140 results on '"Notfälle"'
Search Results
2. Palliativmedizin im Rettungsdienst: Mehr als nur Sterbebegleitung.
- Author
-
Kriesen, Ursula, Fehlandt, Maria, and Dräger, Désirée Louise
- Abstract
Copyright of Notfall & Rettungsmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
3. Notfalldiagnostik im Gastrointestinaltrakt.
- Author
-
Gerwing, Mirjam and Eisenblätter, Michel
- Abstract
Copyright of Die Gastroenterologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
4. Erreichbarkeit geeigneter Zielkliniken in Zeiten des Klinikstrukturwandels: Ein interaktives Simulationstool für den Rettungsdienst in Bayern
- Author
-
Lämmer, Matthias, Schlickeisen, Julia, Klinger, Andreas, and Hegenberg, Kathrin
- Published
- 2024
- Full Text
- View/download PDF
5. Akutes Abdomen im Kindesalter.
- Author
-
Theilen, Till-Martin and Rolle, Udo
- Subjects
ACUTE abdomen ,MULTISYSTEM inflammatory syndrome in children ,TEENAGE boys ,SPERMATIC cord torsion ,URETERIC obstruction ,BOWEL obstructions - Abstract
Copyright of Medizinische Klinik: Intensivmedizin & Notfallmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
6. Training von Basisreanimationsmaßnahmen (Newborn Life Support, Paediatric Basic Life Support): Positionspapier der Arbeitsgruppe „Pädiatrische Simulation und Patient*innensicherheit" der Österreichischen Gesellschaft für Kinder- und Jugendheilkunde (ÖGKJ)
- Author
-
Wagner, Michael, Mileder, Lukas P., Aspalter, Gerhard, Bachmann, Andrea, Berger, Roland, Bibl, Katharina, Cardona, Francesco S., Csomor, Daniel, Dau, Cécile, Hofer, Daniela, Minkov, Milen, Schwindt, Eva, Sohm, Michael, Steinbauer, Philipp, Stocker, Simon, Wald, Martin, Weisser, Christof, Werther, Tobias, and Schmölzer, Georg M.
- Abstract
Copyright of Monatsschrift Kinderheilkunde is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
7. Integration der Palliativmedizin in die Akutmedizin.
- Author
-
Nauck, Friedemann and Jaspers, Birgit
- Abstract
Copyright of Der Schmerz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
8. Bildgebung bei akutem Abdomen – Teil 2: Fallbeispiele häufiger organbezogener Ursachen: Gastrointestinaltrakt und Urogenitalsystem.
- Author
-
Reimer, Robert Peter, Heneweer, Carola, Juchems, Markus, and Persigehl, Thorsten
- Abstract
Copyright of Der Radiologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
9. Fieber während der Granulozytopenie bei krebskranken Kindern und Jugendlichen.
- Author
-
Bochennek, K., Simon, A., Laws, H.-J., Groll, A. H, and Lehrnbecher, T.
- Abstract
Copyright of Monatsschrift Kinderheilkunde is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
10. Innerklinisches Notfallmanagement : Konzepte zur Optimierung der Patientensicherheit im Krankenhaus.
- Author
-
Heller, A. R. and Koch, T.
- Abstract
Critical incidents in hospitals can often be predicted hours before the event and can mostly be detected earlier and presumably avoided. Quality management programs from US hospitals to reduce deaths following a severe postoperative complication (failure to rescue, FTR), have in this form not yet become established in Germany. A sensitive score-based early warning system for looming complications is decisive for successful in-hospital emergency management. In addition to measurement rounds where the frequency is adapted to the severity, this includes effective communication of the results to the ward physician, who in the best case scenario solves the problem alone. If the deployment of a medical rapid response emergency team (MET) is necessary, there must be clear chain of alarm pathways and the personnel on the ward must be able to take initial bridging action until the MET arrives. The MET provides 24/7 emergency and intensive medical expertise for peripheral wards and must be familiar with the location, well-equipped and trained. Communication skills are particularly required not only to be able to handle the immediate emergency situation but also to organize the downstream diagnostics and escalation of treatment; however, the MET is only one of the links in the in-hospital rescue chain, which can only improve the patient outcome when alerted in a timely manner. Feedback systems, such as participation in the German Resuscitation Registry, allow reflection of one's own performance in a national comparison. The chances offered by a MET will only be fully realized when it is integrated into an in-hospital emergency concept and this determines the added value for patient safety. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
11. Fenestrierte EVAR bei juxtarenalen Aortenaneurysmen.
- Author
-
Stana, J., Fernandez Prendes, C., Konstantinou, N., Rantner, B., Banafsche, R., and Tsilimparis, N.
