Emergency training for medical practices
Under emergency training or emergency medical practice training is understood by doctors , dentists and their assistants to be carried out training in order to save human life-threatening dangers or health disorders continue until the arrival of leading aid ( emergency services avert) or mitigate. According to the guidelines of the Federal Joint Committee (G-BA) on the basic requirements for an in-house quality management for the doctors, psychotherapists and medical care centers participating in the contractual (dental) medical care, proof of emergency management is mandatory.
background
The background to this is that in the training curricula of non-medical medical professions, the teaching of emergency medical knowledge generally does not go beyond the knowledge of general first-aid measures. Uniform emergency medical training is also far from being the rule in academic medical training. So far, the dental license to practice medicine does not provide for emergency medical training. With the change in the medical license to practice medicine that came into force in 2003, emergency medicine is for the first time represented as a cross-sectional area in medical studies. Nevertheless, many experts still see a need to catch up in the area of emergency medical training for doctors and emphasize its importance. It should not only be a matter of course for emergency doctors, but also for every person involved in the rescue chain. There is no uniform consensus even in in-hospital emergency care. In a survey in German hospitals, 33% of those questioned stated that they did not offer any emergency medical training units.
Scope and content as well as training
Today, the training mainly focuses on teaching standardized processes and cooperation between non-medical and medical staff in the medical facility. In the care of emergency patients, there is a transition to mapping treatment guidelines in so-called Standard Operating Procedure (SOP). These SOPs are created on the basis of medical guidelines and reflect the current evidence-based treatment recommendations ( evidence-based medicine ).
The contents of the training are not defined by law, but generally always include:
- BLS ( Basic Life Support )
- Advanced Resuscitation ( Advanced Life Support )
- Airway management (especially alternatives to endotracheal intubation )
- Early defibrillation
In addition, other special emergency pictures can supplement the training:
- Myocardial infarction
- stroke
- Shock as a life-threatening condition
- Wounds and wound care, hemostasis
- Poisoning (e.g. with alcohol , medication , carbon dioxide , carbon monoxide , pesticides , chemicals or drugs )
- Seizure (epilepsy)
- thermal damage ( burns , frostbite and hypothermia )
- Allergic reaction
- Trauma patterns (injuries)
- Suffocation ( swallowing foreign bodies )
- Abdominal injuries , acute abdominal disorders with nausea and diarrhea or vomiting
- Cardiac arrhythmias
- Multiple trauma care
The participation of doctors in Germany also serves the medical training obligation . The duration of the course is 3 to 8 hours, depending on the scope and selection of the subject content.
providers
Providers in Germany include the aid organizations involved in the rescue service , rescue service schools, the state (dental) medical associations and a large number of private emergency medical training providers.
literature
- Emergency training for dentists. 2., revised. and exp. Edition. Schlueter, Hannover 1997, ISBN 3-87706-465-5 .
- Mega-code training ACLS resuscitation: the concept for emergencies. Medio-Teach, Neuss 2002, ISBN 3-00-003094-8 .
Individual evidence
- ↑ g-ba.de ( Memento of the original from July 4, 2011 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.
- ↑ M. Helm, K. de Buhr, L. Lampl, A. Schramm: Emergency medical training concepts for students of dentistry Results of a survey at the dental faculties in Germany. In: Emergency + Rescue Medicine. Volume 14, Issue 5, August 2011, pp. 389-395 doi: 10.1007 / s10049-010-1382-z
- ^ C. Waydhas: Training and Teaching in Emergency Medicine. In: Emergency + Rescue Medicine. Volume 12, Issue 5, August 2009, pp. 339-340. doi: 10.1007 / s10049-009-1179-0
- ^ S. Siebig, S. Kues, F. Klebl et al .: Cardiac arrest: Composition of resuscitation teams and training techniques - Results of a hospital survey in German-speaking countries. In: Deutsches Ärzteblatt. 106, 2009, pp. 65-70.
