Der Einsatz des intraossären Zugangs im präklinischen Notarztdienst

Kellner, Philipp; Eggers, Maren; Rachut, B.

doi:10.1007/s10049-010-1381-0

Cited by 10 publications

(5 citation statements)

References 21 publications

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“…In line with the results of a French ground based EMS study with 39 IOA in 9876 patients (0.39%) [7] and a German air based EMS study with an increase from 0.1% to 0.4 % over four years [8], the IOA rate in our ground based EMS was 0.34%. A recently published report from Berlin, Germany, with a generous indication position for IOA showed an unexpectedly high overall IOA rate of 1.49% [9]. Although the demographic settings are different in all investigations, they demonstrate that IOA plays an important role in emergency medicine.…”

Section: Discussionmentioning

confidence: 96%

Four years of EZ-IO® system in the preand in-hospital emergency setting

et al. 2013

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Section: Discussionmentioning

confidence: 96%

Four years of EZ-IO® system in the preand in-hospital emergency setting

et al. 2013

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“…Intraosseous access is often used when intravenous access is unsuccessful; therefore, this finding may reflect a higher likelihood of success with intravenous access among anesthesiologists relative to non-anesthesiologists. There is no recommended minimum procedural number for learning how to establish intraosseous access, but studies have demonstrated that the procedure is easy to learn and training models can be utilized to learn successful needle placement [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Differences in training among prehospital emergency physicians in Germany

Bollinger

Mathee

Shapeton

et al. 2022

Notfall Rettungsmed

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Background Germany has an interdisciplinary physician-based emergency medical service. Differences in training likely lead to different levels of expertise. Objectives We assessed the number of manual procedures performed at the completion of training to determine level of experience of prehospital emergency physicians of different primary specialties. Materials and methods Immediately after passing the board examination each examinee was asked to estimate the number of performed procedures for 26 manual skills. We compared the results with recommendations and data on learning manual skills. Results are presented as mean (standard deviation). Results Endotracheal intubation via direct laryngoscopy was performed 1032 (739) times by anesthesiologists. Surgeons and internists performed 89 (89) and 77 (65) intubations, respectively. Intubation via video laryngoscopy was performed 79 (81) times by anesthesiologists, 11 (17) times by surgeons and 6 (11) times by internists. Surgeons had little experience in non-invasive ventilation, with 9 (19) performed procedures and had rarely used external pacemaker therapy or electrical cardioversion. In comparison, among all participants non-invasive ventilation was performed 152 (197) times, electrical cardioversion was performed 41 (103) times and an external pacemaker was used 6 (15) times. For other procedures the numbers did not markedly differ between the different specialties. Conclusion The number of performed procedures markedly differed for some skills between different primary specialties. Recommendations regarding a procedural volume were not always met, suggesting missing expertise for some skills. A defined number of procedures should therefore be a formal requirement to be eligible for board certification in prehospital emergency medicine.

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“…Auch wenn sich in einem bodengebundenen Notarztsystem vergleichbare Anwendungshäufigkeiten mit 0,5% finden [9], erscheinen eine Wertung und der Vergleich dieser Ergebnisse zunächst schwierig, da bislang nahezu sämtliche durchgeführten (Langzeit-)Studien, insbesondere aus dem deutschsprachigen Raum mit vergleichbaren Notarztsystemen, auf die Anwendung des IOZ bei pädiatrischen Patienten fokussierten. Lediglich in einer aktuell publizierten prospektiven "Vorher-nachher"-Analyse aus Berlin wurde der Frage nach dem Einsatz des IOZ vor dem Hintergrund der erweiterten Indikationsempfehlungen nachgegangen [20]. Hierbei stellten die Autoren nach intensiver Schulung des rettungsdienstlichen Personals zum streng leitliniengerechten IOZ-Einsatz eine Zunahme der Anwendung auf 4,5% fest.…”

Section: Häufigkeit Der Anlageunclassified

“…Ähnlich den Erfahrungen von Kellner et al [20] kamen praktisch sämtliche in der präklinischen Notfallmedizin verfüg-baren Medikamente über den IOZ zum Einsatz. Besonders erwähnenswert sind in diesem Zusammenhang die im letzten Beobachtungsjahr bei 3 Notfallpatienten durchgeführten "Rescue"-Thrombolyse-Therapien.…”

Section: Intraossäre Medikamentenapplikationunclassified