- Abstract
Copyright of Gefaesschirurgie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
12. Orientierung für Einsatzkräfte bei internen Gefahrenlagen im Krankenhaus: Brauchen wir Leit- und Orientierungssysteme für Krankenhäuser?
- Author
-
Ventzke, M.-M. and Segitz, O.
- Abstract
Copyright of Der Unfallchirurg is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
13. Untersuchungskonzepte und Untersuchungsabläufe in der Notfallsonographie
- Author
-
Wastl, D., Helwig, K., Dietrich, C F., Janssens, U., Joannidis, M., and Mayer, K.
- Published
- 2016
- Full Text
- View/download PDF
14. Psychopharmaka im Notarztdienst
- Author
-
Wolf, A., Müller, MJ., Pajonk, F,-G.B., Dirks, B., editor, Somasundaram, R., editor, Waydhas, C., editor, and Zeymer, U., editor
- Published
- 2015
- Full Text
- View/download PDF
15. Fallberichte: Akupunktur in der Notfallmedizin – Teil 3: Neurologie.
- Author
-
Schockert, Thomas, Rom, Edith, and Rückert, Sandra
- Abstract
Copyright of Deutsche Zeitschrift für Akupunktur is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
16. Gewalt in der Notaufnahme eines Maximalversorgers.
- Author
-
Verboket, R., Söhling, N., Schmitz, L., Lustenberger, T., Nau, C., and Marzi, I.
- Abstract
Introduction: The emergency department of hospitals is known as a violent place, nevertheless the true incidence of violent acts in emergency departments in the German-speaking area has been little studied. The goal of this study was to record the occurrence of violence in a university hospital located in the inner city and to evaluate parameters, such as type of violence and accumulation in certain patient groups. Material and methods: Cases of violence in the emergency department were documented by the personnel over the time frame of 1 year (March 2017 to February 2018) and retrospectively evaluated. Results: An increase of violence during the evening hours (10.3% vs. 67.8%) could be shown. Intoxicated patients were responsible for the highest proportion of acts of violence. In addition, intoxicated patients were shown to be significantly more frequently aggressive than sober patients (63.72% vs. 31.65%). Non-intoxicated patients were as a rule only verbally aggressive. De-escalation by emergency room personnel was shown to be successful in 62.5% of the cases. In the rest of the cases help from outside, such as security personnel or the police was necessary, especially for intoxicated patients. Discussion: Violence occurs with high regularity in emergency departments. The average incidence of acts of violence of every 0.7 days shows the need for safety precautions for hospital personnel. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
17. „Global surgery" aus otorhinolaryngologischer Sicht.
- Author
-
Eichhorn, T.
- Abstract
Copyright of HNO is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
18. Postpartale Hämorrhagie: effiziente Teamarbeit ist das A und O.
- Author
-
Haslinger, Christian
- Abstract
Copyright of Der Gynäkologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
19. Pulmorenales Syndrom.
- Author
-
von Vietinghoff, S. and Suhling, H.
- Abstract
Copyright of Der Nephrologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
20. Umgang mit infektiösen Dermatosen in der Notaufnahme
- Author
-
Czaika, V.A., Dirks, B., editor, Somasundaram, R., editor, Waydhas, C., editor, and Zeymer, U., editor
- Published
- 2013
- Full Text
- View/download PDF
21. Auffällige Laborwerte.
- Author
-
Lackner, K. J. and Schellong, S. M.
- Abstract
Copyright of Der Internist is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
- Full Text
- View/download PDF
22. Stridor im Kindesalter.
- Author
-
Schön, C. and Hoffmann, F.
