Zeitschrift für ärztliche Fortbildung
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Bleeding in the ENT area necessitates fast action to recognize and to stop the bleeding as well as to avert upcoming dangers. Prerequisite for a diagnostic is a good source of light via the reflector or the endoscope. During bleeding from wounds in the ears, nose, and throat, additional sources of bleeding from the mentioned cavities have to be excluded. ⋯ A blue-red colored tonsil with a fresh bleeding from mucosal chaps is seen as a warning indication of a tonsillogenic arrosion bleeding. Bleeding from the hypopharynx and the larynx necessitate the endotracheal intubation. Bleeding from the ear do not have to lead to rushed actions.
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Z Arztl Fortbild (Jena) · Dec 1995
[Emergency service course manual--a contribution to quality assurance in emergency medicine education].
For the purpose of comparison and quality control for the acquisition of the subspeciality in emergency medicine, a committee of experts in the area of emergency medicine developed the first curriculum (course book Emergency medicine) valid in all states of Germany. The requirements for the development of this curriculum were derived from the experts' experiences and from the requirements of the medical society for the quality of medical training.
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The care for elderly patients is traditionally a task of the general practitioner and will be of increasing importance in the future. Medical considerations focus on the patient's functional abilities which should play a primary role. These should, however, not neglect the patient's resources for the development of social and mental competence. ⋯ This will support the development of a special geriatric quality management in general practice. There is a need for further development of ambulatory rehabilitation for the elderly. The general practitioner in this field will have to control the teamwork with rehabilitation-professionals and professionals from the social support services.