A5007815429- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Medical Practices and Rehabilitation
- Clinical practice guidelines implementation
- Telemedicine and Telehealth Implementation
- Cardiac, Anesthesia and Surgical Outcomes
- Health and Medical Studies
- Disaster Response and Management
- Anesthesia and Neurotoxicity Research
- Healthcare Systems and Public Health
- Family and Patient Care in Intensive Care Units
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Meta-analysis and systematic reviews
- Healthcare cost, quality, practices
- Medical and Health Sciences Research
- Autopsy Techniques and Outcomes
- Cardiac Health and Mental Health
- Cardiac Ischemia and Reperfusion
- Trauma Management and Diagnosis
- Nursing Roles and Practices
- Medical History and Innovations
- Pain Management and Opioid Use
- Treatment of Major Depression
- Electronic Health Records Systems
RWTH Aachen University
2016-2025
Universitätsklinikum Aachen
2011-2024
Feuerwehr Dortmund
2022
FH Aachen
2021
Abstract The benefits of a telemedical support system for prehospital emergency medical services include high-level at the push button: delegation drug administration, diagnostic assistance, initiation therapeutic measures, or choice hospital destination. At various European EMS sites routine systems are shortly before implementation. aim this study was to investigate long-term effects implementing tele-EMS on structural and procedural quality indicators therefore performance an entire...
Background: No systematic evaluation of smartphone/mobile apps for resuscitation training and real incident support is available to date. To provide medical, usability, additional quality criteria the development apps, we conducted a mixed-methods sequential combining perspective medical experts end-users. Objective: The study aims assess current mobile cardiopulmonary (CPR) from expert as well end-user perspective. Methods: Two independent evaluated content CPR Google Play store Apple App...
We evaluated the technical and organisational feasibility of a multifunctional telemedicine system in an emergency medical service (EMS) from user's perspective. The was designed to transmit vital signs data 12-lead-ECG data, send still pictures allow voice communication video transmission ambulance. were sent teleconsultation centre staffed with EMS physicians (tele-EMS physician). used 157 missions. applications successfully on 80% missions for real-time 97% transmission. quality...
Introduction Telemedical concepts in emergency medical services (EMS) lead to improved process times and patient outcomes, but their technical performance has thus far been insufficient; nevertheless, the concept was transferred into EMS routine care Aachen, Germany. This study evaluated system’s compared it a precursor system. Methods The telemedicine system implemented on seven ambulances teleconsultation centre staffed with experienced physicians established April 2014. applications...
Introduction: Distal arterial occlusions can cause measurable changes in the flow wave profile proximal segments of feeding artery. Our objective was to study diagnostic accuracy point-of-care ultrasound (POCUS) common carotid arteries (CCA) for detection anterior circulation large vessel occlusion (ac-LVO) patients with suspected stroke. Patients and methods: We conducted a prospective, single-center, observational adult stroke admitted emergency department. Flow profiles both CCAs were...
Background Remote ischemic preconditioning ( RIPC ) has been suggested to protect against certain forms of organ injury after cardiac surgery. Previously, we reported the main results RIPHeart (Remote Ischemic Preconditioning for Heart Surgery) Study, a multicenter trial randomizing 1403 surgery patients receiving either or sham‐ . Methods and Results In this follow‐up paper, present 1‐year composite primary end point its individual components (all‐cause mortality, myocardial infarction,...
As a consequence of increasing emergency medical service (EMS) missions requiring an EMS physician on site, we had implemented unique prehospital telemedical as new structural component to the conventional physician-based in Germany.We sought assess utilization, safety, and technical performance this service.We conducted retrospective analysis all primary with consultation City Aachen (250,000 inhabitants) during first 3 operational years our tele-EMS system. Main outcome measures were...
Abstract Almost seven years ago, a telemedicine system was established as an additional component of the city Aachen’s emergency medical service (EMS). It allows paramedics to engage in immediate consultation with EMS physician at any time. The is not meant replace on scene during life-threatening emergencies. aim this study analyze teleconsultations missions and evaluate whether they improve patient care. Telemedical (tele-EMS) consultations that occurred over course four were evaluated....
