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Evidenzbasierte Medizin in der Notfallmedizin

EBNM/EBEM – Ein Rückblick

Evidence based emergency medicine (EBEM): a review

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Zusammenfassung

Evidenzbasierte Notfallmedizin (EBNM) bzw. „evidence based emergency medicine“ (EBEM) ist ein Begriff, der zum Ausdruck bringen soll, dass Effektivität und Effizienz von Methoden, Verfahren, Medikationen etc. in der Notfallmedizin – wo immer möglich – durch wissenschaftliche Beweise belegt werden müssen, bevor sie in die ärztliche Praxis umgesetzt werden. Nur so kann die Lücke zwischen Forschung einerseits und klinischer Praxis andererseits überbrückt werden. Die Hintergründe der 10-jährigen Entwicklung der EBEM werden ebenso erwähnt wie Definitionen und Inhalte präzisiert. Für die Quellensuche sowie die Umsetzung der EBEM in die Praxis haben insbesondere die Cochrane-Kollaborationen, ILCOR, AWMF und andere Fachgesellschaften Bedeutung erlangt. Probleme und Grenzen der EBEM sind in der Vergangenheit evident geworden, sie werden auch für die Zukunft Bedeutung behalten.

Abstract

Evidence based (emergency) medicine EB(E)M is a term referring to the application into daily clinical practice of only those methods, procedures, medications etc. which are based on scientific evidence. This concept may allow to bridge the gap between research and clinical practice, and represents the major goal of EB(E)M. The background of the development of EBEM over 10 years (from1997 to 2007) is summarized, and definitions as well as contents of the terminology are outlined. EBEM-resources are provided by the Cochrane collaborations, ILCOR, AWMF and other medical organizations. They also provide insights into guidelines and recommendations and are responsible for Knowledge Translation (KT) into clinical practice. Problems and limits of EBEM have been identified in the past, they will remain of importance even in the future.

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  1. Carl-Orffstraße 2, 55127, Mainz, Deutschland

    W.F. Dick

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Nach einem Vortrag auf dem Deutschen Anästhesiekongress 2007 in Hamburg.

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Dick, W. Evidenzbasierte Medizin in der Notfallmedizin. Notfall Rettungsmed 11, 6–11 (2008). https://doi.org/10.1007/s10049-007-1000-x

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