[Safe:Trac course series of the German Society for Trauma Surgery on patient safety].

Based on crew resource management of the airline industry the German Society for Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie, DGU) was the first scientific community in Germany to develop and implement a training course for patient safety. The S:training courses contain four course formats which focus on the prehospital life support (S:PLS), the operating room (S:OR), the trauma room (S:TR) and the intensive care unit (S:ICU). In the training the importance of the human factor for the management of acute major trauma is developed by means of presentations, training videos, practical training, discussions and realistic case scenarios associated with the special working environment of the participants.

[Emergency care for traffic accidents in Bavaria: current process analysis depending on hospital and emergency service structures].

A change is emerging in the hospital landscape due to health political measures, which in consequence also influences the prehospital medical care in emergencies. The main focus of this study was to gather information about emergency medical care after traffic accidents on the basis of data from Bavarian emergency medical services. In 2006 there were 14,261 traffic accidents in Bavaria where an emergency doctor attended the scene.

[Empathy in surgery. Awareness of the quality of life in patients with rectal carcinoma].

Even though the importance of empathy for a good physician-patient-relationship is consistently emphasized, there are only a few empirical investigations. In this study the empathy of surgeons was evaluated by asking them to put themselves in the preoperative situation of a patient with a rectal carcinoma. They should state the quality of life from the patient's point of view using the EORTC-QLQ-C30.

[Prognostic value of routine parameters and laboratory parameters after major trauma. A prospective preclinical-clinical study of air rescue patients].

In this prospective study, 273 air rescue patients with major blunt trauma were followed throughout their prehospital and clinical management. A blood sample was taken upon arrival and data acquired at three defined time points. With these data, for the first time a prognosis prediction model with prehospital and early clinical routine parameters and routine lab parameters was tested for predictive power.

[Sexuality and body image in patients with rectal cancer].

Study Design: Rectal cancer patients were invited to complete a questionnaire aimed at evaluating their current body image and sex life 3 and 6 months after surgical treatment. In addition, the possible impact of a stoma was investigated. The relevant pre-operative situation was determined retrospectively.

[Pediatric cases in preclinical emergency medicine: critical aspects in the range of missions covered by ground ambulance and air rescue services].

Background: The aim of this study was to demonstrate differences in structure and severity of pediatric emergencies treated by aeromedical (air rescue) or ground ambulances services. Conclusions for the training of emergency physicians are discussed.

Patients And Methods: In a 3-year study period, a total of 9,274 pediatric emergencies covered by the ADAC air rescue service are compared to 4,344 pediatric patients of ground ambulance services in Saarland.

[Functional outcome and quality of life after coloanal or colonic pouch-anal anastomosis--a prosepctive randomized study].

Functional variables after coloanal anastomosis or anastomosis with J pouch were investigated in 40 patients in a prospective randomized study. Continence for liquids and gas control were superior after J pouch anastomosis compared with coloanal reconstruction. The neorectal capacity was higher after J pouch anastomosis.

Neorectal reservoir is not the functional principle of the colonic J-pouch: the volume of a short colonic J-pouch does not differ from a straight coloanal anastomosis.

Background: Low anterior resection with coloanal anastomosis prevents a definitive stoma in patients with distal rectal cancer. However, imperative stool urge, stool fragmentation, prolonged stooling sessions, and minor problems of incontinence are frequently observed in the postoperative situation and negatively affect quality of life. Therefore, the colonic J-pouch was originally constructed to create a stool reservoir.