Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2013
Review[Dispatcher assisted resuscitation by laypersons].
ERC Guidelines 2010 highlight the importance of dispatcher assisted cardiopulmonary resuscitation. The concept has been in use in emergency medical services in the USA since the mid-Eighties where it accounted for a considerable rise in bystander resuscitation. Subsequently it was implemented in some major Scandinavian cities. ⋯ Yet, this procedure has not been widely established in Germany so far. In this article the positive effects of the approach are illustrated as well as its limitations some of which can be resolved putting in reasonable effort. The relevance of dispatcher assisted CPR for emergency medical dispatchers as well as the emergency medical crews at the scene is then discussed.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2013
Review[Bystander resuscitation: the impact of first aid onsurvival].
About 75000 people suffer from sudden cardiac arrest in Germany every year. 47% of all out-of-hospital cardiac arrests (OHCA) in Germany are bystander witnessed, but in only 16.1% is bystander-initiated CPR undertaken. In comparison to other countries, Germany is in the last third of bystander-initiated CPR activities. But bystander CPR is one of the most important measures contributing to a good neurological outcome after OHCA. New methods and concepts have to be developed to bring the knowledge of CPR to the general public in Germany and to improve the international standing.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2013
Review[Teaching resuscitation in schools: "The earlier, the better...."].
Sudden cardiac arrest is a major contributor to avoidable deaths in Europe. Immediate start of basic life support (BLS) by laypersons is among the most successful strategies in the treatment of cardiac arrest patients. Despite the fact that more than half of all cardiac arrests in Germany are witnessed by a bystander, only in one fifth of all arrests layperson resuscitation is initiated. ⋯ Although an age-adjusted curriculum seems reasonable even usage of automatic external defibrillators (AED) can be taught effectually. The earlier in the life of a student BLS-instruction begins, the more successful the training is. However a national German curriculum for BLS-training in schools has yet to be established in Germany.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2013
Review[Lay-Rescuer Cardiopulmonary Resuscitation (CPR) - Controversies in Emergency Medicine: Lay-Rescuer CPR with or without Mouth-to-Mouth Ventilation].
An analysis of literature results reveals differences concerning the need for rescue breathing in lay-rescuer cardiopulmonary-resuscitation (CPR). Observational studies on large registries have shown improved survival rates with standard CPR (chest compressions and rescue breathing) compared to continuous chest compressions (CCC). This applies especially for cardiac arrests of non-cardiac origin or prolonged EMS-arrival times. ⋯ For dispatcher-assisted CPR the results are clear. Giving instructions for mouth-to-mouth ventilation is too complicated and time consuming, thus impairing survival rates. Therefore CCC is recommended for dispatcher-assisted CPR.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2013
[Helsinki Declaration on Patient Safety in Anaesthesiology-Part 8: SOP for checking equipment and drugs].
In 2010 the Helsinki Declaration on Patient Safety in Anaesthesiology was launched. In this joined statement under the auspice of the European Society of Anaesthesiology the need for protocols for different aspects of perioperative procedures that could affect patient safety was stated. ⋯ The background for this being the fact that the lack of carefully checking equipment and drugs--or not adhering to existing checklists--is a latent threat to patient safety and thus may increase morbidity and mortality. In this part of a series the authors present protocols existing in their clinic for checking anaesthesia equipment and drugs.