L. Lampl

Universität Ulm, Ulm, Baden-Württemberg, Germany

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Publications (143)93.06 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Securing the airway is the top priority in trauma resuscitation. The most important factor for successful endotracheal intubation (ETI) is good visualization of the vocal cords. The aim of this study was to summarize the practical experiences with the C-MAC® video laryngoscope as initial device in out-of-hospital airway management of trauma patients.
    Der Unfallchirurg 08/2014; · 0.64 Impact Factor
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    ABSTRACT: Blast injuries may result from a variety of causes but the biomechanical impact and pathophysiological consequences do not differ between domestic or industrial accidents or even terrorist attacks. However, this differentiation relevantly affects the tactical procedures of the rescue teams. Focusing on further detonations, top priority is given to the personal safety of all rescue workers. The rareness of blast injuries in a civilian setting results in a lack of experience on the one hand but on the other hand the complexity of blast injuries to the human body places high demands on the knowledge and skills of the entire rescue team for competent treatment. The purpose of this article is to explain the physicochemical principles of explosions and to convey tactical and medical knowledge to emergency medical services.
    Der Anaesthesist 05/2014; · 0.85 Impact Factor
  • Anasthesiologie und Intensivmedizin 02/2014; 55(S1):S17. · 0.50 Impact Factor
  • Anasthesiologie und Intensivmedizin 02/2014; 55(S1):S11. · 0.50 Impact Factor
  • Source
    M Kulla, L Lampl, M Helm
    12/2013;
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    ABSTRACT: In emergency medicine intraosseous access (IOA) has been established as an alternative to conventional intravenous access. Originally the use of IOA was strictly limited to children up to 6 years of age and to adults for cardiopulmonary resuscitation. These limitations have been relaxed and the indications for IOA have been expanded. A retrospective nationwide analysis of rescue missions by all helicopter emergency medical services of the German Automobile Club (ADAC) Air Rescue Service as well as the German Air Rescue (DRF) over a 7-year period was carried out. A total of 466,813 patients were treated during the study period and an IOA was established in 1,498 (0.32 %) patients. There was a significant increase in using an IOA from 0.1-0.5 % (p < 0.05) from 2005 to 2011. Furthermore, there was an increase in using an IOA in elderly patients and in patients with lower degrees of severity according to the National Advisory Committee for Aeronautics (NACA) scales (2005-2011): decreased use of IOA in patients up to 6 years of age from 92.4 % to 19.7 % (p < 0.05) and in patients with NACA grades VII/VI from 74.4 % to 46.6 % (p < 0.05) and temporarily limited increase of non-indicated IOA use in patients with NACA grade III between 2008 and 2010. Furthermore, there was an increase in the number of the different drug groups used for intraosseous infusion over the study period. The current guidelines and recommendations for the use of IOA in the prehospital setting are reflected more and more in mission reality for helicopter emergency medical services.
    Der Anaesthesist 11/2013; · 0.85 Impact Factor
  • M Helm, M Faul, T Unger, L Lampl
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    ABSTRACT: Trauma is the leading cause of death in the patient group under 40 years of age. Within the prehospital management of seriously injured trauma victims the accuracy of the field triage by emergency physicians is of utmost importance. The aim of this study was to determine the accuracy of prehospital emergency physician field triage in road traffic accident victims. The study involved a retrospective analysis and comparison of prehospital and inhospital trauma records of road traffic accident victims treated by a Helicopter Emergency Medical Service (HEMS) team and transferred to a level I trauma centre. A comparison of prehospital and inhospital diagnostic findings was carried out according to an anatomical score (AIS). Included in the analysis were 479 patients with a mean age of 37.0 ± 18.2 years, males 65.8 %, mean injury severity score (ISS) 15.5 ± 13.5, ISS > 16 in 41,1 % and mortality 7.3 %. The leading causes of injury were motor vehicle accidents (56.2 %), followed by motorcycle (24.0 %) and bicycle accidents (11.6 %) as well as truck accidents (4.0 %) and pedestrian accidents (4.2 %). The most common body regions injured (AIS ≥ 3) were the chest (37 %), head (25.1 %) and lower extremities (16.7 %). A correct prehospital field triage by emergency physicians was found for injuries with an AIS ≥ 3 of the head 77 %, chest 69 %, abdomen 51 %, pelvis 49 %, extremities 70 %, neck/cervical spine 67 % and thoracic/lumbar spine 70 %. Overlooked injuries in the prehospital setting (AIS ≥ 3) comprised predominantly injuries of the trunk (chest 12.6 %, abdomen 16.9 % and pelvis 15 %). Overlooked injuries were found significantly less for the head in patients with a Glasgow Coma Score ≤ 8 on arrival at the scene (5.4 % versus 19 %, p = 0.015), for the chest in patients with a SpO2 ≤ 96 % on arrival at the scene (18.1 % versus 35.5 %, p = 0.004) and for the abdomen in patients with a systolic blood pressure < 90 mmHg on arrival at the scene (28.6 % versus 52.5 %, p = 0.025). Accurate field triage in seriously injured road accident victims, even by trained physicians, is difficult. This pertains especially to injuries to the abdomen and the pelvis. For the field triage a combination of anatomical and physiological criteria as well as the mechanism of injury should be used to increase accuracy.
