Erkenntnisse aus europäischen Paramedic-Systemen zum prähospitalen Einsatz von Notärzten

Zusammenfassung

In den Paramedic-Systemen des Vereinigten Königreichs, der Niederlande und Skandinaviens gibt es häufig die Möglichkeit, Prozesse und Ergebnisse der Notfallversorgung ohne und mit notärztlicher Unterstützung in einer Region miteinander zu vergleichen. Vorteile einer notärztlichen Präsenz am Einsatzort werden dort bei der Durchführung hochinvasiver Maßnahmen (z. B. Einleitung einer Notfallnarkose) oder bei der Behandlung hochkomplexer Fallsituationen (z. B. bei Polytrauma) erkannt, ebenso bei Entscheidungen am Lebensende unter Wertung ethischer Aspekte. In Regionen, wo aus strukturellen Gründen ein notarztgestütztes Team nicht immer kurzfristig an den Einsatzort gelangen kann, kommen die Autoren vergleichender Studien vielfach zur Empfehlung einer Standortverdichtung und Ausweitung der Notarzt-Disposition.

Abstract

In the emergency medical services of the United Kingdom, the Netherlands, or Scandinavia, the opportunity for a comparison between paramedic teams and physician enhanced teams can be found frequently. The presence of a prehospital emergency physician has been identified as favourable for highly invasive tasks (e.g. induction of anaesthesia) or highly complex situations (e.g. multiple trauma) as well as for ethically sound end-of-life decisions. For regions without rapid access of a physician enhanced team, authors of comparing studies are often recommending the expansion of emergency physicians’ locations and hours.

Schlüsselwörter

prähospitale Notfallmedizin - Notarzt - Paramedic - Systemvergleich

Keywords

prehospital emergency medicine - prehospital emergency physician - paramedic - comparison of systems

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