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Emergency airway management is a rare but essential emergency medical intervention directly impacting morbidity and mortality of emergency patients. The success of airway management depends on various factors such as patient anatomy, environmental aspects and the provider performing the procedure. Therefore, the use of a clearly structured algorithm for anticipating the difficult airway in emergency situations is strongly recommended. Our article explains different ways of securing the airway as part of a structured algorithm as well as pitfalls and helpful tips., Competing Interests: Erklärung zu finanziellen Interessen Forschungsförderung erhalten: ja, von einer anderen Institution (Pharma- oder Medizintechnikfirma usw.); Honorar/geldwerten Vorteil für Referententätigkeit erhalten: nein; Bezahlter Berater/interner Schulungsreferent/Gehaltsempfänger: nein; Patent/Geschäftsanteile/Aktien (Autor/Partner, Ehepartner, Kinder) an im Bereich der Medizin aktiven Firma: nein; Patent/Geschäftsanteile/Aktien (Autor/Partner, Ehepartner, Kinder) an zu Sponsoren dieser Fortbildung bzw. durch die Fortbildung in ihren Geschäftsinteressen berührten Firma: nein Erklärung zu nichtfinanziellen Interessen Prof. Michael Bernhard ist Schriftführer des Wissenschaftlichen Arbeitskreis Notfallmedizin und 2. Sprecher des Wissenschaftlichen Arbeitskreis Zentrale Notaufnahme der DGAI, Delegier- Feth M et al. Atemwegsmanagement im Notfall ... Notarzt | © 2022. Thieme. All rights reserved. 9 ter der DGAI bei der Erstellung der S3 LL Polytrauma, Sprecher der AG Schockraum der DGINA, Mitglied der AGNNW, AGSWN, DSG. Alle Autoren sind Entwickler und Instruktoren des DIVI-Kurses Atemwegsmanagement und Narkose in Notfall- und Akutmedizin (A. N. N.A.). PD Dr. Björn Hossfeld ist Vorstandsvorsitzender der Arbeitsgemeinschaft der in Bayern tätigen Notärzte (agbn) e. V., 2. Sprecher der AG Taktische Medizin des Wissenschaftlichen Arbeitskreis Notfallmedizin der DGAI, Delegierter der DIVI bei der Erstellung der S3 LL Polytrauma., (Thieme. All rights reserved.)

Background: The need for a concept for the nationwide strategic transfer of critical care patients in Germany was highlighted during the COVID-19 (coronavirus disease 2019) pandemic. Despite the cloverleaf concept developed specifically for this purpose, the transfer of large numbers of critical care patients represents a major challenge. With the help of a computer simulation, the SCATTER research project uses a fictitious example to test, develop, and recommend transfer strategies., Method: The simulation was programmed after collecting procedural and structural data on critical care transports within Germany. The simulation allows altering various parameters and testing different transfer scenarios. In a fictitious scenario, nationwide transfers starting from Schleswig-Holstein were simulated and evaluated using predetermined criteria., Results: In the case of ground-based transfers, it became apparent that, depending on the selected target region, not all patients could be transferred due to the limited range of ground-based vehicles. Although a higher number of patients can be transferred by air, this is associated with additional gurney changes and potential risk to the patient. A distance-dependent transport strategy led to the identical results as purely air-bound transport, since air-bound transport was always chosen due to the long distances., Discussion: The simulation can be used to develop recommendations and to draw important conclusions from different transfer strategies., (© 2023. The Author(s).)

Point-of-care sonography is a precondition in acute and emergency medicine for the diagnosis and initiation of therapy for critically ill and injured patients. While emergency sonography is a mandatory part of the training for clinical acute and emergency medicine, it is not everywhere required for prehospital emergency medicine. Although some medical societies in Germany have already established their own learning concepts for emergency ultrasound, a uniform national training concept for the use of emergency sonography in the out-of-hospital setting is still lacking. Experts of several professional medical societies have therefore joined forces and developed a structured training concept for emergency sonography in the prehospital setting. The consensus paper serves as quality assurance in prehospital emergency sonography., (© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)