AINS ist die Fachzeitschrift für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie im Georg Thieme Verlag. Sie vermittelt aktuelles Fachwissen und bietet Fortbildung. AINS hat sich das Ziel gesteckt, den Leserinnen und Lesern – Fachärzten und Weiterbildungsassistenten in der Anästhesiologie – immer praxisbezogenen Nutzwert und größtmögliche Unterstützung zu bieten.

"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS" is a professional journal published by Georg Thieme Verlag, focusing on anesthesiology, intensive care medicine, emergency medicine, and pain therapy. The journal aims to provide the latest professional knowledge and continuing education for specialists and trainees in the field of anesthesiology. AINS is dedicated to offering practical value and maximum support to its readers.

《Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS》是Georg Thieme出版社出版的专业期刊，专注于麻醉学、重症医学、急救医学和疼痛治疗。该期刊旨在为麻醉学领域的专业医生和培训助理提供最新的专业知识和继续教育。AINS致力于为读者提供实用的价值和最大的支持。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS

Hinnerk Wulf

AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie

Anasthesiol Intensivmed Notfallmed Schmerzther

Schusswaffen- und Explosionsverletzungen

枪械与爆炸伤

Gunshot and blast injuries are extremely rare in the emergency services. However, in the context of the increasing threat of terrorist attacks, the possibility of these traumas is also coming into focus. This article provides an overview of the various entities and the corresponding treatment principles for penetrating injuries.

Jan-Henrik Rathjen

Martin Kulla

Axel Franke

Erwin Kollig

Dan Bieler

Überblick über präklinische Versorgung von Schuss- und Explosionsverletzungen in Deutschland

德国枪伤和爆炸伤的临床前护理概述

In the course of climate change, doctors will not only be confronted with heat-related consequences, but also with the emergence of infectious diseases caused by previously tropical pathogens in temperate climate zones.Fortunately, the topics of sustainability and climate change are also becoming increasingly important in discussions in the healthcare sector, which accounts for 4.4% of global greenhouse gas emissions. The topic of hygienically safe sustainability in healthcare facilities is highly complex due to the large number of possible adjustments, but also offers a great deal of potential.Numerous measures can be implemented without any restrictions in terms of hygiene requirements or occupational safety.It is not always the large investments that make their contribution to reducing CO

Sebastian Schulz-Stübner

Mirjam Wolinski

Vereinbarkeit von Nachhaltigkeit und Hygiene im Gesundheitswesen

卫生系统中可持续性与卫生要求的兼容性

In Germany, blast and gunshot injuries are uncommon but complex injury entities. Due to the global political situation, terrorist attacks, accidents, or acts of violence, these injuries are potentially part of the reality of care for every anaesthetist, surgeon, and emergency physician. In principle, this type of injury should be treated in a trauma centre with appropriate expertise, but the knowledge of basic treatment principles is necessary for all practitioners. First, emergency training and surgical simulation courses should be carried out regularly to remain confident in emergency surgery techniques and treatment strategies. In addition, minimally invasive methods are predominantly used in elective surgery, meaning that the routine of primarily open surgery is missing. Therefore, it is important that surgeons learn surgical steps to be better prepared for emergency open surgery.The critical principle of damage control surgery is stopping the bleeding and the contamination and preventing a delay in intensive care therapy. For penetrating thoracic trauma, a chest tube must be inserted. If the patient is hemodynamically unstable, an anterolateral thoracotomy should be performed to achieve bleeding control, e.g., by cross-clamping the aorta or pulmonary hilum. For stable patients, a video-assisted thoracoscopy might be an option.The standard abdominal approach is the median laparotomy. Bleeding control can be achieved by hiatal aortic cross-clamping and packing of the abdomen, followed by a systematic exploration. If necessary, a laparostomy must be established. Moreover, if chest injuries are ruled out, the resuscitative endovascular balloon occlusion of the aorta (REBOA) can be considered as a bridge to surgery.Whether projectiles, fragments, or shrapnels require removal depends on the location and the potential complications of tissue dissection. Penetrating injuries due to blasts and gunshots are always contaminated.

Angelina Klein

Sebastian Schaaf

Christoph Güsgen

Das thorakoabdominelle Trauma durch Explosions- und Schussverletzungen

胸部和腹部创伤：爆炸伤和枪伤

The severity and extent of gunshot and blast injuries are often misjudged due to a lack of specialist knowledge. The aim of this article is to outline the characteristics of gunshot and blast injuries, including emergency diagnostics and initial surgical treatment.Due to multiple high-energy penetrating injuries, barotrauma, or blunt trauma, affected patients are usually polytraumatized, with multiple organ damage and an average Injury Severity Score (ISS) of > 36. In addition to the complexity of the wounds, they are characteristically severely contaminated. After pre-hospital treatment, life-threatening injuries and conditions should be identified and initially treated in the trauma room phase. The procedure should be based on a standardized, internal hospital emergency medical and emergency surgical algorithm. Damage control surgery can then be used to treat acutely life-threatening complications of gunshot and blast injuries in order to prevent the fatal triad and the occurrence of further early complications. Examples of interventions include debridement and decontamination, fracture stabilization (external fixators and splints), surgical decompression (skull, thorax, compartment syndromes) and surgical hemostasis.

Abbreviation	Anasthesiol Intensivmed Notfal
Journal Impact	0.32
Quartiles(Global)	CRITICAL CARE MEDICINE(Q4)

ISSN	0939-2661, 1439-1074
h-index	29

Publication Information	Publisher: Georg Thieme Verlag，Publishing cycle: Bimonthly，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1980，Proportion of original research papers: 100.00%，Self Citation Rate:33.30%， Gold OA Rate: 0.00%
Average review cycle	网友分享经验：较慢,6-12周
Average recruitment ratio	网友分享经验：容易

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS

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Schusswaffen- und Explosionsverletzungen

Überblick über präklinische Versorgung von Schuss- und Explosionsverletzungen in Deutschland

Vereinbarkeit von Nachhaltigkeit und Hygiene im Gesundheitswesen

Das thorakoabdominelle Trauma durch Explosions- und Schussverletzungen

Schuss- und Explosionsverletzungen aus unfallchirurgischer Sicht

Schusswaffen- und Explosionsverletzungen

Überblick über präklinische Versorgung von Schuss- und Explosionsverletzungen in Deutschland

Vereinbarkeit von Nachhaltigkeit und Hygiene im Gesundheitswesen

Das thorakoabdominelle Trauma durch Explosions- und Schussverletzungen

Schuss- und Explosionsverletzungen aus unfallchirurgischer Sicht