Roessler, Markus

[["dc.bibliographiccitation.firstpage","521"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Der Unfallchirurg"],["dc.bibliographiccitation.lastpage","527"],["dc.bibliographiccitation.volume","110"],["dc.contributor.author","Frosch, Karl-Heinz"],["dc.contributor.author","Hingelbaum, S."],["dc.contributor.author","Dresing, Klaus"],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Stuermer, Klaus-Michael"],["dc.date.accessioned","2018-11-07T11:02:18Z"],["dc.date.available","2018-11-07T11:02:18Z"],["dc.date.issued","2007"],["dc.description.abstract","Background. The anatomic region on the lateral cortex of the ileum, where a palpable \"groove\" is formed by angulations of the lateral cortex of the iliac wing, is recommended as the insertion point for the pelvic emergency clamp by many authors. In our opinion this technique often leads to an incomplete closure of the anterior pelvic ring as well as to bacterial contamination of the access for the sacroiliac joint screw fixation and is accompanied by a risk for nerve and vessel injuries. To reduce these risks the pelvic clamp was placed at a supra-acetabular location. The goal of our study was to report on our experiences with the supra-acetabular position of the pelvic emergency clamp and to compare our results with the current literature. Material and method. From September 1998 to February 2006 the pelvic emergency clamp was applied in 15 polytraumatized patients (9 male, 6 female), with a mean age of 46 years (19-93) and a mean injury severity score (ISS) of 40 points (25-66) with mechanically and hemodynamically unstable pelvic ring fractures. According to the AO classification the injury pattern was type B2 in four cases, type B3 in one case, type C1 in seven cases, type C2 in two cases and type C3 in one case. The pelvic clamp was percutaneously applied 2-3 cm cranial to the acetabular roof. The duration from hospital admission until the pelvic emergency clamp was applied amounted to an average of 54 min (15-150); the procedure itself was performed in all cases in less than 15 min. The mean Hb at arrival in the emergency department was 7.4 (2.4-13.8) mg/dl and the mean systolic blood pressure 69 (0-130) mmHg. Results. In 14 patients a complete closure of the anterior and posterior pelvic ring could be achieved; in 1 patient an overcompression of the anterior pelvic ring was observed. Four patients died due to massive bleeding. Three patients with isolated pelvic ring fractures became hemodynamically stable within 20 min after treatment with the supra-acetabular pelvic clamp. Nine patients needed additional emergency surgery because of intracerebral, intrathoracic or intra-abdominal injuries. On average in the first 6 h, 36.7 (9-175) units of erythrocyte concentrates and 34.5 (4-200) units of fresh frozen plasma were transfused. Conclusions. The supra-acetabular pelvic clamp leads to a homogeneous force distribution to the pelvic ring and enables complete closure of the anterior and posterior pelvic ring in unstable pelvic fractures. Reduction of the intrapelvic volume and compression of the posterior pelvic ring can thus be achieved. Risks for intrapelvic perforation or injuries of vessels and nerves are low. No bacterial contamination of the access for the sacroiliac screw fixation occurs. To avoid overcompression of the unstable pelvic ring, manual or radiological control of the closure of the ventral pelvic ring is necessary."],["dc.identifier.doi","10.1007/s00113-007-1228-4"],["dc.identifier.isi","000247257500005"],["dc.identifier.pmid","17318312"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/51348"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0177-5537"],["dc.title","The supra-acetabular pelvic clamp. Emergency treatment for unstable pelvic ring fractures"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","45"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Resuscitation"],["dc.bibliographiccitation.lastpage","49"],["dc.bibliographiccitation.volume","68"],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Zuzan, O."],["dc.date.accessioned","2018-11-07T10:42:09Z"],["dc.date.available","2018-11-07T10:42:09Z"],["dc.date.issued","2006"],["dc.identifier.doi","10.1016/j.resuscitation.2005.08.004"],["dc.identifier.isi","000234960400005"],["dc.identifier.pmid","16401522"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/46724"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Ireland Ltd"],["dc.relation.issn","0300-9572"],["dc.title","EMS systems in Germany"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","215"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.bibliographiccitation.lastpage","221"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Bollinger, M."],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.date.accessioned","2018-11-07T09:57:40Z"],["dc.date.available","2018-11-07T09:57:40Z"],["dc.date.issued","2015"],["dc.description.abstract","The 'Notfallsanitater' is a new paramedic-based profession to be introduced into the German emergency medical service. This article discusses the invasive medical procedures to be performed by the 'Notfallsanitater' considering the