Methylphenidate (MPH) inhibits the reuptake of dopamine and noradrenaline. PET studies with MPH challenge show increased competition at postsynaptic D 2/3 -receptors, thus indirectly revealing presynaptic release. We used [ 18 F]fluorodopamine ([ F]FDOPA)-PET in conjunction inlet–outlet model (IOM) Kumakura et al. (2007) to investigate acute long-term changes synthesis capacity turnover nigrostriatal fibers healthy subjects challenge. Twenty human females underwent two dynamic F]FDOPA scans...
A tele-emergency medical service with a remote emergency physician for severe prehospital emergencies may overcome the increasing number of calls and shortage providers. We analysed whether routine use is non-inferior to conventional physician-based one in occurrence intervention-related adverse events.This open-label, randomised, controlled, parallel-group, non-inferiority trial included all patients aged ≥ 18 years within ground-based ambulance Aachen, Germany. Patients were randomised 1:1...
Background Guidelines provide instructions for diagnostics and therapy in modern medicine. Various mobile devices are used to represent the potential complex decision trees. An example of time-critical decisions is triage case a mass casualty incident. Objective In this randomized controlled crossover study, augmented reality guideline presentation was evaluated compared with provided tablet PC as conventional device. Methods A specific Android app designed use smart glasses algorithm an...
Objectives To review the implementation strategy from a research project towards routine care of comprehensive mobile physician-staffed prehospital telemedicine system. The objective is to evaluate process and systemic influences on emergency medical service (EMS) resource utilisation. Design Retrospective pre–post study. Setting Two interdisciplinary projects EMS German urban region. Interventions Implementation full-scale Endpoints Descriptive evaluation strategy. Primary endpoint:...
Abstract In 2014, a telemedicine system was established in 24-h routine use the emergency medical service (EMS) of city Aachen. This study tested whether diagnostic concordance tele-EMS physician reaches same as on-site-EMS physician. The initial prehospital diagnoses were compared to final hospital diagnoses. Data recorded retrospectively from physicians’ protocols well administration and compared. Also, all misconcordance analysed reviewed terms logical content by two experts. There no...
Each year there are 7.3 million emergencies for the German rescue service, trend rising and around 59% of emergency patients treated by paramedics only; however, most studies focus on physicians, while their practical skills at scene rarely necessary. Accordingly, responsibility patient lies with time. Their duty is to execute life-saving measures, stabilize transport regular documentation operation. Retrospectively, can only be analyzed based protocols, which mostly paper-based handwritten....
Abstract The early initiation of cardiopulmonary resuscitation (CPR) measures by non-professionals before the arrival Emergency Medical Service (EMS) is known to be crucial for improving outcomes after out-of-hospital cardiac arrest (OHCA). We assessed impact deploying CPR-trained volunteers via a smartphone-based alerting system on outcome OHCA patients. In retrospective nonrandomized cohort study, all cases in city Aachen over six-year period were analysed. compared patient data, CPR...
Zusammenfassung Hintergrund Das im November 2019 in der Stadt Wuhan entdeckte Coronavirus SARS-CoV-2 ist mittlerweile Ursache einer Pandemie mit weitreichenden Folgen. Dennoch berichten viele Rettungsdienstbereiche von Abnahme Gesamteinsatzzahlen. Methode Im Rahmen Kohortenanalyse wurden die Einsatzzahlen Notarzt- und Telenotarzteinsätzen aus März 2020 denen den Monaten 2018 hinsichtlich potenziell lebensbedrohlicher Einsätze verglichen. Darüber hinaus alle Einsatzdokumentationen...
Zusammenfassung Hintergrund Wiederbelebungsunterricht ist nicht in allen Schulen Deutschlands verpflichtend, dieser beschränkt sich trotz niedriger Laienreanimationsrate aktuell auf einzelne, z. T verpflichtende Projekte unterschiedlichen Bundesländern. Aus diesem Grunde hat das Ministerium für Schule und Bildung Nordrhein-Westfalen per Runderlass im März 2017 Projekt „Laienreanimation an NRW“ initiiert. Fragestellung Ziel Arbeit die Evaluation dieses Projekts. Material Methoden Alle...
Telemedicine has already entered the rescue service in some regions of Germany. This case description is about a telemedical emergency physician where an doctor was also at scene emergency. The patient had life-threatening ventricular tachycardia and became hemodynamically unstable. still inexperienced overwhelmed by complex situation. She decided to contact tele-emergency medical services (tele-ems) could then be instructed perform intraosseous access, drug treatment electrical...