Medizinische Klinik-Intensivmedizin Und Notfallmedizin最新文献

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[Mechanical support with impella decreases mortality in cardiogenic shock (DanGer Shock trial)].
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-26 DOI: 10.1007/s00063-024-01213-0
Michael Buerke, Alexander Geppert
{"title":"[Mechanical support with impella decreases mortality in cardiogenic shock (DanGer Shock trial)].","authors":"Michael Buerke, Alexander Geppert","doi":"10.1007/s00063-024-01213-0","DOIUrl":"https://doi.org/10.1007/s00063-024-01213-0","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Developing kinaesthetic competence and team dynamics : A quality improvement project in a stroke unit]. [发展动觉能力和团队活力:卒中单元的质量改进项目]。
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-21 DOI: 10.1007/s00063-024-01211-2
Jens Wuschke, Alessandra Besomi Thalhammer, Heidrun Gattinger
{"title":"[Developing kinaesthetic competence and team dynamics : A quality improvement project in a stroke unit].","authors":"Jens Wuschke, Alessandra Besomi Thalhammer, Heidrun Gattinger","doi":"10.1007/s00063-024-01211-2","DOIUrl":"https://doi.org/10.1007/s00063-024-01211-2","url":null,"abstract":"<p><strong>Background: </strong>Movement training for stroke patients is a crucial component of their treatment. Lack of time and staff are often described as limiting factors for the development of kinaesthetic competence. In contrast, a positive team atmosphere and awareness of kinaesthetics are seen to be beneficial.</p><p><strong>Aim: </strong>The goal of this quality improvement project was to promote the kinaesthetic competence of a stroke unit (SU) nursing team and to investigate its influence on team dynamics.</p><p><strong>Methods: </strong>As a team intervention for the project, a basic course in kinaesthetics in nursing, augmented by practical instructions, was conducted exclusively for the SU nursing team. The Kinaesthetics Competence Observation (KCO) instrument was used to determine competence development. The participants rated team dynamics on a scale of 0-10 points.</p><p><strong>Results: </strong>In all, 88% of the nursing team took part in the quality improvement project and successfully completed the basic course. The kinaesthetic competence improved by 4.2 KCO points and the team dynamics also increased by around 2 points.</p><p><strong>Discussion: </strong>A basic kinaesthetics course with practical instructions improves kinaesthetic competence. Continuous instruction, long-term process implementation and support from nursing managers are required to establish kinaesthetic competence in the long term.</p><p><strong>Conclusion: </strong>The results show that a kinaesthetic training project carried out in this way has a positive influence not only on kinaesthetic competence but also on the dynamics of a care team.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Action algorithm: management of acute pancreatitis in acute and emergency medicine]. [行动算法:急诊科急性胰腺炎的处理]。
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-19 DOI: 10.1007/s00063-024-01217-w
Philipp Kasper, Guido Michels
{"title":"[Action algorithm: management of acute pancreatitis in acute and emergency medicine].","authors":"Philipp Kasper, Guido Michels","doi":"10.1007/s00063-024-01217-w","DOIUrl":"10.1007/s00063-024-01217-w","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Climate change and vector-borne disease-significance for intensive care and emergency medicine]. [气候变化和病媒传染的疾病--对重症监护和急诊医学的意义]。
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-18 DOI: 10.1007/s00063-024-01206-z
A J Domdey, S M Thomas
{"title":"[Climate change and vector-borne disease-significance for intensive care and emergency medicine].","authors":"A J Domdey, S M Thomas","doi":"10.1007/s00063-024-01206-z","DOIUrl":"https://doi.org/10.1007/s00063-024-01206-z","url":null,"abstract":"<p><p>Tropical diseases are becoming increasingly important in medical care in Germany due to climate change and the spread of vectors and viruses. The widely distributed Culex mosquitoes in Germany can transmit the West Nile virus, which causes West Nile fever. Severe neuroinvasive disease courses with acute flaccid paralysis, meningitis, and encephalitis are possible. The invasive tiger mosquito (Aedes albopictus) is increasingly establishing itself in Germany and is a potent vector of viruses that have so far occurred mainly in tropical-subtropical areas, including dengue and chikungunya virus. Severe dengue cases can manifest with hemorrhagic dengue fever, shock, or organ involvement. Dengue fever is currently still a travel-related disease in Germany. However, this may change in the context of climate change and increasing vector populations. Enhanced training and continuing education programs, as well as an expansion of diagnostic infrastructure and networking of health authorities and mosquito control, are crucial for optimal patient care.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Overlooked threat: Sepsis with an uncommon source of infection]. [被忽视的威胁:感染源不常见的败血症]。
