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Telemedizin in der Notfallmedizin

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Telemedizin

Zusammenfassung

Mit dem demografischen Wandel und der steigenden Inzidenz von chronischen Erkrankungen stieg auch die Anzahl der Notfalleinsätze. Demgegenüber stehen der Ärztemangel und der zunehmende Kostendruck im Rettungsdienst. Die Hilfsfristen, die in den Landesgesetzen unterschiedlich beschrieben sind, können vielfach nicht mehr eingehalten werden. Die Einführung des Telenotarztes als zusätzliche ärztliche Kompetenz im Rettungsdienst konnte in einigen Regionen bereiteine Optimierung der notärztlichen Verfügbarkeit bewirken. Dabei konnte das ärztliche therapiefreie Intervall verkürzt und die ärztliche Bindungszeit weiter reduziert werden. Neben einer Steigerung der Dokumentationsqualität waren hohe Qualitätsstandards bei standardisierten Therapien in zahlreichen Studien nachweisbar.

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Literatur

  • Adams GL, Campbell PT, Adams JM et al (2006) Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]). Am J Cardiol 98:1160–1164

    Article  Google Scholar 

  • Banitsas K, Tachakra S, Stefanidis E, Boletis K (2008) Using HSPA to improve the telemedical links on a moving ambulance. Conf Proc IEEE Eng Med Biol Soc 2008:739–742

    Google Scholar 

  • Beckers SK, Bergrath S, Hirsch F, Felzen M, Rossaint R (2017) 26 Systematic influences of the implementation of a comprehensive 24/7-telemedicine system into emergency medical service. BMJ Open 7(3):A1–A18

    Google Scholar 

  • Behrendt H, Schmiedel R, Auerbach K (2009) Überblick über die Leistungen des Rettungsdienstes in der Bundesrepublik Deutschland im Zeitraum 2004/05. Notf Rettungsmedizin 12:383–388

    Article  Google Scholar 

  • Bergrath S, Rörtgen D, Rossaint R et al (2011) Technical and organisational feasibility of a multifunctional telemedicine system in an emergency medical service – an observational study. J Telemed Telecare 17:371–377

    Article  Google Scholar 

  • Bergrath S, Reich A, Rossaint R, Rörtgen D, Gerber J, Fischermann H et al (2012) Feasibility of prehospital teleconsultation in acute stroke – a pilot study in clinical routine. PLoS ONE 7:e36796

    Article  CAS  Google Scholar 

  • Bergrath S, Czaplik M, Rossaint R et al (2013) Implementation phase of a multicentre prehospital telemedicine system to support paramedics: feasibility and possible limitations. Scand J Trauma Resusc Emerg Med 21:54

    Article  Google Scholar 

  • Brokmann JC, Beckers SK, Skorning M, Wöl CG, Sopka S, Rossaint R (2009) Evidenzbasierte Medizin in der notfallmedizinischen Fort- und Weiterbildung. Notfall Rettungsmed 12:360–365

    Article  Google Scholar 

  • Brokmann JC, Rossaint R, Bergrath S, Valentin B, Beckers SK, Hirsch F et al (2015) Potential und Wirksamkeit eines telemedizinischen Rettungsassistenzsystems. Anaesthesist 64(6):438–445

    Article  CAS  Google Scholar 

  • Brokmann JC, Conrad C, Rossaint R, Bergrath S, Beckers SK, Tamm M, Czaplik M, Hirsch F (2016a) Treatment of acute coronary syndrome by telemedically supported paramedics compared with physician-based treatment: a prospective, interventional, multicenter trial. J Med Internet Res 1.18(12):e314

    Article  Google Scholar 

  • Brokmann JC, Rossaint R, Hirsch F, Beckers SK et al (2016b) Analgesia by telemedically supported paramedics compared with physician-administered analgesia: a prospective, interventional, multicentre trial. Eur J Pain 20(7):1176–1184

    Article  CAS  Google Scholar 

  • Brokmann JC, Felzen M, Rossaint R et al (2017a) Telemedizin: Potenziale in der Notfallmedizin. Anästhesiol Intensivmed Notfallmed Schmerzther 52(02):107–117

    Google Scholar 

  • Brokmann JC, Rossaint R, Müller M, Fitzner C, Villa L, Beckers SK, Bergrath S (2017b) Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: a comparison between telemedically supported and conventional out-of-hospital care. J Clin Hypertens (Greenwich) 19(7):704–712

    Article  Google Scholar 

  • Bundesärztekammer (2013) Indikationskatalog für den Notarzteinsatz. Dtsch Ärztebl 110(11):A521

    Google Scholar 

  • Czaplik M, Bergrath S, Rossaint R, Thelen S, Brodziak T, Valentin B, Hirsch F, Brokmann JC (2014) Employment of telemedicine in emergency medicine. Clinical requirement analysis, system development and first test results. Methods Inf Med 53:99–107

    Google Scholar 

  • Dhruva VN, Abdelhadi SI, Anis A et al (2007) ST-segment analysis using wireless technology in acute myocardial infarction (STAT-MI) trial. J Am Coll Cardiol 50:509–513