    Der Anaesthesist 11/2013; · 0.85 Impact Factor
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    ABSTRACT: High-quality chest compressions are crucial during resuscitation if a positive outcome is to be achieved. Sometimes a patient must be transported within the hospital while chest compressions are being performed. We compared different chest compression devices [animax mono (AM), AutoPulse(®) (AP) and LUCAS2™ (L2)] with manual chest compression using a manikin during transport from a fifth floor ward to the cardiac catheterization laboratory in the basement. Chest compressions were interrupted for 10.7 s to set up the AM, 15.3 s for the L2 and 23.5 s for the AP. The use of a mechanical device reduced transport times from 144.5 s when manual compressions were underway, to 126.8, 111.1 and 98.5 s with the AM, L2 and AP, respectively (p < 0.05). Transfer to the laboratory gurney required little or no interruption in chest compressions with the L2 (0.8 s) and AP (no interruption), compared with 10.3 s with the AP and 3.3 s for manual compressions. Manual compression frequency was 124 min(-1), compared with 100.4 min(-1) for the AM, 99.9 min(-1) for the L2 and 79.7 min(-1) for the AP. Compression depth did not change during transport in any group. Mechanical compression devices are suitable for use during transport, but are not clearly superior to manual compressions. Devices maintain the same compression depth, but fell short of current guidelines, as did manual compressions. Some interruptions occurred while the devices were set up. Further, patient studies are necessary to determine the clinical utility of these devices.
    Internal and Emergency Medicine 08/2013; · 2.35 Impact Factor
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    ABSTRACT: Die intraossäre Punktion (IOP) hat sich in der akuten Notfallsituation als schnelle und sichere Alternative zum konventionellen Gefäßzugang etabliert. Die ursprünglich strengen Anwendungsbeschränkungen wurden zwischenzeitlich deutlich liberalisiert. Es stellt sich die Frage, inwieweit diese Leitlinienrevisionen in der notärztlichen Einsatzrealität abgebildet werden.Eine retrospektive Analyse der Rettungseinsätze sämtlicher Luftrettungsstützpunkte der ADAC Luftrettung und der Deutschen Rettungsflugwacht wurde über einen 7-jährigen Zeitraum durchgeführt.Im Beobachtungszeitraum wurden 466.813 Patienten behandelt. Bei 1498 Patienten (0,32 %) wurde eine IOP als alternativer Gefäßzugang durchgeführt. Dabei war die kontinuierliche Zunahme der IOP-Anlage (von 0,1 auf 0,5 %; p Die aktuellen Leitlinienempfehlungen zur IOP werden in der Einsatzrealität des Luftrettungsdienstes weitestgehend abgebildet.
    Der Anaesthesist 01/2013; 62(12). · 0.85 Impact Factor
  • M.-M. Ventzke, L. Lampl
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    ABSTRACT: Die Bundeswehr beteiligt sich im Rahmen unterschiedlicher Mandate an Auslandseinsätzen in vielen Teilen der Welt. Sie versorgt bei freien sanitätsdienstlichen Kapazitäten auch Einheimische.Vielfach sieht man sich jedoch begrenzten Ressourcen, zerstörter Infrastruktur und nur wenigen Informationen gegenübergestellt. Die eigentliche medizinische Versorgung stellt hierbei weniger ein Problem dar, sondern vielmehr die taktisch-logistische Durchführung des Einsatzes.Trotz vieler Probleme ist bei sorgfältiger Planung eine Patientenversorgung auf hohem medizinischem Niveau möglich.
