Hitzeassoziierte Morbidität: Surveillance in Echtzeit mittels rettungsdienstlicher Daten aus dem Interdisziplinären Versorgungsnachweis (IVENA)

Steul, Katrin; Jung, Hans-Georg; Heudorf, U.

doi:10.1007/s00103-019-02938-6

Cited by 9 publications

(4 citation statements)

References 33 publications

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“…Between 2000 and 2015, roughly 39,000 heat-related excess death cases had been estimated for Germany [30]. Heat-induced morbidity cases might even be higher, as a few local studies have indicated [31,32]. Due to evident heat-related health impacts and a few more effects of other expanding weather extremes, like droughts, heavy storms, and rain, climate-change-related health issues became more and more prominent in the society.…”

Section: Discussionmentioning

confidence: 99%

“…The number of hospital admissions increased in July 2015 by 22%, respectively admissions of heat symptom diagnosis, such as heat exhausts, syncope or exsiccosis above 100%. The assessment of this noticeable long-lasting 2018 summer heat showed that an increasing duration of this extreme heat period triggered rising emergency rescue service operations due to total heat associated morbidity remained high with increased cases of exsiccosis and unclear fever [31,32].…”

Section: Heat-related Health Impacts-a New Emerging Issue For Public ...mentioning

confidence: 99%

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Heat Extremes, Public Health Impacts, and Adaptation Policy in Germany

Mücke

Litvinovitch

2020

IJERPH

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Global warming with increasing weather extremes, like heat events, is enhancing impacts to public health. This essay focuses on unusual extreme summer heat extremes occurring in Germany at higher frequency, longer duration, and with new temperature records. Large areas of the country are affected, particularly urban settlements, where about 77% of the population lives, which are exposed to multiple inner-city threats, such as urban heat islands. Because harm to public health is directly released by high ambient air temperatures, local and national studies on heat-related morbidity and mortality indicate that vulnerable groups such as the elderly population are predominantly threatened with heat-related health problems. After the severe mortality impacts of the extreme summer heat 2003 in Europe, in 2008, Germany took up the National Adaptation Strategy on Climate Change to tackle and manage the impacts of weather extremes, for example to protect people’s health against heat. Public health systems and services need to be better prepared to improve resilience to the effects of extreme heat events, e.g., by implementing heat health action plans. Both climate protection as well as adaptation are necessary in order to be able to respond as adequate as possible to the challenges posed by climate change.

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Section: Discussionmentioning

confidence: 99%

Section: Heat-related Health Impacts-a New Emerging Issue For Public ...mentioning

confidence: 99%

Heat Extremes, Public Health Impacts, and Adaptation Policy in Germany

Mücke

Litvinovitch

2020

IJERPH

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“…The daily situation monitoring was mainly carried out via IVENA 6 . This web-based software is used in some regions of Germany in the regular ambulance service for the distribution of pre-hospital emergency patients.…”

Section: Situation Monitoringmentioning

confidence: 99%

Coordination of Hospitals in the Corona Pandemic

Neidel,

Heins,

Herrmann

et al. 2021

Preprint

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BackgroundThe second wave of Corona-Pandemic posed the German Healthcare system to a major challenge. Due to the fast and wide spreading of SARS-CoV-2 in November 2020, the number of COVID-19-patients needing intensive care treatment was rapidly growing. Transferring patients between hospitals was necessary to prevent an overflow of treatment capacities within the ambulance district of Augsburg. This project aimed to create a coordination structure that ensures an efficient guiding of all hospitals within the ambulance district Augsburg.Material and methodsAn executive order of the Bavarian ministries of health and internal affairs1 lead to the appointment of a Medical Director of Hospital Coordination (MDHC) within each ambulance district. Each hospital had to nominate a pandemic officer (PO). Based on the executive order and the “disaster management manual 100”2 we established a hospital coordination structure for the ambulance district Augsburg.ResultsBetween October 18th 2020, and February 14th 2021, the staff of the MDHC coordinated 407 transfers of patients. 223 patients were treated on a general ward, 184 on intensive care units. The transfers prevented several impending triage situations. Using the coordination structure, the urgent reduction of a COVID-19 intensive care unit of a level 1 hospital from 7 to 2 beds was managed within 4 hours after alarm. ConclusionsBased on the “disaster management manual 100”2 we were able to establish a hospital coordination structure that can withstand high pressure and ensured that impending triage situations were prevented. Urgent shortages of treatment capacities were balanced through the transfer of patients. The major problem was the lack of intensive care personnel.

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“…Folgt man dem Weg des Patienten, der die Notaufnahme entweder mit dem Rettungsdienst oder zu Fuß erreicht, so beginnt die Digitalisierung bei der Meldung verfügbarer Ressourcen im Krankenhaus und der spezifischen Voranmeldung. Hier wird zunehmend "IVENA eHealth -Interdisziplinärer Versorgungsnachweis" eingesetzt (Steul et al 2019). Mit der digitalen Erfassung der Daten eines Patienten vor Ort im Rettungsdienst stellt sich sofort die Frage nach der papierlosen Übergabe dieser Daten.…”

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