- Abstract
Copyright of Monatsschrift Kinderheilkunde is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
- Full Text
- View/download PDF
23. Integration der Palliativmedizin in die Akutmedizin
- Author
-
B Jaspers and F. Nauck
- Subjects
Quality of life ,medicine.medical_specialty ,Nursing staff ,Palliative care ,Critical Care ,Notfälle ,Operating procedures ,Pain ,Emergency Nursing ,Critical Care and Intensive Care Medicine ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,Acute care ,CME ,Internal Medicine ,Medicine ,Humans ,Symptom control ,030212 general & internal medicine ,Schmerzen ,Specialist palliative care ,Lebensqualität ,business.industry ,Communication ,Palliative Care ,Continuing education ,medicine.disease ,Emergency situations ,SOP ,Anesthesiology and Pain Medicine ,Emergency Medicine ,Screening ,Neurology (clinical) ,Medical emergency ,Emergencies ,business - Abstract
Palliative care is aimed at patients with incurable oncological and non-oncological diseases and their relatives with the aim of maintaining or improving their quality of life. In order to integrate palliative care into acute care medicine, palliative care training and continuing education for medical and nursing staff is recommended. Appropriate screening tools and standard operating procedures should be implemented to identify and address palliative care needs in emergency situations. For palliative care, established specialist palliative care services can be called upon for advice and/or cotreatment. Symptom control, treatment of malignant wounds, difficult ethical decision-making, and communication difficulties with patients, their legal representatives or relatives are the tasks of palliative care experts.Palliativmedizin richtet sich an Patienten mit inkurablen onkologischen und nichtonkologischen Erkrankungen sowie deren Angehörige mit dem Ziel, die Lebensqualität zu erhalten oder zu verbessern. Zur Integration der Palliativmedizin in die Akutmedizin wird die Palliative-Care-Fort- bzw. Weiterbildungen einiger ärztlicher und pflegerischer Mitarbeiter empfohlen. Für die Ermittlung und Umsetzung des bisher unzureichend erhobenen palliativmedizinischen Behandlungsbedarfs in Notfallsituationen sollten geeignete Screeningtools und „standard operating procedures“ implementiert werden. Für die Palliativversorgung können die zur Verfügung stehenden spezialisierten palliativmedizinischen Dienste zur Beratung und/oder Mitbehandlung hinzugezogen werden. Symptomkontrolle, Versorgung maligner Wunden, schwierige ethische Entscheidungsfindungen und Kommunikationsschwierigkeiten mit Patienten, deren rechtlichen Stellvertretern oder Angehörigen sind Aufgabenbereiche palliativmedizinischer Experten.
- Published
- 2021
24. Akute Herzrhythmusstörungen bei Schrittmacher- und Defibrillatorpatienten
- Author
-
Meine, Mathias, Pfitzner, P., Voigt, B., Trappe, H.-J., Trappe, H.-J., editor, and Schuster, H.-P., editor
- Published
- 2001
- Full Text
- View/download PDF
25. Bewusstseinsstörung oder -trübung.
- Author
-
Stemmler, H. and Pihusch, R.
- Abstract
Copyright of Der Internist is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
- Full Text
- View/download PDF
26. Kopfschmerzen.
- Author
-
Michl, M. and Michl, G.
- Abstract
Copyright of Der Internist is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
- Full Text
- View/download PDF
27. Synkope, Sturz, Schwindel.
- Author
-
Weingart, C., Schneider, H.-J., and Sieber, C.
- Abstract
Copyright of Der Internist is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
- Full Text
- View/download PDF
28. Potenzielle stadtrisiken
- Author
-
Burak, V. A. and Kovaleva, T. G.
- Subjects
Lebenssicherheit ,Notfalle technogener Natur ,Notfälle ,безопасность жизнедеятельности ,чрезвычайные ситуации ,чрезвычайные ситуации техногенного характера ,Risiken im städtischen Umfeld ,риски в городской среде - Abstract
Potenzielle Gefahren, die jederzeit in der Stadt auftreten konnen, werden analysiert. Insbesondere werden Notfallsituationen technogener Natur beschrieben. Der Charakter der Stadtrisiken soll deutlich bestimmt werden, um die entsprechenden Maβnahmen zu planen und durchzufuhren.
