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Streibert Fridolin Bernhardt Claudia Simon Philipp Hilbert-Carius Peter Wrigge Hermann 《Der Anaesthesist》2023,72(1):57-62
Die Anaesthesiologie - Die Anlage einer Magensonde im OP oder auf einer Intensivstation (ITS) stellt eine alltäglich durchgeführte Prozedur dar. Obwohl die Sonde häufig durch... 相似文献
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P. Hilbert-Carius M. F. Struck V. Hofer J. Hinkelbein Th. Wurmb M. Bernhard B. Hossfeld 《Der Anaesthesist》2018,67(11):821-828
Background
In Germany more than 110,000 helicopter emergency medical service (HEMS) missions are carried out annually. A considerable number of patients are ventilated during the flight. So far, structured surveys with respect to the ground transport from the helipad to the hospital facility and handover of ventilated patients in the emergency room (ER) are not available in the German-speaking HEMS system. The handover of ventilated HEMS patients in the ER (HOVER I study) explored the use of the helicopter ventilator and medical equipment during the transport from the hospital landing site to the ER.Method
After approval by the HEMS operators, emergency medical doctors and HEMS technical crew members (HEMS-TC) of 145 German-speaking HEMS bases were invited to participate in an anonymous online survey (period: 1 February 2018–1 March 2018). Each participant was only allowed to submit the survey once.Results
Data of 569 participants were completely analyzed, with responses from 429 emergency physicians and 140 HEMS-TC (75% from Germany, 13% Switzerland, 11% Austria, 1% Italy and Luxembourg). The most frequent type of aircraft used was the Eurocopter (EC)/Airbus helicopter (H) 135 (60.5%) followed by the EC/H 145 (33%). The majority of the respondents (53%) principally used the helicopter ventilator machine for patient transport from the helipad to the ER, 38% used it depending on the circumstances and 7% never used it. Of the participants 52% always took the emergency backpack for patient transport to the ER, 43% depending on the situation and 5% never took it along. The availability of oxygen or a ventilator at the helipad was considered to be helpful (59% and 45%, respectively), obligatory (25% and 14%, respectively) but was also considered unnecessary by some participants (16% and 40%, respectively). The collection of the HEMS team by a hospital team at the helipad was rated as helpful (64%) or mandatory (19%), 12% considered it to be unimportant and 5% even disturbing. For most respondents (58.5%) the responsibility for the patient ended after a structured handover on reaching the internal hospital target area (e.g. the ER).Conclusion
The management of the handover of ventilated emergency patients in German-speaking HEMS is heterogeneously structured. Only approximately 50% of the participants frequently carried the helicopter ventilator and emergency equipment during patient transport to the ER. Depending on the situation, more than 90% of the respondents used the helicopter ventilator and emergency backpack during the transport. The collection of the HEMS team by a hospital team at the helipad was appreciated by the majority of participants. The use of the helicopter ventilator for patient transport to the ER needs to be explored in future studies.The study was registered at the Research Registry (www.researchregistry.com) under the following number: researchregistry29253.
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Notfall + Rettungsmedizin - Die aktuellen europäischen und deutschen Traumaleitlinien fordern eine frühe Diagnose und Therapie einer traumatischen Gerinnungsstörung. Vor diesem... 相似文献
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Die Anaesthesiologie - Plasmatische Gerinnungsstörungen bei Schwerverletzten sind häufig; zu thrombozytären Funktionsstörungen existiert nur wenig Evidenz. Ein Monitoring der... 相似文献
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Notfall + Rettungsmedizin - Neben dem schweren Schädel-Hirn-Trauma sind starke Blutungen eine der typischen Todesursachen beim Trauma. Hämorrhagien zählen daneben zu den... 相似文献
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Hilbert-Carius P. Wurmb T. Lier H. Fischer M. Helm M. Lott C. Böttiger B. W. Bernhard M. 《Der Anaesthesist》2017,66(3):195-206
Die Anaesthesiologie - Im Jahr 2011 ist die erste interdisziplinäre S3-Leitlinie zur Versorgung von Schwerverletzten publiziert worden. Nach intensiver Überarbeitung dieser Leitlinie... 相似文献
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