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DOI: 10.1055/a-1326-1031
Heroinintoxikationen: Risikofaktoren zur Notfallanamnese aus Expertensicht
Heroin Intoxications: Risk Factors for Initial Anamnesis from an Expertʼs Point of View
Zusammenfassung
Ziel der Studie Heroinintoxikationen nehmen in der Notfallmedizin seit Jahren den 1. Platz unter allen Drogennotfällen ein.
Methodik Zwischen April und Oktober 2019 wurden bundesweit 107 ExpertInnen aus 36 Einrichtungen in 23 Städten mit beruflichen Erfahrungen mit Heroinintoxikationen im Rahmen eines interdisziplinären und multiprofessionellen Rankingverfahrens zu den wichtigsten Risikofaktoren solcher Drogennotfälle befragt.
Ergebnisse Im Rahmen der Notfallanamnese sollten aus Expertensicht vor allem folgende Risikofaktoren berücksichtigt werden: Wiederaufnahme des Konsums nach längerer Abstinenz oder reduzierter Heroinaufnahme, Mischintoxikationen respektive Beikonsum von Benzodiazepinen, Alkohol, Pregabalin und/oder illegalen Drogen, Applikation, Menge und Reinheit des Heroins sowie ein akutes soziales Stressereignis.
Schlussfolgerung Unser Beitrag gibt Hinweise, welche Rahmenbedingungen der Notarzt im Rahmen der Notfallanamnese vor allem erfragen und dokumentieren sollte.
Abstract
Objective For years heroin intoxications are ranked first among all drug emergencies in emergency medicine.
Methods Between April and October 2019, 107 experts from 36 facilities in 23 cities with professional experience with heroin intoxications were interviewed in a nationwide interdisciplinary and multi-professional ranking procedure on the most important risk factors of such drug emergencies.
Results In the context of the initial anamnesis, the following risk factors should be taken into account according to expertsʼ point of view: Resumption of use after prolonged abstinence or reduced heroin intake, mixed intoxication or concomitant use of benzodiazepines, alcohol, pregabalin and/or illegal drugs, application, quantity and purity of heroin, and an acute social stress event.
Conclusion Our paper gives hints, which basic conditions the emergency physician should ask for and document in the context of the emergency anamnesis.
Publication History
Article published online:
17 December 2020
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