{"id":4306,"date":"2017-05-26T04:42:22","date_gmt":"2017-05-26T02:42:22","guid":{"rendered":"http:\/\/news-papers.eu\/?p=4306"},"modified":"2017-04-04T18:16:48","modified_gmt":"2017-04-04T16:16:48","slug":"wie-managed-man-eine-notaufnahme","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=4306","title":{"rendered":"Wie managed man eine \u00fcberf\u00fcllte Notaufnahme?"},"content":{"rendered":"<p><strong>Was machen die Verantwortlichen einer Notaufnahme w\u00e4hrend ihrer Schicht?<\/strong><br \/>\n<strong> Welche Aufgaben haben diese Kolleginnen und Kollegen und wie l\u00f6sen sie Probleme?<\/strong><\/p>\n<p style=\"text-align: justify;\">Zwar gibt es relevante Unterschiede zwischen &#8222;Senior Emergency Physicians&#8220; und &#8222;Ober\u00e4rzten&#8220; und auch Unterschiede zwischen verschiedenen Notaufnahmen in einem Land, dennoch haben\u00a0Ian Hosking et al. interessante\u00a0L\u00f6sungsstrategien zur Eingangs gestellten Frage aus einer Umfrage erarbeitet:<\/p>\n<blockquote>\n<p style=\"text-align: justify;\"><strong>Hosking I et al.\u00a0What do emergency physicians in charge do? A qualitative observational study. EMJ 2017;\u00a0\u00a0doi:10.1136\/ emermed-2016-205902<\/strong><\/p>\n<\/blockquote>\n<p><strong>Die Aufgaben des Schichtverantwortlichen erfahrenen Notaufnahmearztes<\/strong>\u00a0umfasst <strong>neun Begriffe\/Aufgaben (&#8222;<\/strong><b>heuristics&#8220;)<\/b>:<\/p>\n<ul>\n<li><strong>deflecting<\/strong><\/li>\n<li><strong>front loading<\/strong><\/li>\n<li><strong>placing<\/strong><\/li>\n<li><strong>plucking<\/strong><\/li>\n<li><strong>flooding<\/strong><\/li>\n<li><strong>targeting<\/strong><\/li>\n<li><strong>chasing<\/strong><\/li>\n<li><strong>guiding<\/strong><\/li>\n<li><strong>juggling<\/strong><\/li>\n<\/ul>\n<p>Aber was sollen uns diese englischen Begriffe sagen, dazu gibt es unten stehend eine 9 Feldertafel mit Erl\u00e4uterungen und Beispielen:<\/p>\n<h6><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"4308\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=4308\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?fit=1197%2C894\" data-orig-size=\"1197,894\" 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 2017-04-02 um 10.43.07\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?fit=300%2C224\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?fit=1024%2C765\" class=\"alignnone wp-image-4308\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?resize=739%2C552\" alt=\"\" width=\"739\" height=\"552\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?resize=300%2C224 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?resize=768%2C574 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?resize=1024%2C765 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?resize=750%2C560 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?w=1197 1197w\" sizes=\"auto, (max-width: 739px) 100vw, 739px\" \/><\/h6>\n<h6>Abb: Aufgabe der Schichtverantwortlichen \u00c4rzte in einer Notaufnahme (KH = Krankenhaus), mod. nach Hosking et al. EMJ 2017<\/h6>\n<p>Hat jemand von Ihnen einen guten MNEMONIC (Merksatz) f\u00fcr diese Aufgaben\/Leistungen?<\/p>\n<hr \/>\n<p><strong><a href=\"https:\/\/twitter.com\/news_papers_eu?refsrc=email&amp;s=11\" target=\"_blank\">News-Papers.eu auf TWITTER<\/a>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<a href=\"http:\/\/news-papers.eu\/follow\" target=\"_blank\">Follow news-papers.eu<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Was machen die Verantwortlichen einer Notaufnahme w\u00e4hrend ihrer Schicht? Welche Aufgaben haben diese Kolleginnen und Kollegen und wie l\u00f6sen sie Probleme? Zwar gibt es relevante Unterschiede zwischen &#8222;Senior Emergency Physicians&#8220; [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":4308,"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}},"categories":[10],"tags":[936,937,935],"class_list":["post-4306","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zentrale-interdisziplinaere-notaufnahme","tag-heuristics","tag-loesungsstratgien","tag-management-notaufnahme"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-02-um-10.43.07.png?fit=1197%2C894","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-17s","jetpack-related-posts":[{"id":16930,"url":"http:\/\/news-papers.eu\/?p=16930","url_meta":{"origin":4306,"position":0},"title":"EpiSEP-Studie als Teil eines eBOOKS bei Frontiers in Medicine","author":"Michael Bernhard","date":"April 23, 2023","format":false,"excerpt":"Die EpiSEP (Epidemiology, management, and outcome of infection, sepsis, and septic shock in a German emergency department) Studie Wolfertz N, et al. Epidemiology, management, and outcome of infection, sepsis, and septic shock in a German emergency department (EpiSEP study). Front. Med. 9:9979922; \u00a0https:\/\/doi.org\/10.3389\/fmed.2022.997992 ist Teil eines eBOOKs zum Thema \"Infections\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?fit=640%2C480&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?fit=640%2C480&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?fit=640%2C480&resize=525%2C300 1.5x"},"classes":[]},{"id":13985,"url":"http:\/\/news-papers.eu\/?p=13985","url_meta":{"origin":4306,"position":1},"title":"Abrechnung in der Notaufnahme: Unterschied zum KV-Notdienst","author":"Michael Bernhard","date":"Juli 22, 2021","format":false,"excerpt":"Die Versorgung ambulanter Notfa\u0308lle ist in Deutschland nach \u00a7 75 Abs. 1b SGB V durch die Kassena\u0308rztlichen Vereinigungen (KV) zu gewa\u0308hrleisten und umfasst\u00a0auch die Abrechnung. Gr\u00f6ning I et al.