Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2013
[Anaesthesia for extrathoracal vascular surgical procedures - Part 1: Optimization on the preoperative therapy].
Vascular surgical patients have an increased perioperative risk for cardiovascular complications because of high incidence of cardiovascular risk factors. An optimization of the preoperative therapy is able to reduce the preventable cardiac complications. Cardiovascular risk factors such as high blood pressure, diabetes mellitus, heart failure have to be identified and treated.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2013
[A new postgraduate education program of the German Society of Anaesthesiology and Intensive Care Medicine].
The postgraduate education program of the "Landesärztekammer" describes the aims to qualify for the "Facharzt" for anesthesiology and plays a key role in ensuring a high quality of medical care. The "Bundesärztekammer" was assigned by the "Deutsche Ärztetag" to develop and improve postgraduate training. ⋯ In 2013 the results of the committee were presented and submitted to the "Bundesärztekammer". The principle purpose of this paper was to describe all the new aspects related to this program and to describe all the qualifications needed to finish this program.
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A lifelong learning process is necessarily the basis for the specialization and expertise in the field of anesthesiology. Thus competency as a physician is a complex, multidimensional construction of knowledge, skills and attitudes to be able to solve and persist the complex daily work challenges in a flexible and responsible way. Experts therefore showflexible and intuitive capabilities in pursuing their profession. ⋯ However, there is beside the responsibility of the learners for their learning processalso a high obligation of the clinical teachers to attend the learning process and to ensure a positive learning atmosphere with scope for feedback. Some competencies potentially could be better learned in a “sheltered” room based on simulation outside the OR, for example to train rare incidents or emergency procedures. In general there should be ongoing effort to enhance the process of expertise development, also in context of patient safety and quality management.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2013
Historical Article[Development of the physician based prehospital emergency medicine system in the former GDR].
The development of the physician based prehospital emergency medicine system of the former GDR started in the early 1960th. Initially the use of ambulances was trauma-orientated. ⋯ Parts of the system were also regional dispatch centers, a specific nationwide phone number (115), standardized equipment, and supervision by a physician. In addition regulations about documentation and staff-qualification were centrally installed.