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Erweiterte kardiopulmonale Reanimation in besonderen Situationen

Teil 1

Advanced life support under special circumstances

Part 1

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Zusammenfassung

Auf Basis des internationalen Konsensus zu den Reanimationsmaßnahmen „International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations“ des International Liaison Commitee on Resuscitation (ILCOR) wurde in den aktuellen Leitlinien (Guidelines 2005) des ERC die praktische Umsetzung der Basis- und erweiterten Maßnahmen der Herz-Lungen-Wiederbelebung publiziert. Dabei wurden spezielle Situationen berücksichtigt, in denen es zu Kreislaufstillständen kommen kann. In dieser zweiteiligen Übersicht sollen essenzielle Informationen über notwendige Modifikationen der Reanimationsmaßnahmen und erforderliche Zusatzmaßnahmen bei Ertrinken, Asthma, Anaphylaxie und Vergiftungen erörtert werden. Im 2. Teil folgen Elektrolytentgleisungen, Hypothermie sowie Kreislaufstillstände bei Schwangerschaft, nach Trauma, Stromunfall und herzchirurgischen Eingriffen.

Abstract

Based on the 2005 International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations of the International Liaison Committee on Resuscitation (ILCOR), guidelines were published for managing basic and advanced life-saving procedures in the event of cardiac arrest. The fact that special circumstances sometimes must be considered in patient treatment resulted in a separate chapter. This first part of a two-part article reviews essential information as well as necessary modifications of the standard advanced life support algorithm in cases of life-threatening drowning, asthma, anaphylaxis, and poisoning. The second part will deal with electrolyte disorders, hypothermia, electrical emergencies, trauma, cardiac arrest during pregnancy, and cardiac surgery.

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Authors and Affiliations

  1. Bereich Notfallmedizin, Klinik für Anästhesiologie, Universitätsklinikum Aachen, Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen, Pauwelsstraße 30, 52074 , Aachen, Deutschland

    S.K. Beckers, D. Rörtgen, M.H. Skorning, S. Bergrath & J.C. Brokmann

  2. Berufsfeuerwehr Aachen, Aachen, Deutschland

    J.C. Brokmann

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  1. S.K. Beckers
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  2. D. Rörtgen
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  3. M.H. Skorning
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  4. S. Bergrath
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  5. J.C. Brokmann
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Correspondence to S.K. Beckers.

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Beckers, S., Rörtgen, D., Skorning, M. et al. Erweiterte kardiopulmonale Reanimation in besonderen Situationen. Anaesthesist 57, 297–312 (2008). https://doi.org/10.1007/s00101-008-1342-x

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  • DOI: https://doi.org/10.1007/s00101-008-1342-x

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