    Article  Google Scholar 

  • Erder MH, Davidson SJ, Cheney RA (1989) On-line medical command in theory and praxis. Ann Emerg Med 18:261–268

    Article  CAS  Google Scholar 

  • Fehn K (2014) Strafbarkeitsrisiken für Notärzte und Aufgabenträger in einem Telenotarztsystem. Medizinrecht 32:543–552

    Article  Google Scholar 

  • Felzen M, Brokmann JC, Beckers SK, Czaplik M, Hirsch F, Tamm M, Rossaint R, Bergrath S (2017) Improved technical performance of a multifunctional prehospital telemedicine system between the research phase and the routine use phase – an observational study. J Telemed Telecare 23(3):402–409

    Article  Google Scholar 

  • LaMonte MP, Cullen J, Gagliano DM et al (2000) TeleBAT: mobile telemedicine for the brain attack team. J Stroke Cerebrovasc Dis 9:128–135

    Article  CAS  Google Scholar 

  • LaMonte MP, Xiao Y, Hu PF et al (2004) Shortening time to stroke treatment using ambulance telemedicine: teleBAT. J Stroke Cerebrovasc Dis 13:148–154

    Article  Google Scholar 

  • Luiz T, van Lengen RH, Wickenkamp A et al (2011) Operational availability of ground-based emergency medical services in Rheinland-Palatinate: state-wide web-based system for collation, display and analysis. Anaesthesist 60:421–426

    Article  CAS  Google Scholar 

  • Mandellos GJ, Koutelakis GV, Panagiotakopoulos TC et al (2009) Establishing telemedicine system to support urgent incidents around the borderline of Greece: implemented architecture and evaluation. Conf Proc IEEE Eng Med Biol Soc 2009:1392–1395

    Google Scholar 

  • Präsidium der DGAI (2016) Telemedizin in der prähospitalen Notfallmedizin, Strukturempfehlung der DGAI. Anästh Intensivmed 57:160–166

    Google Scholar 

  • Rörtgen D, Bergrath S, Rossaint R, Beckers SK, Fischermann H, Na IS, Peters D, Fitzner C, Skorning M (2013) Comparison of physician staffed emergency teams with paramedic teams assisted by telemedicine – a randomized, controlled simulation study. Resuscitation 84(1):85–92

    Article  Google Scholar 

  • Schneiders MT, Schilberg D, Isenhardt S, Jeschke S, Fischermann H, Bergrath S, Rossaint R, Skorning M (2012) Der Telenotarzt auf dem Prüfstand. Evaluation des Projekts Med-on-@ix aus Sicht der Rettungsassistenten. Notfall Rettungsmed 15:410–415

    Google Scholar 

  • Skorning M, Bergrath S, Rörtgen D, Brokmann JC, Beckers SK, Protogerakis M, Brodziak T, Rossaint R (2009) E-Health in der Notfallmedizin – Das Forschungsprojekt Med-on-@ix. Anaesthesist 58(273–9):282–284

    Google Scholar 

  • Skorning M, Bergrath S, Rörtgen D et al (2012) Med-on-@ix-Working Group. Teleconsultation in prehospital emergency medical services; real-time telemedical support in a prospective controlled simulation study. Resuscitation 83(5):626–632

    Google Scholar 

  • Stevanovic A, Beckers SK, Czaplik M, Bergrath S, Coburn M, Brokmann JC, Hilgers RD, Rossaint R, TEMS Collaboration Group (2017) Telemedical support for prehospital emergency medical service (TEMS trial): study protocol for a randomized controlled trial. Trials 18(1):43

    Google Scholar 

  • Ting HH, Krumholz HM, Bradley EH et al (2008) Implementation and integration of prehospital ECGs into systems of care for acute coronary syndrome: a scientific statement from the american heart association interdisciplinary council on quality of care and outcomes research, emergency cardiovascular care committee, council on cardiovascular nursing, and council on clinical cardiology. Circulation 118:1066–1079

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie, RWTH Aachen, Aachen, Deutschland

    Andreas Follmann, Marc Felzen, Rolf Rossaint & Michael Czaplik

Authors
  1. Andreas Follmann
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  2. Marc Felzen
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  3. Rolf Rossaint
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  4. Michael Czaplik
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Corresponding author

Correspondence to Andreas Follmann .

Editor information

Editors and Affiliations

  1. Klinik für Operative Intensivmedizin und Intermediate Care, Uniklinik RWTH Aachen, Aachen, Nordrhein-Westfalen, Germany

    Gernot Marx

  2. RWTH Aachen, Uniklinik RWTH Aachen, Aachen, Germany

    Rolf Rossaint

  3. Medizinische Klinik I, Uniklinik RWTH Aachen, Aachen, Nordrhein-Westfalen, Germany

    Nikolaus Marx

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Follmann, A., Felzen, M., Rossaint, R., Czaplik, M. (2021). Telemedizin in der Notfallmedizin. In: Marx, G., Rossaint, R., Marx, N. (eds) Telemedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60611-7_10

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  • DOI: https://doi.org/10.1007/978-3-662-60611-7_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-60610-0

  • Online ISBN: 978-3-662-60611-7

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