pin-up-docs – don't panic

Alles Gute für das Jahr 2020 wünschen wir euch !

Standesgemäß gibt es eine Sonderfolge mit Justus Wolff von dasFOAM.org zum Thema Traumatic Cardiac Arrest auf die Ohren.

Zusätzlich gibt uns einer der ärztlichen Leiter Rettungsdienst der Stadt Berlin, Janosch Dahmen, einen besonderen Einblick in einen ganz besonderen Einsatz.

Hört rein, es lohnt sich !

Hier findet Ihr den Originalartikel von Justus: https://dasfoam.org/2019/01/26/druecken-ist-zwecklos/

Außerdem die Quellen, die Justus für seinen Artikel benutzt hat: 

Thoraxkompressionen depriorisiert / fehl am Platze bei TCA*:

SHERREN, P. B., REID, C., HABIG, K. & BURNS, B. J. 2013. Algorithm for the resuscitation of traumatic cardiac arrest patients in a physician-staffed helicopter emergency medical service. Crit Care, 17, 308.

EVANS, C., QUINLAN, D. O., ENGELS, P. T. & SHERBINO, J. 2018. Reanimating Patients After Traumatic Cardiac Arrest: A Practical Approach Informed by Best Evidence. Emerg Med Clin North Am, 36, 19-40.

*wie immer gilt: Kopf einschalten. Also wenn es sich um einen TCA handelt, und dann im initialen Management, während die Interventionen abgearbeitet werden, wenn die Umstände es zulassen.

Kardialer Ultraschall beim TCA (mit prognostischem Wert):

CURETON, E. L., YEUNG, L. Y., KWAN, R. O., MIRAFLOR, E. J., SADJADI, J., PRICE, D. D. & VICTORINO, G. P. 2012. The heart of the matter: utility of ultrasound of cardiac activity during traumatic arrest. J Trauma Acute Care Surg, 73, 102-10.

INABA, K., CHOULIARAS, K., ZAKALUZNY, S., SWADRON, S., MAILHOT, T., SEIF, D., TEIXEIRA, P., SIVRIKOZ, E., IVES, C., BARMPARAS, G., KORONAKIS, N. & DEMETRIADES, D. 2015. FAST ultrasound examination as a predictor of outcomes after resuscitative thoracotomy: a prospective evaluation. Ann Surg, 262, 512-8; discussion 516-8.

SCHUSTER, K. M., LOFTHOUSE, R., MOORE, C., LUI, F., KAPLAN, L. J. & DAVIS, K. A. 2009. Pulseless electrical activity, focused abdominal sonography for trauma, and cardiac contractile activity as predictors of survival after trauma. J Trauma, 67, 1154-7.

Impact brain apnea:

WILSON, M. H., HINDS, J., GRIER, G., BURNS, B., CARLEY, S. & DAVIES, G. 2016. Impact brain apnoea – A forgotten cause of cardiovascular collapse in trauma. Resuscitation, 105, 52-8.

Low Output State in Trauma:

SMITH, J. E., RICKARD, A. & WISE, D. 2015. Traumatic cardiac arrest. J R Soc Med, 108, 11-6.

Thoraxkompressionen sind ineffektiv bei Formen des TCA(Tiermodell!):

WATTS, S., SMITH, J. E., GWYTHER, R. & KIRKMAN, E. 2019. Closed chest compressions reduce survival in an animal model of haemorrhage-induced traumatic cardiac arrest. Resuscitation.

JEFFCOACH, D. R., GALLEGOS, J. J., JESTY, S. A., COAN, P. N., CHEN, J., HEIDEL, R. E. & DALEY, B. J. 2016. Use of CPR in hemorrhagic shock, a dog model. J Trauma Acute Care Surg, 81, 27-33.

LUNA, G. K., PAVLIN, E. G., KIRKMAN, T., COPASS, M. K. & RICE, C. L. 1989. Hemodynamic effects of external cardiac massage in trauma shock. J Trauma, 29, 1430-3.

Alle Patienten sollten empirisch bilaterale Thorakostomien bekommen:

EVANS, C., QUINLAN, D. O., ENGELS, P. T. & SHERBINO, J. 2018. Reanimating Patients After Traumatic Cardiac Arrest: A Practical Approach Informed by Best Evidence. Emerg Med Clin North Am, 36, 19-40.

Adrenalin:

HARRIS, T., MASUD, S., LAMOND, A. & ABU-HABSA, M. 2015. Traumatic cardiac arrest: a unique approach. Eur J Emerg Med, 22, 72-8.

