Anwendung des Doppelbeutelsystems bei Amputationsverletzungen der Hand
摘要
Amputation injuries to the hand are rare events in emergency care with which both first responders in the emergency services and clinical personnel may be confronted. Their rarity in combination with insufficient knowledge may lead to errors in management, storage, and transportation of the amputated parts. This can impair the chances of successful replantation. The double-bag system (DBS) is considered an established and safe method for the prehospital storage of amputated hand parts.
MethodologyUsing a self-designed online survey, 1043 members of the German emergency medical services were questioned about their knowledge regarding the storage and transport of amputated hand parts. In addition to basic knowledge regarding the care of amputations, the level of knowledge about the use of the DBS was evaluated.
ResultsOf the 1043 respondents, 403 (54.0%) had treated an amputation injury of the hand in the past. The DBS was known to 961 (92.0%) of all respondents. Of the respondents who had already treated an amputation injury, 81.6% had used the DBS at least once. Overall, 34.5% of respondents were unaware of the impact of correct storage and transport on the success of replantation. A total of 21.7% of all respondents felt insecure or very insecure about using the DBS. The results show that incorrect use of the DBS occurs due to a lack of resources, gaps in knowledge, and a lack of routine. There was interest in additional training and continuing education on the standardized care and safe transport of amputated parts.
ConclusionPrehospital management of amputated hand parts is a rare but crucial challenge for emergency medical services personnel. Regular training with an emphasis on the DBS is essential to ensure standardized care in emergencies and thus enable successful replantation.