Oral Presentations S37 AS-102 Prehospital treatment times for trauma patients in Germany A. Gries, M. Sikinger, Ch. Hainer, N. Ganion, G. Petersen, M. Bernhard, U. Schweigkofler, P. Stahl, J. Braun Team DRF, German Air Rescue, Rita-Maiburg-Str. 2, D-70794 Filder- stadt, Germany Introduction: Air rescue prehospital treatment times of trauma patients in terms of disposition and efficiency when a ground rescue team was already present at the site were investigated. Methods: The medical database (MEDAT) of the German Air Res- cue was analysed for missions undertaken in 2006. These involved 28 air rescue centres (ARC) of the TeamDRF and 6 ARC of the federal police. Missions with (MEDAT1) and without (MEDAT2) a physician staffed ground emergency rescue team were investigated. Addition- ally, the combined (MAN1) and solo (MAN2) missions at the regional ARC in Heidelberg/Mannheim were analysed for the total treatment times of all the emergency physician systems. Results: 9235 missions in MEDAT1 and 2229 missions in MEDAT2 were analysed. Helicopter treatment times increased with the severity of the injuries (17 ± 12 (NACA I)—36 ± 19 min (NACA VII)). In MEDAT1 the treatment times were 2.8—8.1min shorter than in MEDAT2 (P < 0.01) and more interventions (intubation, vasoactive drugs, thoracic tube) were undertaken. In the regional study, from a total of 382 patients, there were 58 with polytrauma in MAN1 and 32 in MAN2. The helicopter treatment times were comparable with the nationwide results (26 ± 12 vs. 35 ± 20 min, P < 0.05). In MAN1 the treatment time for the ground rescue services alone was 22 ± 11 min. The total treatment time was 48 ± 15 min, which was 12 ± 8 min longer than in MAN2 (P < 0.05). In MAN1 the helicopter was alerted on average 17 ± 15 min after the ground rescue services arrived at the site. Conclusion: The helicopter treatment times are several minutes shorter when a physician-staffed ground rescue team is already on the scene. However, total prehospital time is significantly longer for such missions. Therefore, when air rescue is required, the heli- copter should be alerted at an early stage. This may improve the prognosis of severely injured patients and save costs. doi:10.1016/j.resuscitation.2008.03.116 AS-103 Advanced life support and pre-hospital trauma care database course web-based data manager F. Semeraro, A. Carloni, L. Marchetti, C. Sandroni, G. Lanfranco, S. Di Bartolomeo, E. Bigi, A. Barelli, A. Scapigliati, R. Boverio, M. Gianolio Anaesthesia and Intensive Care, Maggiore Hospital, Bologna, Italy Introduction: Over the last 10 years, the Italian Resuscitation Council (IRC) has increased its training network. A course database organisation was projected to improve IRC courses data availability. The aim was to develop a software tool for IRC Advanced Life Sup- port (ALS) and Pre-hospital Trauma Care (PTC) course organization, with a standard user-friendly web-based interface within a secure environment, to protect instructor’s and candidate’s data. Methods: We planned a 6 months trial period to test a beta ver- sion of database ALS/PTC (July-December 2007). We included 37 ALS and 15 PTC Directors across the country. Each Director had a per- sonal IRC-assigned username and password to access the database. For every ALS and PTC course organized, each director was required to send an approval request form at least 6 weeks before the sched- uled course date, via database system. Afterwards, a candidate results form (pre-MCQ, post-MCQ and CasTest) had to be compiled to complete data sheet. From 1 January 2008, the ALS and PTC online database will become a national IRC standard. Results: At the end of trial period we archived 35 ALS course and PTC course reports. The system processed 589 candidate result forms (about 97% pass, 3% fail and 8% potential instructors). Dur- ing the trial period, to evaluate system manageability, utility and implementations (July—December 2007), a customer-care survey was sent via database to all Course Directors, in order to have an evaluation feedback about interface usefulness and future imple- mentations. Discussion: ALS and PTC online database will become an impor- tant tool for the organization of future IRC courses (waiting list IPs, full instructors activities, ICs learning paths, assessments statistics, etc.). doi:10.1016/j.resuscitation.2008.03.117 AS-104 Whole body computed tomography during trauma resuscitation—–Effect on outcome K. Karl-Georg, S.M. Huber-Wagner, M.V. Kay, M. Qvick, R. Lefering Chirurgische Klinik, Campus Innenstadt, Klinikum der Universit, Germany Introduction: According to ATLS ® standards, computed tomog- raphy (CT) serves as a second-line diagnostic procedure during trauma resuscitation. In some trauma centres however, whole body computed tomography (WBCT) is used as a diagnostic tool for the primary trauma survey. There is no evidence to date suggesting that use of WBCT has a significant effect on the outcome of major trauma patients. Methods: In a prospective, multicentre study we compared the probability of survival (Ps) in those patients who received WBCT during trauma resuscitation with those who did not. Using data derived from the Trauma Registry of the German Trauma Society, we determined the Ps according to the trauma and injury severity score (TRISS), the revised injury severity classification score (RISC), and the standardized mortality ratio (SMR, observed/expected mor- tality). Results: 1.535 (31.9%) of the identified 4.817 patients, with a mean age of 42.5 years, received WBCT: 73.2% were male, 96.2% suffered from blunt trauma, the mean ISS was 29.8. SMR calculated by TRISS was 0.74 (CI95% 0.63—0.85) for the WBCT vs. 1.04 (CI95% 0.93—1.15) for the non-WBCT group (p = 0.001). RISC score calcula- tion revealed a SMR of 0.87 (CI95% 0.78—0.96) for the WBCT vs.1.05 (CI95% 0.98—1.12) for the non-WBCT group (p = 0.018) Conclusions: Integration of whole body computed tomography (WBCT) into early trauma care significantly increases the probabil- ity of survival of polytrauma patients. The relative reduction of the mortality rate based on the TRISS is 26% (CI 95% 15—37%) and 13% (CI 95% 4—22%) based on the RISC-score. Multi-slice computed tomog- raphy (MSCT) should be implemented as a standard diagnostic tool during primary survey of polytrauma patients. doi:10.1016/j.resuscitation.2008.03.118