YAMAMOTO, R., SUZUKI, M., HAYASHIDA, K., YOSHIZAWA, J., SAKURAI, A., KITAMURA, N., TAGAMI, T., NAKADA, T. A., TAKEDA, M. & SASAKI, J. 2019. Epinephrine during resuscitation of traumatic cardiac arrest and increased mortality: a post hoc analysis of prospective observational study. Scand J Trauma ResuscEmerg Med, 27, 74.

Rhythmus bei LAE:

BOUGOUIN, W., MARIJON, E., PLANQUETTE, B., KARAM, N., DUMAS, F., CELERMAJER, D. S., JOST, D., LAMHAUT, L., BEGANTON, F., CARIOU, A., MEYER, G. & JOUVEN, X. 2017. Pulmonary embolism related sudden cardiac arrest admitted alive at hospital: Management and outcomes. Resuscitation, 115, 135-140.

Der Beitrag Sonderfolge „Traumatic Cardiac Arrest“ erschien zuerst auf pin-up-docs - don't panic.

Unsere neue Folge ist da ! Wir haben natürlich wieder unseren Journal-Club, Akutes Management von LVAD-Notfällen, Verapamil als Medikament des Monats, als Kochrezept den BEFAST-Score und das Management akut lebensbedrohlicher Herzrhythmusstörungen. Dazu ein kleines Gewinnspiel ! Hört rein !

https://whereisscihub.now.sh/

Alexander, Elizabeth, et al. „Oral lefamulin vs moxifloxacin for early clinical response among adults with community-acquired bacterial pneumonia: the LEAP 2 randomized clinical trial.“ Jama 322.17 (2019): 1661-1671.

http://cormackandlehane.de/

https://www.mcn-nuernberg.de/externeseiten/32_nat/berufspolitik-14122019.php

van den Boom, Willem, et al. „The Search for Optimal Oxygen Saturation Targets in Critically Ill Patients: Observational Data From Large ICU Databases.“ Chest (2019).

ICU-ROX Investigators and the Australian and New Zealand Intensive Care Society Clinical Trials Group. „Conservative Oxygen Therapy during Mechanical Ventilation in the ICU.“ New England Journal of Medicine (2019).

Janz, David R., et al. „Effect of a fluid bolus on cardiovascular collapse among critically ill adults undergoing tracheal intubation (PrePARE): a randomised controlled trial.“ The Lancet Respiratory Medicine (2019).

Samerchua, Artid, Suwannee Suraseranivongse, and Chulaluk Komoltri. „A Comparison of Pediatric Weight Estimation Methods for Emergency Resuscitation.“ Pediatric emergency care 35.10 (2019): 705-711.

Pancaro, Carlo, et al. „Risk of Major Complications After Perioperative Norepinephrine Infusion Through Peripheral Intravenous Lines in a Multicenter Study.“ Anesthesia & Analgesia (2019).

Flamée et al. “ Electrocardiographic Effects of Propofol versus Etomidate in Patients with Brugada Syndrome.“ Anesthesiology (2019)

Long et al. „Accuracy of Point‐of‐care Ultrasound for Diagnosing Soft Tissue Abscess“ Academic Emergency Medicine (November 2019).

Gabrielli et. al „Evaluation of Prehospital Management in a Canadian Emergency Department Anaphylaxis Cohort.“ The Journal of Allergy & Clinical Immunology (Volume 7/2019)

https://flexikon.doccheck.com/de/FAST-Test

https://www.ahajournals.org/doi/10.1161/STROKEAHA.116.015169

Hauke, et. al “ Akut lebensbedrohliche Herzrhythmusstörungen“ Intensivmedizin Up2Date (04/2019)

Der Beitrag Podcast Dezember 2019 – Folge 11 erschien zuerst auf pin-up-docs - don't panic.

Unser neuer Podcast ist da !
Themen sind: Haftungsfragen für Notfallsanitäter mit Tobi & Sven, unser Journal, Club, akutes Management der Hyperkaliämie, Vasalva beim beatmeten Patienten, Synkopen und Metamizol-Anwendungsempfehlungen.

Hört rein !

Watch this great video showing the Modified Valsalva Maneuver converting a patient in SVT to Normal Sinus Rhythm

If you’re not doing this, you’re not doing SVT right!

