{"id":6605,"date":"2018-03-23T04:35:34","date_gmt":"2018-03-23T03:35:34","guid":{"rendered":"http:\/\/news-papers.eu\/?p=6605"},"modified":"2018-01-11T20:21:14","modified_gmt":"2018-01-11T19:21:14","slug":"sht","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=6605","title":{"rendered":"SHT &#8211; Ein Update"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"6606\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=6606\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-17-um-17.13.09.png?fit=1236%2C1000\" data-orig-size=\"1236,1000\" 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=\"SHT\" data-image-description=\"&lt;p&gt;SHT&lt;\/p&gt;\n\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-17-um-17.13.09.png?fit=1024%2C828\" class=\"wp-image-6606 size-medium alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-17-um-17.13.09.png?resize=300%2C243\" alt=\"SHT\" width=\"300\" height=\"243\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-17-um-17.13.09.png?resize=300%2C243 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-17-um-17.13.09.png?resize=768%2C621 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-17-um-17.13.09.png?resize=1024%2C828 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-17-um-17.13.09.png?resize=750%2C607 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-17-um-17.13.09.png?w=1236 1236w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p style=\"text-align: justify;\">In einem Weiterbildungsartikel f\u00fcr die Thieme-Zeitschrift <a href=\"https:\/\/eref.thieme.de\/ejournals\/1438-8693_2017_06#\/10.1055-s-0043-122293\" target=\"_blank\" rel=\"noopener\">DER NOTARZT<\/a> haben Kollegen der Kliniken f\u00fcr Neurochirurgie und An\u00e4sthesiologie des Ulmer Bundeswehrkrankenhauses die wichtigsten Aspekte zur pr\u00e4hospitalen Versorgung des Sch\u00e4del-Hirn-Traumas zusammengefasst.<\/p>\n<blockquote><p><strong>Freude G, Mauer UM, G\u00e4ssler H, Datzmann T.\u00a0<\/strong><strong>Pr\u00e4hospitale Versorgung des Sch\u00e4del-Hirn-Traumas.\u00a0<\/strong><strong>Der Notarzt 2017; 33: 300\u20139<\/strong><\/p><\/blockquote>\n<hr \/>\n<ul>\n<li>Die pr\u00e4hospitale Versorgung von Patienten mit Sch\u00e4del-Hirn-Trauma zielt darauf ab, die sekund\u00e4ren Hirnverletzungen zu reduzieren.<\/li>\n<li>Die pr\u00e4hospitalen diagnostischen und therapeutischen M\u00f6glichkeiten sind jedoch sehr limitiert. Deshalb sollten Patientenmit Sch\u00e4del-Hirn-Trauma (SHT) m\u00f6glichst direkt in ein Traumazentrum mit neurochirurgischer Versorgungsm\u00f6glichkeit transportiert werden.<\/li>\n<li>Kritische Blutungen am Kopf m\u00fcssen so schnell wie m\u00f6glich gestillt werden.<\/li>\n<li>Bei einem Wert unter 9 auf der Glasgow Coma Scale (GCS) ist die Indikation zur Intubation und Beatmung gegeben.<\/li>\n<li>Auch bei posttraumatischer Bewusstlosigkeit ist von einem SHT auszugehen und der Patient sollte in ein Traumazentrum mit neurochirurgischer Versorgungsm\u00f6glichkeit gebracht werden.<\/li>\n<\/ul>\n<hr \/>\n<p><strong><a href=\"https:\/\/twitter.com\/news_papers_eu?refsrc=email&amp;s=11\" target=\"_blank\" rel=\"noopener noreferrer\">News-Papers.eu auf TWITTER<\/a>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<a href=\"http:\/\/news-papers.eu\/follow\" target=\"_blank\" rel=\"noopener noreferrer\">Follow news-papers.eu<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In einem Weiterbildungsartikel f\u00fcr die Thieme-Zeitschrift DER NOTARZT haben Kollegen der Kliniken f\u00fcr Neurochirurgie und An\u00e4sthesiologie des Ulmer Bundeswehrkrankenhauses die wichtigsten Aspekte zur pr\u00e4hospitalen Versorgung des Sch\u00e4del-Hirn-Traumas zusammengefasst. Freude G, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"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":[1293],"tags":[390],"class_list":["post-6605","post","type-post","status-publish","format-standard","hentry","category-sht","tag-sht"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/s7fR2g-sht","jetpack-related-posts":[{"id":19670,"url":"http:\/\/news-papers.eu\/?p=19670","url_meta":{"origin":6605,"position":0},"title":"Normokapnie bereits pr\u00e4hospital verbessert Outcome bei