    Notfall 01/2013; 16(8). · 0.54 Impact Factor
  • M. Helm, M. Faul, T. Unger, L. Lampl
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    ABSTRACT: Die Prognose Schwerverletzter wird von der präklinischen Versorgung mitbestimmt. Der notärztlichen Einschätzung des Verletzungsschweregrads kommt dabei eine Schlüsselposition zu, da diese maßgeblich Art und Umfang der präklinischen Maßnahmen sowie die Zielklinikauswahl beeinflusst.Die Zuverlässigkeit notärztlicher Verdachtsdiagnosen sollte am Beispiel von Verkehrsunfallopfern ermittelt werden.Es wurde eine retrospektive Analyse von Notarzteinsätzen bei Verkehrsunfallopfern mit Transport in ein überregionales Traumazentrum durchgeführt. Hierbei wurden die notärztlichen Verdachtsdiagnosen mit den innerklinischen Diagnosen, bezogen auf unterschiedliche Körperregionen, verglichen.An der Studie nahmen 479 Verletzte [Alter: 37,0 ± 18,2 Jahre, männlich: 65,8 %, Injury Severity Score (ISS): 15,5 ± 13,5 ISS > 16: 41,1 %, Letalität: 7,3 %] teil. Führend war der Pkw-Unfall (56,2 %), gefolgt von Motorrad- (24,0 %), Fahrrad- (11,6 %), Lkw- (4,0 %) und Fußgängerunfall (4,2 %). Führende Verletzungen [Abbreviated Injury Scale (AIS) ≥ 3] waren Thorax (37 %), Schädel (25,1 %) und untere Extremitäten (16,7 %). Notärztlich korrekte Einschätzung von Verletzungen mit AIS ≥ 3 betrafen bezüglich Schädel: 77 %, Thorax: 69 %, Abdomen: 51 %, Becken: 49 %, Extremitäten: 70 %, Hals/Halswirbelsäule (HWS): 67 % und Brustwirbelsäule (BWS)/Lendenwirbelsäule (LWS): 70 % der Diagnosen. Notärztlich nichtdiagnostizierte Verletzungen (AIS ≥ 3) bezogen sich hauptsächlich den Körperstamm (Thorax: 12,6 %, Abdomen: 16,9 % und Becken: 15 %). Signifikant weniger notärztlich nichtdiagnostizierte Verletzungen fanden sich für den Schädel bei einer Glasgow Coma Scale (GCS) ≤ 8 (5,4 vs. 19 %, p = 0,015), für den Thorax bei primärer pulsoxymetrisch gemessener Sauerstoffsättigung (SpO2) ≤ 96 % (18,1 vs. 35,7 %, p = 0,004) und für das Abdomen bei primärem systolischen Blutdruckwert Die exakte präklinische Diagnosestellung ist bei Verkehrsunfallopfern nur eingeschränkt möglich. Dies betrifft insbesondere Verletzungen von Abdomen und Becken. Für die notärztliche Diagnosestellung sollte die klinische Untersuchung, erweitert um apparative Monitoring-Verfahren sowie Informationen zu Unfallsituation und -mechanismus, herangezogen werden.
    Der Anaesthesist 01/2013; 62(12). · 0.85 Impact Factor
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    ABSTRACT: BACKGROUND: Pre-hospital tracheal intubation (TI) is an important but difficult procedure with the potential to produce hypoxaemia. The aim of this study was to determine the incidence of desaturation episodes during out-of-hospital rapid sequence induction (RSI) and TI by the medical team of a German Helicopter Emergency Medical Service (HEMS). METHODS: We performed a prospective study at HEMS 'CHRISTOPH 22'. TI was performed as RSI according to a standard protocol. Desaturation was defined as a reduction in SpO(2) below 90% or a reduction of more than 10% from baseline SpO(2) when initial values were less than 90%. RESULTS: The RSI/TI manoeuvre was attempted in 150 patients [107 male (71.3%); median age 40 years (IQR 21-61); overall success rate 100%]. The incidence of desaturation episodes was 13.3% with a median duration of 50 sec. (IQR 30-92) and a median SpO(2) decrease of 24 ± 10%. Upon hospital admission, all patients had SpO(2) values ≥ 96%. In the desaturation group the duration of successful TI was significantly longer [median 85 sec. (IQR 60-119) vs. median 63 sec. (IQR 48-70); P < 0.01], and the number of patients with a baseline SpO(2) ≥ 90% was significantly lower (65.0% vs. 88.5%; P < 0.01). Among patients with difficult to manage airway, those with desaturation were significantly younger, and technical problems were significantly more frequent. CONCLUSION: The incidence of episodes of desaturation during pre-hospital RSI/TI at HEMS Ulm is relatively low, and the duration of such episodes is short.
