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The non-invasive ventilation (NIV) has been practiced successfully for years in the clinical routine. Now this therapeutic option should be transferred in the pre hospital emergency service. But there are many risks, they must be mentioned: As a matter of fact an effective clinical therapy can not be brought to the streets easily - even if there are good… (More)
INTRODUCTION Sudden cardiac arrest is one of the most frequent causes of death in the world. In highly qualified emergency medical service (EMS) systems, including well trained emergency physicians, spontaneous circulation may be restored in up to 53% of patients at least until admission to hospital. Compared with these highly qualified EMS systems, in… (More)
BACKGROUND In this preliminary prospective observational study at four physician-led air rescue centres, the efficacy of the C-MAC (Karl Storz, Tuttlingen, Germany), a new portable videolaryngoscope, was evaluated during prehospital emergency endotracheal intubations. METHODS 80 consecutive patients requiring prehospital emergency intubation, treated by a… (More)
Hypothermia after out of hospital cardiac arrest should be clinical practice for years. But is it really meanwhile daily trained practice? A survey at northern German hospitals gives an answer to this question.
An obvious trend of concentrating treatment options on specialized centres may take effect later in an increased need for inter-hospital transfer. Patients initially referred to secondary or tertiary hospitals require a safe and systematically organised transport in order to ensure a continuation of initiated actions in intensive care. This review will… (More)
On the basis of a case report the prehospital management of severely burned patients is discussed. The prevention of hypovolemia, hypothermia or hypoxemia are the primary targets. It is necessary to estimate the burn size and depth. The burn shock fluid resuscitation, prevention of hypothermia, pain- and airway management are described as well as the… (More)
This case report describes the prehospital care of a 42-year-old person damaged by a severe motorcycle accident in a rural scene. The injured person was unconscious, one pupil was dilated and rib fractures were palpable. Purposeful therapy without delay was necessary. The prehospital therapy took 35 minutes in total. The time benefit by using a rescue… (More)