Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V最新文献_第2页

[Hospital emergency plan for the management of patients with highly contagious diseases]. [医院处理高传染性疾病患者的应急计划]。

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2007-01-01 Epub Date: 2007-05-31 DOI: 10.1007/s00390-007-0782-x

Petra Gastmeier, M M Hoeper, M Stoll, H A Adams

引用次数: 0

[The hospital emergency plan - basics and general structure]. [医院应急计划-基础和总体结构]。

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2007-01-01 DOI: 10.1007/s00390-007-0778-6

H A Adams, A Tecklenburg

{"title":"[The hospital emergency plan - basics and general structure].","authors":"H A Adams, A Tecklenburg","doi":"10.1007/s00390-007-0778-6","DOIUrl":"https://doi.org/10.1007/s00390-007-0778-6","url":null,"abstract":"A hospital emergency plan commonly consists of three main chapters dealing with the general aspects of emergency operation and the special aspects of external and internal emergencies. The extent of these chapters is restricted to general understanding and is completed by special instructions (emergency action plan, staff lists, material lists, situation plans) for each department. Due to its security significance, the emergency plan is handled confidential. External emergencies include mass casualty incidents, incidents with a large number of intoxicated patients, the care of patients with dangerous infectious diseases and NBC emergencies. Internal emergencies include fire and other environmental threats, the breakdown of the electrical power and water supply, the breakdown of the telephone system and other situations like bomb threat and taking of hostages. Any emergency call is sent to a special emergency phone, and a defined, experienced physician decides to activate the emergency plan. With the change from routine to emergency service, a chain of command is installed. The hospital staff deals with administrational and organizational aspects, whereas the medical staff is in charge of immediate patients' care. For each external emergency, the deployment of personnel and material and the basic organizational aspects are ordered. Comparable preparations are given for internal emergencies. To achieve realistic emergency planning, repeated evaluations and practical exercises are necessary. Furthermore, a basic independence of the hospital with respect to stocks, preparation and sterilization of instruments and catering is essential to ensure its function even under adverse conditions.","PeriodicalId":92910,"journal":{"name":"Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V","volume":"44 2","pages":"88-97"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00390-007-0778-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37782662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

39. Gemeinsame Jahrestagung der Deutschen Gesellschaft für Internistische Intensivmedizin und Notfallmedizin und der Österreichischen Gesellschaft für Allgemeine und Internistische Intensivmedizin: 20. bis 23. Juni 2007 in Köln Tagungspräsident: Prof. Dr. med. H.-J. Trappe, Herne. 39. 20年至23 .该会议主席是2007年6月25日Trappe Herne做培训,.

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2007-01-01 DOI: 10.1007/s00390-007-0811-9

引用次数: 0

[Fatal outcome of varicella zoster sepsis in a 22-year old patient]. [一名 22 岁患者因水痘带状疱疹败血症而死亡]。

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2006-01-01 DOI: 10.1007/s00390-006-0665-6

S Siebig, G Rogler, K Schlottmann, J Schölmerich, J Langgartner

引用次数: 0

[The diagnosis of sepsis]. [败血症的诊断]。

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2006-01-01 DOI: 10.1007/s00390-006-0741-y

L Engelmann

{"title":"[The diagnosis of sepsis].","authors":"L Engelmann","doi":"10.1007/s00390-006-0741-y","DOIUrl":"10.1007/s00390-006-0741-y","url":null,"abstract":"The early diagnosis of sepsis is mandatory for the further reduction of mortality due to sepsis. Current findings exist that accentuate the role of the time factor, comparable with acute myocardial infarction or with ischemic stroke. On the other hand, there are no generally accepted diagnostics for sepsis, realizing the demands of early diagnosis and based on the physician's experience.The diagnostics start with the recognition of the inflammatory reaction caused by infection (at least 2 of 4 criteria of inflammatory reaction have to be fulfilled). This definition has high sensitivity, but remarkably lower specificity and it leads either to too frequent admissions or only to hospitalization in case of a complicating organ failure. Making a careful history and knowledge about sepsis are essential for the out-patient department physicians. In addition to the varying pictures of sepsis, the clinicians have laboratory findings available, most of all procalcitonin. Patients have to be considered as septic with a serum PCT level higher than 1 ng/ml particularly when clinical signs do not exclude sepsis and in cases of positive blood cultures. Initially PCT is a product of macrophages if the defense reaction starts, but it becomes an infection marker, when the serum PCT level declines less than the half life falls.","PeriodicalId":92910,"journal":{"name":"Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V","volume":"43 8","pages":"607-618"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37830978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Poster. 海报。

