{"id":12092,"date":"2020-09-10T04:25:06","date_gmt":"2020-09-10T02:25:06","guid":{"rendered":"http:\/\/news-papers.eu\/?p=12092"},"modified":"2020-08-30T11:42:18","modified_gmt":"2020-08-30T09:42:18","slug":"masern-ein-kurzes-notaufnahme-update","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=12092","title":{"rendered":"Masern: Ein kurzes Notaufnahme-Update"},"content":{"rendered":"<p style=\"text-align: justify;\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"12094\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=12094\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/09\/dinosaur-152507_1280.png?fit=1280%2C1210\" data-orig-size=\"1280,1210\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"dinosaur-152507_1280\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/09\/dinosaur-152507_1280.png?fit=1024%2C968\" class=\"size-medium wp-image-12094 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/09\/dinosaur-152507_1280.png?resize=300%2C284\" alt=\"Masern\" width=\"300\" height=\"284\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/09\/dinosaur-152507_1280.png?resize=300%2C284 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/09\/dinosaur-152507_1280.png?resize=1024%2C968 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/09\/dinosaur-152507_1280.png?resize=768%2C726 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/09\/dinosaur-152507_1280.png?resize=750%2C709 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/09\/dinosaur-152507_1280.png?w=1280 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Eigentlich sollten wir keine <strong>Masern<\/strong> mehr in der Notaufnahme zu sehen bekommen, schliesslich gibt es seit Jahren eine Impfung dagegen. Dennoch ist das Thema so relevant, dass es aktuell ein interessantes Review zu dazu gibt:<\/p>\n<blockquote><p><strong>Grabes EMA et al. AN UPDATE AND REVIEW OF MEASLES FOR EMERGENCY PHYSICIANS. The Journal of Emergency Medicine, Vol. 58, No. 4, pp. 610\u2013615, 2020<\/strong><\/p><\/blockquote>\n<p>Eine kurze Zusammenfassung:<\/p>\n<p><strong>Inkubationzeit:<\/strong><\/p>\n<ul>\n<li>Asymptomatisch: 10 Tage vor dem Fieber, 14 Tage vor\u00a0dem Ausschlag<\/li>\n<\/ul>\n<p><strong>Prodromalzeichen:\u00a0<\/strong><\/p>\n<ul>\n<li>Die 3 Cs (&#8222;cough, coryza, conjunctivitis&#8220;): Husten, Schnupfen, Bindehautentz\u00fcndung<\/li>\n<li>Fieber, Unwohlsein, Anorexie, Koplik-Flecken<\/li>\n<\/ul>\n<p><strong>Exanthem:<\/strong><\/p>\n<ul>\n<li>3-4 Tage nach Beginn des Fiebers<\/li>\n<li>1-2 Tage nach Koplik-Flecken<\/li>\n<li>Typische Entwicklung: Gesicht, hinter den Ohren &#8211;&gt; Extremit\u00e4ten \/ Konfluenz<\/li>\n<li>Dauer von 3-4 Tagen vor dem Abklingen<\/li>\n<\/ul>\n<p><strong>Genesung und lebenslange Immunit\u00e4t:\u00a0<\/strong><\/p>\n<ul>\n<li>Anhaltender Husten<\/li>\n<li>Abschuppung der Haut<\/li>\n<\/ul>\n<p><strong>Masern-assoziierte Komplikationen:\u00a0<\/strong><\/p>\n<ul>\n<li>Gastrointestinaltrakt: Durchfall, Dehydrierung, Anorexie und daraus resultierende Unterern\u00e4hrung<\/li>\n<li>Lunge: Lungenentz\u00fcndung, akute Mittelohrentz\u00fcndung, Croup, Pneumonitis (immungeschw\u00e4cht)<\/li>\n<li>Augen: Keratokonjunktivitis, Blindheit<\/li>\n<li>Neurologie: Enzephalitis, Meningitis, akute disseminierte Enzephalomyelitis (ADEM), subakute sklerosierende Panenzephalitis (SSPE)<\/li>\n<li>Kardial: Herzbeutelentz\u00fcndung, Herzmuskelentz\u00fcndung<\/li>\n<li>Schwangerschaft: Vorzeitige Wehen, spontane Abtreibung, niedriges Geburtsgewicht<\/li>\n<li>Andere: Zellulitis, Myositis, Nephritis, Thrombozytopenie, DIC<\/li>\n<\/ul>\n<p>_______________________________________<\/p>\n<p>Wichtiger Hinweis: Keine Pr\u00e4senzveranstaltung sondern ausschliesslich <strong>O N L I N E<\/strong>:<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"12045\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=12045\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Bildschirmfoto-2020-08-22-um-22.19.57.png?fit=1590%2C138\" data-orig-size=\"1590,138\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Bildschirmfoto 