Patienten mit schwerem Sch\u00e4del-Hirn-Trauma","author":"Bj\u00f6rn Hossfeld","date":"Juni 5, 2025","format":false,"excerpt":"Das schwere Sch\u00e4del-Hirn-Trauma (SHT) z\u00e4hlt weltweit zu den h\u00e4ufigsten Todesursachen. Ein optimales Management der zerebralen Durchblutung und des intrakraniellen Drucks bereits w\u00e4hrend der pr\u00e4hospitalen Versorgung kann sich positiv auf den Behandlungserfolg dieser Patienten auswirken. Diese beiden Zielwerte werden vom arteriellen PaCO2-Wert beeinflusst. EIne Arbeitsgruppe aus der Schweiz hat nun den\u2026","rel":"","context":"In &quot;Blutgasanalyse&quot;","block_context":{"text":"Blutgasanalyse","link":"http:\/\/news-papers.eu\/?cat=1867"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/06\/Arterie-praehospital.png?fit=1164%2C1200&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/06\/Arterie-praehospital.png?fit=1164%2C1200&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/06\/Arterie-praehospital.png?fit=1164%2C1200&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/06\/Arterie-praehospital.png?fit=1164%2C1200&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/06\/Arterie-praehospital.png?fit=1164%2C1200&resize=1050%2C600 3x"},"classes":[]},{"id":9118,"url":"http:\/\/news-papers.eu\/?p=9118","url_meta":{"origin":6605,"position":1},"title":"Inzidenz und Versorgung des mittelschweren\u00a0bis schweren SHT","author":"Michael Bernhard","date":"April 4, 2019","format":false,"excerpt":"Eine aktuelle Auswertung des DGU TraumaRegisters wurde im Deutschen \u00c4rzteblatt ver\u00f6ffentlich: Maegele M, et al. 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DOI: 10.3238\/arztebl.2019.0167 (PDF) Eine kurze Zusammenfassung: In den Jahren 2013 bis 2017\u2026","rel":"","context":"In &quot;Trauma&quot;","block_context":{"text":"Trauma","link":"http:\/\/news-papers.eu\/?cat=6"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/04\/SHT.png?fit=1200%2C900&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/04\/SHT.png?fit=1200%2C900&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/04\/SHT.png?fit=1200%2C900&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/04\/SHT.png?fit=1200%2C900&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/04\/SHT.png?fit=1200%2C900&resize=1050%2C600 3x"},"classes":[]},{"id":8914,"url":"http:\/\/news-papers.eu\/?p=8914","url_meta":{"origin":6605,"position":2},"title":"Der An\u00e4sthesist pr\u00e4hospital beim SHT","author":"Michael Bernhard","date":"M\u00e4rz 4, 2019","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/Schweiz: Eine sehr gute Studie zur Bedeutung des sicheren und z\u00fcgigen Airwaymanagements beim Sch\u00e4del-Hirn-Trauma wurde ganz aktuell von Pakkanen et al. ver\u00f6ffentlicht. 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Prehospital on-scene anaesthetist treating severe traumatic brain injury patients is associated with lower mortality and better neurological\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"http:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"Intubation mit C-MAC PM Christophh22","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Intubation-mit-C-MAC-PM-Christophh22-.jpg?fit=1200%2C855&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Intubation-mit-C-MAC-PM-Christophh22-.jpg?fit=1200%2C855&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Intubation-mit-C-MAC-PM-Christophh22-.jpg?fit=1200%2C855&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Intubation-mit-C-MAC-PM-Christophh22-.jpg?fit=1200%2C855&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Intubation-mit-C-MAC-PM-Christophh22-.jpg?fit=1200%2C855&resize=1050%2C600 3x"},"classes":[]},{"id":17511,"url":"http:\/\/news-papers.eu\/?p=17511","url_meta":{"origin":6605,"position":3},"title":"Pr\u00e4hospitale Blutgasanalyse beim SHT","author":"Bj\u00f6rn Hossfeld","date":"Oktober 17, 2023","format":false,"excerpt":"Patienten mit schwerem Sch\u00e4del-Hirn-Trauma (SHT) sollen laut der aktuellen S3-Leitlinie Polytrauma und Schwerverletztenversorgung intubiert und mittels einer kontrollierten Ventilation mit Ziel der Normoventilation beatmet werden. 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