Medizinische Klinik-Intensivmedizin Und Notfallmedizin最新文献

{"title":"[The Freiburg concept of the \"Neurological Emergency Receiving Team (NERT)\" : Concept for structuring of time-critical courses of action for patients with a predominant disability problem with an interdisciplinary and interprofessional emergency team in the nontraumatological resuscitation room].","authors":"J Brich, M Hieber, S Petrik, K Müller-Peltzer, C Taschner, T Künzle, J Augustinski, J Duffner, K Fink, H Wiendl, H-J Busch","doi":"10.1007/s00063-026-01467-w","DOIUrl":"https://doi.org/10.1007/s00063-026-01467-w","url":null,"abstract":"<p><strong>Background: </strong>Preclinical identification of the underlying causes in emergency patients with predominant disability (D)-problem is often unreliable, leading to misallocation and capacity issues in intensive care and stroke units. To address these challenges, the management of these patients, including acute stroke care, is increasingly shifting to emergency departments or emergency centers. This results in a higher proportion of patients with D‑problems requiring immediate evaluation within the framework of a non-traumatological resuscitation room; however, a standardized care concept for this patient group in the non-traumatological resuscitation room is lacking.</p><p><strong>Aim of the study (research question): </strong>To optimize time-critical acute care for emergency patients with predominant D‑problems in the non-traumatological resuscitation room, the \"neurological emergency receiving team\" (NERT) was established at the University Emergency Department of the University Hospital Freiburg. The NERT concept aims to enable rapid and systematic evaluation and treatment of patients with acute focal neurological deficits and/or unexplained impairment of consciousness through predefined diagnostic and therapeutic pathways.</p><p><strong>Material and methods: </strong>A specialized team was formed comprising experts from neurology, emergency medicine and emergency nursing. In close collaboration with (neuro)radiologists experienced in emergency diagnostics, the team provides acute in-hospital care for this time-sensitive patient population. This article describes the team's composition, responsibilities, and workflow within the NERT concept.</p><p><strong>Results: </strong>The NERT concept enables rapid and standardized management of patients with predominant D‑problems. Interdisciplinary and interprofessional collaboration improves the time to diagnosis and initiation of treatment while reducing the risk of misallocation.</p><p><strong>Discussion: </strong>The NERT concept represents a feasible model for delivering efficient and high-quality emergency care to patients with D‑problems in the non-traumatological resuscitation room.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266651","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}

{"title":"[Scientific fraud and dubious publication practices].","authors":"Peter Nydahl, Mohamed Chahdi, Pia Goetze, Roland Eßl-Maurer, Carsten Hermes, Andreas Kocks, Anna-Henrikje Seidlein, Susanne Krotsetis","doi":"10.1007/s00063-025-01307-3","DOIUrl":"10.1007/s00063-025-01307-3","url":null,"abstract":"<p><p>Questionable publication practices and predatory journals pose an increasing challenge to scientific integrity. These publication models advertise rapid publication times but lack essential quality controls such as peer-review processes, transparency, and charge high fees, which facilitates the dissemination of unreliable research findings. There is an increased risk, particularly for less experienced researchers, of unknowingly publishing in such journals or using their content uncritically. This can negatively impact individual career paths, the scientific community, and public perception of scientific knowledge. The article outlines the key characteristics of predatory journals and analyzes their potential consequences for science, as well as the quality and dissemination of research findings. Practical tools, such as checklists and established resources, are also presented to assist researchers in identifying and avoiding dubious publication offers. Finally, the article emphasizes the importance of raising awareness about this issue to uphold scientific standards and ensure the long-term reliability of research.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"372-377"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13212799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Advanced nursing practice in intensive care units : Implementation and further development].","authors":"Marina Ufelmann, A Ellermeyer, C Boldt","doi":"10.1007/s00063-026-01433-6","DOIUrl":"10.1007/s00063-026-01433-6","url":null,"abstract":"<p><strong>Background: </strong>Advanced nursing practice (ANP) is becoming increasingly important in light of the growing complexity of care and rising demands in critical care. Despite being established internationally, the role of the advanced practice nurse (APN) has not yet been fully implemented in Germany.</p><p><strong>Objective: </strong>To describe the introduction of an APN in an intensive care unit at a German university hospital and the conceptual and structural requirements necessary for this.</p><p><strong>Approach: </strong>A job profile was developed based on a systematic literature search in the PubMed (U.S. National Library of Medicine, Bethesda, MD, USA), LIVIVIO (German National Library of Medicine, Cologne, Germany), and Cumulative Index to Nursing and Allied Health Literature (CINAHL, Elton B. Stephens Company [EBSCO] Information Services, Ipswich, MA, USA) databases. Implementation was structured and participatory, based on the PEPPA (participatory, evidence-based, patient-focused process for the development, implementation and evaluation of advanced practice nursing) framework.</p><p><strong>Results: </strong>The APN supported the further development of evidence-based nursing care, the qualification of the nursing team, and interprofessional collaboration. APN-led measures contributed to the improvement of knowledge structures, induction processes, and selected care procedures.</p><p><strong>Conclusion: </strong>ANP can make a relevant contribution to the further development of (critical) care. This requires clear role profiles, suitable structural conditions, and strategically controlled implementation within the organization.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"343-349"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634871","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}

