Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2018
Review[Competence-based Training in the "Protected Environment": From Sheltered Space to Real Life].
The idea of "learning in a protected environment" is frequently used within the framework of postgradual education in anaesthesiology. However it remains unclear and its exact meaning lies in the eye of the beholder. ⋯ We conclude with an attempt to classify the wide variety of Simulators and teaching methods in use including their individual problems transferred into real life situations. Concerning the fact that this paper is supposed to be a review in medical education, its structure differs from case related papers with more medical content.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2018
Review["Learning in Protected Environment"- Implementation in Continuing Medical Education].
Actual concepts in continuing medical education in acute or emergency medicine contain skill training as well as simulation training. Methods and mechanisms to reduce crisis, like human factor training, shared mental models or closed-loop communication are incorporated. It is unknown which training method is optimal for individual departments in hospitals or for the individual level of education of the healthcare provider. ⋯ The implementation of a multimodal team training has to be adopted for each institution individually - methods for an implementation should be standardized. We suggest the use of the "Kern cycle" for a structured approach to curriculum development. On this foundation the combination of "learning in protected environment" and crisis training is optimal to achieve an improved patient safety in acute care.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2018
Review[Advance Care Planning and its Relevance for Emergency and Intensive Care Medicine].
Like in other countries, advance care planning (ACP) is currently being implemented in Germany as a new concept to realise valid and effective advance directives. This concept comprises processes to explore and document individual preferences for future treatment, and to honour them at a time when the person is incapacitated. ACP aims to ensure that patients will be treated according to their preferences when they are no longer capable due to acute health crises or chronic diseases. This paper gives an overview of the concept of ACP with a focus on relevant issues for emergency and intensive care medicine.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2018
Review[Simulation as a Training Method for the Professionalization of Teams].
Simulation as an educational method can be applied to the training of processes, technical and non-technical skills. This article focuses on the role of simulation in crisis resource management and non-technical skills. A realistic work environment requires well-trained staff regarding simulation technology and communication. ⋯ A safe environment is guaranteed, video recordings will never leave the training. Active experimentation, concrete experiences and accurate reflection are the key factors of success for the method simulation. Positive effects on critical incidents, resuscitation outcome and improvement of team climate can be observed after simulation training.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2018
Case Reports[What to Do When a Child Is Choking?]
Both ingestion and aspiration of foreign bodies are common events in children. If a child had something in his mouth and thereafter respiratory or swallowing complaints occur, both aspiration and ingestion are possible causes. ⋯ Therefore, the identification of any possible threat is essential. This paper identifies the diagnostic and therapeutic options and needs that will ensure the best possible safety and the least possible consequential harm.