{"id":9711,"date":"2019-06-22T04:27:04","date_gmt":"2019-06-22T02:27:04","guid":{"rendered":"http:\/\/news-papers.eu\/?p=9711"},"modified":"2019-06-21T19:30:34","modified_gmt":"2019-06-21T17:30:34","slug":"abbruch-von-reanimationsmassnahmen","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=9711","title":{"rendered":"Abbruch von Reanimationsma\u00dfnahmen &#8211; TOR-Rule"},"content":{"rendered":"<blockquote><p><strong><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9712\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=9712\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/dead-e1559983430883.jpg?fit=300%2C175\" data-orig-size=\"300,175\" 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=\"dead\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/dead-e1559983430883.jpg?fit=1024%2C596\" class=\"size-medium wp-image-9712 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/dead.jpg?resize=300%2C175\" alt=\"\" width=\"300\" height=\"175\" \/>Hinkelbein J et al.\u00a0Kardiopulmonale Reanimation.\u00a0Aussichtslose Situationen erkennen. Deutsches \u00c4rzteblatt 2019; A1112-A114 (<a href=\"https:\/\/www.aerzteblatt.de\/archiv\/208102\/Kardiopulmonale-Reanimation-Aussichtslose-Situationen-erkennen\" target=\"_blank\" rel=\"noopener\">PDF<\/a>)<\/strong><\/p><\/blockquote>\n<p><strong>Abbruch von Reanimationsma\u00dfnahmen:<\/strong><\/p>\n<ul>\n<li>im Team besprechen<\/li>\n<li>im Konsens mit allen Beteiligten beschliessen, ggf. auch den Angeh\u00f6rigen<\/li>\n<li>Therapie reversibler Ursachen durchf\u00fchren<\/li>\n<li>Abbruch bei Asystolie\u00a0f\u00fcr mehr als 20 Minuten<\/li>\n<li>bei VF\/VT ggf. Patiententransport unter CPR erw\u00e4gen<\/li>\n<li>&#8222;liegt ein vom Patienten unterzeichnetes und glaubhaftes Dokument vor, dass er keine Reanimation\u00a0w\u00fcnscht, oder gibt es einen entsprechenden DNR-Eintrag in der Krankenakte, muss sichergestellt sein, dass diese Angaben auch aktuell sind.&#8220;<\/li>\n<li>DNR-Anweisungen m\u00fcssen regelm\u00e4\u00dfig \u00fcberpr\u00fcft werden<\/li>\n<\/ul>\n<blockquote><p><strong>\u201eTermination of resuscitation\u201c- Regeln (TOR-Rule):<\/strong><\/p>\n<p><strong>1. initiale Asystolie,<\/strong><\/p>\n<p><strong>2. unbeobachteter Herz-Kreislauf-\u00a0Stillstand,<\/strong><\/p>\n<p><strong>3. Alter \u2265 81 Jahre,<\/strong><\/p>\n<p><strong>4. keine Laienreanimation oder\u00a0kein AED genutzt vor Eintreffen\u00a0des Rettungsdienstes,<\/strong><\/p>\n<p><strong>5. kein ROSC nach 14 Minuten\u00a0Reanimation durch den Rettungsdienst.<\/strong><\/p><\/blockquote>\n<p style=\"text-align: justify;\">Zur Terminierung sollte immer eine Kombination mehrerer prognostischer Faktoren ber\u00fccksichtigt\u00a0werden. Terminierung einer Reanimationma\u00dfnahm ist immer eine Einzelfallentscheidung.<\/p>\n<p style=\"text-align: justify;\">Es besteht Evidenz, dass bei zunehmender\u00a0Reanimationsdauer im\u00a0Falle eines ROSC das Behandlungsergebnis\u00a0f\u00fcr Patienten\u00a0bei Krankenhausentlassung\u00a0signifikant schlechter ist.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hinkelbein J et al.\u00a0Kardiopulmonale Reanimation.