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2006-01-01 DOI: 10.1007/s00390-006-1102-6

引用次数: 0

[Management of nosocomial pneumonia-state of the art]. [非典型肺炎的管理现状]。

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2006-01-01 DOI: 10.1007/s00390-006-0721-2

T Welte

引用次数: 0

38. Gemeinsame Jahrestagung der Deutschen Gesellschaft für Internistische Intensivmedizin und Notfallmedizin und der Österreichischen Gesellschaft für Allgemeine und Internistische Intensivmedizin: 14.–17. Juni 2006 in Saarbrücken, Tagungspräsident: Prof. Dr. med. G.W. Sybrecht, Homburg/Saar. 38. 德国内科/紧急医学法协会和奥地利共同和单独医学法协会举办的年会:萨尔布吕肯市，2006年6月11日，萨尔布吕肯市会议主席:

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2006-01-01 DOI: 10.1007/s00390-006-0731-0

引用次数: 0

Abstracts. 摘要。

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2004-01-01 DOI: 10.1007/s00390-004-1102-3

引用次数: 0

[HIV and AIDS patients in the ICU]. [重症监护病房的HIV和AIDS患者]。

Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V Pub Date : 2003-01-01 DOI: 10.1007/s00390-003-0356-5

Falitsa Mandraka, Bernd Salzberger, Thomas Glück

{"title":"[HIV and AIDS patients in the ICU].","authors":"Falitsa Mandraka, Bernd Salzberger, Thomas Glück","doi":"10.1007/s00390-003-0356-5","DOIUrl":"https://doi.org/10.1007/s00390-003-0356-5","url":null,"abstract":"The number of HIV-infected patients in Germany has increased steadily over time. This is due to the positive development of decreasing death rates and a nearly stable rate of new infections. This development is based on the improved prognosis for HIV/AIDS patients due to the introduction of highly active antiretroviral therapy (HAART) in 1996. Considering this, a new look at the HIV patient as a potential ICU candidate is necessary. The most common referral for ICU therapy is respiratory failure, followed by neurological disorders. In rare cases, HAART-induced side-effects require therapy in the ICU. Very few clinical trials directly compare the outcome of HIV-positive and HIV-negative patients, and most of these data were collected in the pre-HAART era. The ICU outcome does not correlate with HIV-genuine parameters, such as the CD4 cell counts. Thus, a HIV patient can benefit from ICU treatment. Regarding HAART management, open questions still exist especially considering the mechanically ventilated patient. Actually only AZT (Retrovir®) is available as an i.v. formulation. Other antiretroviral medication can only be administered after grinding the tablets. The consequenses of the altered galenic composition with regard to efficacy and development of resistance has not been sufficiently studied. This also applies to risks and benefits of interrupted therapy versus a possibly inappropriate application of HAART. In this survey we also describe possible interactions between HAART and sedative/antiepileptic/tuberculostatic etc. medication. Finally special aspects of HIV exposure in the health care setting are discussed, including essential immediate measures after an injury. Current recommendations for post-exposure prophylaxis are given.","PeriodicalId":92910,"journal":{"name":"Intensivmedizin + Notfallmedizin : Organ der Deutschen und der Osterreichischen Gesellschaft fur internistische Intensivmedizin, der Sektion Neurologie der DGIM und der Sektion Intensivmedizin im Berufsverband Deutscher Internisten e.V","volume":"40 4","pages":"276-284"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00390-003-0356-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37831067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0