Bernau A, Kottler B M
Z Orthop Ihre Grenzgeb. 1990 May-Jun;128(3):322-7. doi: 10.1055/s-2008-1040002.
A treatment concept is presented which is applicable in particular to emergencies in the office following parenteral drug administration. For physicians with office practices such events are particularly serious, for one thing because they are left to their own devices and may no longer be familiar with emergency procedure, and for another because if insurmountable complications occur the patient's and his/her family's suspicions of incorrect treatment--irrespective of possible litigation--often cannot be convincingly refuted even when they are unfounded. The paper describes the authors' own, jointly revised emergency concept for an orthopedic practice with a broad treatment spectrum. It will probably be generally applicable wherever undesirable side effects following injections--in particular after nerve block--are likely to occur.
本文提出了一种治疗理念,特别适用于门诊非肠道给药后的紧急情况。对于门诊医生而言,这类事件尤为严重,一方面是因为他们只能依靠自己,可能不再熟悉急救程序;另一方面是因为如果出现无法克服的并发症,即使毫无根据,患者及其家属对不当治疗的怀疑(无论是否可能引发诉讼)往往也难以令人信服地予以驳斥。本文描述了作者共同修订的针对具有广泛治疗范围的骨科门诊的急救理念。在注射后(尤其是神经阻滞之后)可能出现不良副作用的任何地方,该理念可能普遍适用。