Kasuistik - Bilateraler intraossärer Zugang am Humerus bei Reanimation eines 3-Jährigen

Zusammenfassung

Der Einsatz invasiver Techniken am Notfallort – z. B. die i. o. Punktion – ist bei bestehender Indikation alternativlos und für jeden Notarzt eine Herausforderung. Personelle, zeitliche und örtliche Rahmenbedingungen sind häufig ungünstig. Selbst bei regelmäßiger Teilnahme am Notarztdienst bleiben Ultima-Ratio-Maßnahmen am Notfallort, insbesondere bei Kindern, eine Seltenheit. Diese Kasuistik berichtet erstmalig über die erfolgreiche notfallmäßige Anlage eines i. o. Zugangs am Humeruskopf bei einem Kleinkind und diskutiert Indikationsstellung, Durchführung, spezielle Probleme und Risiken.

Abstract

On-scene invasive emergency procedures, such as intraosseous puncture, are often unavoidable, when indicated, and present a challenge for the emergency physician. Personal, temporal or local conditions are often unsuitable. Even with regular intervention by the emergency medical service, “last resort” measures occur very infrequently, particularly in pediatric emergencies. For the first time, this case report presents the use of intraosseous access at the humeral head with children, with reference to indication, implementation, problems and risks.

Schlüsselwörter:

invasive Notfalltechniken - intraossärer Zugang - Humerus - Notfallmedizin - CPR

Keywords:

invasive emergency techniques - intraosseous access - humerus - emergency medicine - CPR

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