Archive for March, 2008

[Anaesthesia in developing countries]

[Anaesthesia in developing countries]
The German society \”Anaesthesia in Developing Countries\” aims at improving the anaesthetic care in the so called Third World. Main fields of activity are training/qualification and technical support, chiefly in East African countries; only recently steps towards the French speaking countries of Black Africa have been taken.
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[The role of patient flow and surge capacity for in-hospital response in mass casualty events]

[The role of patient flow and surge capacity for in-hospital response in mass casualty events]
Mass casualty events make demands on emergency services and disaster control. However, optimized in- hospital response defines the quality of definitive care. Therefore, German federal law governs the role of hospitals in mass casualty incidents. In hospital casualty […]

[Emergency medicine and myocardial ischaemia - thrombolysis during cardiopulmonary resuscitation - a

[Emergency medicine and myocardial ischaemia - thrombolysis during cardiopulmonary resuscitation - available data and recommendations]
Patients suffering cardiac arrest still have a poor prognosis. Up to the present, no drug therapy has shown to improve longterm survival after cardiac arrest. Acute myocardial infarction (AMI) or massive pulmonary embolism (PE) are the underlying causes […]

[Management of the acute myocardial infarction in the prehospital emergency setting. Reperfusing and

[Management of the acute myocardial infarction in the prehospital emergency setting. Reperfusing and antithrombotic therapy]
The early reperfusion of the occluded epicardial coronary artery and the antithrombotic therapy is of eminent importance in the management of the acute myocardial infarction with ST-segment-elevation. The emergency physician has a key role in establishing the diagnosis […]

[In Process Citation]

[In Process Citation]
Weber T, Van Aken H.
Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin des UK Münsterund Arztlicher Leiter Rettungsdienstder Stadt Münster.

[Hospital hygiene - clothing in hospitals: protection for staff and patients]

[Hospital hygiene - clothing in hospitals: protection for staff and patients]
Hospital clothing worn by medical personnel in German hospitals can be divided into two groups, work clothing and protective clothing. Work clothing is not changed between patient visits and hence is no measure of infection control. Its function is to protect private […]

[Anesthesia in pulmonary diseases. Prevention of postoperativ pulmonary complications]

[Anesthesia in pulmonary diseases. Prevention of postoperativ pulmonary complications]
Postoperative pulmonary complications (PPC) are considered a main factor increasing postoperative morbidity and mortality. Medical history and clinical examination are highly predictive for the development of PPC. Extended evaluation is indicated in the presence of pulmonary symptoms. Prophylaxis of PPC includes cessation of smoking, […]

[Prehospital management of geriatric patients]

[Prehospital management of geriatric patients]
The prehospital management of geriatric patients involves an understanding of the physiology of aging and necessitates the special acknowledgement of diagnosis and treatment of emergencies in the elderly. It is essential to keep in mind the prevention of an underestimation of the severity of disease and the necessity […]

[Neurological diseases in pregnancy: implications for anesthesia care - part 2]

[Neurological diseases in pregnancy: implications for anesthesia care - part 2]
In the parturient as well as in the pregnant patient with neurological disease, surgery is necessary more frequently than in healthy pregnants. Most pregnancies of these patients will result in a slightly increased rate for cesarean section. The focus of anesthesia care […]

[Case report: tachyarrhythmia in the sports stadium - differential diagnosis and therapy]

[Case report: tachyarrhythmia in the sports stadium - differential diagnosis and therapy]
Preclinical occuring tachyarrhythmias could represent a life-threatening situation. Signs of haemodynamically instability like systolic blood pressure <90mmHg, heart rate >150/min, chest pain, heart failure, and reduced conscious level should rapidly be recognized. Immediately treatment using electrical cardioversion is then indicated. A […]