Download PDF
NOTARZT 2017; 33(03): 109-115
DOI: 10.1055/s-0042-124539
Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Algorithmus zur Aufnahme und Überwachung von Alkoholisierten im Rahmen der Sanitätsstation auf dem Münchner Oktoberfest

Admission and Monitoring Algorithm for Patients with Ethanol Intoxication on the Oktoberfest Munich
F. T. Fischer
1   Institut für Rechtsmedizin der Ludwig-Maximilians-Universität München
,
F. Wagner
2   BG Unfallklinik Murnau
,
F. Eyer
3   Klinikum rechts der Isar der Technischen Universität München, Abteilung für klinische Toxikologie der II. Medizinischen Klinik
› Author Affiliations
Further Information

Publication History

Publication Date:
02 March 2017 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Auf der Sanitätsstation des Münchner Oktoberfestes kommt seit 2010 ein Algorithmus zur Überwachung alkoholisierter Patienten zum Einsatz. Orientiert an ABCDE-Schemen und mit stringenter Überwachung wird somit die Betreuung von rund 18% der behandlungsbedürftigen Patienten sichergestellt. Dadurch ist eine effektive und strukturierte Überwachung gewährleistet, die vorgestellt wird.

Abstract

This article presents an algorithm to treat and manage ethanol intoxications during the Munich “Oktoberfest”, known as one of the biggest carnivals worldwide with approximately 6.5 million visitors consuming 7 million liters of beer and unaccountable other alcoholic beverages. Whereas only 18% of approximately 4000 patients need treatment for ethanol overdosing, relevant comorbidity, a busy outpatient setting and other intoxications demand a structured effort to approach these patients. This algorithm has been used for the past 6 years and could be useful for managing similar settings. It is based on established structured approaches – ABCDE – to the patient and establishes cut-off values for in-patient treatment and invasive measures.

Schlüsselwörter

Ethanolintoxikation - Alkohol - Volksfest - Sanitätsdienst - Algorithmus

Key words

ethanol intoxication - alcohol - algorithm - medical service - carnival
 

  • Literatur

  • 1 http://www.muenchen.de/veranstaltungen/oktoberfest/schmankerl/wiesn-in-zahlen.html (Accessed 16.03.2016)
    PubMed
  • 2 Bouillon B, Probst C, Maegele M. et al. Emergency room management of multiple trauma: ATLS and S3 guidelines. Chirurg 2013; 84: 745-752
    CrossrefPubMedGoogle Scholar
  • 3 National Association of Emergency Medical Technicians (U.S.), Pre-Hospital Trauma Life Support Committee, American College of Surgeons, Committee on Trauma. PHTLS : prehospital trauma life support. 8th edition. Burlington, MA: Jones & Bartlett Learning; 2015
    Google Scholar
  • 4 Gentilello LM, Rivara FP, Donovan DM. et al. Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence. Annals of Surgery 1999; 230: 473-483
    CrossrefPubMedGoogle Scholar
  • 5 Vonghia L, Leggio L, Ferrulli A. et al. Acute alcohol intoxication. European Journal of Internal Medicine 2008; 19: 561-567
    CrossrefPubMedGoogle Scholar
  • 6 Eyer F, Zilker T. Drug overdoses. [German]. Notfall und Rettungsmedizin 2012; 15: 569-576
    PubMedGoogle Scholar
  • 7 Zilker T. Primary care from the emergency service in cases of poisoning. Notfall + Rettungsmedizin 2007; 10: 443-459
    CrossrefPubMedGoogle Scholar
  • 8 Hashimoto M, Kim S, Eto M. et al. Effect of acute intake of red wine on flow-mediated vasodilatation of the brachial artery. American Journal of Cardiology 2001; 88: 1457-1460
    CrossrefPubMedGoogle Scholar
  • 9 Tawakol A, Omland T, Creager MA. Direct effect of ethanol on human vascular function. American Journal of Physiology – Heart and Circulatory Physiology 2004; 286: H2468-H2473
    CrossrefPubMedGoogle Scholar
  • 10 Champion HR, Sacco WJ, Copes WS. et al. A revision of the trauma score. Journal of Trauma 1989; 29: 623-629
    CrossrefPubMedGoogle Scholar
  • 11 Drummond JC. The lower limit of autoregulation: Time to revise our thinking?. Anesthesiology 1997; 86: 1431-1433
    CrossrefPubMedGoogle Scholar
  • 12 Olsen KS, Svendsen LB, Larsen FS. Validation of transcranial near-infrared spectroscopy for evaluation of cerebral blood flow autoregulation. Journal of Neurosurgical Anesthesiology 1996; 8: 280-285
    CrossrefPubMedGoogle Scholar
  • 13 Olsen KS, Svendsen LB, Larsen FS. et al. Effect of labetalol on cerebral blood flow, oxygen metabolism and autoregulation in healthy humans. British Journal of Anaesthesia 1995; 75: 51-54
    CrossrefPubMedGoogle Scholar
  • 14 Eyer F, Zilker T. Drug overdoses. Notfall + Rettungsmedizin 2012; 15: 569-576
    CrossrefPubMedGoogle Scholar
  • 15 Fischer F, Graw M. [Use of short acting sedatives: how to minimise forensic risks]. MMW Fortschritte der Medizin 2009; 151: 34-35
    PubMedGoogle Scholar
  • 16 Sefrin P. Guidelines and algorithms – help or limit in emergency medicine?. Intensivmedizin und Notfallmedizin 2002; 39: 617-621
    CrossrefPubMedGoogle Scholar