2020-08-22 um 22.19.57\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Bildschirmfoto-2020-08-22-um-22.19.57.png?fit=1024%2C89\" class=\"alignnone wp-image-12045\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Bildschirmfoto-2020-08-22-um-22.19.57.png?resize=750%2C65\" alt=\"\" width=\"750\" height=\"65\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Bildschirmfoto-2020-08-22-um-22.19.57.png?resize=300%2C26 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Bildschirmfoto-2020-08-22-um-22.19.57.png?resize=1024%2C89 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Bildschirmfoto-2020-08-22-um-22.19.57.png?resize=768%2C67 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Bildschirmfoto-2020-08-22-um-22.19.57.png?resize=1536%2C133 1536w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Bildschirmfoto-2020-08-22-um-22.19.57.png?resize=750%2C65 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/08\/Bildschirmfoto-2020-08-22-um-22.19.57.png?w=1590 1590w\" sizes=\"auto, (max-width: 750px) 100vw, 750px\" \/><\/p>\n<p style=\"text-align: justify;\"><strong>D\u00fcsseldorfer \u201eTriple ED Day\u201c am 12.09.2020 \u2013 Ein Tag Notfallmedizin und Notaufnahme. <\/strong>Teilnehmen kann jeder, der sich kostenlos unter <strong>\u00a0<a href=\"http:\/\/www.nowtogo.de\/\">www.nowtogo.de<\/a>\u00a0\u00a0<\/strong>registriert hat. Die Veranstaltung ist weiterhin kostenfrei. <strong>PDF des ONLINE-Programms: \u00a0<a href=\"http:\/\/news-papers.eu\/wp-content\/uploads\/2020\/08\/2020_FlyerDEDD_Online.pdf\">2020_FlyerDEDD_Online<\/a><\/strong><\/p>\n<p>_______________________________________<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Eigentlich sollten wir keine Masern mehr in der Notaufnahme zu sehen bekommen, schliesslich gibt es seit Jahren eine Impfung dagegen. Dennoch ist das Thema so relevant, dass es aktuell ein [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":12094,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[2,5],"tags":[1294],"class_list":["post-12092","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allgemein","category-infektionen","tag-masern"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/09\/dinosaur-152507_1280.png?fit=1280%2C1210","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-392","jetpack-related-posts":[{"id":6607,"url":"http:\/\/news-papers.eu\/?p=6607","url_meta":{"origin":12092,"position":0},"title":"Masern in Deutschland &#8211; Ein Update","author":"Michael Bernhard","date":"Februar 21, 2018","format":false,"excerpt":"Masern, eine der ansteckendsten Erkrankungen der Menschheit. Dorothea Matysiak-Klose und Kollegen lieferten nun \u00a0in der Deutschen Medizinischen Wochenschrift eine exzellente \u00dcbersicht zu diesem scheinbar fast vergessenen Krankheitsbild: Matysiak-Klose D et al.\u00a0Masern in Deutschland \u2013 Epidemiologie und Management.\u00a0Dtsch Med Wochenschr 2017; 142: 1767\u20131772 Masern: eine der ansteckendsten Erkrankungen der Menschheit weltweit\u2026","rel":"","context":"In &quot;Infektionen&quot;","block_context":{"text":"Infektionen","link":"http:\/\/news-papers.eu\/?cat=5"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/02\/Krank-e1513530088273.jpg?fit=1000%2C656&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/02\/Krank-e1513530088273.jpg?fit=1000%2C656&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/02\/Krank-e1513530088273.jpg?fit=1000%2C656&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/02\/Krank-e1513530088273.jpg?fit=1000%2C656&resize=700%2C400 2x"},"classes":[]},{"id":5034,"url":"http:\/\/news-papers.eu\/?p=5034","url_meta":{"origin":12092,"position":1},"title":"Das Kind mit hohem Fieber","author":"Michael Bernhard","date":"August 15, 2017","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern, Schweiz: Sie betreuen in der Notaufnahme ein 18 Monate altes, 10 kg schweres M\u00e4dchen, das Ihnen vom Notarzt zugewiesen wurde, nachdem es zuhause erstmalig einen Fieberkrampf erlitten hatte. 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