The trauma emergency room: terra incognita for the radiologist?

1999 ◽  
Vol 6 (6) ◽  
pp. 319-320 ◽  
Author(s):  
P. J. Bode
Keyword(s):  
Emergency Room ◽  
Terra Incognita ◽  
Trauma Emergency Room

scholarly journals A life saving approach after thoracic trauma: Emergency Room Thoracotomy

2012 ◽  
Vol 18 (4) ◽  
pp. 306-310 ◽  
Author(s):  
Tevfik Ilker Akcam ◽  
Kutsal Turhan ◽  
Ayse Gul Ergonul ◽  
Emrah Oguz ◽  
Alpaslan Cakan ◽  
...  
Keyword(s):  
Emergency Room ◽  
Thoracic Trauma ◽  
Life Saving ◽  
Trauma Emergency Room

scholarly journals Completion Rates of Advance Directives in a Trauma Emergency Room: Association with Age

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Jan A. Graw ◽  
René Burchard
Keyword(s):  
Emergency Room ◽  
Teaching Hospital ◽  
Traumatic Injury ◽  
Patient Characteristics ◽  
Educational Background ◽  
Completion Rates ◽  
Academic Teaching ◽  
Trauma Emergency Room ◽  
Academic Teaching Hospital ◽  
The Moment

Introduction An advance directive (AD) is a written legal document in which a person can express wishes and preferences for medical treatment for the moment when that person is no longer able to make medical decisions because of a serious illness or injury. While ADs have emerged in public, it is unclear, how many adults in Germany have completed an AD, and frequencies differ among different patient cohorts and medical settings. The aim of this study was to evaluate how many patients visiting a trauma emergency room (ER) in an academic teaching hospital had completed an AD. Furthermore, patient characteristics were compared between patients who had completed an AD and those who had not completed an AD. Methods. Patients with a traumatic injury or disease who attended the ER of an academic teaching hospital in the period from October 2015 to March 2016 (n = 499) were surveyed for completion rates of ADs. Results. Prior to their visit to the ER, 12.8% of the included patients possessed a completed AD. Patients with a completed AD had a higher age (median age: 54 (IQR: 34–66) vs. 35 (IQR: 25–50) p < 0.001 ) and were less often living in an urban residential location (UR) (UR: 23.5% vs. 39.4%, p = 0.029 ). Groups did not differ between sex ( p = 0.115 ), frequencies of high school graduates ( p = 0.482 ), and possession of a private health insurance ( p = 0.072 ), disability insurance ( p = 0.291 ), or an accident insurance ( p = 0.790 ). Conclusion. Completion rates of ADs remain low among patients visiting an ER of an academic teaching hospital in Germany. Increasing age but not factors such as sex, educational background, or insurance status were associated with a higher frequency of completed ADs.

Terra incognita Hausarztpraxis – Tabakentwöhnung in der deutschen Primärversorgung

2014 ◽  
Vol 60 (3) ◽  
pp. 175-187 ◽  
Author(s):  
Sven Schneider ◽  
Katharina Diehl ◽  
Christina Bock ◽  
Raphael M. Herr ◽  
Manfred Mayer ◽  
...  
Keyword(s):  
Status Quo ◽  
Expert Review ◽  
Terra Incognita

Zielsetzung: Die Hausarztpraxis gilt als ideales Setting für die Tabakentwöhnung. Die bundesweite „ÄSP-kardio-Studie“ liefert aktuelle Daten zum Status quo der Tabakentwöhnung nach der „5 A-Strategie“ in deutschen Hausarztpraxen. Methodik: Zwischen 10/2011 und 03/2012 wurden über 4.000 Hausärzte repräsentativ befragt. Der Fragebogen wurde vorab einem Expert Review unterzogen, durch kognitive Interviews validiert und in einer Pilotstudie getestet. Ergebnisse: Routinemäßig erfassten 89 % der Hausärzte etwaigen Tabakkonsum („Assess“), 82 % rieten Rauchern zu einem Rauchstopp („Advise“) und 12 % vereinbarten schriftliche Ziele einer Entwöhnung („Agree“). Hilfestellungen („Assist“) in Form einer Kurzintervention fanden mit 72 % deutlich häufiger statt als in Form von Informationsmaterial (33 %) oder einer Entwöhnungstherapie (27 %). Etwa die Hälfte (54 %) vereinbarte Folgetermine zur Überprüfung des Rauchstopps („Arrange“). Das Angebot war von arzt-, praxis- sowie patientenspezifischen Faktoren abhängig und in den nordöstlichen Bundesländern unterdurchschnittlich. Acht von 10 Hausärzten (77 %) bewerteten ihre Maßnahmen als nicht erfolgreich. Schlussfolgerungen: Deutlich wird die suboptimale und ungleich verteilte Versorgung von Rauchern mit angemessenen Entwöhnungsmaßnahmen in deutschen Hausarztpraxen.

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