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Organisation und Fehler

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Notfallmanagement

Zusammenfassung

Am frühen Nachmittag stürzt ein 32-jähriger Arbeiter aus ca. 4 m Höhe von einem Baugerüst und prallt mit seiner rechten Seite auf den Boden. Der Patient, der keine offensichtlichen größeren Verletzungen hat, wird vom herbeigerufenen Rettungsdienstpersonal versorgt und in die Notaufnahme einer großen chirurgischen Klinik eingeliefert. An diesem Nachmittag ist ein Assistenzarzt für sechs Untersuchungskabinen zuständig, die bei noch vollem Warteraum alle mit Patienten belegt sind. Der Assistenzarzt sieht sich den Patienten im Rahmen der Übergabe durch den Rettungsdienst kurz an und untersucht ihn grob orientierend klinisch. Zum Zeitpunkt der Aufnahme ist der Patient kreislaufstabil, klagt jedoch über atemabhängige starke Schmerzen und Druckschmerz in der rechten Thoraxhälfte sowie über leichte Atemnot. Auskultatorisch ist die Lunge annähernd seitengleich belüftet.

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Pierre, M.S., Hofinger, G., Buerschaper, C. (2011). Organisation und Fehler. In: Notfallmanagement. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16881-9_14

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  • DOI: https://doi.org/10.1007/978-3-642-16881-9_14

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