Shock room
A shock room , also called a resuscitation room , is often part of a hospital emergency room in Europe . It is used for the initial care of seriously injured or multiple trauma patients. The goal is the fastest possible diagnosis and treatment of the most life-threatening injuries or illnesses. For this reason, the medical staff will already be waiting for the patient in the emergency room if the patient has been notified in advance by the emergency services.
In the past, however, emergency patients from the field of internal medicine were generally not treated there, which has so far separated the concept from that of the American emergency room . However, since internistically ill patients can also have an unstable condition, the term internalist emergency room has also established itself for patients with or after cardiac arrest or generally for patients requiring ventilation or intensive care.
The tasks to be mastered in the emergency room can be divided into three aspects:
- With the participation of doctors and nurses from various disciplines , on the one hand, the patient's vital functions are maintained or restored.
- It is monitored by apparatus , if necessary ventilated and the circulation is stabilized with infusions and transfusions as part of the fight against shock (hence the name of the room) . The patient can undergo an initial radiological examination ( ultrasound , X-ray ) and a so-called trauma spiral can be fed into the adjacent or integrated CT .
- In addition, immediate life-saving interventions such as relieving tension pneumothorax with a chest drain can be performed.
These measures must be carried out simultaneously, which places high demands on the facility and the interdisciplinary team. Therefore, regular training and simulation exercises should take place. After the initial treatment, the patient is usually transferred to an intensive care unit or directly to the operating room .
The exact emergency room algorithm varies in the different hospitals, but is mostly based on the ABCDE scheme and the guideline published by the German Society for Trauma Surgery . A supraregional trauma center must be able to care for at least two emergency room patients at the same time.
Subjects involved
In order to achieve the best possible treatment result, many specialists are involved in emergency room care. These vary depending on the hospital and report screen.
Base team
- Trauma surgeon
- General surgeon
- two emergency room nurses
- anesthetist
- Anesthesia nurse
- Radiologist
- Medical-technical assistant (X-ray)
- Transport personnel (e.g. transporting blood products)
extended team
- Senior physician trauma surgery
- Senior physician in general surgery
- Senior physician anesthesiology
- Senior physician radiology
- Senior physician in intensive care medicine
- Vascular surgeon
- Cardiac surgeon
- Hand surgeon
- Oral and maxillofacial surgeon
- Pediatric surgeon or pediatrician
- neurosurgeon
- Neuroradiologist
- neurologist
- Cardiologist / CPU doctor
- Internist
- ENT doctor
- Ophthalmologist
- urologist
- gynecologist
- two OR nurses
literature
- Michael Gerstorfer, Ludwig Gutermuth (Hrsg.): Shock room management: Organization and patient care . 1st edition. Elsevier, Urban & Fischer, Munich 2009, ISBN 978-3-437-24800-9 .
Web links
- Guideline for multiple trauma of the German Society for Trauma Surgery
- Emergency room management at Heidelberg University Hospital
Individual evidence
- ↑ a b c Harald Tscherne , Gerd Regel (Ed.): Tscherne Unfallchirurgie: Trauma-Management, Volume 1 . Springer, Heidelberg, Berlin 1997, ISBN 978-3-642-59215-7 , pp. 68 ff . ( limited preview in Google Book search).
- ^ A b Rolf Rossaint, Christian Werner, Bernhard Zwißler (eds.): The anesthesiology: general and special anesthesiology, pain therapy and intensive medicine . Springer, Berlin, Heidelberg 2004, ISBN 3-540-00077-1 , pp. 1142 ( limited preview in Google Book search).
- ↑ Internal intensive care unit - full commitment in the fight for life. (No longer available online.) In: Klinikum Nürnberg . January 27, 2015, archived from the original on January 13, 2017 ; accessed on January 13, 2017 . 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.
- ↑ Arnulf Thiede , Norbert Roewer, Olaf Elert, Hubertus Riedmiller (eds.): Chronicle and vision. Center for Operative Medicine 2004 . University Hospital Würzburg, Würzburg 2004, ISBN 3-00-013537-5 , p. 316 .
- ↑ Emergency room concept. Retrieved October 21, 2019 (eng).
- ^ White Paper Care for the Seriously Injured. Retrieved October 21, 2019 (eng).
