Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2009
Review Case Reports[Preclinical use of intraosseous access (IO) in adults: literature review and case reports].
The treatment of acute life threatening conditions normally requires intravenous access for further therapeutic measures. In the current guidelines of the European Resuscitation Council (ERC), published in November 2005, the significance of intraosseous access had been newly regulated. ⋯ The translation of scientific knowledge into clinical practise takes several years as a general rule. The following article illustrates the basic literature and two case reports, and is designed to inspire trust in a method, which can provide a useful alternative to peripheral venous access for the emergency physician.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2009
Review[Radiological differential diagnosis of chronic back pain].
Back pain is a frequent phenomenon. Published guidelines should be used to avoid unnecessary diagnostic imaging ("European guidelines for the management of chronic non-specific low back pain" - www.backpaineurope.org). ⋯ Inflammation and tumour caused spine disease need special attention. A false choice of imaging procedure could delay the correct diagnosis.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2009
Review[Substance-abuse related emergencies--illegal drugs, part II].
For the first time since the year 2000 the number of death due to substance abuse of illegal drugs has increased in Germany in 2007 (+8 % compared to 2006). Emergency situations due to drug abuse are frequent, particular in big cities. ⋯ On the other hand, drug intoxications may mask (other) life-threatening conditions. Emergency situations due to withdrawal offer the possibility to motivate patients to take advantage of specialist-guided abstinence programs.