Anne Weißleder, Jan-Christoph Gunßer, Dominik Treffer
{"title":"[The pregnant patient in prehospital emergency medicine].","authors":"Anne Weißleder, Jan-Christoph Gunßer, Dominik Treffer","doi":"10.1055/a-2606-7239","DOIUrl":"https://doi.org/10.1055/a-2606-7239","url":null,"abstract":"<p><p>Pregnant patients rarely constitute emergencies in the prehospital setting; however, they pose a particular challenge for emergency medical services personnel, as the physiological characteristics of pregnancy must be understood, pregnancy-related conditions must be included in the differential diagnosis, and specific trauma consequences must be considered. This article is based on the xABCDE and SAMPLER standard care protocols.</p>","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"151 8","pages":"361-368"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael K Bohlmann, Marc Dominik Schmittner, Ulrich Pecks
{"title":"[The pregnant patient in the Intensive Care Unit].","authors":"Michael K Bohlmann, Marc Dominik Schmittner, Ulrich Pecks","doi":"10.1055/a-2593-8146","DOIUrl":"https://doi.org/10.1055/a-2593-8146","url":null,"abstract":"<p><p>Pregnant patients require intensive medical treatment relatively rarely: in industrialized countries they account for only about 2% of ICU-patients. Compared to pregnancy, the need for intensive care occurs more often in the immediate postpartum setting, primarily due to peripartum complications such as severe haemorrhage, hypertensive crises, or sepsis. The treatment of such patients requires a multiprofessional and interdisciplinary approach involving obstetricians, neonatologists, intensive care physicians, nursing staff, and other specialists, as well as, if necessary, psychologists. Particular importance is attached to involving the (competent-to-consent) patient and her relatives in clinical decision-making processes. In the case of fetal viability, and if the mother's condition is stable, transfer to a hospital with connected obstetrics and neonatology should be considered. Maternal X-ray examinations are possible during pregnancy, taking into account the fetal radiation dose.</p>","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"151 8","pages":"377-384"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Travel first aid kit - More than just a selection for emergencies].","authors":"Christian Ude","doi":"10.1055/a-2755-3894","DOIUrl":"10.1055/a-2755-3894","url":null,"abstract":"","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"151 9","pages":"417-430"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The pregnant patient in acute and intensive care medicine].","authors":"Uwe Janssens","doi":"10.1055/a-2727-7226","DOIUrl":"https://doi.org/10.1055/a-2727-7226","url":null,"abstract":"","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"151 8","pages":"349-350"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The Basics of Travel Medicine and Health Counseling in Practice].","authors":"Markus Frühwein, Jörg Schelling, Sebastian Wendt","doi":"10.1055/a-2749-2206","DOIUrl":"10.1055/a-2749-2206","url":null,"abstract":"<p><strong>Abstract: </strong>More and more people are traveling to tropical and subtropical regions, whether for business or pleasure. Therefore, sound travel medicine advice is an essential part of preventive healthcare. This advice includes vaccination recommendations, malaria prophylaxis, individual risk assessment, education, and up-to-date interdisciplinary knowledge. This knowledge is especially important for vulnerable groups, such as pregnant women, children, and people with chronic illnesses.</p>","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"151 9","pages":"431-439"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Strategies to Improve Deficient Communication in Chronic Progressive Diseases in outpatient and hospital care - Practical Approaches for COPD and Idiopathic Pulmonary Fibrosis].","authors":"Bernd Schönhofer, Wolfram Windisch, Uwe Janssens, Matthias Kochanek","doi":"10.1055/a-2790-0531","DOIUrl":"10.1055/a-2790-0531","url":null,"abstract":"<p><strong>Abstract: </strong>In the treatment of patients with progressive diseases, such as COPD or IPF, there are significant communication gaps across all sectors. Measures to improve communication include advance care planning, determining the patient's wishes, early palliative care, and avoiding unnecessary hospitalization, intensive care, and post-discharge over-treatment, such as long-term invasive ventilation outside of the hospital.</p>","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"151 9","pages":"454-464"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Felix Herth, Jens Schreiber, Ingo Mokros, Jan Claudius Schwitalla, Céline Vetter
{"title":"[Care for uncontrolled asthma in Germany - with focus on Magdeburg and Mannheim regions].","authors":"Felix Herth, Jens Schreiber, Ingo Mokros, Jan Claudius Schwitalla, Céline Vetter","doi":"10.1055/a-2748-4843","DOIUrl":"10.1055/a-2748-4843","url":null,"abstract":"<p><strong>Objective: </strong>Description of treatment and prescription patterns among asthma patients in the regions of Magdeburg (MD) and Mannheim (MA) compared nationwide.</p><p><strong>Methods: </strong>We analyzed IQVIATM LRx data 1 from the period of July 2022 to June 2023. The prescription database LRx covers about 80% of prescriptions for patients in the statutory health insurance in Germany. A machine learning model was used to assign the indication of asthma to patients with ≥ 1 redeemed GKV prescription for respiratory diseases.</p><p><strong>Results: </strong>In this analysis, 2992487 patients with asthma were identified in Germany ( MD 20692; MA 55302), of which 30% were assigned to GINA stage 4 (MD 33%; MA 30%) and 4% to GINA stage 5 (MD 5%; MA 5%) (GINA: Global Initiative for Asthma 2). Only 27% of the patients had ≥ 1 prescription from pulmonologists (MD 37%; MA 28%). Among all patients, 13% showed signs of uncontrolled asthma (MD 12%; MA 13%). Of these, 21% were eligible for biologics (Bx) (MD 22%; MA 20%), of which 16% received ≥ 1 Bx prescription (MD 18%; MA 18%). Only 11% of patients with uncontrolled asthma had no acute oral corticosteroid (OCS) prescriptions (MD 10%; MA 9%), whereas among patients continuously treated with biologics, 58% had no OCS prescriptions (MD 68%; MA 75%). Nationwide nearly 24% of continuously with Bx treated patients (MD 24%; MA 31%) redeemed prescription of low to medium dose inhaled corticosteroids (ICS).</p><p><strong>Conclusion: </strong>Patients with severe asthma or signs of uncontrolled asthma require additional care from pulmonologists. Despite all observed regional differences in care, identifying patients with uncontrolled asthma and promptly referring them to pulmonologists is an important approach for improvement. In real-world care, treatment of severe uncontrolled asthma with biologics has the potential to reduce the use of oral and inhaled corticosteroids.</p>","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":" ","pages":"e16-e22"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13095352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461282","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}
{"title":"[82-year-old female patient with sudden vein pattern and erythema].","authors":"Guido Michels, Laura Hauptmann, Stephan Grabbe","doi":"10.1055/a-2797-3781","DOIUrl":"https://doi.org/10.1055/a-2797-3781","url":null,"abstract":"","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"151 9","pages":"415-416"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lydia Johnson Kolaparambil Varghese, Aurel Hampl, Gökçer Özcan, Jochen Hinkelbein
{"title":"[Physiological Challenges and Medical Risks of Flying].","authors":"Lydia Johnson Kolaparambil Varghese, Aurel Hampl, Gökçer Özcan, Jochen Hinkelbein","doi":"10.1055/a-2752-5088","DOIUrl":"https://doi.org/10.1055/a-2752-5088","url":null,"abstract":"<p><strong>Abstract: </strong>Air travel exposes the human body to environmental conditions that differ greatly from those on the ground. Reduced cabin pressure, low humidity, temperature fluctuations, and rapid time zone changes can pose physiological challenges, particularly for individuals with pre-existing health conditions. This article discusses preventive measures to minimize these health risks.</p>","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"151 9","pages":"440-447"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}