- Published
- 2022
29. [Integration of palliative care into acute care medicine]
- Author
-
Friedemann, Nauck and Birgit, Jaspers
- Subjects
Quality of life ,Critical Care ,Notfälle ,Communication ,Palliative Care ,Pain ,SOP ,Quality of Life ,Screening ,Humans ,Medicine ,Emergencies ,CME Zertifizierte Fortbildung ,Schmerzen ,Lebensqualität - Abstract
Palliative care is aimed at patients with incurable oncological and non-oncological diseases and their relatives with the aim of maintaining or improving their quality of life. In order to integrate palliative care into acute care medicine, palliative care training and continuing education for medical and nursing staff is recommended. Appropriate screening tools and standard operating procedures should be implemented to identify and address palliative care needs in emergency situations. For palliative care, established specialist palliative care services can be called upon for advice and/or cotreatment. Symptom control, treatment of malignant wounds, difficult ethical decision-making, and communication difficulties with patients, their legal representatives or relatives are the tasks of palliative care experts.Palliativmedizin richtet sich an Patienten mit inkurablen onkologischen und nichtonkologischen Erkrankungen sowie deren Angehörige mit dem Ziel, die Lebensqualität zu erhalten oder zu verbessern. Zur Integration der Palliativmedizin in die Akutmedizin wird die Palliative-Care-Fort- bzw. Weiterbildungen einiger ärztlicher und pflegerischer Mitarbeiter empfohlen. Für die Ermittlung und Umsetzung des bisher unzureichend erhobenen palliativmedizinischen Behandlungsbedarfs in Notfallsituationen sollten geeignete Screeningtools und „standard operating procedures“ implementiert werden. Für die Palliativversorgung können die zur Verfügung stehenden spezialisierten palliativmedizinischen Dienste zur Beratung und/oder Mitbehandlung hinzugezogen werden. Symptomkontrolle, Versorgung maligner Wunden, schwierige ethische Entscheidungsfindungen und Kommunikationsschwierigkeiten mit Patienten, deren rechtlichen Stellvertretern oder Angehörigen sind Aufgabenbereiche palliativmedizinischer Experten.
- Published
- 2021
30. Brennpunkt Notaufnahme.
- Author
-
Lange, R., Popp, S., and Erbguth, F.
- Subjects
- *
NEUROLOGICAL disorders , *ELECTIVE surgery , *HOSPITAL emergency services , *EMERGENCY physicians , *HOSPITALS , *MANAGEMENT - Abstract
The number of patients treated in hospital emergency departments in Germany has risen in recent years to approximately 20 million. This escalation also applies to the increasing numbers of patients presenting with neurological symptoms and diseases, which occur in approximately 20 % of emergency patients. In addition to patients with stroke, inflammatory or degenerative central nervous system (CNS) and peripheral nervous system (PNS) disorders who need urgent treatment, more and more patients with nonspecific complaints or conditions attend emergency departments for elective treatment, not least because timely appointments with specialist neurologists in practices could not be obtained. Neurological expertise and presence in emergency departments at the level of specialist standard are therefore indispensable for providing a professional level of treatment, which also corresponds to current legal requirements. The implementation of a generalist emergency physician in Germany, as introduced in some European countries, would mean a retrograde step for neurological expertise in emergency admission management. The discipline of neurology must work together with other emergency disciplines to improve the financing of emergency departments and provide neurologists working there with a substantive curriculum of further and continuing education in emergency-related aspects of neurology. The discipline of neurology has a responsibility to emergency patients within its range of competencies and must, therefore, strengthen and improve its role in healthcare politics and concerning organizational and personnel aspects of neurological emergencies. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
31. Trauma-Management beim organtransplantierten Patienten.
- Author
-
Sabet-Baktach, M., Schmitz, V., and Pratschke, J.
- Abstract
Copyright of Notfall & Rettungsmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
32. Komplikationen nach Laparoskopie.
- Author
-
Juhasz-Böss, I. and Solomayer, E.-F.
- Abstract
Copyright of Der Gynäkologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
33. Fokussierte Echokardiographie in der Akutmedizin
- Author
-
Michels, G., Pfister, R., and Hempel, D.
