traumaregister DGU, Berlin, S\u00a09\u201345"},{"key":"1176_CR2","volume-title":"S3-Leitlinie Polytrauma \/ Schwerstverletztenbehandlung","author":"AWMF","year":"2016","unstructured":"AWMF (2016) S3-Leitlinie Polytrauma \/ Schwerstverletztenbehandlung"},{"key":"1176_CR3","volume-title":"ATLS advanced trauma life support student course manual","author":"The Committee on Trauma","year":"2018","unstructured":"The Committee on Trauma (2018) ATLS advanced trauma life support student course manual, 10.\u00a0Aufl. ACS American College of Surgeons, Chicago","edition":"10"},{"key":"1176_CR4","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1007\/s00132-010-1627-z","volume":"39","author":"S Shafizadeh","year":"2010","unstructured":"Shafizadeh\u00a0S, Tjardes\u00a0T, Steinhausen\u00a0E et\u00a0al (2010) Schockraummanagement von Schwerverletzten. Eignet sich ATLS\u00ae als SOP? Orthop\u00e4de 39:771\u2013776","journal-title":"Orthop\u00e4de"},{"issue":"4","key":"1176_CR5","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1097\/00005373-199904000-00002","volume":"46","author":"GS Rozycki","year":"1999","unstructured":"Rozycki\u00a0GS, Feliciano\u00a0DV, Ochsner\u00a0MG et\u00a0al (1999) The role of ultrasound in patients with possible penetrating cardiac wounds: a\u00a0prospective multicenter study. J\u00a0Trauma 46(4):543\u2013552","journal-title":"J Trauma"},{"key":"1176_CR6","volume-title":"Angelehnt an die Algorithmen in Notf\u00e4lle in der Allgemein- und Viszeralchirugie","author":"R Schwab","year":"2019","unstructured":"Schwab\u00a0R, Germer\u00a0CT, Lang\u00a0H (2019) Angelehnt an die Algorithmen in Notf\u00e4lle in der Allgemein- und Viszeralchirugie. Springer, Berlin"},{"issue":"4","key":"1176_CR7","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1016\/j.jacr.2013.12.019","volume":"11","author":"JH Chung","year":"2014","unstructured":"Chung\u00a0JH, Cox\u00a0CW, Mohammed\u00a0TL et\u00a0al (2014) ACR Appropriateness criteria blunt chest trauma. J\u00a0Am Coll Radiol 11(4):345\u2013351","journal-title":"J Am Coll Radiol"},{"issue":"8","key":"1176_CR8","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1055\/s-0038-1667323","volume":"66","author":"R Finkbeiner","year":"2018","unstructured":"Finkbeiner\u00a0R, Krinner\u00a0S, Langenbach\u00a0A et\u00a0al (2018) Age distribution and concomitant injuries in pulmonary contusion: an analysis based on routine data. Thorac Cardiovasc Surg 66(8):678\u2013685","journal-title":"Thorac Cardiovasc Surg"},{"key":"1176_CR9","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1136\/emj.19.6.553","volume":"19","author":"J Butler","year":"2002","unstructured":"Butler\u00a0J, Sammy\u00a0I, Desmond\u00a0J, Mackway-Jones\u00a0K (2002) Antibiotics in patients with isolated chest trauma requiring chest drains. Emerg Med\u00a0J 19:553\u2013554","journal-title":"Emerg Med J"},{"issue":"7","key":"1176_CR10","first-page":"617","volume":"64","author":"RP Gonzalez","year":"1998","unstructured":"Gonzalez\u00a0RP, Holevar\u00a0MR (1998) Role of prophylactic antibiotics for tube thoracostomy in chest trauma. Am Surg 64(7):617\u2013620","journal-title":"Am Surg"},{"key":"1176_CR11","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1007\/978-3-662-53557-8_27","volume-title":"Notf\u00e4lle in der Allgemein- und Viszeralchirugie","author":"C Schreyer","year":"2019","unstructured":"Schreyer\u00a0C, G\u00fcsgen\u00a0C, Schwab\u00a0R (2019) Thoraxchirurgische Notf\u00e4lle. In: Schwab\u00a0R, Germer\u00a0CT, Lang\u00a0H (Hrsg) Notf\u00e4lle in der Allgemein- und Viszeralchirugie. Springer, Berlin, S 365\u2013380"},{"issue":"2","key":"1176_CR12","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1097\/TA.0b013e3182452444","volume":"72","author":"K Inaba","year":"2012","unstructured":"Inaba\u00a0K, Lustenberger\u00a0T, Recinos\u00a0G et\u00a0al (2012) Does size matter? A