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DOI: 10.1055/a-2333-5373
Erkenntnisse aus europäischen Paramedic-Systemen zum prähospitalen Einsatz von Notärzten
Evidence on Physicians in Prehospital Critical Care from European Paramedic Systems
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.
Keywords
prehospital emergency medicine - prehospital emergency physician - paramedic - comparison of systemsPublication History
Received: 06 March 2024
Accepted after revision: 26 May 2024
Article published online:
11 June 2024
© 2024. Thieme. All rights reserved.
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