Ulrich Heister

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OBJECTIVE Due to rising health care costs there is a need to verify that the treatment by Emergency Medical Services (EMS) systems is efficient and cost effective. The integration of emergency physicians is inherent part of out-of-hospital emergency care and regulated by law in Germany but not in England and the United States of America. Aim of this study(More)
OBJECTIVE To evaluate the effectiveness, the safety, and the practicability of the new automated load-distributing band resuscitation device AutoPulse in out-of-hospital cardiac arrest in the midsized urban emergency service of Bonn city. STUDY DESIGN Prospective, observational study. METHODS Measurements of effectiveness were the proportion of patients(More)
BACKGROUND AND PURPOSE In experimental studies infusion of hypertonic saline during cardiopulmonary resuscitation (CPR) increased resuscitation success rate and improved myocardial and cerebral reperfusion during CPR. We tested the feasibility and the safety of this new therapeutic measure in a randomised, preclinical pilot study. METHODS The study was(More)
The increase of online services, such as eBanks, WebMails, in which users are verified by a username and password, is increasingly exploited by Identity Theft procedures. Identity Theft is a fraud, in which someone pretends to be someone else is order to steal money or get other benefits. To overcome the problem of Identity Theft an additional security(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)
Eine akzidentelle Hypothermie (<35°C) gehört im Rettungsdienst zu einem häufig beobachteten Epiphänomen zahlreicher Erkrankungen. Eine schwere Hypothermie (<28°C) jedoch zählt zu den seltenen Ereignissen. Der vorliegende Fall beschreibt eine Patientin mit einer schweren urbanen Hypothermie und einer Körperkerntemperatur (KT) von 20,7°C sowie(More)
BACKGROUND Despite recent advances in resuscitation algorithms, neurological injury after cardiac arrest due to cerebral ischemia and reperfusion is one of the reasons for poor neurological outcome. There is currently no adequate means of measuring cerebral perfusion during cardiac arrest. It was the aim of this study to investigate the feasibility of(More)
In emergency medicine accidental hypothermia (<35 degrees C) is a common epiphenomenon of many medical conditions. In contrast, severe hypothermia (<28 degrees C) occurs very seldom and presents a difficult medical situation. Here we present a female patient with severe urban hypothermia (core temperature of 20.7 degrees C) and circulatory arrest. An(More)
BACKGROUND Patient outcome after out of hospital cardiac arrest (OHCA) depends on the cardiopulmonary resuscitation (CPR) performance and might also be influenced by organisation of the emergency medical service (EMS) and implementation of guidelines. AIM To assess the rate of return of spontaneous circulation (ROSC) after cardiac arrest to the predicted(More)
Das Überleben nach einem Herz-Kreislauf-Stillstand bleibt trotz erheblicher Bemühungen zur Verbesserung der kardiopulmonalen Reanimation (CPR) gering. Die jüngsten Änderungen der Internationalen Reanimationsrichtlinien 2005 betonen die Vermeidung von Unterbrechungen der Thoraxkompressionen. So wurden in der Vergangenheit auch verschiedene(More)