    Acta Anaesthesiologica Scandinavica 12/2012; · 2.36 Impact Factor
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    ABSTRACT: BACKGROUND: The trauma register of the German Society of Trauma Surgery (TraumaRegister DGU®/TR-DGU) has been proven to be a valuable tool for external assessment of quality in the treatment of patients with major trauma. This publication shows for the first time how the quality of trauma treatment in a level I trauma centre could be improved over a period of almost ten years with the help of continuous quality management, i.e. recognizing a problem, developing a solution and evaluating its effect. MATERIALS AND METHODS: Tracer parameters and indicators of quality are presented in four periods over a total study period from 1st January 1989 to 31st March 2007. The division into four periods is due to major changes in the trauma treatment algorithms or structural changes in the trauma room. The results are displayed for all patients treated in the trauma room and for those patients with an injury severity score (ISS)≥16. RESULTS: Over all four periods a total number of n=2,239 patients were admitted to the trauma room. Based on the results of the trauma register a number of changes were made, not only structural changes, such as the introduction of point-of-care diagnostics, initially conventional X-ray, then digital X-ray and finally multislice computed tomography (CT) scanning in the trauma room but also changes in the way personnel participating in the trauma treatment are trained. Advanced trauma life support (ATLS®) has become the standard training for doctors and prehospital trauma life support (PHTLS®) for nurses. Time efficient treatment algorithms were introduced. All measures led to changes in several parameters which are chosen as indicators for good treatment quality. It was for instance possible to reduce the average total trauma treatment time for patients with an ISS≥16 from initially 90.9±48.6 min to 37.4±18. min in the final study period. CONCLUSIONS: The external quality management performed by the TR-DGU has proved to be a constant source of inspiration. The effects of the changes made can be scientifically proven. It is to be discussed to what extent a sole external quality management can be useful.
    Der Unfallchirurg 09/2012; · 0.64 Impact Factor
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    ABSTRACT: BACKGROUND: To improve the ease and safety of cricothyroidotomy especially in the hand of the inexperienced, new instruments have been developed. In this study, we compared a new indicator-guided puncture technique (PCK) with standard surgical technique (ST) regarding success rate, performance time and complications. METHODS: Cricothyroidotomy in 30 human cadavers performed by 30 first year anaesthesia residents. The set chosen for use was randomised: PCK-technique (n=15) and ST (n=15). Success rates, insertion times and complications were compared. Traumatic lesions were anatomically confirmed after dissection. RESULTS: The ST-group had a higher success rate (100% vs 67%; p=0.04). There was no difference in time taken to complete the procedure (PCK 82 s. vs ST 95 s.; p=0.89). There was a higher complication rate in the PCK-group (67% vs 13%; p=0.04). Most frequent complication in the PCK-group was injury to the posterior tracheal wall (n=8), penetration to the oesophageal lumen (n=4) and injury to the thyroid and/or cricoid cartilage (n=5). In the ST-group in only 2 cases minor complications were observed (small vessel injury). CONCLUSIONS: In this human cadaver study the PCK technique produced more major complications and more failures than the ST. In the hand of the inexperienced operator the standard surgical approach seems to be a safe procedure, which can successfully be performed within an adequate time. The PCK technique cannot be recommended for inexperienced operators.
    Emergency Medicine Journal 07/2012; · 1.65 Impact Factor
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    ABSTRACT: AIM: In special circumstances it may be necessary to transport out-of-hospital cardiac arrest patients with ongoing resuscitation to the hospital. External mechanical chest compression devices could be an alternative for these resuscitations. The study compares manual chest compression with external mechanical devices and a semiautomatic device in transport conditions using a resuscitation manikin. METHODS: Manual chest compressions were compared with LUCAS 2, AutoPulse and animax mono devices using the Ambu Man Wireless MegaCode manikin (10 series each). The measurements were performed in a standard ambulance vehicle during transport on a predefined track of 5.0 km. RESULTS: Mean compression frequencies in the manual group (117±18 min(-1)) and in the animax mono group (115±10 min(-1)) were significantly higher than in the LUCAS 2 group (100 min(-1), p=0.02) and the AutoPulse group (80 min(-1), p<0.01). Both mechanical devices worked absolutely constantly. Only the animax mono group reached with 51.2 mm the recommended compression depth. The quality of manual compressions decreased considerably during braking or change manoeuvres while the mechanical devices continued to work constantly. CONCLUSIONS: During a patient transport with ongoing resuscitation, external mechanical compression devices may be a good alternative to manual compression because they increase the safety of the rescuer and patient. Yet, in this study only animax mono reached the guideline specifications regarding chest compressions' frequency and depth. Concerning constancy, the mechanical devices work reliably and more independently from motion influences. Further studies are necessary to evaluate the effectiveness of these devices in patient transport.
