Die interdisziplinäre Notaufnahme im Zusammenspiel mit Chest Pain Units, Brustschmerzambulanzen und Cardiac Arrest Centern

Felix Post; Matthias Lutz; Norbert Frey; Thomas Münzel

doi:10.1055/a-0826-2750

Aktuelle Kardiologie, Table of Contents

Aktuelle Kardiologie 2019; 8(01): 49-57
DOI: 10.1055/a-0826-2750

Übersichtsarbeit

Georg Thieme Verlag KG Stuttgart · New York

Die interdisziplinäre Notaufnahme im Zusammenspiel mit Chest Pain Units, Brustschmerzambulanzen und Cardiac Arrest Centern

The Interdisciplinary Emergency Department in Conjunction with Chest Pain Units, Chest Pain Ambulances and Cardiac Arrest Centers

Felix Post

¹Katholisches Klinikum Koblenz-Montabaur

,

Matthias Lutz

²Klinik für Innere Medizin III mit den Schwerpunkten Kardiologie, Angiologie und internistische Intensivstation, Universitätsklinikums Schleswig-Holstein, Kiel

,

Norbert Frey

²Klinik für Innere Medizin III mit den Schwerpunkten Kardiologie, Angiologie und internistische Intensivstation, Universitätsklinikums Schleswig-Holstein, Kiel

,

Thomas Münzel

³Zentrum für Kardiologie, Kardiologie I, Universitätsmedizin Mainz, Johannes Gutenberg Universität

› Author Affiliations

Abstract

Zusammenfassung

Die notfall- bzw. akutmedizinische Versorgung der Bevölkerung von Patienten gewinnt mehr und mehr an Bedeutung. In Deutschland stellen sich zum Beispiel pro Jahr hunderttausende Patienten mit Brustschmerzen in Notaufnahmen vor, wobei sich bei ca. 5 – 20% ein akutes Koronarsyndrom nachweisen lässt. Zudem werden pro Jahr 75 000 prähospitale Reanimationen durchgeführt, von denen mehr als 60% kardial bedingt sind. Die primäre Anlaufstelle dieser kardialen Patienten ist in der Regel eine Notaufnahme, die, wenn möglich, Strukturen vorhalten soll, um diese Patienten rasch und effizient zu diagnostizieren und zeitnah lebensrettende Maßnahmen einzuleiten. Gefordert werden heutzutage, dass der interdisziplinären Notaufnahme Chest Pain Units (CPU), Stroke Units, Brustschmerzambulanzen (BSA) und, falls möglich, Cardiac-Arrest-Zentren (CAC) angegliedert sind, die es wiederum ermöglichen, durch eine optimale interdisziplinäre Betreuung durch Internisten, Neurologen und Anästhesisten die Prognose der Patienten durch Diagnostik und Therapie zu optimieren. In unserem Übersichtsartikel wollen wir uns auf die Interaktionen der interdisziplinären Notaufnahme mit den CPU, BSA und CAC fokussieren.

Abstract

The emergency or acute medical care of the population is gaining more and more importance. In Germany, hundreds of thousands patients present every year with chest pain in emergency departments. Of these about 10 – 20% show an acute coronary syndrome. In addition, 75 000 pre-hospital resuscitations are performed each year, of which more than 60% are cardiac-related. These patients are primarily delivered to an emergency department, which should provide structures to quickly and efficiently diagnose and initiate life-saving interventions. Nowadays, the emergency room should be affiliated with chest pain units, stroke units, chest pain relief centers and, if possible, cardiac arrest centers (CAC), which enable interdisciplinary care by internists, neurologists and anesthesiologists to substantially improve patients prognosis via a rapid diagnostic process and initiation of optimal therapy. In our review, we will focus on the interactions of the emergency department with the CPU, BSA and CAC.

Schlüsselwörter

interdisziplinäre Notaufnahme - Brustschmerz - Chest Pain Unit - Brustschmerzambulanz - kardiogener Schock - Cardiac Arrest Center

Key words

interdisciplinary emergency room - chest pain unit - triage - cardiac arrest center - cardiogenic shock

Full Text

References

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