Medical Support for Children's Mass Gatherings

AbstractIntroduction:Medical care must be well-planned for mass gatherings. Events such as fairs, concerts, parades, and rallies cause many people to gather in one place, increasing the chance of injuries and for the development of a disaster. In this study, the level and quality of medical care were evaluated at a mass gathering of approximately 100,000 children. The event was a television-sponsored fun fair.Methods:Every patient contact was documented on printed forms, including data such as the number of patients treated, gender of the patients, presence or absence of a parental escort, time distribution of patient contacts, the diagnoses for the patient contacts, specific therapies appl…

Monitoring in der Notfallmedizin

In der modernen Notfallmedizin werden hohe Anspruche an die technische Uberwachung der Patienten gestellt.Diese soll die Sicherheit des Patienten erhohen, die Diagnostik spezifischer medizinischer Probleme erleichtern sowie die Beatmung oder die Gabe potenter Medikamente uberwachen.Die verwendeten Medizingerate mussen an die besonderen Erfordernisse in der Praklinik angepasst sein. Hier sind eine lange Unabhangigkeit von der Stromversorgung, anwenderfreundliche Bedieneroberflache, kompakte Bauweise und geringes Gewicht zu fordern. Zu den Minimalstandards des Monitoring gehoren die nicht invasive Blutdruckmessung, Pulsoximetrie und Elektrokardiographie.Situations- und patientenabhangig konne…

A new device for emergency airway management: the EasyTube.

Incidence and factors associated with burnout in anesthesiology: A systematic review

Background. Burnout syndrome has reached epidemic levels among physicians (reported around 50%). Anesthesiology is among the most stressful medical disciplines but there is paucity of literature as compared with others. Analysis of burnout is essential because it is associated with safety and quality of care. We summarize evidence on burnout in anesthesiology. Methods. We conducted a systematic review (MEDLINE up to 30.06.2017). We included studies reporting burnout in anesthesiology with no restriction on role or screening test used. Results. Fifteen surveys/studies described burnout in anesthesiology, including different workers profiles (nurses, residents, consultants, and directors). Al…

The EasyTube for Airway Management in Emergencies

The EasyTube (EzT) is a new sterile, disposable airway device approved by the European Union in February 2003 and by the U.S. Food and Drug Administration in January 2005. The two-lumen design of the EzT enables it to be used as an endotracheal tube or as a supraglottic emergency airway.To report the preliminary experiences with the EzT airway device in prehospital and in-hospital emergency airway management procedures.All airway management procedures involving the EzT were recorded for a period of 18 months.The EzT was successfully used to intubate 15 patients with unanticipated airway difficulties during either anesthesia induction or prehospital airway management. In all patients, the Ez…

Comparison of two different techniques of fibreoptic intubation

BACKGROUND AND OBJECTIVE The application of analgesics and sedatives during fibreoptic intubation (FOI) may result in a transient decrease in arterial oxygen saturation.This study evaluates two different techniques of FOI and respective effects on procedural duration, arterial oxygen saturation, and coughing by the patient. METHODS Thirty-four patients received a standardized conscious sedation with fentanyl (1.5 microg kg(-1)) and midazolam (12.5 microg kg(-1)).All patients were randomly allocated to one of the following techniques: the 'vaporization' (VAP) technique included four applications of 2 ml lidocaine 2% administered through the working channel of the fibrescope supplying an oxyg…