Aktuelle Ergebnisse notfallmedizinischer Forschung – Teil 1

Seit der Veröffentlichung des letzten CME-Artikels zu aktuellen Ergebnissen in der notfallmedizinischen Forschung in dieser Zeitschrift vor 2 Jahren sind zahlreiche Publikationen erschienen. Dieser Artikel soll einen Überblick zum aktuellen Forschungsstand in drei notfallmedizinischen Themenbereichen geben und neue Entwicklungen in Diagnostik und Therapie aufzeigen.

Schlüsselwörter

Herzinfarkt - Leitlinien - Beatmung - Atemwegsmanagement - Schlaganfall

• Literatur

• 1 Pendell Meyers H, Bracey A, Lee D. et al. Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction. Int J Cardiol Heart Vasc 2021; 33: 100767
• 2 Ibanez B, James S, Agewall S. et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018; 39: 119-177
• 3 Jacobsen L, Grenne B, Olsen RB. et al. Feasibility of prehospital identification of non-ST-elevation myocardial infarction by ECG, troponin and echocardiography. Emerg Med J 2022; 39: 679-684
• 4 Hamm CW, Schneck E, Buerke M. et al. Empfehlungen zur prähospitalen Behandlung des akuten Koronarsyndroms bei Patienten unter Dauertherapie mit neuen oralen Antikoagulanzien (NOAKs). Kardiologe 2021; 15: 32-37
• 5 Chen J-Y, He P-C, Liu Y-H. et al. Association of parenteral anticoagulation therapy with outcomes in chinese patients undergoing percutaneous coronary intervention for non-st-segment elevation acute coronary syndrome. JAMA Intern Med 2019; 179: 186-194
• 6 Fabris E, Menzio S, Gregorio C. et al. Effect of prehospital treatment in STEMI patients undergoing primary PCI. Catheter Cardiovasc Interv 2022; 99: 1500-1508
• 7 Meyers HP, Bracey A, Lee D. et al. Comparison of the ST-elevation myocardial infarction (STEMI) vs. NSTEMI and occlusion MI (OMI) vs. NOMI paradigms of acute MI. J Emerg Med 2021; 60: 273-284
• 8 McLaren JTT, Meyers HP, Smith SW. et al. From STEMI to occlusion MI: paradigm shift and ED quality improvement. CJEM 2022; 24: 250-255
• 9 Schmitt FCF, Gruneberg D, Schneider NRE. et al. Non-invasive ventilation as a therapy option for acute exacerbations of chronic obstructive pulmonary disease and acute cardiopulmonary oedema in emergency medical services. J Clin Med 2022; 11: 2504
• 10 Soar J, Böttiger BW, Carli P. et al. European Resuscitation Council Guidelines 2021: Adult Advanced Life Support. Resuscitation 2021; 161: 115-151
• 11 Orlob S, Wittig J, Hobisch C. et al. Reliability of mechanical ventilation during continuous chest compressions: a crossover study of transport ventilators in a human cadaver model of CPR. Scand J Trauma Resusc Emerg Med 2021; 29: 102
• 12 Sulzgruber P, Datler P, Sterz F. et al. The impact of airway strategy on the patient outcome after out-of-hospital cardiac arrest: A propensity score matched analysis. Eur Heart J Acute Cardiovasc Care 2018; 7: 423-431
• 13 Le Bastard Q, Rouzioux J, Montassier E. et al. Endotracheal intubation versus supraglottic procedure in paediatric out-of-hospital cardiac arrest: a registry-based study. Resuscitation 2021; 168: 191-198
• 14 Tham LP, Fook-Chong S, Binte Ahmad NS. et al. Pre-hospital airway management and survival outcomes after paediatric out-of-hospital cardiac arrests. Resuscitation 2022; 176: 9-18
• 15 Chrimes N, Higgs A, Hagberg CA. et al. Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies. Anaesthesia 2022;
• 16 Ringleb PA, Köhrmann M, Jansen O. et al. S2e-Leitlinie Akuttherapie des ischämischen Schlaganfalls, AWMF-Registernummer 030/046, gültig bis 31.05.2024. Leitlinien für Diagnostik und Therapie in der Neurologie 2021. Accessed October 20, 2022 at: https://dgn.org/leitlinien/ll-030–046-akuttherapie-des-ischaemischen-schlaganfalls-2021/
• 17 Dowbiggin PL, Infinger AI, Purick G. et al. Inter-rater reliability of the FAST-ED in the out-of-hospital setting. Prehosp Emerg Care 2021;
• 18 Lima FO, Silva GS, Furie KL. et al. Field assessment stroke triage for emergency destination: a simple and accurate prehospital scale to detect large vessel occlusion strokes. Stroke 2016; 47: 1997-2002
• 19 Puolakka T, Virtanen P, Kinnunen J. et al. Prehospital identification of large vessel occlusion using the FAST-ED score. Acta Neurol Scand 2021; 144: 400-407
• 20 Chennareddy S, Kalagara R, Smith C. et al. Portable stroke detection devices: a systematic scoping review of prehospital applications. BMC Emerg Med 2022; 22: 111