\u00a0Aussichtslose Situationen erkennen. Deutsches \u00c4rzteblatt 2019; A1112-A114 (PDF) Abbruch von Reanimationsma\u00dfnahmen: im Team besprechen im Konsens mit allen Beteiligten beschliessen, ggf. auch den Angeh\u00f6rigen Therapie reversibler [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":9712,"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":[137],"tags":[],"class_list":["post-9711","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reanimatologie"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/dead-e1559983430883.jpg?fit=300%2C175","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-2wD","jetpack-related-posts":[{"id":16692,"url":"http:\/\/news-papers.eu\/?p=16692","url_meta":{"origin":9711,"position":0},"title":"S3 Leitlinie Polytrauma\/Schwerverletzten-Behandlung 4.0 &#8211; jetzt online Teil 2","author":"Michael Bernhard","date":"Februar 20, 2023","format":false,"excerpt":"Und nun zum Teil 2 der Polytraumaleitlinienreihe: Die S3 Leitlinie Polytrauma\/Schwerverletzten-Behandlung 4.0 ist jetzt online: Langfassung: https:\/\/register.awmf.org\/assets\/guidelines\/187-023l_S3_Polytrauma-Schwerverletzten-Behandlung_2023-02.pdf Kurzfassung: https:\/\/register.awmf.org\/assets\/guidelines\/187-023k_S3_Polytrauma-Schwerverletzten-Behandlung_2023-02.pdf Reanimation: Initiierung bei Bewusstlosigkeit und keiner oder nicht-normaler Atmung (GoRA) Profis sollen auch eine Pulskontrolle durchf\u00fchren (GPP) Trauma-Reanimation hat eine andere Pathophysiologie als eine Non-Trauma-Reanimation (GoRA) sofortige und gleichzeitige Behandlung reversibler\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\/2023\/02\/Bildschirm%C2%ADfoto-2023-02-18-um-16.33.34.png?fit=885%2C1200&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/02\/Bildschirm%C2%ADfoto-2023-02-18-um-16.33.34.png?fit=885%2C1200&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/02\/Bildschirm%C2%ADfoto-2023-02-18-um-16.33.34.png?fit=885%2C1200&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/02\/Bildschirm%C2%ADfoto-2023-02-18-um-16.33.34.png?fit=885%2C1200&resize=700%2C400 2x"},"classes":[]},{"id":19625,"url":"http:\/\/news-papers.eu\/?p=19625","url_meta":{"origin":9711,"position":1},"title":"Muss und will wirklich jeder Mensch mit Herz-Kreislauf-Stillstand reanimiert werden ?","author":"Bj\u00f6rn Hossfeld","date":"Mai 14, 2025","format":false,"excerpt":"Ein gemeinsamer Gastbeitrag von\u00a0 Bernhard Gliwitzky (Maikammer), J\u00f6rg Brokmann (Aachen), Michael M\u00fcller (Freiburg) und Stephan Pr\u00fcckner (M\u00fcnchen)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Eine Arbeitsgruppe aus der Universit\u00e4tsklinik Basel um Professor Sabina Hunziger, Dr. Christoph Becker und Dr. Sebastian Gro\u00df haben eine wichtige Arbeit im New England Journal of Medicine Evidence zu Wunsch oder Ablehnung der\u2026","rel":"","context":"In &quot;Reanimatologie&quot;","block_context":{"text":"Reanimatologie","link":"http:\/\/news-papers.eu\/?cat=137"},"img":{"alt_text":"CPR","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/01\/CPR-Video.png?fit=1200%2C615&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/01\/CPR-Video.png?fit=1200%2C615&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/01\/CPR-Video.png?fit=1200%2C615&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/01\/CPR-Video.png?fit=1200%2C615&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/01\/CPR-Video.png?fit=1200%2C615&resize=1050%2C600 3x"},"classes":[]},{"id":10744,"url":"http:\/\/news-papers.eu\/?p=10744","url_meta":{"origin":9711,"position":2},"title":"R\u00fcckblick auf news-papers.eu (Teil 2)","author":"Michael Bernhard","date":"Januar 2, 2020","format":false,"excerpt":"Gestern haben wir Euch den ersten Teil unseres Jahresr\u00fcckblicks pr\u00e4sentiert. 2019 war ein wissenschaftlich interessantes und spannendes Jahr, deshalb haben wir einen R\u00fcckblick der vergangenen Beitr\u00e4ge auf NEWS-PAPERS.EU\u00a0zusammengestellt und wegen der F\u00fclle auf zwei Posts verteilt. 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