Psychiatrische Notfälle im Notarzt- und Rettungsdienst in Ulm in den Jahren 2000 und 2010 und Konsequenzen für die Praxis

Abstract

Psychiatric emergencies (PE) in preclinical emergency medical services are about 5 - 10 % of all emergencies and represent often a source of difficulties in handling for the non-psychiatric professional helpers that deal with them. Studies informing about quantitative and qualitative changes of PEs in preclinical emergency medicine in Germany are scarce. Therefore, we conducted a retrospective cross-sectional study of PE in a preclinical emergency medical service based on the protocols of the emergency ambulance of the Section for Emergency Medicine at the University Hospital Ulm comparing the years 2000 and 2010. We observed a significant increase of PEs from 8.8 % in the year 2000 (n = 285, from a total of n = 3227) to 10.3 % in 2010 (n = 454, from a total of n = 4425). In both years intoxications were the most common PE [2000: n = 116 (44.4 %); 2010: n = 171 (37.7 %)], followed by suicide-related behavior [2000: n = 59 (22.6 %); 2010: n = 78 (17.2 %)] and acute anxiety disorders [2000: n = 37 (13 %); 2010: n = 105 (23.1 %)]. The mentioned three conditions accounted for about 80 % of all PE. Most frequently PE occurred at the weekend and with the highest density in the evening and at night (18 - 24 h) in both years. Patients with PE were predominantly men, but the rate of women causing PE increased between 2000 and 2010. This study provides preliminary data on current trends in PEs in preclinical emergency medicine in Germany and has implications for improving the medical care provided.

Medical Emergency Resource Allocation Model in Large-Scale Emergencies Based on Artificial Intelligence: Algorithm Development

“…Using the Whooped (Microsoft Corp) software to conduct a static test on the system, the system has passed the coverage, boundedness, and activity tests, so the design of this system is reasonable [ 5 ].…”

Medical Emergency Resource Allocation Model in Large-Scale Emergencies Based on Artificial Intelligence: Algorithm Development (Preprint)

“…c pi refers to a single specific index and R p refers to the composite index. If the time utilization rate of these staff is set to r p (0<r p <1), then the number of staff required is Using the Whooped (Microsoft Corp) software to conduct a static test on the system, the system has passed the coverage, boundedness, and activity tests, so the design of this system is reasonable [5].…”

Intoxikationen und Drogennotfälle

“…Es gibt derzeit zwar keine systematische Erfassung von Vergiftungen, die Häufigkeit kann aber aus den Anfragen bei den Giftinformationszentren (GIZ) abgeschätzt werden: Allein 2016 verzeichnete das GIZ Nord 33 986 Anfragen zu Vergiftungsfällen [1]. Im Rettungsdienst machen Vergiftungen etwa 4 % aller Notarzteinsätze aus [2]. Von den jährlich rund 10 000 vollendeten Suiziden sind 26 % auf eine Vergiftung zurückzuführen [3].…”