Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · May 2003
Review[Near drowning: epidemiology--pathophysiology--therapy].
Near-drowning is a frequent preventable accident with a significant morbidity and mortality in a previous healthy population. In most patients the primary injury is pulmonary failure due to fluid aspiration, resulting in severe arterial hypoxemia and secondary damage to other organs. ⋯ Prompt resuscitation and aggressive respiratory and cardiovascular treatment are crucial for optimal survival. This review provides the reader with detailed information on epidemiology, pathophysiology, emergency decision making and general treatment in near drowning accidents.
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Anasthesiol Intensivmed Notfallmed Schmerzther · May 2003
[To resuscitate or not? The emergency physician's decision in the prehospital setting].
To identify factors affecting the decision to withhold resuscitative attempts or to terminate cardiopulmonary resuscitation (CPR) in the prehospital setting. ⋯ In the pre-hospital setting the decision to withhold or to withdraw CPR is mostly based on reliable criteria such as obvious clinical signs of death, fatal trauma or evidence of cardiac death. Nevertheless, in a small but considerable number of cases exceptions to this rule are made by emergency physicians.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2003
Historical Article[A short history of the Swiss Society of Anaesthesiology and Reanimation (SSAR)].
In common with most continental countries, anaesthesia in post-World War II Switzerland was clearly in arrears in comparison to the Anglo-American and Scandinavian countries. As early as in 1947, however, motivated young physicians left Switzerland for England, Scandinavia and the USA to familiarise themselves with the advances made in modern anaesthesia. In March, 1951, three of these pioneers, Ch. ⋯ In 1967 the name was changed to Swiss Society of Anaesthesiology and Reanimation (SSAR). Since coming into existence, the Society has grown more than 40-fold, with a total membership approaching 800 by 2002 end. In recent years, the SSAR took a particular interest in promoting both the training and CME of anaesthesiologists, in supporting research by its young members and in improving the quality and safety of anaesthesia.
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Anaesthesia today is a cross-over of all medical sub-specialities, based on a stable scientific fundament and a high margin of safety. Anaesthetic techniques are sophisticated and enable a differentiated treatment of pre-, intra- and post-operative medical demands. ⋯ This could be prevented by an improved medical school and training. Anaesthesiologists in science address either fundamental questions as to mechanisms of anaesthesia and epidemiological aspects of peri-operative medicine.