\u00a0Abrechnung im\u00a0niedergelassenen Bereich im\u00a0Vergleich zur ambulanten\u00a0Notfallbehandlung in der\u00a0Notaufnahme unter besonderer\u00a0Betrachtung von Laborleistungen. Notfall Rettungsmed 2021, Online https:\/\/doi.org\/10.1007\/s10049-021-00919-4 Der Patient hat aufgrund seines\u2026","rel":"","context":"In &quot;Notaufnahme&quot;","block_context":{"text":"Notaufnahme","link":"http:\/\/news-papers.eu\/?cat=2083"},"img":{"alt_text":"Abrechnung","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/bookkeeping-615384_1920.jpg?fit=1200%2C797&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/bookkeeping-615384_1920.jpg?fit=1200%2C797&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/bookkeeping-615384_1920.jpg?fit=1200%2C797&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/bookkeeping-615384_1920.jpg?fit=1200%2C797&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/bookkeeping-615384_1920.jpg?fit=1200%2C797&resize=1050%2C600 3x"},"classes":[]},{"id":4831,"url":"http:\/\/news-papers.eu\/?p=4831","url_meta":{"origin":4306,"position":2},"title":"Sepsis: Auswirkung der verz\u00f6gerten 2. 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Leisman D, et\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\/2016\/04\/BK2.jpg?fit=640%2C480&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?fit=640%2C480&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/BK2.jpg?fit=640%2C480&resize=525%2C300 1.5x"},"classes":[]},{"id":6960,"url":"http:\/\/news-papers.eu\/?p=6960","url_meta":{"origin":4306,"position":3},"title":"Hyperoxie nach Intubation in der Notaufnahme: sch\u00e4dlich?","author":"Michael Bernhard","date":"April 7, 2018","format":false,"excerpt":"Eine interessante Analyse liegt von David Page und Kollegen aus St. Louis, USA vor. Die Kollegen untersuchten den Einfluss einer postintubationsbedingten Hyperoxie in einem kritische kranken Patientenkollektiv in der Notaufnahme: Page N et al.,\u00a0Emergency department hyperoxia is associated with increased mortality in mechanically ventilated patients: a cohort study.\u00a0Critical Care201822:9 (PDF)\u2026","rel":"","context":"In &quot;Beatmung&quot;","block_context":{"text":"Beatmung","link":"http:\/\/news-papers.eu\/?cat=501"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Beatmungsger%C3%A4t1.jpg?fit=1024%2C767&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Beatmungsger%C3%A4t1.jpg?fit=1024%2C767&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Beatmungsger%C3%A4t1.jpg?fit=1024%2C767&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Beatmungsger%C3%A4t1.jpg?fit=1024%2C767&resize=700%2C400 2x"},"classes":[]},{"id":10800,"url":"http:\/\/news-papers.eu\/?p=10800","url_meta":{"origin":4306,"position":4},"title":"Medizinische Fachangestellte (w\/m\/d), Zentrale Notaufnahme, Universit\u00e4tsklinikum D\u00fcsseldorf","author":"Michael Bernhard","date":"Januar 16, 2020","format":false,"excerpt":"Mit rund 8.000 Besch\u00e4ftigten ist das Universit\u00e4tsklinikum einer der gr\u00f6\u00dften Arbeitgeber D\u00fcsseldorfs und entwickelt sich permanent weiter. Durch seine Gr\u00f6\u00dfe und optimale Ausstattung sowie die Verbindung zu Forschung und Lehre bietet das Universit\u00e4tsklinikum ein breitgef\u00e4chertes Aufgabenspektrum, das den Arbeitsalltag \u00e4u\u00dferst vielf\u00e4ltig gestaltet. 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Emerg Med J 2016; 33: 194-199 Die kanadischen Kollegen identifizierten zahlreiche Untersuchungen, die sich mit dem Thema der\u2026","rel":"","context":"In &quot;Zentrale interdisziplin\u00e4re Notaufnahme&quot;","block_context":{"text":"Zentrale interdisziplin\u00e4re Notaufnahme","link":"http:\/\/news-papers.eu\/?cat=10"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/image1.jpeg?fit=640%2C464&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/image1.jpeg?fit=640%2C464&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/image1.jpeg?fit=640%2C464&resize=525%2C300 1.5x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/4306","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4306"}],"version-history":[{"count":9,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/4306\/revisions"}],"predecessor-version":[{"id":4333,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/4306\/revisions\/4333"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/4308"}],"wp:attachment":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4306"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4306"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4306"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}