Vorgehen nach präklinischem Herz-Kreislauf-Stillstand. Ist ein sofortiger Transfer ins Herzkatheterlabor dem Kurzcheck im Schockraum vorzuziehen?

Kumle, Bernhard und Orban, Martin (2019): Vorgehen nach präklinischem Herz-Kreislauf-Stillstand. Ist ein sofortiger Transfer ins Herzkatheterlabor dem Kurzcheck im Schockraum vorzuziehen? In: Notfall & Rettungsmedizin, Bd. 22, Nr. 8: S. 696-703

Abstract

Mortality following out-of-hospital cardiac arrest (OHCA) remains high and may have various causes. Although myocardial infarction is still the most frequent cause of cardiac arrest, it has declined significantly in recent years. Immediate intervention is the gold standard in patients with acute myocardial infarction. However, in patients with non-cardiac causes of OHCA, a detour via the cardiac catheter laboratory, thereby delaying further diagnosis, can be fatal. The optimal strategic algorithm in this clinical scenario is unclear. Thus it is the subject of discussion whether immediate transfer of the patient to the catheter laboratory or an initial diagnostic and therapeutic work-up by the interdisciplinary conservative shock room team of cardiologists, emergency or intensive care physicians is the best strategy in patients following OHCA. Therefore, this review focuses on existing data and recommendations and tries to present a strategic algorithm.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 1434-6222
• Sprache: Deutsch