prospective analysis of 28\u201332 versus 36\u201340 French chest tube size in trauma. J\u00a0Trauma Acute Care Surg 72(2):422\u2013427","journal-title":"J Trauma Acute Care Surg"},{"key":"1176_CR13","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1136\/emermed-2013-203139.4","volume":"30","author":"N Penrose","year":"2013","unstructured":"Penrose\u00a0N (2013) Towards evidence-based emergency medicine: best BETs from the Manchester royal infirmary. BET 4: does size matter? Chest drains in hemothorax following trauma. Emerg Med\u00a0J 30:965\u2013967","journal-title":"Emerg Med J"},{"issue":"11","key":"1176_CR14","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1007\/s00113-014-2647-7","volume":"117","author":"D Bieler","year":"2014","unstructured":"Bieler\u00a0D, Franke\u00a0AF, Hentsch\u00a0S et al (2014) Gunshot and stab wounds in Germany-epidemiology and outcome: analysis from the TraumaRegister DGU(R). Unfallchirurg 117(11):995\u20131004","journal-title":"Unfallchirurg"},{"issue":"7","key":"1176_CR15","first-page":"876","volume":"41","author":"S Onat","year":"2010","unstructured":"Onat\u00a0S, Ulku\u00a0R, Avci\u00a0A, Ates\u00a0G et\u00a0al (2010) Urgent thoracotomy for penetrating chest trauma: analysis of 158 patients of a\u00a0single center. Injury 41(7):876\u2013880","journal-title":"Injury"},{"key":"1176_CR16","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1007\/s00268-016-3703-y","volume":"41","author":"D Doll","year":"2017","unstructured":"Doll\u00a0D, Eichler\u00a0M, Vassiliu\u00a0P et\u00a0al (2017) Penetrating thoracic trauma patients with gross physiological derangement: a\u00a0responsibility for the general surgeon in the absence of the trauma or cardiothoracic surgeon? World J Surg 41:170\u2013175","journal-title":"World J Surg"},{"issue":"5","key":"1176_CR17","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1097\/TA.0b013e3181f6f72f","volume":"70","author":"DE Davies","year":"2011","unstructured":"Davies\u00a0DE, Lockey\u00a0DJ (2011) Thirteen survivors of prehospital thoracotomy for penetrating trauma: a\u00a0prehospital physician-performed resuscitation procedure that can yield goodresults. J\u00a0Trauma 70(5):75\u201378","journal-title":"J Trauma"},{"issue":"6","key":"1176_CR18","doi-asserted-by":"publisher","first-page":"1359","DOI":"10.1097\/TA.0b013e318270d2df","volume":"73","author":"CC Burlew","year":"2012","unstructured":"Burlew\u00a0CC, Moore\u00a0EE, Moore\u00a0FA et\u00a0al (2012) Western trauma association critical decisions in trauma: resuscitative thoracotomy. J\u00a0Trauma Acute Care Surg 73(6):1359\u20131363","journal-title":"J Trauma Acute Care Surg"},{"key":"1176_CR19","series-title":"Emergency War Surgery","first-page":"230","volume-title":"Thoracic injuries","author":"Borden Institute US Army Medical Department Center","year":"2018","unstructured":"Borden Institute US Army Medical Department Center, School Health Readiness Center of Excellence Fort Sam Houston, Texas Office of The Surgeon General United States Army (2018) Thoracic injuries, 5.\u00a0Aufl. Emergency War Surgery, S\u00a0230\u2013248","edition":"5"},{"key":"1176_CR20","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1055\/s-0042-106087","volume":"141","author":"L Lech","year":"2016","unstructured":"Lech\u00a0L, Jerkku\u00a0T, Kanzet\u00a0K\u2011G et al (2016) Bedeutung des Gef\u00e4\u00dftraumas f\u00fcr die Schwerverletztenversorgung \u2013 Einfluss auf Verlauf und Mortalit\u00e4t. Zentralbl Chir 141:526\u2013532","journal-title":"Zentralbl Chir"},{"key":"1176_CR21","first-page":"126","volume-title":"Notf\u00e4lle in der Allgemein- und Viszeralchirugie","author":"K Elias","year":"2019","unstructured":"Elias\u00a0K, Markewitz\u00a0A, Willms\u00a0A (2019) Traumatische Verletzungen der Gef\u00e4\u00dfe und des Herzens. In: Schwab\u00a0R, Germer\u00a0CT, Lang\u00a0H (Hrsg) Notf\u00e4lle in der Allgemein- und Viszeralchirugie. Springer, Berlin, S 126\u2013140"},{"key":"1176_CR22","first-page":"1","volume":"45","author":"S Schulz-Drost","year":"2019","unstructured":"Schulz-Drost\u00a0S, Merschin\u00a0D, G\u00fcmbel\u00a0D et al (2019) Emergency department thoracotomy of severely injured patients: an analysis of the TraumaRegister DGU. Eur J Trauma Emerg Surg 45:1\u201313","journal-title":"Eur J Trauma Emerg Surg"},{"key":"1176_CR23","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.avsg.2018.03.045","volume":"52","author":"A Grigorian","year":"2018","unstructured":"Grigorian\u00a0A, Spencer\u00a0D, Donayre\u00a0C et\u00a0al (2018) National trends of thoracic endovascular aortic repair versus open repair in blunt thoracic aortic injury. Ann Vasc Surg 52:72\u201378","journal-title":"Ann Vasc Surg"},{"issue":"2","key":"1176_CR24","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1016\/j.surg.2018.04.015","volume":"164","author":"YJ Seo","year":"2018","unstructured":"Seo\u00a0YJ, Rudasill\u00a0SE, Sanaiha\u00a0Y et\u00a0al (2018) A nationwide study of treatment modalities for thoracic aortic injury. Surgery 164(2):300\u2013305","journal-title":"Surgery"},{"issue":"3","key":"1176_CR25","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1016\/j.jvs.2015.08.117","volume":"63","author":"BC Branco","year":"2016","unstructured":"Branco\u00a0BC, Boutrous\u00a0ML, DuBose\u00a0JJ et\u00a0al (2016) Outcome comparison between open and endovascular management of axillosubclavian arterial injuries. J\u00a0Vasc Surg 63(3):702\u2013709","journal-title":"J Vasc Surg"},{"key":"1176_CR26","unstructured":"TraumaRegister DGU (2015) Herzverletzungen in Deutschland 2011\u20132014, unpublizierte Daten aus dem TraumaRegister DGU. http:\/\/www.traumaregister-dgu.de. Zugegriffen: Mai 2015"},{"issue":"5","key":"1176_CR27","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1097\/TA.0000000000001667","volume":"83","author":"AL Goldstein","year":"2017","unstructured":"Goldstein\u00a0AL, Soffer\u00a0D (2017) Trauma to the heart: a review of presentation, diagnosis and treatment. J\u00a0Trauma Acute Care Surg 83(5):911\u2013916","journal-title":"J Trauma Acute Care Surg"},{"key":"1176_CR28","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1007\/s00068-006-6023-3","volume":"32","author":"F Hanif","year":"2006","unstructured":"Hanif\u00a0F, Mirza\u00a0SM, Chaudhry\u00a0AM et al (2006) Lung sparing damage control surgery for major thoracic trauma: a 5\u2011year experience. Eur J Trauma Emerg Surg 32:185\u2013189","journal-title":"Eur J Trauma Emerg Surg"},{"key":"1176_CR29","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1700505","author":"S Schulz-Drost","year":"2019","unstructured":"Schulz-Drost\u00a0S, Finkbeiner\u00a0R, Lefering\u00a0R et al (2019) Lung contusion in polytrauma: an analysis of the traumaregister DGU. Thorac Cardiovasc Surg. https:\/\/doi.org\/10.1055\/s-0039-1700505","journal-title":"Thorac Cardiovasc Surg"},{"key":"1176_CR30","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-019-01199-x","author":"KA Carlson","year":"2019","unstructured":"Carlson\u00a0KA, Dhillon\u00a0NK, Patel\u00a0KA et\u00a0al (2019) Utilization of tracheostomy among geriatric trauma patients and association with mortality. Eur J Trauma Emerg Surg. https:\/\/doi.org\/10.1007\/s00068-019-01199-x","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"3","key":"1176_CR31","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1016\/j.chest.2018.07.018","volume":"155","author":"HS Grewal","year":"2019","unstructured":"Grewal\u00a0HS, Dangayach\u00a0NS, Ahmad\u00a0U et\u00a0al (2019) Treatment of tracheobronchial injuries: a contemporary review. Chest 155(3):595\u2013604","journal-title":"Chest"},{"issue":"2","key":"1176_CR32","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1016\/j.injury.2016.11.026","volume":"48","author":"FM