{"title":"[Effects of massage in critically ill patients with pusher syndrome : Randomized controlled mixed-methods study protocol].","authors":"Bianca Schmidt-Maciejewski, Peter Nydahl, Miriam T Richter, Nourane Trigui, Daniela Berg","doi":"10.1007/s00063-025-01354-w","DOIUrl":"10.1007/s00063-025-01354-w","url":null,"abstract":"<p><strong>Background: </strong>A complication of stroke is the pusher syndrome (PS). PS results in an altered verticality perception and in a reduced clinical outcome. Effective interventions in the treatment of PS, feasible in nursing care, are lacking to date.</p><p><strong>Aim: </strong>Examining whether neurophysiological massage has effects on the perception of verticality (primary outcome) and whether effects on the severity of PS can be proved (secondary outcome).</p><p><strong>Method: </strong>Participants of this multicentered, randomized controlled trial will be recruited in the setting of acute and rehabilitation hospitals. The participants of the intervention group will receive once a day, on eight consecutive days a neurophysiological massage, while the control group will receive usual care including training for selfcare and clothing skills as well as mobilization into the wheelchair. The primary outcome will be evaluated in the sitting position, immediately after conducting the intervention, after 10 minutes, and 3 days after the intervention period ends by measuring the shank deviation angle compared to the body midline. The secondary outcome will be evaluated before starting and after ending the intervention period as well as 3 days after the intervention period ends by using the scale of contraversive pushing (SCP). Furthermore, problem-centered interviews will be conducted pre- and post-interventionally and analyzed using the Witzel method.</p><p><strong>Expected results: </strong>The hypothesis of whether neurophysiological massage could improve the perception of verticality in patients affected by PS more than usual care will be examined. The study could show an effect of neurophysiological massage on the perception of the subjective postural vertical. Conducting interviews will allow a holistic understanding of PS.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"390-395"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606801","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}

{"title":"OMW: Herausforderungen der modernen Intensivmedizin.","authors":"Valery Kitz, Sascha David","doi":"10.1007/s00063-026-01451-4","DOIUrl":"https://doi.org/10.1007/s00063-026-01451-4","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":"121 5","pages":"333"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036977","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}

{"title":"[Treatment algorithm: management of acute diverticulitis in acute and emergency medicine].","authors":"Philipp Kasper, Frank Tacke, Guido Michels","doi":"10.1007/s00063-025-01404-3","DOIUrl":"10.1007/s00063-025-01404-3","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"396-397"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953592","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}

{"title":"[Resilience in the intensive care team: its significance, determinants, and strategies for enhancement].","authors":"Eyleen Reifarth, Lisa Altenrath, Caroline Schnabel, Jan-Hendrik Naendrup","doi":"10.1007/s00063-026-01440-7","DOIUrl":"10.1007/s00063-026-01440-7","url":null,"abstract":"<p><p>Resilience in the intensive care context describes the ability both of an individual and on a team level to cope adaptively with stressors while maintaining mental health and performance. Despite definitional inconsistency in current scientific discourse, in general, resilience is understood either as a personality trait or as a dynamic process that is shaped by individual resources such as self-efficacy and self-regulation, proactive team strategies as well as supportive leadership and organizational structures. To promote individual and team resilience, training based on established behavioral therapy approaches as well as resilience interventions are increasingly being used in the intensive care setting. In addition, organizational approaches aim to reduce known structural risk factors and to improve teamwork and team communication. Overall, increased individual and team resilience is associated with better mental health, higher job satisfaction, reduced sickness-related absenteeism, and improved quality of care. Therefore, resilience is key to sustainable, high-quality intensive care.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"350-355"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677963","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}

{"title":"[Prehospital pericardiocentesis in a 41-year-old woman in obstructive shock using a handheld ultrasound device].","authors":"Rebecca Sahner, Ulrich Schmitt, Fernando Gatto, Carlos Metz","doi":"10.1007/s00063-025-01350-0","DOIUrl":"10.1007/s00063-025-01350-0","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"386-389"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524519","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}

{"title":"[Comparison of the 2026 surviving sepsis campaign guideline and the 2025 German S3 sepsis guideline].","authors":"Mathias W Pletz, Stefan Hagel, Frank M Brunkhorst","doi":"10.1007/s00063-026-01446-1","DOIUrl":"10.1007/s00063-026-01446-1","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"398-399"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786730","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}

{"title":"[Complex family interventions in intensive care units: state of knowledge and future directions].","authors":"Lotte Verweij, Simone Sutter, Myrta Kohler, Rahel Naef","doi":"10.1007/s00063-026-01438-1","DOIUrl":"10.1007/s00063-026-01438-1","url":null,"abstract":"<p><strong>Background: </strong>Family members of critically ill or severely injured patients experience considerable distress, which may negatively affect mental health and family functioning. Family-focused interventions are therefore needed and form an essential part of intensive care.</p><p><strong>Objectives: </strong>This article defines evidence-informed family interventions and engagement practices, highlights their complexity, identifies implementation challenges, and describes approaches to establishing state-of-the-art family care that reaches families in reliable ways.</p><p><strong>Materials and methods: </strong>Theoretical framing and narrative overview of the current state of knowledge on the implementation of complex family interventions in adult intensive care units.</p><p><strong>Results: </strong>Family interventions engage patients and close others in care activities and address their cognitive, affective, and behavioral needs. They are often delivered in combinations and are therefore classified as complex health interventions. Despite the evidence base being incomplete in some areas, a consensus has emerged on best practices for involving, informing, communicating with, and supporting families. The integration of these evidence-informed practices is influenced by factors at the individual, team, and organizational levels, which often act as barriers. Thus, systematic, theory-guided, and empirically grounded implementation process is crucial.</p><p><strong>Conclusion: </strong>The integration of evidence-informed recommendations for working with families in intensive care units requires a communal effort. Implementation science offers systematic, theory-driven models to support the sustainable integration of context-specific family-focused interventions in intensive care units.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"356-363"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13212399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}