Effizienz der präklinischen kardiopulmonalen Reanimation

Schüttler, J.; Bartsch, A.; Bremer, Frank; Ebeling, B. J.; Födisch, M.; Kulka, P. J.; Pfltisch, D.

doi:10.1055/s-2007-1001078

Cited by 10 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Dies konnte sowohl in Studien zum Herz− kreislaufstillstand [13,16,20,21,28] als auch bei polytraumati− sierten Patienten [4,29,30] gezeigt werden. Aus diesem Grund ist die Zugangszeit zum Patienten, die standardmäßig nicht er− fasst wird, von ganz besonderer Bedeutung im Rahmen der Ret− tungskette und muss zur Bewertung der Prozess− und Ergebnis− qualität der notfallmedizinischen Patientenversorgung unbe− dingt berücksichtigt werden [15,16,20,31,32].…”

Section: Zugangszeitintervallunclassified

Verzögerungen im Prähospitalzeitintervall bei Luftrettungseinsätzen

Finkenzeller¹,

Burghofer²,

Köhler³

et al. 2005

Notarzt

View full text Add to dashboard Cite

Section: Zugangszeitintervallunclassified

Verzögerungen im Prähospitalzeitintervall bei Luftrettungseinsätzen

Finkenzeller¹,

Burghofer²,

Köhler³

et al. 2005

Notarzt

View full text Add to dashboard Cite

“…Die Zeitspanne vom Beginn eines Kreislaufstillstands bis zur CPR ist eine kritische Komponente mit entscheidendem Einfluss auf den Reanimationserfolg. In Hamburg betrug die Eintreffzeit eines Rettungswagens in 80% der Notfälle bis zu 5 min (Notarztwagen 12 min; [14]), in Bonn erreichte der Notarzt 90% der reanimationspflichtigen Patienten innerhalb von bis zu 6 min Fahrzeit [15]. Addiert man zur Eintreffzeit der Ret-tungskräfte die Meldezeit des Notfalls, Besetzung des Rettungsmittels nach Alarmierung, sowie die Wegzeit des Rettungsteams zum Patienten am Notfallort, kann man zur Eintreffzeit vermutlich noch einmal 2 min addieren [16].…”

Section: Plötzlicher Herztod: Geringe üBerlebenschancenunclassified

Spontanatmung – Schnappatmung – Beatmung?

Wenzel

Dörges

Lindner

2001

Notfall & Rettungsmedizin

View full text Add to dashboard Cite

The value of mouth-to-mouth ventilation is currently discussed because of a widespread fear of transmission of infectious diseases.An expert committee of the American Heart Association even considered to recommend chest compressions.In paralyzed volunteers, however, ventilation induced by chest compressions was not able to provide a sufficient gas exchange.Laboratory investigations studying ventilation during CPR showed controversial results.Animal models that prevented gasping during cardiac arrest favored ventilation during CPR, whereas gasping animals seemed to be satisfactorily ventilated with chest compressions alone. The question whether spontaneous gasping after a cardiac arrest in humans may be sufficient for oxygenation and carbon dioxide elimination remains unanswered at this point in time.Therefore, mouth-to-mouth ventilation remains the therapy of choice during basic life.If a rescuer chooses to not perform mouth-to-mouth ventilation, at least chest compressions should be administered.The value of cricoid pressure during ventilation with an unprotected airway has to be emphasized to all healthcare professionals to avoid disastrous stomach inflation. If intubation can not be performed right away, the airway may be secured with the laryngeal mask airway, combitube, larynx tube, or intubating laryngeal mask airway. Rapid intubation and ventilation with oxygen remains the state-of-the-art therapy during CPR.

show abstract

Early prediction of non-survival for patients suffering cardiac arrest — a word of caution

et al. 1992

View full text Add to dashboard Cite

A total of 6178 persons with out-of-hospital (70%) and in hospital (30%) cardiac arrests from the first of January 1982 until the end of 1989 were reviewed retrospectively with respect to 4 variables, contributing to a score for specific prediction of poor prognosis (cut-off point: greater than 3 points). These included age, initial ECG, type of respiratory arrest and bystander resuscitation. Presence of ventricular fibrillation, gasping and bystander resuscitation contributes nothing to the score, while presence of asystole or EMD (electromechanical dissociation), apnoea and absence of bystander resuscitation adds one point to it. Of patients scoring 4 or 5 points 44 were awake 14 days post CPR (Class 3). The positive predictive value of the score was 97% (95% CI 96-98%) for the out-of-hospital group and 92.2% (95% CI 88-95%) for the in-hospital group. The specificity was respectively 92.3% (95% CI 89-95%) and 94.2% (95% CI 91-96%). Although the score can weigh the likelihood of no success against that of success, we cannot recommend it for decision making as far as abandoning or continuing cardiopulmonary resuscitation efforts.

show abstract

Effizienz der präklinischen kardiopulmonalen Reanimation

Cited by 10 publications

References 7 publications

Verzögerungen im Prähospitalzeitintervall bei Luftrettungseinsätzen

Verzögerungen im Prähospitalzeitintervall bei Luftrettungseinsätzen

Spontanatmung – Schnappatmung – Beatmung?

Early prediction of non-survival for patients suffering cardiac arrest — a word of caution

Contact Info

Product

Resources

About