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Besonderheiten des älteren Notfallpatienten

Wie können mögliche Fehleinschätzungen präklinisch und in Notaufnahmen vermieden werden?

Characteristics of the geriatric emergency patient

How can pitfalls be avoided in the preclinical and clinical setting?

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Zusammenfassung

Die Anzahl alter Patienten nimmt auch in der Notfallmedizin stetig zu. Hierbei gilt es, Besonderheiten in der Diagnostik und Therapie älterer Patienten zu kennen, um so Fehleinschätzungen vermeiden zu können. Am Fallbeispiel einer 82-jährigen Patientin mit einer Pneumonie werden einige dieser Besonderheiten im Umgang mit betagten Patienten vertieft. Neben der Anamneseerhebung, wird auf bestimmte Symptome wie Dyspnoe und Delir ebenso wie auf diagnostische Besonderheiten wie die Bewertung von Körpertemperatur und Laborwerten eingegangen.

„Geriatrics... is a term... to cover the same field in old age that is covered by the term pediatrics in childhood...“ Ignatz Leo Nascher (1863–1944).

Abstract

The number of elderly patients is constantly increasing in emergency medicine. It is important to be familiar with the particularities of the diagnostics and treatment of elderly patients in order to prevent incorrect assessments. Some of these particularities in the treatment of geriatric patients will be discussed in greater detail based on the example of an 82-year-old female patient with pneumonia. In addition to the compilation of the medical history, certain symptoms such as dyspnoea and delirium will be addressed, as will diagnostic pitfalls such as the assessment of body temperature and laboratory values.

“Geriatrics... is a term... to cover the same field in old age that is covered by the term pediatrics in childhood...” Ignatz Leo Nascher (1863–1944).

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Interessenkonflikt

Die korrespondierende Autorin weist für sich und ihren Koautor auf folgende Beziehung hin:

Der Autor H.J. Heppner ist Stipendiat des Forschungskollegs Geriatrie der Robert Bosch-Stiftung.

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Authors and Affiliations

  1. Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland

    K. Singler & H.J. Heppner

  2. Medizinische Klinik 2 – Geriatrie, Klinikum Nürnberg, Prof.-E.-Nathan-Straße 1, 90419, Nürnberg, Deutschland

    K. Singler

  3. Klinik für Notfall- und Intensivmedizin, Klinikum Nürnberg, Nürnberg, Deutschland

    H.J. Heppner

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  1. K. Singler
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  2. H.J. Heppner
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Correspondence to K. Singler.

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Singler, K., Heppner, H. Besonderheiten des älteren Notfallpatienten . Notfall Rettungsmed 15, 255–264 (2012). https://doi.org/10.1007/s10049-012-1591-8

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