[Initial diagnosis and treatment of shock].

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-01 Epub Date: 2024-10-10 DOI:10.1007/s00063-024-01195-z

Reimer Riessen, Peter Bulla, Annerose Mengel, Bernhard Kumle

{"title":"[Initial diagnosis and treatment of shock].","authors":"Reimer Riessen, Peter Bulla, Annerose Mengel, Bernhard Kumle","doi":"10.1007/s00063-024-01195-z","DOIUrl":null,"url":null,"abstract":"Background: Structured procedures have been established internationally for the initial clinical care of patients with traumatic injuries. Comparable concepts have not yet been applied to the initial clinical care of life-threatening nontraumatic emergencies. In 2022, a working group of the German Society for Acute and Emergency Medicine (DGINA) presented the Advanced Critical Illness Life Support (ACiLS) concept for the care of nontraumatic emergencies and offers corresponding training courses.Objective: To present systematic clinical first aid for patients with the leading symptom of shock according to the ACiLS concept.Result: The (PR_E-)AUD2IT basic algorithm used in the ACiLS concept divides the initial care of a critically ill patient into the elements of preparation, resources, initial care, medical history, examination, differential diagnosis, diagnostics, interpretation and to do, interrupted by three team time-out elements for structured communication. The use of this concept is demonstrated here using the example of shock.Conclusion: The ACiLS concept has the potential to improve the quality of initial care of nontraumatic emergencies in emergency department shock rooms and intensive care units. Further evaluations in practice and training capacities are essential.","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"650-658"},"PeriodicalIF":1.3000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","FirstCategoryId":"92","ListUrlMain":"https://doi.org/10.1007/s00063-024-01195-z","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/10 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Structured procedures have been established internationally for the initial clinical care of patients with traumatic injuries. Comparable concepts have not yet been applied to the initial clinical care of life-threatening nontraumatic emergencies. In 2022, a working group of the German Society for Acute and Emergency Medicine (DGINA) presented the Advanced Critical Illness Life Support (ACiLS) concept for the care of nontraumatic emergencies and offers corresponding training courses.

Objective: To present systematic clinical first aid for patients with the leading symptom of shock according to the ACiLS concept.

Result: The (PR_E-)AUD²IT basic algorithm used in the ACiLS concept divides the initial care of a critically ill patient into the elements of preparation, resources, initial care, medical history, examination, differential diagnosis, diagnostics, interpretation and to do, interrupted by three team time-out elements for structured communication. The use of this concept is demonstrated here using the example of shock.

Conclusion: The ACiLS concept has the potential to improve the quality of initial care of nontraumatic emergencies in emergency department shock rooms and intensive care units. Further evaluations in practice and training capacities are essential.

查看原文本刊更多论文

[休克的初步诊断和治疗]。

背景：国际上已经为创伤患者的初期临床护理制定了结构化程序。类似的概念尚未应用于危及生命的非创伤性急症的初期临床护理。2022 年，德国急诊医学协会（DGINA）的一个工作组提出了用于非创伤性急诊护理的高级危重症生命支持（AciLS）概念，并提供了相应的培训课程：根据 ACiLS 理念，为出现休克主要症状的患者提供系统的临床急救：结果：ACiLS 概念中使用的 (PR_E-)AUD2IT 基本算法将危重病人的初步护理分为准备、资源、初步护理、病史、检查、鉴别诊断、诊断、解释和待办等要素，并以三个团队超时要素进行结构化交流。本文以休克为例演示了这一概念的使用：ACiLS 概念有可能提高急诊科休克室和重症监护室非创伤性急诊的初步护理质量。进一步评估实践和培训能力至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Medizinische Klinik-Intensivmedizin Und Notfallmedizin MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.