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Fragestellung: Trauma ist die häufigste Todesursache bei Patienten unter dem 45.Lebensjahr. Etwa die Hälfte der Todesfälle wird durch Verbluten verursacht. In der Präklinik begegnet man bei polytraumatisierten Patienten neben Extremitätenblutungen, die gut durch Kompressionsverbände [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Fragestellung: Die Versorgung schwerverletzter Patienten ist zentraler Bestandteil der Luftrettung. Der Ausbruch der COVID-19-Pandemie nahm Einfluss auf das innerklinische Geschehen mit Reduktion von Elektiveingriffen und einem geringeren Patientenaufkommen z.B. in unfallchirurgischen Notaufnahmen. [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Background: Healthcare workers (HCWs) in hospitals are at high risk during the COVID-19 pandemic. Healthcare workers’ infection risk could be amplified during the ongoing pandemic due to various factors, including continuous exposure to patients and inadequate infection control training. Despite the risk healthcare workers face, vaccine hesitancy remains a global challenge. Differences in acceptance rates have ranged from less than 55% (in Russia) to nearly 90% (in China). In order to improve our knowledge of vaccine acceptance and its variation in rates, an evaluation is warranted. A survey was thus administered to healthcare workers. Methods: This survey aimed to address vaccination acceptance among employees in an urban level 1 trauma hospital. It was conducted through a developed and structured questionnaire that was randomly distributed online among the staff (age ≥18 years) to receive their feedback. Results: Among 285 participants (out of 995 employees), 69% were female, and 83.5% were overaged more than 30 years of age. The two largest groups were nurses (32%) and doctors (22%). The majority of respondents reported that they would “like to be vaccinated” (77.4%) and that they trusted the COVID-19 vaccine (62%). Moreover, 67.8% also reported that they felt the vaccination was effective. They reported that vaccination was a method to prevent the spread of COVID-19 (85.15%) and was a way to protect individuals with weak immune systems (78.2%). More importantly, the participants were concerned about other people (80.1%) and believed the vaccine would protect others. On the other hand, the result showed that the majority of participants (95.3%) chose to be vaccinated once everyone else was vaccinated, “I don’t need to get vaccinated”. Results showed that the majority of participants that chose “I don’t need to get vaccinated” did so after everyone else was vaccinated. Our results show that COVID-19 vaccination intention in a level 1 trauma hospital was associated with older age males who are more confident, and also share a collective responsibility, are less complacent, and have fewer constraints. Conclusion: Acceptance of the COVID-19 vaccine is relatively low among healthcare workers (HCWs). Differences in vaccine acceptance have been noted between different categories of HCWs and genders. Therefore, addressing barriers to vaccination acceptance among these HCWs is essential to avoid reluctance to receive the vaccination, but it will be challenging. OA Förderung 2021

Zusammenfassend zeigen die Ergebnisse dieser Studie, das das auf Pulswellenanalyse basierte LiDCO rapid®, in der postoperativen Phase nach einer Koronarbypass-Operation nicht geeignet ist, zuverlässig die hämodynamische Überwachung der Patienten sicher zu stellen. Der Vergleich mit der Thermodilutionstechnik als Standardmethode liefert, bei den etablieren Parametern, signifikant abweichende Messwerte. Ursächlich hierfür sind unserer Meinung nach Veränderungen des systemischen Gefäßwiderstandes, die in der postoperativen Phase sehr dynamisch sein können. Dem nicht kalibrierten Verfahren gelingt es nicht diese darzustellen. Darüber hinaus ist sowohl der passive leg raising test (PLRT) als auch die Schlagvolumenvarianz (SVV) und die Pulsdruckvarianz (PPV) nicht geeignet, zuverlässig die Änderungen der Hämodynamik nach einer Volumengabe vorherzusagen., In summary, the results of this study show that the LiDCO rapid® based on pulse wave analysis is not suitable for reliable hemodynamic monitoring of patients in the postoperative phase after a coronary bypass operation. The comparison with the thermodilution technique as a standard method provides significantly different measured values for the established parameters. In our opinion, this is due to changes in the systemic vascular resistance, which can be very dynamic in the postoperative phase. The non-calibrated method does not manage to represent this. In addition, neither the passive leg raising test nor the Stroke Volume Variation and the Pulse Pressure Variation are suitable for reliably predicting the changes in hemodynamics after volume administration.

Introduction: The aim of this study was to evaluate the COVID-19 vaccination acceptance of emergency medical services (EMS) personnel as front-line health care workers (HCW) in Germany. Several studies have shown low willingness for vaccination (e.g., seasonal influenza) among HCWs and EMS personnel. Methods: We created a web-based survey. The questions were closed and standardized. Demographic data were collected (age, sex, federal state, profession). Experience with own COVID-19 infection, or infection in personal environment (family, friends) as well as willingness to vaccinate was queried. Results: The sample includes n = 1296 participants. A willingness to be vaccinated exists in 57%, 27.6% participants were undecided. Our results show a higher propensity to vaccinate among the following groups: male gender, higher medical education level, older age, own burden caused by the pandemic (p &lt, 0.001). Conclusions: Due to the low overall acceptance of vaccination by HCWs, we recommend that the groups with vaccination hesitancy, in particular, be recruited for vaccination through interventions such as continuing education and awareness campaigns.

in press

Fragestellung: Die i.v. Volumensubstitution ist eine der häufigsten Therapiemaßnahmen bei Patienten mit Hypotension oder hämorrhagischem Schock. In diesem Zusammenhang ist es äußerst schwierig festzulegen, welches individuelle Volumen bzw. welcher Preload in der komplexen Situation[zum vollständigen Text gelangen Sie über die oben angegebene URL], Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2015)