    Emergency Medicine Journal 07/2012; · 1.65 Impact Factor
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    ABSTRACT: Adequate prehospital and inhospital primary care is a decisive factor in the successful treatment of multiple trauma patients. For optimization of treatment algorithms the implementation of a medical quality management is of utmost importance. The aim of this study was to extend quality management by including data on process quality. A retrospective study of primary rescue missions of the Helicopter Emergency Medical Service (HEMS) Christoph 22 in Ulm over a period of 2.5 years was performed. In a detailed analysis of filter criteria, in which relevant deviations from the recommendations (not fulfilled in  > 10% of the cases) occurred, process data was included (vital data, measurements and events). In the study population (n = 298, males 71.8%, mean age 39.8 ± 21.8 years) 2 filter criteria were identified in which relevant deviations where observed: time management where prehospital treatment time  ≤ 60 min in 36% of the cases was not fulfilled and circulatory management where the systolic blood pressure, detected with Riva-Rocci method (RR(sys))  ≥ 120 mmHg on hospital admission in patients with severe head trauma was not fulfilled in 45% of the cases. In patients with deviations in time management, prehospital treatment time was prolonged (75.6 ± 18.3 min versus 50.5 ± 6.7 min; p < 0.01) caused by a prolonged on scene attendance time (34.1 ± 22.1 min versus 20.6 ± 9.2 min; p < 0.01) and transport time (17.3 ± 9.4 min versus 13.3 ± 4.8 min; p < 0.01). In entrapment trauma prehospital treatment time was expanded (44% versus 10%; p < 0.01). Patients in whom circulatory management deviations were observed were more often in shock on arrival at the scene (RR(sys)  ≤ 90 mmHg: 60% versus 30%; p < 0.01), more often hypoxemic [pulse oximeter oxygen saturation (S(p)O(2)) ≤ 90%: 36% versus 19%; p < 0.05] and more often sustained a trauma to the chest as well as to chest and abdomen/pelvis (69% versus 52% and 42% versus 28%, respectively; p < 0.05). Furthermore, the infusion volume of colloids was higher (1241 ± 810 ml versus 753 ± 359 ml; p < 0.05) and the combined usage of small volume resuscitation and catecholamines was more often necessary (42% versus 25%; p < 0.05). Including process data of prehospital mission data recording facilitates an extended medical quality management.
    Der Anaesthesist 02/2012; 61(2):106-7, 110-5. · 0.85 Impact Factor
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    ABSTRACT: After severe tissue injury, innate immunity mounts a robust systemic inflammatory response. However, little is known about the immediate impact of multiple trauma on early complement function in humans. In the present study, we hypothesized that multiple trauma results in immediate activation, consumption, and dysfunction of the complement cascade and that the resulting severe "complementopathy" may be associated with morbidity and mortality. Therefore, a prospective multicenter study with 25 healthy volunteers and 40 polytrauma patients (mean injury severity score = 30.3 ± 2.9) was performed. After polytrauma, serum was collected as early as possible at the scene, on admission to the emergency room (ER), and 4, 12, 24, 120, and 240 h post-trauma and analyzed for the complement profile. Complement hemolytic activity (CH-50) was massively reduced within the first 24 h after injury, recovered only 5 days after trauma, and discriminated between lethal and nonlethal 28-day outcome. Serum levels of the complement activation products C3a and C5a were significantly elevated throughout the entire observation period and correlated with the severity of traumatic brain injury and survival. The soluble terminal complement complex SC5b-9 and mannose-binding lectin showed a biphasic response after trauma. Key fluid-phase inhibitors of complement, such as C4b-binding protein and factor I, were significantly diminished early after trauma. The present data indicate an almost synchronical rapid activation and dysfunction of complement, suggesting a trauma-induced complementopathy early after injury. These events may participate in the impairment of the innate immune response observed after severe trauma.
