Carstens Eike, Eismann Hendrik, Flentje Markus, Albers Thomas, Sieg Lion
Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625 Hannover, Deutschland.
Notf Rett Med. 2022 May 13:1-10. doi: 10.1007/s10049-022-01036-6.
High quality of care in prehospital emergency medicine is characterized by guideline-based therapy. The basic prerequisite for this therapy is the availability of the required drugs in accordance with the current guideline recommendations. It is currently unclear whether this is guaranteed nationwide. There is no uniform standard regarding which drugs must be stocked in emergency medical services (EMS) vehicles staffed by physicians in Germany. The aim of the present study is to identify important diagnoses and the drugs required for their therapy. In a second step, medical directors throughout Germany were interviewed about current drugs available in their physician-staffed EMS vehicles and these were compared with the previously defined diagnosis-dependent drug lists.
After a structured guideline search, tracer diagnoses were defined and relevant drugs were assigned to them. The levels of evidence and recommendations were also considered. In a second step, this was compared with the current drugs available in physician-staffed EMS vehicles.
A total of 156 different medications were identified. The median number of medications stocked was 58; the minimum number of medications stocked was 35 at one site, while multiple sites stocked a maximum of 77 medications .
The present study investigated stocked medications in physician-staffed EMS vehicles. Overall, compared to a 2011 study, drug availability has improved. Most of the recommended medications are available in physician-staffed vehicles in Germany. The data from this study can be used by EMS throughout Germany to evaluate their preparedness.
院前急救医学中的高质量护理以基于指南的治疗为特征。这种治疗的基本前提是根据当前指南建议提供所需药物。目前尚不清楚全国范围内是否能保证这一点。在德国，对于配备医生的急救医疗服务（EMS）车辆中必须储备哪些药物，没有统一的标准。本研究的目的是确定重要诊断及其治疗所需的药物。第二步，对德国各地的医疗主任就其配备医生的EMS车辆中现有的药物进行了访谈，并将这些药物与先前确定的依赖诊断的药物清单进行了比较。
在进行结构化指南检索后，确定了追踪诊断，并为其分配了相关药物。还考虑了证据水平和建议。第二步，将其与配备医生的EMS车辆中现有的药物进行比较。
共识别出156种不同药物。储备药物的中位数为58种；一个站点储备药物的最少数量为35种，而多个站点储备药物的最多数量为77种。
本研究调查了配备医生的EMS车辆中储备的药物。总体而言，与2011年的一项研究相比，药物可及性有所改善。德国配备医生的车辆中大多备有推荐药物。德国各地的EMS可利用本研究的数据评估其准备情况。
