Die akute gastrointestinale Blutung: Vorgehen von der Präklinik bis zum Schockraum

Gastrointestinale Blutungen stellen eine häufige internistische Notfallsituation dar und gehen vor allem bei älteren Patienten mit einer signifikanten Morbidität und Mortalität einher. Hier ist bereits präklinisch ein strukturiertes und differenziertes Vorgehen von der präklinischen Versorgung über das Schockraum-Management bis hin zur endoskopischen Therapie notwendig, um für die Patienten die bestmögliche Therapie zu gewährleisten.

Abstract

Acute gastrointestinal bleeding often leads to admission to the emergency room. Especially in elderly patients and in those with significant comorbidities it is associated with increased morbidity and mortality. Approximately 2 % of the patients with gastrointestinal bleeding present with hemorrhagic shock. This review focusses on the structured preclinical and clinical management of gastrointestinal bleeding in the emergency department.

Schlüsselwörter

gastrointestinale Blutung - präklinisches Management - Schockraum - Endoskopie - Notfallmedizin

Key words

gastrointestinal bleeding - preclinical management - emergency room - endoscopy - emergency medicine

Publication History

Article published online:
07 September 2022

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