Buschmann C, Kleber C, Tsokos M, Kerner T, Püschel K, Schmidt U, Fischer H, Stuhr M
Institut für Rechtsmedizin, Charité - Universitätsmedizin Berlin, Turmstr. 21, Haus N, 10559, Berlin, Deutschland.
UniversitätsCentrum für Orthopädie und Unfallchirurgie, AG Polytrauma, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland.
Anaesthesist. 2016 Aug;65(8):601-8. doi: 10.1007/s00101-016-0194-z.
There are considerable similarities and intersections between forensic medicine and emergency medicine. This applies especially to frustraneously resuscitated patients or other lethal clinical courses of traumatized patients who are subject to latter forensic autopsy. Cooperation between departments of emergency and forensic medicine not only has emergency medical training potential, but also the possibility of retrospective evaluation of medical emergency measures - both in individual cases and with regard to epidemiological aspects. In particular, the widespread registration of autopsied pre-hospital trauma deaths that occurred despite on-scene resuscitation attempts is useful. The pre-hospital situation represents a hotspot, but also a blind spot in the overall trauma mortality. In recent clinical registers, preclinical deaths go mostly unrecorded, despite the undisputed benefits of clinical registers.
法医学与急诊医学之间存在相当多的相似之处和交叉点。这尤其适用于经全力复苏但仍死亡的患者,或遭受创伤且经历致命临床病程后接受法医尸检的患者。急诊医学部门与法医学部门之间的合作不仅具有急诊医学培训潜力,还具备对医疗急救措施进行回顾性评估的可能性——无论是针对个别案例,还是从流行病学角度来看。特别是,对尽管在现场进行了复苏尝试但仍发生的院前创伤死亡病例进行广泛的尸检登记是很有帮助的。院前情况是整体创伤死亡率中的一个热点,但也是一个盲点。在最近的临床登记中,尽管临床登记有诸多无可争议的益处,但临床前死亡大多未被记录。