Radiopraxis, Table of Contents Radiopraxis 2025; 18(01): E1-E13DOI: 10.1055/a-2502-0165 CPD-Fortbildung Außerklinische Reanimation: Wo stehen wir heute? Xavier Bemtgen , Tobias Wengenmayer Recommend Article Abstract Buy Article Bei einem Kreislaufstillstand sind die ersten Minuten und Stunden entscheidend – eine rasche und adäquate Versorgung kann die Überlebenschancen deutlich steigern. Sowohl der Rettungsdienst als auch die annehmende Klinik werden hier vor große Herausforderungen gestellt. Dieser Beitrag soll die wichtigsten Schritte während und nach einer Reanimation illustrieren und auf Neuerungen eingehen. Full Text References Literatur 1 Fischer M, Wnent J, Gräsner JT. et al. Öffentlicher Jahresbericht 2019 des Deutschen Reanimationsregisters: Außerklinische Reanimation 2019. Zugriff am 03. Juli 2024: https://www.reanimationsregister.de/downloads/oeffentliche-jahresberichte/rettungsdienst/168-oeffentlicher-jahresbericht-2019/file.html 2 Gräsner JT, Herlitz J, Tjelmeland IBM. et al. European Resuscitation Council Guidelines 2021: Epidemiology of cardiac arrest in Europe. Resuscitation 2021; 161: 61-79 3 Gräsner JT, Wnent J, Herlitz J. et al. Survival after out-ofhospital cardiac arrest in Europe – Results of the EuReCa TWO study. Resuscitation 2020; 148: 218-226 4 Adnet F, Triba MN, Borron SW. et al. Cardiopulmonary resuscitation duration and survival in out-of-hospital cardiac arrest patients. Resuscitation 2017; 111: 74-81 5 Olasveengen TM, Semeraro F, Ristagno G. et al. European Resuscitation Council Guidelines 2021: Basic Life Support. Resuscitation 2021; 161: 98-114 6 Schwarzkoph M, Yin L, Hergert L. et al. Seizure-like presentation in OHCA creates barriers to dispatch recognition of cardiac arrest. Resuscitation 2020; 156: 230-236 7 Panchal AR, Bartos JA, Cabañas JG. et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2020; 142: S366-S468 8 Berg KM, Cheng A, Panchal AR. et al. Part 7: Systems of Care: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2020; 142: S580-S604 9 Soar J, Böttiger BW, Carli P. et al. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation 2021; 161: 115-151 10 Okubo M, Komukai S, Callaway CW. et al. Association of Timing of Epinephrine Administration With Outcomes in Adults With Out-of-Hospital Cardiac Arrest. JAMA Netw Open 2021; 4: e2120176 11 Fandler M, Gotthardt P. SOP Prähospitale Notfallsonografie. Notfallmedizin up2date 2018; 13: 10-12 12 Aagaard R, Caap P, Hansson NC. et al. Detection of Pulmonary Embolism During Cardiac Arrest-Ultrasonographic Findings Should Be Interpreted With Caution. Crit Care Med 2017; 45: e695-e702 13 Scholz KH, Maier SKG, Maier LS. et al. Impact of treatment delay on mortality in ST-segment elevation myocardial infarction (STEMI) patients presenting with and without haemodynamic instability: results from the German prospective, multicentre FITT-STEMI trial. Eur Heart J 2018; 39: 1065-1074 14 Scholz KH, Andresen D, Böttiger BW. et al. Qualitätsindikatoren und strukturelle Voraussetzungen für Cardiac-Arrest-Zentren – Deutscher Rat für Wiederbelebung/German Resuscitation Council (GRC). Kardiologe 2017; 11: 205-208 15 Kelham M, Jones TN, Rathod KS. et al. An observational study assessing the impact of a cardiac arrest centre on patient outcomes after out-of-hospital cardiac arrest (OHCA). Eur Heart J Acute Cardiovasc Care 2020; 9: S67-S73 16 Nolan JP, Sandroni C, Böttiger BW. et al. European Resuscitation Council and European Society of Intensive Care Medicine Guidelines 2021: Post-resuscitation care. Resuscitation 2021; 161: 220-269 17 Zhu N, Chen Q, Jiang Z. et al. A meta-analysis of the resuscitative effects of mechanical and manual chest compression in out-of-hospital cardiac arrest patients. Crit Care 2019; 23: 100 18 Bartos JA, Frascone RJ, Conterato M. et al. The Minnesota mobile extracorporeal cardiopulmonary resuscitation consortium for treatment of out-of-hospital refractory ventricular fibrillation: Program description, performance, and outcomes. EClinicalMedicine 2020; 29–30: 100632 19 Michels G, Wengenmayer T, Hagl C. et al. Recommendations for extracorporeal cardiopulmonary resuscitation (eCPR): consensus statement of DGIIN, DGK, DGTHG, DGfK, DGNI, DGAI, DIVI and GRC. Clin Res Cardiol 2019; 108: 455-464 20 Busch HJ, Schmid B, Kron J. et al. Freiburg Cardiac Arrest Receiving Team (CART): Interdisciplinary solution for the acute management of non-traumatic out-of-hospital cardiac arrest. Med Klin Intensivmed Notfallmed 2020; 115: 292-299 21 Soar J, Nolan JP, Böttiger BW. et al. European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation 2015; 95: 100-147 22 Dankiewicz J, Cronberg T, Lilja G. et al. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. N Engl J Med 2021; 384: 2283-2294 23 Thomsen JH, Hassager C, Bro-Jeppesen J. et al. Sinus bradycardia during hypothermia in comatose survivors of out-ofhospital cardiac arrest – A new early marker of favorable outcome?. Resuscitation 2015; 89: 36-42