Video courtesy: @julesantosER #FOAMedpic.twitter.com/5hj4IRUVa9

Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. Acad Emerg Med. 2019 Sep 27. doi: 10.1111/acem.13774. [Epub ahead of print]

Balanced Crystalloids Versus Saline in Sepsis: A Secondary Analysis of the SMART Trial. Am J Respir Crit Care Med. 2019 Aug 27. doi: 10.1164/rccm.201903-0557OC. [Epub ahead of print] -> Basisartikel:

Internist (Berl). 2015 Jul;56(7):773-8. doi: 10.1007/s00108-015-3676-1.

Cheng, Matthew P., et al. „Blood culture results before and after antimicrobial administration in patients with severe manifestations of sepsis: A diagnostic study.“ Annals of internal medicine (2019).

Zdravkovic, M. , Berger‐Estilita, J. , Sorbello, M. , Hagberg, C. A. and , (2019), An international survey about rapid sequence intubation of 10,003 anaesthetists and 16 airway experts. Anaesthesia. doi:10.1111/anae.14867

Stadlbauer, Daniel, et al. „Broadly protective human antibodies that target the active site of influenza virus neuraminidase.“ Science 366.6464 (2019): 499-504.

Truwit, Jonathon D., et al. „Effect of vitamin C infusion on organ failure and biomarkers of inflammation and vascular injury in patients with sepsis and severe acute respiratory failure: the CITRIS-ALI randomized clinical trial.“ Jama 322.13 (2019): 1261-1270.

[NaCl 0.9 % for volume substitution : blessing or curse?]. Kümpers P1 , der Internist 2015

Stamer, U. M., et al. „Metamizol.“ Der Schmerz 31.1 (2017): 5-13.

Carneiro, S., et al. „Valsalva like maneuver with ventilator to treat supraventricular tachycardia: 4AP6-11.“ European Journal of Anaesthesiology (EJA) 31 (2014): 71.

Bruno, R. et al. „Synkope…. „oder auf einmal war ich weg“: Notaufnahme up2date 1(2019)

Der Beitrag Podcast November – Folge 10 erschien zuerst auf pin-up-docs - don't panic.

Unsere Oktober-Folge ist fertig ! Dieses Mal mit News, Journal Club, Arzneimitteltherapie des Monats – 10 Mythen zu Furosemid, KISS als Kochrezept, Therapie der Spontan-ICB und alles rund um Beutel-Masken-Beatmung. Sowie natürlich Crash III !

Hört rein

Watts S, Smith JE, Gwyther R, KirkmanE, Closed chest compressions reduce survival in an animal modelof haemorrhage-induced traumatic cardiac arrest,Resuscitation(2019),https://doi.org/10.1016/j.resuscitation.2019.04.048

https://t.co/DgECUMSikx

https://www.emra.org/emresident/article/critcare-alert-closed-chest-compressions/

http://www.stemlynsblog.org/jc-should-we-use-chest-compressions-in-traumatic-cardiac-arrest-st-emlyns/

Rote Hand Brief Ondansetron

https://www.aerzteblatt.de/nachrichten/106623/Streit-um-mehr-Rechtssicherheit-fuer-Notfallsanitaeter

IG Nobel Preise

MEDICINE PRIZE [ITALY, THE NETHERLANDS]

MEDICAL EDUCATION PRIZE [USA]
Karen Pryor and Theresa McKeon, for using a simple animal-training technique— called “clicker training” —to train surgeons to perform orthopedic surgery.
REFERENCE: “Is Teaching Simple Surgical Skills Using an Operant Learning Program More Effective Than Teaching by Demonstration,” I. Martin Levy, Karen W. Pryor, and Theresa R. McKeon, Clinical Orthopaedics and Related Research, vol. 474, no. 4, April 2016, pp. 945–955.

ANATOMY PRIZE [FRANCE]
Roger Mieusset and Bourras Bengoudifa, for measuring scrotal temperature asymmetry in naked and clothed postmen in France.
REFERENCE: “Thermal Asymmetry of the Human Scrotum,” Bourras Bengoudifa and Roger Mieusset, Human Reproduction, vol. 22, no. 8, 2007, pp. 2178-2182.

MPTY – Emergency Problem Talk der Young DGINA

Green, Steven M., and Mark G. Roback. „Is the Mallampati Score Useful for Emergency Department Airway Management or Procedural Sedation?.“ Annals of emergency medicine (2019).

Ferguson, Brian, et al. „Does My Emergency Department Doctor Sleep? The Trouble With Recovery From Night Shift.“ The Journal of emergency medicine 57.2 (2019): 162-167.

Finkel-Oron, Alona, et al. „Takotsubo cardiomyopathy triggered by wasabi consumption: can sushi break your heart?.“ BMJ case reports 12.9 (2019).

