Mechanische Thoraxkompressionsgeräte

Zusammenfassung

Mechanische Thoraxkompressionsgeräte finden zunehmend Verbreitung in der Notfallrettung. Obwohl Studien deren Einsatz nicht mit einem verbesserten Überleben der behandelten Patienten belegen konnten, haben diese Reanimationshilfen ihren Stellenwert insbesondere dort, wo medizinisches Personal bei der Durchführung manueller Thoraxkompressionen gefährdet ist (z. B. während des Patiententransports). Für die sichere Handhabung sind regelmäßige Schulungen und Teamtrainings obligat. Die Indikation zum Kliniktransport unter Reanimation ist weiter kritisch durch den Notarzt zu stellen.

Abstract

Mechanical chest compression devices become increasingly widespread in emergency rescue services. Though there is no evidence for improved survival rates in treated patients when being used, resuscitation devices are important when performing manual chest compression is dangerous for medical personnel (e.g. during patient transport). For safe use continuous user education and team-training are obligatory. The emergency physician has to analyse the indication for hospital transport during resuscitation.

Schlüsselwörter

mechanische Reanimationshilfe - kardiopulmonale Reanimation - Wiederbelebung - prähospitaler Herz-Kreislauf-Stillstand

Key words

mechanical resuscitation device - cardiopulmonary resuscitation - reanimation - out-of-hospital cardiac arrest

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