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-14 DOI: 10.1007/s00063-024-01205-0
Tanja Knoll, Christian Hohmann, Oliver Kemper, Rolf Dembinski
{"title":"[Overlooked threat: Sepsis with an uncommon source of infection].","authors":"Tanja Knoll, Christian Hohmann, Oliver Kemper, Rolf Dembinski","doi":"10.1007/s00063-024-01205-0","DOIUrl":"https://doi.org/10.1007/s00063-024-01205-0","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Management of acute community-acquired bacterial meningitis : Leading symptoms of impaired consciousness and fever with/without headache]. [急性社区获得性细菌性脑膜炎的处理:意识障碍和发热伴/不伴有头痛的主要症状]。
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-14 DOI: 10.1007/s00063-024-01210-3
Susanne Dyckhoff-Shen, Matthias Klein
{"title":"[Management of acute community-acquired bacterial meningitis : Leading symptoms of impaired consciousness and fever with/without headache].","authors":"Susanne Dyckhoff-Shen, Matthias Klein","doi":"10.1007/s00063-024-01210-3","DOIUrl":"https://doi.org/10.1007/s00063-024-01210-3","url":null,"abstract":"<p><strong>Background: </strong>Simultaneous symptoms of impaired consciousness and fever are suspicious for acute bacterial meningitis. This is a medical emergency and prompt action is essential.</p><p><strong>Objectives: </strong>The clinical workup for suspected bacterial meningitis as well as treatment recommendations and differential diagnosis for the main symptoms of decreased vigilance and fever are described.</p><p><strong>Methods: </strong>Evaluation of selective literature using PubMed (U.S. National Library of Medicine®, Bethesda, MD, USA), especially taking into account the AWMF (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften) guideline of community-acquired bacterial meningoencephalitis in adults.</p><p><strong>Results: </strong>Bacterial meningoencephalitis presents with the main symptoms of impaired consciousness, nuchal rigidity, headache and fever, which may, however, be absent in some cases. The diagnosis is confirmed by investigation of the cerebrospinal fluid. Further diagnostics include emergency laboratory tests, blood cultures, microbiological examinations, and cranial computed tomography (CCT). Empirical treatment should be administered promptly.</p><p><strong>Conclusion: </strong>Acute bacterial meningitis must be considered in cases of loss of vigilance and fever, requiring a rapid, structured approach in the emergency department.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum zu: Repräsentation von Frauen in leitenden Positionen der Akut- und Notfallmedizin. 勘误:女性在急诊医学高级职位中的代表性。
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-14 DOI: 10.1007/s00063-024-01212-1
Nadja Spitznagel, Christine Hidas, Sylvia Schacher
{"title":"Erratum zu: Repräsentation von Frauen in leitenden Positionen der Akut- und Notfallmedizin.","authors":"Nadja Spitznagel, Christine Hidas, Sylvia Schacher","doi":"10.1007/s00063-024-01212-1","DOIUrl":"https://doi.org/10.1007/s00063-024-01212-1","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Ten key statements on the guideline "Peripheral administration of vasopressors"]. [关于 "血管加压素外周给药 "指南的十项重要声明]。
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-12 DOI: 10.1007/s00063-024-01201-4
Silke Fortenbacher, Stefan John
{"title":"[Ten key statements on the guideline \"Peripheral administration of vasopressors\"].","authors":"Silke Fortenbacher, Stefan John","doi":"10.1007/s00063-024-01201-4","DOIUrl":"https://doi.org/10.1007/s00063-024-01201-4","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Tympanic temperature measurement in heat illness is (largely) reliable and practicable]. [热病中的耳温测量(基本)可靠可行]。
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-08 DOI: 10.1007/s00063-024-01207-y
Thomas Bein
{"title":"[Tympanic temperature measurement in heat illness is (largely) reliable and practicable].","authors":"Thomas Bein","doi":"10.1007/s00063-024-01207-y","DOIUrl":"https://doi.org/10.1007/s00063-024-01207-y","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Suspicion of heat illness? Prefer rectal over tympanic temperature measurement!] [怀疑热病?最好用直肠测量体温而不是耳温!]
IF 1.3 4区 医学
Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-11-08 DOI: 10.1007/s00063-024-01208-x
Christoph Hüser
{"title":"[Suspicion of heat illness? Prefer rectal over tympanic temperature measurement!]","authors":"Christoph Hüser","doi":"10.1007/s00063-024-01208-x","DOIUrl":"https://doi.org/10.1007/s00063-024-01208-x","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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