König V, Berek M, Gibb S, Hermes C, Hilgarth H, Janssens U, Kessel J, Kitz V, Kreutziger J, Krone M, Mager D, Michels G, Möller S, Ochmann T, Scheithauer S, Wagenhäuser I, Weeverink N, Weismann D, Wengenmayer T, Wilkens F M, Kochanek M
Viszeralmedizinisches und Viszeralonkologisches Zentrum, Interdisziplinäre Intensivstation, Israelitisches Krankenhaus Hamburg, Akademisches Lehrkrankenhaus der Universität Hamburg, Orchideenstieg 14, 22297, Hamburg, Deutschland.
Klinik für Anästhesiologie, Intensivmedizin und perioperative Schmerztherapie, Städtisches Klinikum Dessau, Dessau-Roßlau, Deutschland.
Med Klin Intensivmed Notfmed. 2025 Feb;120(1):37-43. doi: 10.1007/s00063-024-01209-w. Epub 2024 Nov 28.
Man-made climate change is one of the greatest challenges of the future. The course is being set in the current generation. As the healthcare sector contributes a considerable proportion of greenhouse gas emissions, measures to counteract this must be introduced as a matter of urgency. A guideline is therefore necessary as an initial recommendation for action in the intensive care and emergency medicine sector.
As part of the guideline program of the Association of the Scientific Medical Societies in Germany (AWMF e. V.), an S1 guideline was developed with the participation of 12 professional societies and initiatives, and published in October 2024. The guideline group defined relevant key topics and carried out a systematic search of the literature; due to the S1 classification, no separate evidence review was carried out. The classification of the recommendations took place in a formal consensus-building process.
The guideline contains 73 recommendations for the implementation of sustainable approaches in intensive care and emergency medicine. These are recommendations that concern both the interprofessional team in the departments and the organizational structure of the hospital.
The guideline shows that there are already relevant and concrete possibilities for more sustainable work in intensive care and emergency medicine. However, there is a need for further research (e.g., detailed analyses, such as life cycle assessment) on how exactly to reduce the environmental impact of medical facilities, while maintaining high-quality patient care.
人为气候变化是未来最大的挑战之一。其发展趋势在当代已初现端倪。由于医疗保健部门在温室气体排放中占相当大的比例，因此必须紧急采取措施加以应对。因此，有必要制定一项指南，作为重症监护和急诊医学领域初步的行动建议。
作为德国科学医学协会联合会（AWMF e.V.）指南计划的一部分，在12个专业协会和倡议组织的参与下制定了一项S1指南，并于2024年10月发布。指南制定小组确定了相关关键主题，并对文献进行了系统检索；由于采用S1分类，未进行单独的证据审查。建议的分类是在正式的共识达成过程中进行的。
该指南包含73条关于在重症监护和急诊医学中实施可持续方法的建议。这些建议既涉及科室的跨专业团队，也涉及医院的组织结构。
该指南表明，在重症监护和急诊医学中，已经存在实现更可持续工作的相关具体可能性。然而，对于如何在保持高质量患者护理的同时，确切地减少医疗设施对环境的影响，仍需要进一步研究（例如详细分析，如生命周期评估）。
