A5046201599- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Medical Practices and Rehabilitation
- Mechanical Circulatory Support Devices
- Hospital Admissions and Outcomes
- Health and Medical Studies
- Sepsis Diagnosis and Treatment
- Healthcare Policy and Management
- Pharmaceutical Practices and Patient Outcomes
- Psychiatric care and mental health services
- Clinical practice guidelines implementation
- Healthcare Decision-Making and Restraints
- Pharmacovigilance and Adverse Drug Reactions
- Pneumonia and Respiratory Infections
- Musculoskeletal Disorders and Rehabilitation
- Ultrasound in Clinical Applications
- Cardiac Structural Anomalies and Repair
- Pharmaceutical studies and practices
- Heart Failure Treatment and Management
- Dermatologic Treatments and Research
- Patient Safety and Medication Errors
- Respiratory Support and Mechanisms
- Gout, Hyperuricemia, Uric Acid
- Cardiac, Anesthesia and Surgical Outcomes
University Hospital Bonn
2015-2024
Zimmer Biomet (Germany)
2021
Hospital zum Heiligen Geist
2017
University of Bonn
2003-2014
German Society of Medical Intensive Care and Emergency Medicine
2012
The German Version of the Manchester Triage System (MTS) has found widespread use in EDs across German-speaking Europe. Studies about quality criteria validity and reliability MTS currently only exist for English-language version. Most importantly, content version differs from English with respect to presentation diagrams change indicators, which have a significant impact on category assigned. This investigation offers preliminary assessment terms inter-rater MTS.Construct assigned level was...
Adverse drug reactions (ADR) are a common reason for emergency room visits and hospitalization. An ADR is said to have occurred when the patient's symptoms signs considered be possibly, probably, or definitely related intake of drug.In four large hospital departments, one in each German cities ( Ulm, Fürth, Bonn, Stuttgart), percentage suspected cases among all patients presenting was determined during 30-day period observation. ADRs were ascertained by screening digital records seen room;...
Zusammenfassung Hintergrund und Ziel der Arbeit Für die Übergabe in Notaufnahme – Nahtstelle von prähospitaler zu klinischer Versorgung stellen Merkhilfen („mnemonics“) das „Rückgrat“ für eine strukturierte Übermittlung relevanten Informationen dar. In Deutschland existiert bis zum heutigen Tag keine Standardisierung bzw. konkrete Vorgabe, welche Merkhilfe zur genutzt werden soll. Die vorliegende Untersuchung definiert erstmalig anhand eines strukturierten mehrstufigen...
Zusammenfassung In der Regel existiert nur eine Möglichkeit für die Übergabe in Medizin und somit Übertragung relevanter Behandlungs- Patienteninformationen. Der an Nahtstelle zur zentralen Notaufnahme muss außerordentliche Bedeutung beigemessen werden. Auch aus juristischer Sicht, im Sinne Verantwortlichkeit, schließt einerseits präklinische Versorgung ab gewährleistet andererseits Weitergabe wichtiger Informationen, um bestmögliche klinische zu gewährleisten. Aufbauend auf dem...
Developments in telemedicine have not produced any relevant benefits for orthopedics and trauma surgery to date. For the present project study, several parameters were examined during assessment of x-ray images, which had been photographed transmitted via cell phone.A total 100 images various body regions with a Nokia phone email or MMS. Next, photographs reviewed on laptop computer by five medical specialists assessed regarding quality diagnosis.Due their poor quality, MMS could be...
Zusammenfassung Hintergrund Die Konfrontation mit medizinischen Extremsituationen gehört für die Notfallmediziner*innen und Notfallpflegenden der zentralen Notaufnahmen zum beruflichen Alltag. Für betroffenen Patient*innen deren Angehörige wie auch das behandelnde medizinische Personal ist resultierende Belastungspotenzial hoch, bis hin zur potenziellen Traumatisierung. Ziel Arbeit vorliegende untersucht erstmalig Struktur klinischen Krisenintervention (KKI) in Akut- Notfallmedizin an...