Joannidis, Michael, Sebastian J. Klein, and Marlies Ostermann. „10 myths about frusemide.“ (2019): 545-548.

Lechner, Raimund, Lorenz Lampl, and Dominik Treffer. „Notfallbehandlung von Beckenverletzungen.“ Der Notarzt 33.03 (2017): 132-138.

El‐Boghdadly, K., and M. F. Aziz. „Face‐mask ventilation: the neglected essentials?.“ Anaesthesia (2019).

https://www.awmf.org/leitlinien/detail/ll/001-028.html

Broomhead, R. H., R. J. Marks, and P. Ayton. „Confirmation of the ability to ventilate by facemask before administration of neuromuscular blocker: a non-instrumental piece of information?.“ British journal of anaesthesia 104.3 (2009): 313-317.

Kheterpal S, Han R, Tremper KK, Shanks A, Tait AR, O’Reilly M, Ludwig TA. Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology 2006;105:885-91.

Langeron O, Masso E, Huraux C, Guggiari M, Bianchi A, Coriat P, Riou B. Prediction of difficult mask ventilation. Anesthesiology 2000;92:1229-36.

Kheterpal S, Healy D, Aziz MF, Shanks AM, Freundlich RE, Linton F, Martin LD, Linton J, Epps JL, Fernandez-Bustamante A, Jameson LC, Tremper T, Tremper KK; Multicenter Perioperative Outcomes Group (MPOG) Perioperative Clinical Research Committee. Incidence, predictors, and outcome of difficult mask ventilation combined with difficult laryngoscopy: a report from the multicenter perioperative outcomes group. Anesthesiology 2013;119:1360-9.

Lundstrøm, L. H., et al. „The DIFFMASK score for predicting difficult facemask ventilation: a cohort study of 46,804 patients.“ Anaesthesia (2019).

Drummond GB, Park GR. Arterial oxygen saturation before intubation of the trachea. An assessment of oxygenation techniques. Br J Anaesth 1984; 56:987.

Jense HG, Dubin SA, Silverstein PI, O’Leary-Escolas U. Effect of obesity on duration of apnea in anesthetized humans. Anesth Analg 1991; 72: 89–93.

Benjamin J. Dixon, John B. Dixon, Jennifer R. Carden, Anthony J. Burn, Linda M. Schachter, Julie M. Playfair, Cheryl P. Laurie, Paul E. O’Brien; Preoxygenation Is More Effective in the 25° Head-up Position Than in the Supine Position in Severely Obese Patients: A Randomized Controlled Study. Anesthesiology 2005;102(6):1110-1115.

Chingmuh Lee, Jonathan S. Jahr, Keith A. Candiotti, Brian Warriner, Mark H. Zornow, Mohamed Naguib; Reversal of Profound Neuromuscular Block by Sugammadex Administered Three Minutes after Rocuronium: A Comparison with Spontaneous Recovery from Succinylcholine. Anesthesiology 2009;110(5):1020-1025. doi: 10.1097/ALN.0b013e31819dabb0.

Min, Se-Hee & Im, Hyunjae & Rim Kim, Bo & Yoon, Susie & Bahk, Jae-Hyon & Seo, Jeong-Hwa. (2019). Randomized Trial Comparing Early and Late Administration of Rocuronium Before and After Checking Mask Ventilation in Patients With Normal Airways. Anesthesia & Analgesia. 1. 10.1213/ANE.0000000000004060.

Sembill et al, Akutbehandlung der intracerebralen Blutung, Medizinische Klinik – Intensiv- und Notfallmedizin, 07/2019, Springer Verlag https://doi.org/10.1007/s00063-019-00607-9

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32233-0/fulltext

Der Beitrag Podcast Oktober – Folge 9 erschien zuerst auf pin-up-docs - don't panic.

In Zusammenarbeit mit dasFOAM.org haben wir ein Interview zur Behandlung des hypertensiven Notfalls in Rettungsdienst und ZNA gemacht!

Es findet sich der ein oder andere Denkanstoß und vielleicht sogar Paradigmenwechsel. Hört rein und gebt uns Feedback !

Den Artikel unseren Kollegen findet ihr unter: https://dasfoam.org/2019/10/12/blutdruck-die-neue-leitlinie/#more-10846

Wir freuen uns über die super Zusammenarbeit !

Der Beitrag Der hypertensive Notfall – Ein Interview mit Felix Lorang erschien zuerst auf pin-up-docs - don't panic.