{"id":9209,"date":"2019-04-19T04:07:41","date_gmt":"2019-04-19T02:07:41","guid":{"rendered":"http:\/\/news-papers.eu\/?p=9209"},"modified":"2019-03-30T12:31:35","modified_gmt":"2019-03-30T11:31:35","slug":"european-bleeding-guideline-5-auflage-teil-2","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=9209","title":{"rendered":"European bleeding guideline, 5. Auflage &#8211; Teil 2"},"content":{"rendered":"<blockquote><p><strong><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9203\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=9203\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1892%2C682\" data-orig-size=\"1892,682\" 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 2019-03-30 um 11.38.16\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1024%2C369\" class=\"alignnone wp-image-9203\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?resize=614%2C221\" alt=\"\" width=\"614\" height=\"221\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?resize=300%2C108 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?resize=768%2C277 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?resize=1024%2C369 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?resize=750%2C270 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?w=1892 1892w\" sizes=\"auto, (max-width: 614px) 100vw, 614px\" \/>Spahn DR et al. The European guideline on management of\u00a0major bleeding and coagulopathy\u00a0following trauma: fifth edition.\u00a0Critical Care (2019) 23:98\u00a0(<a href=\"https:\/\/ccforum.biomedcentral.com\/articles\/10.1186\/s13054-019-2347-3\" target=\"_blank\" rel=\"noopener\">PDF<\/a>)<\/strong><\/p><\/blockquote>\n<p><strong>Kernaussagen (freie \u00dcbersetzung):<\/strong><\/p>\n<p><strong>Diagnostik und Monitoring\u00a0einer Blutung<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify;\">Wir empfehlen, dass der Arzt eine <strong>klinische Beurteilung des Blutungsausmasses<\/strong> anhand einer Kombination der Physiologie, anatomischen Vwerletzungszeichen, Traumamechanismus und der Patientenreaktion auf die initialen Rettungsmassnahmen. (Grade 1C)<\/li>\n<li style=\"text-align: justify;\">Wir empfehlen den <strong>Schockindex<\/strong> zu nutzen, um einen hypovol\u00e4men Schock einzusch\u00e4tzen. (Grade 2C)<\/li>\n<\/ul>\n<p><strong>Unmittelbare Intervention<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify;\">Wir empfehlen, dass der Patient mit einer Blutungsquelle und einer einem h\u00e4morrhagischen Schock einer <strong>unmittelbaren Ma\u00dfnahme zur Blutungskontrolle<\/strong> zugef\u00fchrt wird. (Grade 1C)<\/li>\n<li style=\"text-align: justify;\">Wir empfehlen, dass Patienten ohne unmittelbare Notwendigkeit einer Blutungskontrolle aber mit einer unerkannten Blutungsquelle \u00a0<strong>weitere Untersuchungen<\/strong> erhalten sollten. (Grade 1C)<\/li>\n<\/ul>\n<p><strong>Bildgebung<\/strong><\/p>\n<ul>\n<li>Wir empfehlen die <strong>Nutzung von FAST<\/strong> (Sonographie) um freie Fl\u00fcssigkeit im Torso zu erkennen. (Grade 1C)<\/li>\n<li>Wir empfehlen die <strong>fr\u00fche Bildgebung mittels Ganzk\u00f6rper-Computertomographie<\/strong> um Verletzungen und potentielle Blutungsursachen zu erkennen.\u00a0(Grade 1B)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Spahn DR et al. The European guideline on management of\u00a0major bleeding and coagulopathy\u00a0following trauma: fifth edition.\u00a0Critical Care (2019) 23:98\u00a0(PDF) Kernaussagen (freie \u00dcbersetzung): Diagnostik und Monitoring\u00a0einer Blutung Wir empfehlen, dass der [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":9203,"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":[1210],"tags":[186,1618],"class_list":["post-9209","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blutungsmanagement","tag-blutung","tag-guideline"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1892%2C682","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-2ox","jetpack-related-posts":[{"id":9212,"url":"http:\/\/news-papers.eu\/?p=9212","url_meta":{"origin":9209,"position":0},"title":"European bleeding guideline, 5. Auflage &#8211; Teil 4","author":"Michael Bernhard","date":"Mai 1, 2019","format":false,"excerpt":"Spahn DR et al. The European guideline on management of\u00a0major bleeding and coagulopathy\u00a0following trauma: fifth edition.\u00a0Critical Care (2019) 23:98\u00a0(PDF) Kernaussagen (freie \u00dcbersetzung): H\u00e4moglobin (Hb) Wir empfehlen einen niedrigen Hb-Wert als Marker f\u00fcr eine schwere Blutung mit assoziierter Koagulopathie heranziehen. (Grade 1B) Wir empfehlen die Nutzung von wiederholten Hb-Bestimmungen als einer\u2026","rel":"","context":"In &quot;Blutungsmanagement&quot;","block_context":{"text":"Blutungsmanagement","link":"http:\/\/news-papers.eu\/?cat=1210"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=1050%2C600 3x"},"classes":[]},{"id":9218,"url":"http:\/\/news-papers.eu\/?p=9218","url_meta":{"origin":9209,"position":1},"title":"European bleeding guideline, 5. 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The European guideline on management of\u00a0major bleeding and coagulopathy\u00a0following trauma: fifth edition.\u00a0Critical Care (2019) 23:98\u00a0(PDF) Kernaussagen (freie \u00dcbersetzung): Vasopressoren und Katecholamine Beim Vorliegen einer lebensbedrohlichen Hypotension empfehlen wir den Einsatz von Vasopressoren und Vasopressoren mit Volumentherapie bis zum Erreichen eines arteriellen Zielblutdrucks.\u00a0(Grade 1C) Wir empfehlen die\u2026","rel":"","context":"In &quot;Blutungsmanagement&quot;","block_context":{"text":"Blutungsmanagement","link":"http:\/\/news-papers.eu\/?cat=1210"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=1050%2C600 3x"},"classes":[]},{"id":9202,"url":"http:\/\/news-papers.eu\/?p=9202","url_meta":{"origin":9209,"position":2},"title":"European bleeding guideline, 5. 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(Grade 1B) Wir empfehlen, dass die Zeit zwischen Verletzung und\u2026","rel":"","context":"In &quot;Blutungsmanagement&quot;","block_context":{"text":"Blutungsmanagement","link":"http:\/\/news-papers.eu\/?cat=1210"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/03\/Bildschirmfoto-2019-03-30-um-11.38.16.png?fit=1200%2C433&resize=1050%2C600 3x"},"classes":[]},{"id":14524,"url":"http:\/\/news-papers.eu\/?p=14524","url_meta":{"origin":9209,"position":3},"title":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 8","author":"Michael Bernhard","date":"Oktober 24, 2021","format":false,"excerpt":"Nun zu Teil 8\u00a0der\u00a0Surviving Sepsis Campaign Guideline 2021 ist am 02.10.2021 publiziert worden: Evans L, et al. 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