Zusammenfassung Die Ersteinschätzung in der klinischen Akut- und Notfallmedizin sorgt dafür, dass die PatientInnen nach ihrer medizinischen Dringlichkeit behandelt werden. In Deutschland hat sich pflegerische zu einem unverzichtbaren Instrument entwickelt, besonders seit dem Beschluss des Gemeinsamen Bundesausschusses (G-BA) von 2020. Überwiegend werden das Manchester Triage System (MTS) Emergency Severity Index (ESI) eingesetzt, zwar validiert sind, jedoch noch Schwächen...
Objectives Prehospital hypothermia is defined as a core temperature <36.0°C and has been shown to be an independent risk factor for early death in patients with trauma. In retrospective study, possible correlation between the body at time of admission emergency room subsequent in-hospital transfusion requirements mortality rate was explored. Setting This single-centre study primary care hospital Germany. Participants 15 895 were included this study. Patients classified by rate. Excluded...
Background To date, there are no valid statistics regarding the number of full time staff necessary for nursing care in emergency departments Europe. Material and Methods Staff requirement calculations were performed using state-of-the art procedures which take both fluctuating patient volume individual shortfall rates into consideration. In a longitudinal observational study, average engagement per was assessed 503 patients. For this purpose, full-time staffing calculation estimated based...
Aims To date every post-procedural cerebrovascular embolic event (CVE) is dreaded for its potential to accelerate cognitive decline after transcatheter aortic valve implantation (TAVI). This study differentiates the impact of acute (procedural) and post-acute events (CVEs) on performance. Methods Magnetic resonance imaging (MRI) before, early late TAVI was performed quantify burden. Quantification diffusion- T1-weighted lesions, as well white-matter total brain volumes, function testing...
Purpose The ultrasound-guided central venous catheter (CVC) guidewire tip positioning has been demonstrated for catheterization of the right internal jugular vein. We explored feasibility an subclavian vein (RScV) CVC via a supraclavicular approach using microconvex probe. Methods Twenty patients scheduled elective surgery were consecutively included in this observational study following written informed consent. Exclusion criteria emergency procedure, thrombosis and obstacle to advancement....
Background The Manchester Triage System (MTS) does not have a specific presentational flow chart for sepsis. goal of this investigation was to determine adequacy acuity assignment patients with sepsis presenting at the ED and triaged using MTS. Materials methods This retrospective analysis included >16 an in Bonn, Germany, on first 12 days each month between June 2012 March 2014. Patients were classified into one three septic groups, or no For those sepsis, based criteria consensus...
Abstract Rationale, aims, and objectives The spectrum of cases seen by emergency departments ranges from minor illnesses or injuries to complex diseases with high mortality. Some patients require life‐saving interventions (LSIs) therapeutic treatment for an acute illness prevent expected imminent life‐threatening condition immediately upon arrival. No published study has evaluated the validity Manchester Triage System (MTS) in context immediate LSI (AET). Methods definition was based on a...
Older patients in particular suffer from adverse drug reactions (ADR) when presenting the emergency department. We aimed to characterise phenotype of those ADRs, be able recognise an ADR older patients.
Introduction: The handover process in the emergency department (ED) is relevant for patient outcomes and lays foundation adequate care. aim of this study was to examine current prehospital ED practice with regard content, structure, scope.Methods: We carried out a prospective, multicenter observational using specifically developed checklist. steps were documented relation qualification medical services (EMS) staff, disease severity, injury patterns, treatment priority.Results: evaluated 721...
Background Epistaxis is one of the more common reasons for emergency room visits. The main risk factor epistaxis anticoagulant therapy. Until recently, culprit was oral intake a vitamin K antagonist, such as warfarin, which has number side effects. Even several direct anticoagulants, rivaroxaban and dabigatran, have been approved use. We investigated possible differences between treatment with anticoagulants antagonists. Methods conducted retrospective cohort study at tertiary referral...