indications and incidence of these procedures. The incidence of invasive procedures within the district of Gottingen over a time period of 12 months was evaluated analyzing all medical databases used for electronic record keeping of medical emergencies, e.g. EPen, DIVIDOK-Online for the year 2013. A total of 23,118 emergencies where evaluated. In 28 % (n = 6400) of the cases 1 of 32 emergency physicians was called in. The incidence of invasive procedures, considering only the emergency physician-based emergencies, ranged from 76 % (n = 4053) for establishing an i.v. access line to 0.06 % for staunching severe hemorrhage. In 5.8 % (n = 309) of cases the airway was invasively secured and 3,1 % (n = 166) of the patients received non-invasive ventilation. An intraosseous cannulation or a needle thoracostomy was performed each in 0.3 % (n = 16) of cases. In 0.15 % (n = 8) treatment with an external pacemaker was started. In over 90 % of the cases the first ambulance arrived on the scene in less than 10 min. Emergency physicians, if called, arrived at the scene in less than 15 min in over 90 % of the cases. The procedures differ substantially with respect to the incidence, invasiveness and the potential to treat life-threatening conditions. Learning and retention of skills can be assumed only for some invasive procedures. Thus, the catalogue of procedures should be carefully reviewed in order to adapt it to current developments in emergency medicine."],["dc.identifier.doi","10.1007/s10049-015-0001-4"],["dc.identifier.isi","000355345400007"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/37210"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1436-0578"],["dc.relation.issn","1434-6222"],["dc.title","Incidence of invasive medical procedures in emergency medical services. Considerations regarding emergency paramedics"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","404"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie"],["dc.bibliographiccitation.lastpage","407"],["dc.bibliographiccitation.volume","43"],["dc.contributor.author","Roessler, Markus"],["dc.contributor.author","Stahl, Peter"],["dc.contributor.author","Conrad, Gerson"],["dc.contributor.author","Schweigkofler, Uwe"],["dc.contributor.author","Peter, Hanno"],["dc.contributor.author","Bäuml, Hans"],["dc.contributor.author","Braun, Jörg"],["dc.contributor.author","Quintel, Michael"],["dc.date.accessioned","2018-11-07T11:15:16Z"],["dc.date.available","2018-11-07T11:15:16Z"],["dc.date.issued","2008"],["dc.description.abstract","Notärzte, die in der Luftrettung tätig sind, werden häufiger mit bestimmten Notfällen konfrontiert als dies im bodengebundenen Rettungsdienst der Fall ist - wie z.B. mit Polytrauma oder Massenanfall von Verletzten. Darüber hinaus gibt es unterschiedliche Erwartungen des bodengebundenen Rettungsdienstpersonals an Hubschrauber-Notärzte. Ein Hubschrauber-Notarzt muss nicht nur in der Lage sein, Notfallpatienten unter schwierigen Bedingungen adäquat zu behandeln, sondern es sind auch seine Fähigkeiten in Bezug auf Teamführung und Crew Resource Management (CRM) gefordert. Nicht zuletzt muss er mit Sicherheits- und technischen Aspekte im Umgang mit einem Rettungshubschrauber vertraut sein, ebenso wie mit Einsatzstrategien. Da es kein einheitliches oder standardisiertes Training für Ärzte gibt, die in der Luftrettung eingesetzt werden, wurde ein Einführungskurs entwickelt, um Ärzte besser auf diese schwere Aufgabe vorzubereiten."],["dc.description.abstract","Physicians who take a role as flight physicians in a Helicopter Emergency Medical System (HEMS) will encounter more frequently certain emergencies - such as multiple trauma, mass causalities etc. - compared to physicians in a ground based Emergency Medical System (EMS). Furthermore EMS teams already present on scene have a variance of expectations towards HEMS-Physicians. Therefore HEMS-Physicians not only must have the capabilities to treat patients properly, especially under difficult circumstances. Particularly with regard to leadership and Crew Resource Management (CRM) they will be demanded. Not least HEMS-Physicians need to have knowledge of safety and technical aspects of rescue helicopters and of operation tactics as well. Since there has been no uniform or standardised training for physicians, who will take a role in a HEMS, a course concept has been developed to improve and standardise the preparation for this challenging task."],["dc.identifier.doi","10.1055/s-2008-1079116"],["dc.identifier.isi","000256025400013"],["dc.identifier.pmid","18464220"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/54332"],["dc.language.iso","de"],["dc.notes.status","final"],["dc.notes.submitter","Najko"],["dc.relation.issn","0939-2661"],["dc.title","Einführungskurs „Ärzte in der Luftrettung” - Von der Idee zum Kurskonzept"],["dc.title.alternative","Introduction course \"Doctors in the air rescue\" - From the idea to the course concept"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","369"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","373"],["dc.bibliographiccitation.volume","57"],["dc.contributor.author","Wiese, Christoph