{"id":7871,"date":"2018-08-19T04:45:29","date_gmt":"2018-08-19T02:45:29","guid":{"rendered":"http:\/\/news-papers.eu\/?p=7871"},"modified":"2018-07-29T09:52:45","modified_gmt":"2018-07-29T07:52:45","slug":"update-schock-by-nerdfallmedizin-de","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=7871","title":{"rendered":"Update Schock: by Nerdfallmedizin.de"},"content":{"rendered":"<p><iframe loading=\"lazy\"  id=\"_ytid_88218\"  width=\"1170\" height=\"658\"  data-origwidth=\"1170\" data-origheight=\"658\" src=\"https:\/\/www.youtube.com\/embed\/z8wIfRKdUHk?enablejsapi=1&#038;autoplay=0&#038;cc_load_policy=0&#038;cc_lang_pref=&#038;iv_load_policy=1&#038;loop=0&#038;rel=1&#038;fs=1&#038;playsinline=0&#038;autohide=2&#038;theme=dark&#038;color=red&#038;controls=1&#038;disablekb=0&#038;\" class=\"__youtube_prefs__  epyt-is-override  no-lazyload\" title=\"YouTube player\"  allow=\"fullscreen; accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen data-no-lazy=\"1\" data-skipgform_ajax_framebjll=\"\"><\/iframe><\/p>\n<p>Martin Fandler und Philipp Gotthardt berichten bei Nerdfallmedizin.de \u00fcber Schock, seine Formen und die Therapieans\u00e4tze:<\/p>\n<p>Leitsymptome:<\/p>\n<ul>\n<li>Hypotonie und\/oder Tachykardie<\/li>\n<li>Unklarer Kollaps,<\/li>\n<li>Vigilanz\u00e4nderung oder -minderung<\/li>\n<li>verl\u00e4ngerte Rekapillarisierung<\/li>\n<li>\u201eMottling\u201c und<\/li>\n<li>erh\u00f6hte Atemfrequenz<\/li>\n<li>Laktaterh\u00f6hung<\/li>\n<li>Oligurie<\/li>\n<\/ul>\n<p><iframe loading=\"lazy\"  id=\"_ytid_39490\"  width=\"1170\" height=\"658\"  data-origwidth=\"1170\" data-origheight=\"658\" src=\"https:\/\/www.youtube.com\/embed\/pTVrcJkIvWo?enablejsapi=1&#038;autoplay=0&#038;cc_load_policy=0&#038;cc_lang_pref=&#038;iv_load_policy=1&#038;loop=0&#038;rel=1&#038;fs=1&#038;playsinline=0&#038;autohide=2&#038;theme=dark&#038;color=red&#038;controls=1&#038;disablekb=0&#038;\" class=\"__youtube_prefs__  epyt-is-override  no-lazyload\" title=\"YouTube player\"  allow=\"fullscreen; accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen data-no-lazy=\"1\" data-skipgform_ajax_framebjll=\"\"><\/iframe><\/p>\n<h3>Es gibt vier \u201egro\u00dfe\u201c Schockformen (oft auch \u00fcberlappend):<\/h3>\n<ul>\n<li>Kardiogener Schock (z.B. Myokardinfarkt, Herzinsuffizienz, Rhythmusst\u00f6rungen)<\/li>\n<li>Hypovol\u00e4mer Schock (z.B. Volumenmangel (Blut, Fl\u00fcssigkeit))<\/li>\n<li>Distributiver Schock (z.B. Sepsis, Anaphylaxie)<\/li>\n<li>Obstruktiver Schock (z.B. Spannungspneu, Lungenembolie, Perikardtamponade)<\/li>\n<\/ul>\n<h3>Subformen:<\/h3>\n<ul>\n<li>Toxischer Schock (a.e. kardiogen und\/oder distributiv)<\/li>\n<li>Endokriner Schock bei Addison-Krise, im Verlauf bei thyreotoxischer Krise (a.e. kardiogen und\/oder distributiv)<\/li>\n<li>Neurogener Schock (distributiv, teils mit massiver Bradykardie)<\/li>\n<\/ul>\n<h3>Tipps und Tricks:<\/h3>\n<ul>\n<li>\u201eSchock-Sono\u201c (z.B. RUSH-Protokoll)<\/li>\n<li>BGA mit Laktat<\/li>\n<li>\u201epassive leg raise\u201c<\/li>\n<li>Push Dose Pressors (siehe unser Video)<\/li>\n<\/ul>\n<h3>Therapie:<\/h3>\n<ul>\n<li>Grundproblem behandelnd (Strom, Intervention, OP, Blut, TXA, Blutstillung)<\/li>\n<li>Volumentherapie probatorisch 500ml Ringer \u201evolume challenge\u201c<\/li>\n<li>Katecholamintherapie: Push Dose Pressors, dann Nordadrenalin<\/li>\n<li>Ggf. Intubation und Beatmung<\/li>\n<\/ul>\n<h3>Weiterf\u00fchrende Literatur und Artikel:<\/h3>\n<blockquote class=\"wp-embedded-content\" data-secret=\"dlYXs6oRLR\"><p><a href=\"http:\/\/news-papers.eu\/kardiale-haemodynamik-im-schock-und-nun\">Kardiale H\u00e4modynamik im Schock &#8211; und nun ?<\/a><\/p><\/blockquote>\n<p><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" src=\"http:\/\/news-papers.eu\/kardiale-haemodynamik-im-schock-und-nun\/embed#?secret=dlYXs6oRLR\" data-secret=\"dlYXs6oRLR\" width=\"600\" height=\"338\" title=\"&#8222;Kardiale H\u00e4modynamik im Schock &#8211; und nun ?&#8220; &#8212; News Papers\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"Kdrh1bhG5P\"><p><a href=\"https:\/\/emcrit.org\/rush-exam\/\">Rapid Ultrasound for Shock and Hypotension &#8211; the RUSH Exam<\/a><\/p><\/blockquote>\n<p><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" src=\"https:\/\/emcrit.org\/rush-exam\/embed\/#?secret=Kdrh1bhG5P\" data-secret=\"Kdrh1bhG5P\" width=\"600\" height=\"338\" title=\"&#8220;Rapid Ultrasound for Shock and Hypotension &#8211; the RUSH Exam&#8221; &#8212; EMCrit Project\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<p><a href=\"http:\/\/resus.me\/tag\/shock\/\" target=\"_blank\" rel=\"noopener\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"7872\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=7872\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/logoResusMe.gif?fit=495%2C109\" data-orig-size=\"495,109\" 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=\"logoResusMe\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/logoResusMe.gif?fit=495%2C109\" class=\"alignnone wp-image-7872\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/logoResusMe.gif?resize=668%2C147\" alt=\"\" width=\"668\" height=\"147\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Martin Fandler und Philipp Gotthardt berichten bei Nerdfallmedizin.de \u00fcber Schock, seine Formen und die Therapieans\u00e4tze: Leitsymptome: Hypotonie und\/oder Tachykardie Unklarer Kollaps, Vigilanz\u00e4nderung oder -minderung verl\u00e4ngerte Rekapillarisierung \u201eMottling\u201c und erh\u00f6hte Atemfrequenz [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":5688,"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":[682],"tags":[371],"class_list":["post-7871","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-schockraummanagement","tag-schock"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/09\/Bildschirmfoto-2017-09-18-um-11.24.15.png?fit=620%2C282","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-22X","jetpack-related-posts":[{"id":8441,"url":"http:\/\/news-papers.eu\/?p=8441","url_meta":{"origin":7871,"position":0},"title":"Cool! 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