DIVI-Notarzteinsatzprotokoll, Version 4.0

Moecke, H.; Dirks, B.; Friedrich, Hergen; Hennes, Halim; Lackner, Chr. K.; Meßelken, M.; Neumann, Christoph; Pajonk, Frank-Gerald; Reng, Michael; Schächinger, U.; Violka, Th.

doi:10.1007/s001010050817

Cited by 28 publications

(11 citation statements)

References 1 publication

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“…All the protocols we used fulfilled the current recommended national standard of the German Interdisciplinary Association of Critical Care Medicine (DIVI 4.2) 11. They are double-sided and have predefined areas for documenting each of the parameters needed for calculation of the MEES and RTS at the two points in time that we examined (T1, the first contact with the patient at the scene, and T2, arrival at the ED).…”

Section: Methodsmentioning

confidence: 99%

Is paper-based documentation in an emergency medical service adequate for retrospective scientific analysis? An evaluation of a physician-run service

Bergrath

Skorning²,

Rörtgen³

et al. 2010

Emergency Medicine Journal

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Documentation of vital parameters is carried out incompletely, and documentation of respiratory rate is particularly poor, making calculation of accepted emergency scores infeasible for a significant fraction of a given test population. The suitability of paper-based documentation is therefore limited. Electronic documentation that includes real-time plausibility checks might improve data quality. Further research is warranted.

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Section: Methodsmentioning

confidence: 99%

Is paper-based documentation in an emergency medical service adequate for retrospective scientific analysis? An evaluation of a physician-run service

Bergrath

Skorning²,

Rörtgen³

et al. 2010

Emergency Medicine Journal

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“…Since January 1, 1987, a standardized documentation sheet is mandatory for each emergency physician on duty; meanwhile, it has reached a high level of acceptance with a completion rate of 1 90%. This documentation sheet is similar to the Germany-wide well-accepted DIVI emergency documentation sheet [24] and includes two scoring systems: (1) the Glasgow Coma Scale (GCS) [25] to assess the neurological state, and (2) the Trauma Score (TS) [26,27] to estimate the physiological response to severe trauma. It contains information on the patient's age, gender, mechanism of injury, initial vital status, suspected diagnosis, prehospital monitoring and care, triage, and early time course after the injury [10] .…”

Section: Documentationmentioning

confidence: 99%

Incidence and Outcome of Traumatic Brain Injury in an Urban Area in Western Europe over 10 Years

et al. 2007

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Introduction: Valid epidemiological data on incidence and outcome of traumatic brain injury (TBI) show great variability. A study on incidence, severity and outcome of TBI was conducted in an urban area of one million inhabitants. Materials and Methods: 130,000 prehospital emergencies were screened for TBI. Inclusion criteria: Glasgow Coma Scale (GCS) score ≤8 and/or Abbreviated Injury Scale for head injuries (AIS_head) score ≧2 with confirmed TBI via appropriate diagnostics. Results: Annual incidence was 7.3/100,000. Overall mortality rate was 45.8%: 182 (28%) were prehospital deaths, 116 (17.8%) patients died in hospital. Two hundred and fourteen of 352 (60.8%) surviving patients were sufficiently rehabilitated at discharge [Glasgow Outcome Scale (GOS) score = 1], but 138 patients (39.2%) survived with persisting deficits. GOS was associated with initial GCS and AIS_head. Conclusion: The incidence of TBI was lower compared to the literature. The overall mortality was high, especially prehospital and early in-hospital mortality rates.

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“…Zentraler Bestandteil dieses Systems ist das LIKS. Der Dokumentationsflow sieht dabei folgendermaßen aus: Die primäre Einsatzdokumentation erfolgt handschriftlich, papiergestützt mithilfe des DIVI-Notarzteinsatzprotokolls [23]. Nach Einsatzende erfolgt die Übertragung der Daten am Desktop-PC der RTH-Station in das LIKS (mit entsprechender Plausibilitätskontrolle und Validierung); hierbei folgt die Datenstruktur streng der MIND-2-Vorgabe [19].…”

Section: Diskussionunclassified