Advanced Medical Life Support (AMLS)

Häske, David; Gliwitzky, B.; Semmel, T.; Schädler, T.; Casu, Sebastian; Grusnick, Hans-Martin; Brokmann, Jörg Christian

doi:10.1007/s10049-013-1793-8

Cited by 10 publications

(4 citation statements)

References 11 publications

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“…For further details on outcome measures, see Additional file 1 and Additional file 2. The proportion of fulfilled SAMPLE acronym [21] items (consisting of the survey of S = Symptoms, A = Allergies, M = Medication, P = Past pertinent medical history, L = Last oral intake, and E = Events leading to present Illness/Injury) indicated the quality of the medical history survey, which was assessed by the proportion of documented patient vital data in accordance with the respective guidelines [22]. Treatment quality was evaluated by the frequency of adherence to six predefined clinically relevant components (correct hospital choice, electrocardiography (ECG) use, intravenous access placement, non-invasive blood pressure, oxygen saturation, and blood glucose level).…”

Section: Discussionmentioning

confidence: 99%

Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial

et al. 2023

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Background A tele-emergency medical service with a remote emergency physician for severe prehospital emergencies may overcome the increasing number of emergency calls and shortage of emergency medical service providers. We analysed whether routine use of a tele-emergency medical service is non-inferior to a conventional physician-based one in the occurrence of intervention-related adverse events. Methods This open-label, randomised, controlled, parallel-group, non-inferiority trial included all routine severe emergency patients aged ≥ 18 years within the ground-based ambulance service of Aachen, Germany. Patients were randomised in a 1:1 allocation ratio to receive either tele-emergency medical service (n = 1764) or conventional physician-based emergency medical service (n = 1767). The primary outcome was the occurrence of intervention-related adverse events with suspected causality to the group assignment. The trial was registered with ClinicalTrials.gov (NCT02617875) on 30 November 2015 and is reported in accordance with the CONSORT statement for non-inferiority trials. Results Among 3531 randomised patients, 3220 were included in the primary analysis (mean age, 61.3 years; 53.8% female); 1676 were randomised to the conventional physician-based emergency medical service (control) group and 1544 to the tele-emergency medical service group. A physician was not deemed necessary in 108 of 1676 cases (6.4%) and 893 of 1544 cases (57.8%) in the control and tele-emergency medical service groups, respectively. The primary endpoint occurred only once in the tele-emergency medical service group. The Newcombe hybrid score method confirmed the non-inferiority of the tele-emergency medical service, as the non-inferiority margin of − 0.015 was not covered by the 97.5% confidence interval of − 0.0046 to 0.0025. Conclusions Among severe emergency cases, tele-emergency medical service was non-inferior to conventional physician-based emergency medical service in terms of the occurrence of adverse events.

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Section: Discussionmentioning

confidence: 99%

Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial

et al. 2023

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“…Die Inzidenz von Wirbelsäulenverletzungen liegt bei 9 % über einen Zeitraum von 10 Jahren [23] [28]. Eine Hauptursache sind Hochrasanztraumata, wobei 37 % der Wirbelsäulenverletzungen durch Verkehrsunfälle und 30 % durch Stürze aus mehr als 3 Metern Höhe verursacht werden [11]. Im Bereich von Polytraumata ereignen sich 34 % der Verletzungen im Bereich der Wirbelsäule, und bei ca.…”

Section: Epidemiologie Und äTiologieunclassified

“…Wirbelsäulenverletzungen im Sport sind in den wenigsten Fällen Monotraumata, sondern treten in 45 % der Fälle in Kombination mit Verletzungen des Schädels, des Thorax, des Abdomens sowie des Beckens oder der Extremitäten auf [11]. Allerdings liegt bei 15 % der initial bewusstlosen Patienten eine Verletzung der Wirbelsäule vor [8].…”

Section: Epidemiologie Und äTiologieunclassified

Untersuchung der Halswirbelsäule bei Sportverletzungen

Rottkay¹,

Hoffmeister²

2023

Sportphysio

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“…Im Primary Survey gemäß <C>ABCDE-Schema, welches Bestandteil internationaler Schulungskonzepte wie ATLS ® (Advanced Trauma Life Support), ACLS ® (Advanced Cardiac Life Support), PHTLS ® (Prehospital Trauma Life Support)und AMLS ® (Advanced Medical Life Support) ist, können allgemeine Schocksymptome zügig erfasst werden [11,12]. Diese Zeichen können Hinweise auf den kritischen Zustand des Patienten liefern.…”

Section: Merkeunclassified

Die vier Schockformen – Teil 2: kardiogener Schock

Tharmaratnam¹,

Wunderl²,

Schebler³

et al. 2020

Notarzt

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ZusammenfassungIm 2. Teil der Schockformen-Serie wird der kardiogene Schock behandelt. Dieser tritt mit 16% prähospital genauso häufig auf wie der hypovolämische Schock und stellt eine prognostisch relevante Komplikation eines akuten kardialen Ereignisses dar 1. Ziel dieses Beitrags ist es, diagnostisches und therapeutisches Vorgehen beim kardiogenen Schock, die pathophysiologischen Grundlagen sowie erforderliche differenzialdiagnostische Überlegungen darzustellen.

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Advanced Medical Life Support (AMLS)

Cited by 10 publications

References 11 publications

Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial

Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial

Untersuchung der Halswirbelsäule bei Sportverletzungen

Die vier Schockformen – Teil 2: kardiogener Schock

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