Hermann"],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Bartels, U."],["dc.contributor.author","Quintel, M."],["dc.contributor.author","Graf, Bernhard Martin"],["dc.date.accessioned","2018-11-07T11:16:18Z"],["dc.date.available","2018-11-07T11:16:18Z"],["dc.date.issued","2008"],["dc.description.abstract","A paediatric emergency case with a rescue helicopter, which was reported as unexpected cardiac arrest of a 4-year-old child will be described. Based on this case, the symptoms and therapy of meningococcal sepsis and Waterhouse-Friderichsen-Syndrome under emergency conditions will be discussed as well as aspects of post-exposure prophylaxis."],["dc.identifier.doi","10.1007/s00101-008-1339-5"],["dc.identifier.isi","000254957200008"],["dc.identifier.pmid","18270671"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/54553"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","Foudroyant meningococcal sepsis in emergency medicine. Medical treatment and post-exposure prophylaxis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","105"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.bibliographiccitation.lastpage","112"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Lott, C."],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Graf, Bernhard Martin"],["dc.contributor.author","Eich, Christoph B."],["dc.date.accessioned","2018-11-07T11:17:59Z"],["dc.date.available","2018-11-07T11:17:59Z"],["dc.date.issued","2008"],["dc.description.abstract","November 28(th) 2005 the revised guidelines for resuscitation have been published by the European Resuscitation Council (ERC). Subsequently the modifications and innovations not only had to be passed on to lay persons and professionals but also as soon as possible to medical students. With commencement of the new regulations for the license to practice medicine (Approbationsordnung fur Arzte) on October 1(st) 2003, Emergency Medicine is an independent cross-section subject within the curriculum for a medical degree since summer-semester 2004. With this the structural prerequisites for teaching cardiopulmonary resuscitation according to the guidelines already had been established. Thereby it already has been possible to adapt the content of teaching with the summer-semester 2006. This article describes what methods are feasible to teach cardiopulmonary resuscitation according to the ERC guidelines 2005, how they can be examined and what efforts are necessary for realization."],["dc.identifier.doi","10.1007/s10049-008-1023-y"],["dc.identifier.isi","000254513100007"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/54940"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1434-6222"],["dc.title","Implementation of the resuscitation guidelines 2005 in student education"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","888"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Resuscitation"],["dc.bibliographiccitation.lastpage","892"],["dc.bibliographiccitation.volume","80"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Gentkow, Uta"],["dc.contributor.author","Quintel, Michael"],["dc.contributor.author","Roessler, Markus"],["dc.date.accessioned","2018-11-07T08:27:33Z"],["dc.date.available","2018-11-07T08:27:33Z"],["dc.date.issued","2009"],["dc.description.abstract","Background: In Germany, as in many other countries, for the vast majority of cases, critical out-of-hospital (OOH) paediatric emergencies are attended by non-specialised emergency physicians (EPs). As it is assumed that this may lead to deficient service we aimed to gather robust data on the characteristics of OOH paediatric emergencies. Methods: We retrospectively evaluated all OOH paediatric emergencies (0-14years) within a 9-year period and attended by physician-staffed ground- or helicopter-based emergency medical service (EMS or HEMS) teams from our centre. Results: We identified 2271 paediatric emergencies, making up 6.3% of all cases (HEMS 8.5%). NACA scores IV-VII were assigned in 27.3% (HEMS 32.0%). The leading diagnosis groups were age dependent: respiratory disorders (infants 34.5%, toddlers 21.8%, school children 15.0%), convulsions (17.2%, 43.2%, and 16.0%, respectively), and trauma (16.0%, 19.5%, and 44.4%, respectively). Endotracheal intubation was performed in 4.2% (HEMS 7.6%) and intraosseous canulation in 0.7% (HEMS 1.0%) of children. Cardiopulmonary resuscitation (CPR) was commenced in 2.3% (HEMS 3.4%). Thoracocentesis, chest drain insertion and defibrillation were rarities. HEMS physicians attended a particularly high fraction of drowning (80.0%). head injury (73.9%) and SIDS (60.0%) cases, whereas 75.6% of all respiratory emergencies were attended by ground-based EPs. Conclusions: Our data suggest that EPs need to be particularly confident with the care of children suffering respiratory disorders, convulsions, and trauma. The incidence of severe paediatric OOH emergencies requiring advanced interventions is higher in HEMS-attended cases. However, well-developed skills in airway management, CPR, and intraosseous canulation in children are essential for all EPs. (C) 2009 Elsevier