Patientenspektrum im Notarztdienst

Bernhard, Michaël; Hilger, Tamara; Sikinger, M.; Hainer, C.; Haag, Sabine; Streitberger, Konrad; Martin, Eike; Gries, A.

doi:10.1007/s00101-006-1106-4

Cited by 49 publications

(23 citation statements)

References 19 publications

(20 reference statements)

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“…Üblicherweise dient der NACA-Score der Beurteilung des Patientenzustands, kann aber auch als Parameter im notfallmedizinischen Qualitätsmanagement herangezogen werden und erlangt somit zunehmend Bedeutung in der Gesundheitsöko-nomie sowie in der Forschung [4,15,21]. Der NACA-Score ist jedoch nicht kritiklos anzuwenden: Einer der wesentlichen Kritikpunkte besteht darin, dass der Einordnung in die NACA-Kategorien keine objektivierbaren Messwerte zugrunde liegen, sondern diese eher subjektiv durch den Notarzt erfolgt.…”

Section: National Advisory Committee For Aeronautics Scoreunclassified

Prähospitale geburtshilfliche Notfälle in einem bodengebundenen städtischen Notarztsystem

et al. 2009

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Obstetrical emergencies are rare but recurrent in the ground-based EMS. However, prehospital management of women in labor, supervision of spontaneous prehospital delivery and the initial management of a newborn form a challenge for the emergency physician responsible. Consequently, prehospital management of obstetrical emergencies needs intensive consideration during education and training of emergency medical personnel.

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Section: National Advisory Committee For Aeronautics Scoreunclassified

Prähospitale geburtshilfliche Notfälle in einem bodengebundenen städtischen Notarztsystem

et al. 2009

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“…Fortunately, there is a continuous decrease in the number of accidents [5,6]. The proportion of injured patients, based on the sum of all emergency patients in Germany, is approximately 10% [7].…”

Section: Introductionmentioning

confidence: 99%

Quality of Documentation as a Surrogate Marker for Awareness and Training Effectiveness of PHTLS-Courses. Part of the Prospective Longitudinal Mixed-Methods EPPTC-Trial

et al. 2017

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ObjectiveCare for severely injured patients requires multidisciplinary teamwork. A decrease in the number of accident victims ultimately affects the routine and skills. PHTLS (“Pre-Hospital Trauma Life Support”) courses are established two-day courses for medical and non-medical rescue service personnel, aimed at improving the pre-hospital care of trauma patients worldwide. The study aims the examination of the quality of documentation before and after PHTLS courses as a surrogate endpoint of training effectiveness and awareness.MethodsThis was a prospective pre-post intervention trial and was part of the mixed-method longitudinal EPPTC (Effect of Paramedic Training on Pre-Hospital Trauma Care) study, evaluating subjective and objective changes among participants and real patient care, as a result of PHTLS courses. The courses provide an overview of the SAMPLE approach for interrogation of anamnestic information, which is believed to be responsible for patient safety as relevant, among others, “Allergies,” “Medication,” and “Patient History” (AMP). The focus of the course is not the documentation.ResultsIn total, 320 protocols were analyzed before and after the training. The PHTLS course led to a significant increase (p < 0.001) in the “AMP” information in the documentation. The subgroups analysis of “allergies” (+47.2%), “drugs” (+38.1%), and “medical history” (+27.8%) before and after the PHTLS course showed a significant increase in the information content.ConclusionIn summary, we showed that PHTLS training improves documentation quality, which we used as a surrogate endpoint for learning effectiveness and awareness. In this regard, we demonstrated that participants use certain parts of training in real life, thereby suggesting that the learning methods of PHTLS training are effective. These results, however, do not indicate whether patient care has changed.

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“…The reasons for this increase are many and varied, and have been the subject of numerous analyses and discussions (5). Part of the growth can undoubtedly be explained by changes in disease incidence, accident patterns, and patient spectrum and requirements (6).…”

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Social Gradients in Myocardial Infarction and Stroke Diagnoses in Emergency Medicine

Hanefeld¹,

Haschemi²,

Lampert³

et al. 2018

Deutsches Ärzteblatt International

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Patientenspektrum im Notarztdienst

Cited by 49 publications

References 19 publications

Prähospitale geburtshilfliche Notfälle in einem bodengebundenen städtischen Notarztsystem

Prähospitale geburtshilfliche Notfälle in einem bodengebundenen städtischen Notarztsystem

Quality of Documentation as a Surrogate Marker for Awareness and Training Effectiveness of PHTLS-Courses. Part of the Prospective Longitudinal Mixed-Methods EPPTC-Trial

Social Gradients in Myocardial Infarction and Stroke Diagnoses in Emergency Medicine

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