„Hast du schon sonografiert?“ ist eine Frage, die man in der klinischen Notfallmedizin
jeden Tag mehrfach zu hören bekommt. Die Sonografie ist der schnelle und noninvasive Blick in
den Menschen. Mittlerweile ist sie nicht nur ein wertvolles Diagnostikum, sondern in Zeiten
mangelnder Ressourcen auch eine Möglichkeit, Behandlungspfade für Patienten sinnvoll zu steuern
und zu beschleunigen.
Abstract
Preclinical ultrasound is another valuable tool in the repertoire of emergency medical and
rescue service personnel. If the question is clear, it can quickly narrow down differential
diagnoses and guide further treatment as well as optimise the choice and preparation of the
target hospital. With the devices currently available, it is possible to generate technically
high-quality ultrasound images, even if image storage assigned to patients is still a
challenge. Thanks to the wide availability of sonography, learning formats and expertise, it
is possible to achieve a good level of competence in this procedure. Actually, the biggest
obstacles are remembering to use it and incorporating it sensibly into the operational
procedure, as it is often necessary to modify the approach that has been established for
years. Before introducing prehospital ultrasound, staff should be trained and procedures
should be jointly defined to make ultrasound a valuable addition to prehospital treatment and
patient disposition.
Schlüsselwörter
Notfallmedizin - Point-of-Care-Ultraschall - Notfallsonografie - FAST-Algorithmus - Polytrauma - Reanimation
Keywords
emergency medicine - point-of-care ultrasound - emergency sonography - FAST algorithm - polytrauma - resuscitation