Ireland Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.resuscitation.2009.05.008"],["dc.identifier.isi","000268862100010"],["dc.identifier.pmid","19520484"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6223"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16228"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Ireland Ltd"],["dc.relation.issn","0300-9572"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Characteristics of out-of-hospital paediatric emergencies attended by ambulance- and helicopter-based emergency physicians"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","759"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","771"],["dc.bibliographiccitation.volume","60"],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Reinhardt, K."],["dc.contributor.author","Luehmann, U."],["dc.contributor.author","Bickel, A."],["dc.contributor.author","Braun, J."],["dc.contributor.author","Boehne, S."],["dc.contributor.author","Gerberding, B."],["dc.contributor.author","Hamann, Alf"],["dc.contributor.author","Homann, M."],["dc.contributor.author","Monnig, M."],["dc.contributor.author","Panzer, W."],["dc.contributor.author","Ruff, S."],["dc.contributor.author","Flemming, A."],["dc.date.accessioned","2018-11-07T08:53:32Z"],["dc.date.available","2018-11-07T08:53:32Z"],["dc.date.issued","2011"],["dc.description.abstract","Since 2007 interhospital transport of intensive care patients in Lower Saxony appertains to the performance requirements of emergency medical services. Against this background the Working Group for Evaluation of Intensive Care Transport (Arbeitsgemeinschaft Evaluation Intensivverlegung) was established. This group formulated standardized definitions for the requirements of intensive care transport vehicles and a federal statewide monitoring of intensive care transport was implemented to analyze if simultaneously on-call intensive care transport systems (intensive care helicopter and ground based mobile intensive care units) can be deployed need-based and efficiently. A prospective follow-up study and evaluation of intensive care transport in Lower Saxony between April 1(st) 2008 and July 31(st) 2010 was carried out. A total of 6,779 data records were evaluated in this study of which 4,941 (72.9%) missions were located in Lower Saxony, 2,928 (43.2%) missions were carried out by helicopters and 3,851 (56.8%) by ground based mobile intensive care units. The mean duration of a mission was 3 h 59min +/- 2 h 25 min, 4 h 39 min +/- 2 h 23 min by ground based mobile intensive care units and 2 h 21 in +/- 30 min by helicopter units. All systems proved to be feasible for intensive care transport. The degree of urgency was estimated correctly in 94.8% of the evaluated missions and 58.0% of the transfers could not be deployed. In 76.8% patients were transferred to hospitals with a higher level of medical care, 51.7% of patients were transferred for intensive care therapy and 40.4% for an operation/intervention. Of the patients 38.2% required mechanical ventilation and in 48.3% invasive monitoring was carried out. Interhospital transfer of intensive care patients can be carried out need-based with a limited number of intensive care transport vehicles if the missions are deployed effectively by standardized disposition in accordance with performance requirements."],["dc.identifier.doi","10.1007/s00101-011-1925-9"],["dc.identifier.isi","000294011600011"],["dc.identifier.pmid","21842251"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/8013"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/22434"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Interhospital transport of intensive care patients in Lower Saxony"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","122"],["dc.bibliographiccitation.journal","Scandinavian Journal of Trauma Resuscitation and Emergency Medicine"],["dc.bibliographiccitation.volume","24"],["dc.contributor.author","Kunze-Szikszay, Nils"],["dc.contributor.author","Krack, Lennart A."],["dc.contributor.author","Wildenauer, Pauline"],["dc.contributor.author","Wand, Saskia"],["dc.contributor.author","Heyne, Tim"],["dc.contributor.author","Walliser, Karoline"],["dc.contributor.author","Spering, Christopher"],["dc.contributor.author","Bauer, Martin"],["dc.contributor.author","Quintel, Michael"],["dc.contributor.author","Roessler, Markus"],["dc.date.accessioned","2018-11-07T10:07:07Z"],["dc.date.available","2018-11-07T10:07:07Z"],["dc.date.issued","2016"],["dc.description.abstract","Background: Hyperfibrinolysis (HF) is a major contributor to coagulopathy and mortality in trauma patients. This study investigated (i) the rate of HF during the pre-hospital management of patients with multiple injuries and (ii) the effects of pre-hospital tranexamic acid (TxA) administration on the coagulation system. Methods: From 27 trauma patients with pre-hospital an estimated injury severity score (ISS) >= 16 points blood was obtained at the scene and on admission to the emergency department (ED). All patients received 1 g of TxA after the first blood sample was taken. Rotational thrombelastometry (ROTEM) was performed for both blood samples, and the results were compared. HF was defined as a maximum lysis (ML) >15 % in EXTEM. Results: The median (min-max) ISS was 17 