Markus Rössler

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BACKGROUND In Germany, as in many other countries, for the vast majority of cases, critical out-of-hospital (OOH) paediatric emergencies are attended by non-specialised emergency physicians (EPs). As it is assumed that this may lead to deficient service we aimed to gather robust data on the characteristics of OOH paediatric emergencies. METHODS We(More)
BACKGROUND Rapid establishment of a patent airway in ill or injured patients is a priority for prehospital rescue personnel. Out-of-hospital tracheal intubation can be challenging. Unrecognized esophageal intubation is a clinical disaster. METHODS We performed an observational, prospective study of consecutive patients requiring transport by air and(More)
OBJECTIVE To assess in patients with acute respiratory failure (ARF) whether out-of-hospital (OOH) non-invasive ventilation (NIV) is feasible, safe and more effective compared with standard medical therapy (SMT). PATIENTS AND INTERVENTIONS Patients with OOH ARF were randomly assigned to receive either SMT or NIV. MEASUREMENTS AND RESULTS Fifty-one(More)
INTRODUCTION Bag-valve-mask ventilation is recommended as the initial airway management option for paramedics during cardiopulmonary resuscitation, although this technique requires considerable skill and is associated with the risk of stomach insufflation, regurgitation, and aspiration. The present two-phase study investigated the efficacy and safety of the(More)
Die Notfallnarkose ist eine zentrale therapeutische Maßnahme in der prähospitalen Notfallmedizin. Das Risiko einer Notfallnarkose ist außerhalb der Klinik deutlich höher als innerklinisch. Die primären Ziele der Notfallnarkose sind Hypnose, Analgesie, Schaffung einer Möglichkeit zur Oxygenierung und Ventilation durch eine Atemwegssicherung. Sekundäre Ziele(More)
OBJECTIVES This meta-analysis aimed to determine the effectiveness of prehospital continuous positive airway pressure (CPAP) or bilevel inspiratory positive airway pressure (BiPAP) in acute respiratory failure. METHODS Fourteen electronic databases and research registers were searched from inception to August 2013. Randomized or quasi-randomized(More)
Severe clinical incidents occur in up to 10% of all non-intensive care unit (ICU) patients, which have an estimated mortality of 5-8%. As in the prehospital setting, early clinical warning signs can be identified in the majority of cases. Studies suggest that introduction of an in-hospital medical emergency team (MET) which responds to objective criteria of(More)