Resuscitation attempts require invasive iatrogenic manipulations on the patient. On the one hand, these measures are essential for survival, but on the other hand can damage the patient and thus contain a significant violation risk of both medical and forensic relevance for the patient and the physician. We differentiate between frequent and rare resuscitation-related injuries. Factors of influence are duration and intensity of the resuscitation attempts, sex and age of the patient as well as an anticoagulant medication. Review of current literature and report on autopsy cases from our institute (approximately 1,000 autopsies per year). Frequent findings are lesions of tracheal structures and bony chest fractures. Rare injuries are lesions of pleura, pericardium, myocardium and other internal organs as well as vessels, intubation-related damages of neural and cartilaginous structures in the larynx and perforations of abdominal organs such as liver, stomach and spleen. We differentiate between frequent and rare complications. The risk of iatrogenic CPR-related trauma is even present with adequate execution of CPR measures and should not question the employment of proven medical techniques.

Frequent and rare complications of resuscitation attempts

https://www.wemjournal.org/article/S1080-6032(06)70284-8/pdf

The use of automated external defibrillators and public access defibrillators in the mountains: official guidelines of the international commission for mountain emergency medicine ICAR-MEDCOM.

Struktur
Der Notfallplan des Krankenhauses besteht aus einem Basisplan und einem Anhang Im Basisplan werden die Grundlagen, der Notfallbetrieb bei externen Gefahrenlagen und der Notfallbetrieb bei internen Gefahrenlagen in dem fur das Gesamtverstandnis erforderlichen Umfang dargestellt Der Anhang enthalt die speziellen Arbeitsunterlagen wie Alarmanweisungen, Alarmierungsunterlagen, Materiallisten und Lageplane

/pdf/der-notfallplan-des-krankenhauses-10c9cxa98y.pdf

Der Notfallplan des Krankenhauses

Aufgrund gesetzlicher Anderungen und Einfuhrung des DRG-Systems in Deutschland haben sich fur den Katastrophenschutz relevante Veranderungen ergeben. Dabei kam es zur Reduktion der Bettenkapazitaten und Zunahme der Bettenauslastungen. Neben den praklinischen Einsatzstrategien werden die vorsorgerelevanten Aspekte der Katastrophenmedizin mit Problematik der Schnittstelle Rettungsdienst – Klinik aufgezeigt. Anhand des Katastrophennetzwerks der DGU soll ein Losungsvorschlag zur Optimierung der Patientenverteilung beim Massenanfall von Verletzten (MANV) oder Katastrophenfall aufgezeigt werden.

Verteilungsplanung von Verletzten beim MANV oder Katastrophenfall

Hintergrund
Die Patientenversorgung im Grosschadens- und Katastrophenfall erfordert die enge Vernetzung aller praklinischen und klinischen Ressourcen.

Versorgungskonzepte im Großschadens- und Katastrophenfall

Kardiopulmonale Reanimation - CPR Eine Empfehlung der Interdisziplinären Arbeitsgruppe Schock der Deutschen Interdisziplinären Vereinigung für Intensivmedizin und Notfallmedizin zur praktischen Umsetzung der Richtlinien des European Resuscitation Council 2005

Stellungnahme zur Patientenversorgung im Katastrophenfall

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Kardiopulmonale Reanimation - CPR Eine Empfehlung der Interdisziplinären Arbeitsgruppe Schock der Deutschen Interdisziplinären Vereinigung für Intensivmedizin und Notfallmedizin zur praktischen Umsetzung der Richtlinien des European Resuscitation Council 2005

Stellungnahme zur Patientenversorgung im Katastrophenfall