- Published
- 2018
- Full Text
- View/download PDF
34. [Febrile neutropenia in pediatric and adolescent cancer patients]
- Author
-
H.-J. Laws, Konrad Bochennek, Thomas Lehrnbecher, Andreas H. Groll, and Arne Simon
- Subjects
Immunsystem ,medicine.medical_specialty ,Notfälle ,Adolescent cancer ,Fungal infections ,03 medical and health sciences ,0302 clinical medicine ,Bacterial infections ,Antibiotics ,Pediatric surgery ,Leitthema ,Child and adolescent psychiatry ,medicine ,Bakterielle Infektionen ,Pilzinfektionen ,Gynecology ,business.industry ,medicine.disease ,Immune system ,030220 oncology & carcinogenesis ,Pediatrics, Perinatology and Child Health ,Surgery ,Emergencies ,business ,Antibiotika ,Febrile neutropenia ,030215 immunology - Abstract
Febrile neutropenia is the most common potential emergency situation in children and adolescents with cancer. The host response of these patients is severely compromised by treatment-induced immunosuppression resulting in a lack of important defence mechanisms, so that bacterial infections and in certain risk groups also fungal infections can be life threatening. As the clinical course of these infectious complications may be rapid and fatal, early antibiotic treatment can save lives. This article aims to raise awareness to this emergency situation and gives an overview of the management of pediatric cancer patients with febrile neutropenia.
- Published
- 2021
35. Anästhesie bei Kindern und Jugendlichen nach angeborenen Herzfehlern.
- Author
-
Baehner, T., Boehm, O., Kliemann, M., Heinze, I., Breuer, J., Hoeft, A., Baumgarten, G., and Knuefermann, P.
- Abstract
The incidence of congenital heart defects (CHD) has remained constant over many years; however, due to improved therapeutic options an increasing number of children and adolescents even with complex heart defects now reach adulthood. The increasing prevalence of adults with persisting or surgically corrected CHD as well as age-dependent non-cardiac comorbidities will increase the need for medical and non-cardiac surgical treatment in this population. Although elective medical care for these patients should be reserved for highly specialized centers, emergency treatment might become necessary in a non-specialized hospital setting as well. Due to the variety and complexity of CHD it is difficult to provide standardized guidelines for the anesthetic management. The treatment of patients with complex CHD requires a profound understanding of the underlying CHD and the current state of the hemodynamics by the anesthesiologist. Furthermore, typical comorbidities, such as chronic heart failure, altered coagulation and arrhythmia also have to be taken into account to ensure successful perioperative treatment. Especially in patients with shunt lesions or passive pulmonary blood flow the anesthetic management often substantially affects the hemodynamics and may be the starting point of severe decompensation. Awareness of anesthesia-induced changes of pulmonary and/or systemic vascular resistance as well as of preload alterations are the basis for successful anesthetic management. Finally, a multidisciplinary approach including cardiologists and radiologists in the planning is absolutely essential to achieve an optimal postoperative result for the patient. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
36. Kommunikation mit Kindern.
- Author
-
Zech, N., Seemann, M., Signer-Fischer, S., and Hansen, E.
- Abstract
Background: Pediatric patients represent a special challenge both for the management of anesthesia and for communication, especially the anxious and screaming child. Children have specific features of fears, cognition, comprehension and skills depending on the stage of development. In addition, behavior and anxiety are strongly shaped by the parents who have to be incorporated. Aim: This article presents the special features of children as well as practical strategies and aids for dealing with children in a perioperative setting. Material and methods: In children suggestibility and susceptibility to placebo and nocebo effects are increased. This makes them more sensitive to negative factors but can also be utilized for positive, constructive effects. Possibilities are presented which make use of the special characteristics of children. A number of examples from daily clinical routine are given. Results: A child's imagination, creativity and capability for dissociation in particular allow an effective application of indirect suggestion, metaphors, stories, changes in focus of attention, retreat to an inner or imagined safe place, reframing of disturbing noises and events, pacing and leading in small steps and an activation of inner resources. A hand puppet, a pet toy, a little magic trick, introducing a magic friend, acupoint for palpitations with self-affirmation, stick figure drawings, ceiling pictures or holding hands can be quite helpful. All medical devices and interventions can be explained in a way that children can understand and in positive statements without lying or neglecting the need for information. Conclusion: Meeting at eye level, talking to the child instead of just about it, a language appropriate for children but not childish, comprehensible information and explanations, return of control and care more than pure technical distance, all play an important role. A serious look into such communication strategies can help the anesthetist to overcome uncertainties that a child can easily sense. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
37. Das medizinisch-ethische Dilemma von Reanimationsentscheidungen bei Notfallpatienten.
- Author
-
Trzeczak, S.
