Publications (10) View all
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Article: Conditions of Post-Graduate Training in Emergency Medicine in Germany
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ABSTRACT: Due to a current shortage of doctors and an increasing number of emergency calls in an ageing population emergency physicians in Germany face new challenges. With the aim of providing a high level of quality nationwide a specialist designation in emergency medicine was introduced in 2003. While the curriculum regulates the contents of theoretical training, the duration and requirements to be met by physicians wishing to work in the field of pre-hospital emergency medicine differ between the various German State Chambers of Physicians. Also, there is no uniform regulation of training in the ambulance services. The specialist designation in emergency medicine is an attractive specialisation for the anaesthetist and raises the attractiveness of the speciality. However, further standardisation of specialist training is required. Uniform concepts for training and continuing medical education are needed to provide patients with life-threatening conditions with the highest level of medical care by a physician at the scene of the emergency.Der Notarzt 03/2010; 2010(26):103-107. · 0.28 Impact Factor -
Article: Implementation of a specialist qualification in emergency medicine - do we now have uniform requirements in Germany?
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ABSTRACT: Background: With the aim of providing higher quality pre-hospital emergency care the German Medical Association reformed the specialist qualification programme in emergency medicine and defined a relevant curriculum. The present article analyses to what extend this new curriculum has been adopted by the 17 State Chambers of Physicians in Germany. Methods: All State Chambers of Physicians in Germany were invited to complete a standardised questionnaire regarding the requirements to be met by physicians wishing to work in the field of pre-hospital emergency medicine. Additional data was requested regarding the applicants´ clinical experience, training in critical care, and the duration and requirements for practical training in emergency medicine. State Chambers that failed to return the questionnaire were contacted by telephone. Results: Eight State Chambers returned the complet-ed questionnaire, and the relevant information from the other states was obtained by telephone interview as well as from a synopsis provided by the German Medical Association. Twelve State Chambers offer only the new curriculum whilst five offer both the old and new curriculum. Differences in the requirements for admission to the curriculum can be found with regard to the duration of clinical experience and practical training including the number of patients treated, and admission to the final exam. Conclusions: The new curriculum was introduced in order to create a uniform level of education for emergency physicians. However, in 2009 the qualification of emergency physicians remains heterogeneous: the new curriculum is mandatory only in some states, and official recognition of physicians who were trained in accordance with the old curriculum differs from state to state.Anasthesiologie und Intensivmedizin 02/2010; 51(2):82-89. · 0.86 Impact Factor -
Article: [Case Report: prehospital treatment on a major injured motorcycle driver].
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ABSTRACT: This case report describes the prehospital care of a 42-year-old person damaged by a severe motorcycle accident in a rural scene. The injured person was unconscious, one pupil was dilated and rib fractures were palpable. Purposeful therapy without delay was necessary. The prehospital therapy took 35 minutes in total. The time benefit by using a rescue helicopter is illustrated: time to initial treatment is minimized and duration of transport as well - direct transport to a trauma center is possible.ains · Anästhesiologie · Intensivmedizin 10/2008; 43(9):582-4. · 0.41 Impact Factor -
Article: "Gold Standard" for Oxygenation
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ABSTRACT: An abstract is unavailable. This article is available as HTML full text and PDF.Critical Care Medicine 10/2003; 31(11):2714-2715. · 6.33 Impact Factor -
Article: [Anaesthesia under unfavorable conditions - rescue helicopter].
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ABSTRACT: Rescue helicopters are used for emergency care and transport of emergency patients. The dimension of the cabin is clearly limited. A transport is carried out under spatial narrowness and high noise levels. Acoustic alarms or noises caused by the patient are hardly to be perceived, so that the view at optical alarms is necessary. Environmental conditions affect the concentration on the patient. Rearrangement maneuvers represent the most critical phases. Always the whole apparative monitoring and respirator must be in the field of view of the emergency doctor, drugs to the care must be handy to be quickly administered, the quantity of oxygen has to be observed. Infusions and option of airway management are ready to set in advance. Standardized work with the aid of algorithms and knowledge of treatment recommendations and guidelines help to prevent errors. To optimize the care of emergency patients, special training courses for the crew of rescue helicopters are offered. A training simulator to practice different scenarios and the establishment of a CIRS system are recommended.ains · Anästhesiologie · Intensivmedizin 03/2011; 46(3):172-6. · 0.41 Impact Factor