    Shock (Augusta, Ga.) 01/2012; 37(4):348-54. · 2.87 Impact Factor
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    ABSTRACT: Zusammenfassung Hintergrund. Mit dem Kerndatensatz „Notaufnahme“ der DIVI liegt ein nationaler Standard zur Dokumentation der frühen innerklinischen Versorgung von Notfallpatienten vor. Ziel des Projekts war es, ein Dokumentationssystem für die Notfallaufnahme am Bundeswehrkrankenhaus Ulm zu entwickeln, welches den Kerndatensatz „Notaufnahme“ der DIVI beinhaltet, aber auch klinikspezifische Gesichtspunkte berücksichtigt.Methodik. Entwicklung eines Dokumentationssystems untergliedert in 3 Phasen:1. Definition eines Anforderungsprofils,2. Entwicklung und Umsetzung des Systems,3. praktische Erprobung in der klinischen Routine.Als Dokumentationsform wurde die „digitale Papier- und Stifttechnologie“ gewählt. Das modulare Konzept der DIVI wurde an die eigenen Bedürfnisse adaptiert.Ergebnis. Im Zeitraum von 08/2010 bis 06/2011 wurden 23.549 Patienten (männlich: 51,7%; Alter: Bereich 1,5–92 Jahre) mit dem System erfasst. Die Module gliedern sich wie folgt auf: Basismodule n = 23.549, Konsilmodule n = 4294, Überwachungsmodule n = 1586 und Traumamodule n = 795. Bei mehr als 80% der Patienten war die Dokumentation mit einem einzigen Formular (Basismodul) zu bewerkstelligen. Das System erwies sich als äußerst robust und wurde interdisziplinär wie interprofessionell rasch akzeptiert.Schlussfolgerungen. Mit Hilfe eines auf digitaler Papier- und Stifttechnologie basierenden Dokumentationskonzepts konnte der Kerndatensatz „Notaufnahme“ erfolgreich in einer zentralen Notfallaufnahme eingesetzt werden
    Notfall Rettungsmed. 01/2012;
  • Anästh Intensivmed. 01/2012;
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    ABSTRACT: Zusammenfassung Mit der deutlich gestiegenen Bedrohungs- und Gefährdungslage in den Auslandseinsätzen der Bundeswehr werden an die notfallmedizinische Versorgung verwundeter Soldaten ganz neue Anforderungen gestellt. Diesen veränderten Einsatzerfordernissen muss auch bei der notfallmedizinischen Qualifizierung der Sanitätsoffiziere Rechnung getragen werden. Mit der „Weisung für die Notfallmedizinische Weiterbildung von Sanitätsoffizieren Arzt“ des Inspekteurs des Sanitätsdienstes der Bundeswehr wurden die Grundlagen geschaffen, eine dem zivilen Notarzt vergleichbare Qualifizierung für den Sanitätsoffizier im Notarztdienst zu ermöglichen. Aufgrund der geänderten Einsatzerfordernisse erscheint ein über dieses Training hinausgehende Qualifizierung im Sinne des Erreichens einer höheren Handlungssicherheit wünschenswert. Die Sektion Notfallmedizin am Bundeswehrkrankenhaus Ulm hat hierfür eine „einsatzergänzende notfallmedizinische Basisqualifikation“ entwickelt, die in die bereits praktizierte notfallmedizinische Qualifizierung nach zivilem Standard integriert werden kann. Die wesentlichen Elemente dieser Ergänzungsqualifikation sind das Konzept des Prehospital Trauma Life Support (PHTLS), ein spezielles „Skills-Training“ sowie ein Kurs in Tactical Combat Casualty Care (TCCC). Entsprechend dem Ausbildungsstand der Ärzte werden die einzelnen Module während des ersten (2-jährigen) klinischen Weiterbildungsabschnitts angeboten. Ein wesentliches Element des gesamten Trainings ist hierbei die kontinuierliche Wiederholung von theoretischem Wissen und praktischen Fähigkeiten („skills“) – insbesondere zu besonders kritischen Punkten (z. B. „stop the bleeding“ und „airway management“).
    Notfall & Rettungsmedizin - NOTFALL RETTUNGSMED. 01/2012;

Publication Stats

489 Citations
93.06 Total Impact Points

Institutions

  • 2000–2013
    • Universität Ulm
      • • Abteilung Kardioanästhesiologie
      • • Clinic of Trauma, Hand, Plastic and Reconstructive Surgery
      Ulm, Baden-Württemberg, Germany
  • 1989–2008
    • Bundeswehrkrankenhaus Ulm
      Ulm, Baden-Württemberg, Germany
  • 1995–2007
    • Bundeswehrzentralkrankenhaus Koblenz
      Coblenz, Rheinland-Pfalz, Germany
  • 1999
    • Technische Universität München
      München, Bavaria, Germany