- Abstract
Copyright of Notfall & Rettungsmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
38. Optimizing the life expectancy of multimorbid people through IT systems
- Author
-
Fleck, Bernhard
- Subjects
dangers ,geriatrics ,Notfälle ,Gefahren ,unconsciousness ,Hausnotrufsystem ,Sensoren ,Sturzerkennung ,multiple diseases ,sensors ,Bewusstlosigkeit ,fall detection ,emergencies ,Geriatrie ,Multiple Erkrankungen ,home emergency system - Abstract
Auch wenn die Medizin und die Gesundheit der Menschen im Laufe der Zeit immer besser wurde, können unerwartete Ereignisse dennoch zum Schlimmsten führen. Es sterben immerhin noch zu viele Menschen an primitiven Ursachen, obwohl sie verhindert werden hätten können. Deshalb werden in der folgenden Arbeit Systeme für die eigene Wohnumgebung näher gebracht, die dazu beitragen sollen, den Menschen in ihrer Notlage zu helfen. Um die Systeme bewerten zu können, wurde diese Literaturarbeit anhand von über 40 recherchierten Quellen ausgewertet. Dabei wurden in erster Linie bereits existierende, ähnliche Arbeiten analysiert und anschließend ein Einblick in den Stand der Technik in Österreich präsentiert. Anhand dessen wird ein neues System als Gedankenexperiment vorgestellt, das ein breiteres Spektrum an Sicherheit als die bestehenden Lösungen gewährleisten sollte. Somit würde man erreichen, dass die Lebensqualität eines jeden von uns irgendwann einmal im letzten Lebensabschnitt deutlich verbessert werden würde. While medicine and peoples health improved in the course of time that doesn’t mean that unexpected incidents wouldn’t be able to lead to the worst. There are still too many people out there dying because of primitive causes, although this could be prevented. Due to this fact, the following work shows different systems located in flats which might contribute help to people in emergency. To evaluate those systems, this literature survey was examined by about 40 sources. First of all, related work is analyzed and afterwards an insight on the state of the art technologies in Austria will be presented. Based on this, a new system will be demonstrated as a thought experiment, which should guarantee a broader spectrum of security than the currently existing solutions. Consequently we might be able to provide a better quality of life of each of us.
- Published
- 2021
39. Auffällige Laborwerte: Plausibilität, Aussagekraft und Konsequenzen
- Author
-
Lackner, K. J. and Schellong, S. M.
- Published
- 2018
- Full Text
- View/download PDF
40. Ethische Probleme im Umgang mit Reanimation und Patientenverfügung in der Notaufnahme.
- Author
-
Padberg, J., Esser, A., Lomberg, L., and Trzeczak, S.
- Abstract
Copyright of Notfall & Rettungsmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
41. Management des Status epilepticus im Kindesalter.
- Author
-
Baalen, A., Hoppen, T., Bandowski, J., and Rohr, A.
- Abstract
Copyright of Zeitschrift für Epileptologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
42. Hyperammonämie.
- Author
-
Häberle, J.
- Abstract
Copyright of Monatsschrift Kinderheilkunde is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
43. Psychopharmakotherapie im Notarztdienst.
- Author
-
Wolf, A., Müller, M.J., and Pajonk, F.-G.B.
- Abstract
Copyright of Notfall & Rettungsmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
- Full Text
- View/download PDF
44. Diagnostische Abklärung des akuten Koronarsyndroms bei älteren Patienten in der Notaufnahme.
- Author
-
Bahrmann, P., Popp, S., Bertsch, T., Sieber, C.C., and Christ, M.
- Abstract
Copyright of Notfall & Rettungsmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
- Full Text
- View/download PDF
45. Algorithmus zum Vorgehen beim respiratorischen Notfall.
- Author
-
Demirakca, S., Hinrichs, B., and Nicolai, T.
