Zusammenfassung
Eine erfolgreiche Kinderreanimation erfordert oft weniger Maßnahmen als die Reanimation
von Erwachsenen. Durch Übung, die Kenntnis klarer und einfach umsetzbarer Handlungsstränge
sowie den Einsatz von Hilfsmitteln kann eine sichere Versorgung gewährleistet werden.
Dieser Beitrag gibt Tipps zur Umsetzung der von den Leitlinien empfohlenen Maßnahmen
und geht auf unverzichtbare Hilfsmittel sowie wesentliche Aspekte der Medikamentensicherheit
ein.
Abstract
The majority of professionals involved in pre-hospital emergency care do not have
explicit paediatric training and have limited experience in the care of life-threatening
paediatric emergencies. There is often a fear of being overwhelmed. However, no special
paediatric expertise is primarily required to successfully perform resuscitation in
children. In addition, the scope of the measures required for successful paediatric
resuscitation is on average significantly smaller than for adults. It is essential
to know clear and easy-to-implement courses of action, such as those provided by the
resuscitation guidelines. For the technical implementation of airway protection, mask-bag
ventilation and the laryngeal mask are essential, and for access to the venous system,
the intraosseous needle is an aid that overcomes all difficulties almost without exception.
With additional support from reference sources, calculation aids and length-related
systems, a high level of drug therapy
safety can be achieved. In summary, through thorough individual and institutional
preparation for paediatric emergencies, safe primary care is feasible by emergency
service personnel of any speciality.
Schlüsselwörter
Reanimation - prähospitale Notfälle - Kinder
Key words
pediatric resuscitation - prehospital medical emergencies - children
