Michael M, Kumle B, Pin M, Kümpers P, Gröning I, Bernhard M
Zentrale Notaufnahme, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität, Moorenstraße 5, 40225, Düsseldorf, Deutschland.
Klinik für Akut- und Notfallmedizin, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Deutschland.
Med Klin Intensivmed Notfmed. 2021 Jun;116(5):405-414. doi: 10.1007/s00063-021-00789-1. Epub 2021 Feb 18.
Critically ill patients are often initially treated by out-of-hospital emergency medicine services. A major challenge-especially at the interface between out-of-hospital and in-hospital care-is to continue patient care without wasting time, while maintaining a high level. These include the stabilization of vital functions (e.g., airway management, noninvasive/invasive ventilation, circulatory stabilization) and implementation of a suitable diagnostic and therapeutic strategy (e.g., laboratory examinations, sonography, radiological imaging). In recent years, therefore, interest and research has focused on the topic of "nontraumatic resuscitation room care". The first monocentric data recently became available and work is ongoing to develop nontraumatic resuscitation room management for optimal care of critically ill patients in the emergency department. Based on initial studies, experiences and expert opinions, this paper describes a structured approach to nontraumatic resuscitation room management.
危重症患者通常最初由院外急救医疗服务进行治疗。一个主要挑战——尤其是在院外和院内护理的交接点——是在不浪费时间的情况下持续进行患者护理,同时保持高水平。这些包括维持生命功能稳定(如气道管理、无创/有创通气、循环稳定)以及实施合适的诊断和治疗策略(如实验室检查、超声检查、放射影像学检查)。因此,近年来,人们的兴趣和研究集中在“非创伤性复苏室护理”这一主题上。最近首次获得了单中心数据,并且正在开展工作以开发非创伤性复苏室管理方法,以便在急诊科对危重症患者进行最佳护理。基于初步研究、经验和专家意见,本文描述了一种非创伤性复苏室管理的结构化方法。