- Abstract
Copyright of Monatsschrift Kinderheilkunde is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
- Full Text
- View/download PDF
46. Massenanfall Verletzter.
- Author
-
Luiz, T., Preisegger, T., and Madler, C.
- Subjects
- *
MASS casualties , *SOCCER tournaments , *SPORTS spectators , *FIFA World Cup , *EMERGENCY management , *ATHLETIC leagues - Abstract
Background: Each weekend soccer arenas attract hundreds of thousands of spectators with the German Bundesliga being one of the most attractive sport series worldwide. In 2006 when the FIFA soccer World Cup™ took place in Germany, the precautions in the participating arenas against mass casualty incidents (MCI) reached a level formerly unknown in Germany. However, it is unknown how soccer arenas are prepared to deal with such incidents in everyday life. Methods: In 2011 all German major soccer league clubs were questioned about medical precautions in case of MCIs occurring in the stadium. The questionnaire included the following items: stadium capacity, the number of paramedic personnel, emergency physicians and ambulance vehicles, the command and communication structures, the availability of MCI plans, recent MCI drills and the frequency of MCI. Results: Out of 39, 15 (38.4 %) participated, 50 % from the first league and 20.8 % from the second league. The mean stadium capacity was 41,800 spectators (minimum 10,600, maximum 80,700). Depending on the number of spectators and the individual risk score of the match the following resources were available within the stadiums (average, minimum, maximum,): emergency medical technicians 61-67 (15, 120), emergency physicians 2.3-2.5 (1, 5) and transport capacity 5.3-5.8 patients (1, 15). In 14 arenas (93.3 %) the medical personnel were trained in mass casualty care and had prepared MCI operation schedules. All stadiums had mission control centers equipped with a variety of wired and wireless communication tools, although only eight (52.3 %) arenas used a joint command structure and five (33.3 %) arenas reported MCIs (defined as a scenario involving more than 10 patients) within the past 10 years. In 40 % of the participants the last MCI-related exercise was conducted more than 36 months ago. Conclusions: Most of the participating arenas were adequately staffed to manage the first phase of MCIs but in contrast command structures and transport capacities often focused on individual emergencies. Although most of the participants stated that they planned the resources provision according to well established algorithms, the resources actually available at the arenas varied considerably. The frequency of MCIs in soccer arenas was surprisingly high in contrast to the frequency of MCI-related drills. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
47. Off label use von Notfallmedikamenten im Kindesalter.
- Author
-
Erker, C.G. and Möllmann, M.
- Subjects
- *
OFF-label use (Drugs) , *PEDIATRIC emergencies , *PEDIATRIC anesthesia , *DOSAGE forms of drugs , *ANESTHESIOLOGY , *PHARMACEUTICAL industry - Abstract
In the medical treatment of children drugs are frequently used outside the boundaries of the approved licensing and use under the terms of off-label use is possible. However, this requires critical reasoning and experience with the drug involved. With help of a traffic light colored spreadsheet this article illustrates the limitations, problems and possibilities of pharmacotherapy in pediatric emergencies or pediatric anesthesia. Of the 45 emergency drugs listed in this article most can be used in childhood, at least under specific conditions. Licensing restrictions occur especially in the newborn period and infancy resulting in frequent off-label use. Severe pitfalls, such as the propofol infusion syndrome after long-term sedation with propofol under the age of 16 years, emphasize the need for serious reflection on the substances involved. Decisions regarding pharmaceutical therapy should be based on the current standard of medical knowledge. When official recommendations from pharmaceutical companies are missing, treatment decisions for off-label use can be based on guidelines, study and literature databases or recommendations in medical journals. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
48. Tracheotomie und Trachealkanülen im Kindesalter.
- Author
-
Hinrichs, B.
- Abstract
Copyright of Notfall & Rettungsmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
- Full Text
- View/download PDF
49. Ausrüstung für Kindernotfälle.
- Author
-
Heinzel, O., Daub, J., Heimberg, E., Gloning, H., and Hoffmann, F.
- Abstract
Copyright of Monatsschrift Kinderheilkunde is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2012
- Full Text
- View/download PDF
50. Notfälle bei erwachsenen Mukoviszidosepatienten.
- Author
-
Smaczny, C., Born, T., and Wagner, T.O.F.
- Abstract
Copyright of Der Internist is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2012
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.