points (4-50 points). Four patients (15 %) had HF diagnosed via ROTEM at the scene, and 2 patients (7.5 %) had HF diagnosed via ROTEM on admission to the ED. The median ML before TxA administration was 11 % (3-99 %) vs. 10 % after TxA administration (4-18 %; p > 0.05). TxA was administered 37 min (10-85 min) before ED arrival. The ROTEM results before and after TxA administration did not significantly differ. No adverse drug reactions were observed after TxA administration. Discussion: HF can be present in severely injured patients during pre-hospital care. Antifibrinolytic therapy administered at the scene is a significant time saver. Even in milder trauma fibrinogen can be decreased to critically low levels. Early administration of TxA cannot reverse or entirely stop this decrease. Conclusions: The pre-hospital use of TxA should be considered for severely injured patients to prevent the worsening of trauma-induced coagulopathy and unnecessarily high fibrinogen consumption."],["dc.identifier.doi","10.1186/s13049-016-0314-4"],["dc.identifier.isi","000384950400003"],["dc.identifier.pmid","27724970"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13894"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/39223"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Biomed Central Ltd"],["dc.relation.issn","1757-7241"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","The pre-hospital administration of tranexamic acid to patients with multiple injuries and its effects on rotational thrombelastometry: a prospective observational study in pre-hospital emergency medicine"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","881"],["dc.bibliographiccitation.issue","12"],["dc.bibliographiccitation.journal","European Journal of Anaesthesiology"],["dc.bibliographiccitation.lastpage","897"],["dc.bibliographiccitation.volume","33"],["dc.contributor.author","Hossfeld, Bjoern"],["dc.contributor.author","Bein, Bertold"],["dc.contributor.author","Boettiger, Bernd W."],["dc.contributor.author","Bohn, Andreas"],["dc.contributor.author","Fischer, Matthias"],["dc.contributor.author","Graesner, Jan-Thorsten"],["dc.contributor.author","Hinkelbein, Jochen"],["dc.contributor.author","Kill, Clemens"],["dc.contributor.author","Lott, Carsten"],["dc.contributor.author","Popp, Erik"],["dc.contributor.author","Roessler, Markus"],["dc.contributor.author","Schaumberg, Alin"],["dc.contributor.author","Wenzel, Volker"],["dc.contributor.author","Bernhard, Michael"],["dc.date.accessioned","2020-12-10T18:19:52Z"],["dc.date.available","2020-12-10T18:19:52Z"],["dc.date.issued","2016"],["dc.description.abstract","Emergency anaesthesia is an important therapeutic measure in out-of-hospital emergency medicine. The associated risks are considerably higher than those of in-hospital anaesthesia. The primary objectives of emergency anaesthesia are hypnosis, analgesia, oxygenation and ventilation through airway management. The secondary objectives of emergency anaesthesia are amnesia, anxiolysis, the reduction of oxygen consumption and respiratory work, the protection of vital organs and the avoidance of secondary myocardial and cerebral damage. A critical evaluation of the indications for outof- hospital emergency anaesthesia must take into consideration patient, case and provider-related factors. Rapid sequence induction of emergency anaesthesia includes standard monitoring, preoxygenation, standardised preparation of emergency anaesthesia, drug administration, manual in-line stabilisation during intubation (if necessary), airway management and checking of correct tube placement. Spontaneously breathing casualties should receive preoxygenation for at least 3 to 4 min with a tight-fitting facemask with reservoir using 12 to 15 l min_1 of oxygen or with a demand valve providing 100% oxygen. As an alternative, preoxygenation may be performed as noninvasive ventilation with 100% oxygen. Standardised anaesthesia preparation comprises filling drugs into syringes and labelling them, checking ventilation equipment, preparing endotracheal tube and syringe for inflating the cuff and the introducer, stethoscope and fixation material, preparing alternative instruments for airway management as well as checking suction, ventilation and standard monitoring devices, including capnography. Standard monitoring for out-of-hospital emergency anaesthesia comprises ECG, blood pressure measurement and pulse oximetry. Continuous capnography is always and exclusively performed to check the placement of airway devices, as well as to indirectly monitor haemodynamics."],["dc.identifier.doi","10.1097/EJA.0000000000000533"],["dc.identifier.isi","000387275500003"],["dc.identifier.issn","0265-0215"],["dc.identifier.pmid","27635954"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/75406"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Lippincott Williams & Wilkins"],["dc.relation.issn","1365-2346"],["dc.relation.issn","0265-0215"],["dc.title","Prehospital ultrasound-guided nerve blocks improve reduction-feasibility of dislocated extremity injuries compared to systemic analgesia. A randomized controlled trial"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]