Pieracci","year":"2017","unstructured":"Pieracci\u00a0FM, Majercik\u00a0S, Ali-Osman\u00a0F et al (2017) Consensus statement: surgical stabilization of rib fractures rib fracture colloquium clinical practice guidelines. Injury 48(2):307\u2013321","journal-title":"Injury"},{"issue":"10","key":"1176_CR33","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1177\/000313481908501012","volume":"85","author":"S Gambhir","year":"2019","unstructured":"Gambhir\u00a0S, Grigorian\u00a0A, Swentek\u00a0L et\u00a0al (2019) Esophageal trauma: analysis of incidence, morbidity, and mortality. Am Surg 85(10):1134\u20131138","journal-title":"Am Surg"}],"container-title":["Der Chirurg"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-020-01176-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00104-020-01176-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-020-01176-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T23:07:10Z","timestamp":1620256030000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00104-020-01176-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,6]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["1176"],"URL":"https:\/\/doi.org\/10.1007\/s00104-020-01176-w","relation":{},"ISSN":["0009-4722","1433-0385"],"issn-type":[{"value":"0009-4722","type":"print"},{"value":"1433-0385","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,6]]},"assertion":[{"value":"6 May 2020","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Gem\u00e4\u00df den Richtlinien des Springer Medizin Verlags werden Autoren und Wissenschaftliche Leitung im Rahmen der Manuskripterstellung und Manuskriptfreigabe aufgefordert, eine vollst\u00e4ndige Erkl\u00e4rung zu ihren finanziellen und nichtfinanziellen Interessen abzugeben.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"<b>C.\u00a0Schreyer<\/b> gibt an, dass kein finanzieller Interessenkonflikt besteht. Nichtfinanzielle Interessen: Leiter Abteilung Thoraxchirurgie der Klinik f\u00fcr Allgemein\u2011, Viszeral und Thoraxchirurgie im Bundeswehr Zentralkrankenhaus Koblenz | Mitgliedschaften: DGT (Deutsche Gesellschaft f\u00fcr Thoraxchirurgie, Leiter Arbeitsgruppe Thoraxtrauma), DGAV (Deutsche Gesellschaft f\u00fcr Allgemein- und Viszeralchirurgie), BDC (Berufsverband der Deutschen Chirurgen), DGWMP (Deutsche Gesellschaft f\u00fcr Wehrmedizin und Wehrpharmazie). <b>R.\u00a0Schwab<\/b>: gibt an, dass kein finanzieller Interessenkonflikt besteht. Nichtfinanzielle Interessen: Direktor der Klinik f\u00fcr Allgemein\u2011, Viszeral\u2011, Thoraxchirurgie & Zentrum f\u00fcr Viszeralmedizin, Bundeswehrzentralkrankenhaus Koblenz | Mitgliedschaft in Fachgesellschaften: Deutsche Gesellschaft f\u00fcr Chirurgie (DGCH), Deutsche Gesellschaft f\u00fcr Allgemein- und Viszeralchirurgie (DGAV), Vorsitzender der CAMIN (Chirurgische Arbeitsgemeinschaft Milit\u00e4r- und Notfallchirurgie) der DGAV, European Hernia Society (EHS), European Society for Trauma & Emergency Surgery (ESTES), Gr\u00fcndungsmitglied der Deutschen Herniengesellschaft (DHG), Mittelrheinische Chirurgenvereinigung, Gr\u00fcndungsmitglied und 2.\u00a0Vorsitzender des \u201eMagen-Darm-Zentrum-Koblenz\u201c Krebsgesellschaft Rheinland-Pfalz, Deutsche Gesellschaft f\u00fcr Wehrmedizin und Wehrpharmazie, Vereinigung Deutscher Sanit\u00e4tsoffiziere (VDSO).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Autoren"}},{"value":"Die vollst\u00e4ndige Erkl\u00e4rung zum Interessenkonflikt der Wissenschaftlichen Leitung finden Sie am Kurs der zertifizierten Fortbildung auf ExternalRef removed.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Wissenschaftliche Leitung"}},{"value":"erkl\u00e4rt, dass f\u00fcr die Publikation dieser CME-Fortbildung keine Sponsorengelder an den Verlag flie\u00dfen.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}}]}}