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Risikofaktor Mensch? Fehler in der Akutmedizin

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Notfallmanagement

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Zusammenfassung

Auf einer kardiologischen Intensivstation werden an einem Nachmittag kurz hintereinander zwei kreislaufinstabile Patienten mit Myokardinfarkt aufgenommen. Der allein diensthabende Assistenzarzt kann sich wegen der Arbeitsbelastung durch diese beiden Patienten nicht persönlich um einen stationären Patienten unter Marcumar-Dauertherapie kümmern, der wiederholt kaffeesatzartig erbrochen hatte. Bevor eine geplante Gastroskopie durchgeführt werden kann, wird der Patient innerhalb kurzer Zeit hämodynamisch instabil. Eine Hb-Kontrolle ergibt einen Wert von 6,9 g%. Unter dem Verdacht einer akuten gastrointestinalen Blutung werden mehrere i.v.-Zugänge gelegt und eine forcierte Volumentherapie begonnen. Es werden sechs blutgruppengleiche Erythrozytenkonzentrate in der Blutbank bestellt.

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Authors and Affiliations

  1. Oberarzt der Klinik für Anästhesiologie, Universitätsklinikum Erlangen, Krankenhausstraße 12, 91054, Erlangen

    Dr. Michael St. Pierre

  2. Hofinger Forschung Beratung Training, Hohenheimer Str. 104, 71686, Remseck

    Dr. Gesine Hofinger (Team HF) & Dipl.-Psych. Cornelius Buerschaper (c/o Team HF)

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  1. Dr. Michael St. Pierre
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Pierre, M.S., Hofinger, G., Buerschaper, C. (2011). Risikofaktor Mensch? Fehler in der Akutmedizin. In: Notfallmanagement. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16881-9_1

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