Now showing 1 - 10 of 42
  • 2007Journal Article
    [["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"]]
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  • 2006Journal Article
    [["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"]]
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  • 2015Journal Article
    [["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"]]
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  • 2008Journal Article
    [["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"]]
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  • 2008Journal Article
    [["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"]]
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  • 2008Journal Article
    [["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"]]
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  • 2016Journal Article
    [["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"]]
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  • 2008Journal Article
    [["dc.bibliographiccitation.firstpage","135"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Der Notarzt"],["dc.bibliographiccitation.lastpage","137"],["dc.bibliographiccitation.volume","24"],["dc.contributor.author","Dirks, B."],["dc.contributor.author","Kreimeier, U."],["dc.contributor.author","Arntz, R."],["dc.contributor.author","Bahr, Jan"],["dc.contributor.author","Goldschmidt, P."],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Sasse, M."],["dc.contributor.author","Toursakissian, M."],["dc.date.accessioned","2018-11-07T11:12:41Z"],["dc.date.available","2018-11-07T11:12:41Z"],["dc.date.issued","2008"],["dc.description.abstract","The American Heart Association changed the Guidelines for Adult Basic Life Support on 31(st) March 2008 online: Lay rescuers should perform Compression only CPR omitting mouth-to-mouth-ventilation. The ERC didn't judge it necessary to change European Guidelines that are based on the same common \"Consensus of Science\" (Dallas 2005), since ERC recommended even 2005 for lay rescuers to perform only chest Compressions if he or she is not able or willing to perform mouth-to-mouth-ventilation. The recent change of AHA Guidelines and also the ongoing ERC recommendation (ALS guidelines 2005) aims on bringing as many lay rescuers as possible to action and on achieving a better outcome for victims of a sudden circulatory arrest. The remaining question is: Are there good arguments for \"Compression only CPR\"?"],["dc.identifier.doi","10.1055/s-2008-1067501"],["dc.identifier.isi","000258375300003"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/53720"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.relation.issn","0177-2309"],["dc.title","Hand on heart - Hands-only (Compression-only) CPR of American Heart Association vs. Advisory Statement of European Resuscitation Council for Basic Life Support (BLS)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2002Journal Article
    [["dc.bibliographiccitation.firstpage","2133"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Applied and Environmental Microbiology"],["dc.bibliographiccitation.lastpage","2139"],["dc.bibliographiccitation.volume","68"],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Pfluger, K."],["dc.contributor.author","Flach, H."],["dc.contributor.author","Lienard, T."],["dc.contributor.author","Gottschalk, G."],["dc.contributor.author","Müller, V."],["dc.date.accessioned","2018-11-07T10:29:59Z"],["dc.date.available","2018-11-07T10:29:59Z"],["dc.date.issued","2002"],["dc.description.abstract","The salt adaptation of the methanogenic archaeon Methanosarcina mazei G (o) double under dot1 was studied at the physiological and molecular levels. The freshwater organism M. mazei G (o) double under dot was able to adapt to salt concentrations up to I M, and the addition of the compatible solute glycine betaine to the growth medium facilitated adaptation to higher salt concentrations. Transport studies with cell suspensions revealed a salt-induced glycine betaine uptake activity in M. mazei G (o) double under dot1, and inhibitor studies argue for a primary transport device. Analysis of the genome of M. mazei G (o) double under dot1 identified a homolog of known primary glycine betainte transporters. This gene cluster was designated Ota (osmoprotectant transporter A). Its sequence and gene organization are very similar to those of the glycine betaine transporter OpuA of Bacillus subtilis. Northern blot analysis of otaC revealed a salt-dependent transcription of this gene. Ota is the first identified salt-induced transporter for compatible solutes in Archaea."],["dc.identifier.doi","10.1128/AEM.68.5.2133-2139.2002"],["dc.identifier.isi","000175407300006"],["dc.identifier.pmid","11976081"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/43765"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Amer Soc Microbiology"],["dc.relation.issn","0099-2240"],["dc.title","Identification of a salt-induced primary transporter for glycine betaine in the methanogen Methanosarcina mazei Go1"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2015Journal Article
    [["dc.bibliographiccitation.firstpage","395"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.bibliographiccitation.lastpage","+"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Bernhard, M."],["dc.contributor.author","Bein, B."],["dc.contributor.author","Boettiger, Bernd W."],["dc.contributor.author","Bohn, Andreas"],["dc.contributor.author","Fischer, M."],["dc.contributor.author","Graesner, J. T."],["dc.contributor.author","Hinkelbein, Jochen"],["dc.contributor.author","Kill, Clemens"],["dc.contributor.author","Lott, C."],["dc.contributor.author","Popp, E."],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Schaumberg, Alin"],["dc.contributor.author","Wenzel, V."],["dc.contributor.author","Hossfeld, Bjoern"],["dc.date.accessioned","2018-11-07T09:54:02Z"],["dc.date.available","2018-11-07T09:54:02Z"],["dc.date.issued","2015"],["dc.description.abstract","Inducing anaesthesia outside the hospital is an important therapeutic intervention in emergency medicine; it is much more difficult to accomplish than inside the hospital. Its primary goals include hypnosis and analgesia which enable airway management to achieve mechanical ventilation and adequate oxygenation. Secondary goals of emergency anaesthesia include amnesia, anxiolysis, reduced oxygen consumption and work of breathing, and thus protection of vital organs and avoidance of secondary myocardial injury or cerebral injuries. Prior to prehospital induction of anaesthesia, patient-, scene- and operator-specific factors need to be considered. The rapid sequence induction includes basic monitoring, pre-oxygenation, standardized preparation of drugs and equipment, administration of drugs, removal of the cervical collar and manual in-line stabilization during intubation attempt (if needed), intubation and confirmation of endotracheal intubation. Every spontaneously breathing emergency patient should receive pre-oxygenation for at least 3-4 min with 12-15 l oxygen per min and a tight-sealing facemask, or a demand valve. The standardized preparation process includes preparation and labeling drugs/syringes, checking the bag-valve mask, preparing the endotracheal tube with a stylet and blocking syringe, as well as having a stethoscope and material to secure the tube at hand, as well as alternative airway devices. It also includes immediate access to alternative means of airway management, as well as a suction unit, ventilator and monitoring devices including capnography. Basic monitoring for prehospital emergency anaesthesia includes ECG, an automatic/manual blood pressure cuff, and pulse oximetry. Continuous capnography is used without exception to confirm ventilation, to detect possible disconnections/dislocations, and for indirect monitoring of hemodynamics. Prior to induction of prehospital emergency anaesthesia, two peripheral intravenous catheters should be placed if possible."],["dc.identifier.doi","10.1007/s10049-015-0041-9"],["dc.identifier.isi","000358604300011"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/36454"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1436-0578"],["dc.relation.issn","1434-6222"],["dc.title","Practice management guideline on prehospital emergency anaesthesia. Working group \"Prehospital emergency anaesthesia\" of the scientific working group on emergency medicine of the German Society of Anaesthesiology and Intensive Care Medicine"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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