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Review
. 2023;26(1):4-14.
doi: 10.1007/s10049-022-00990-5. Epub 2022 Mar 10.

["B problems" in non-traumatic resuscitation room management]

[Article in German]
Bernhard Kumle  1   2 , Mark Michael  3 , Andreas Wermke  1 , Christoph Schmitz  4 , Niels Hammer  5   6   7 , Philipp Kümpers  8 , Martin Pin  9 , Michael Bernhard  3
Affiliations
Review

["B problems" in non-traumatic resuscitation room management]

[Article in German]
Bernhard Kumle et al. Notf Rett Med. 2023.

Abstract
in English, German

In the primary survey of resuscitation room management in critically ill nontrauma patients, the ABCDE (airway, breathing, circulation, disability, exposure) approach is used for immediate recognition and treatment of life-threatening conditions. "B problems" are associated with respiratory failure and require immediate treatment. The pathogenesis is diverse, especially in the nontrauma resuscitation room. Clinical examination, emergency sonography and knowledge of oxygenation techniques and ventilation are important components of diagnosis and therapy. Standardized procedures and regular training in the emergency room are of fundamental importance.

Beim Primary Survey des nichttraumatologischen Schockraummanagements kritisch kranker Patienten dient das ABCDE-Schema zur sofortigen Erkennung und Therapie vitaler Gefährdungen. „B-Probleme“ gehen mit einer Störung der Atmung einher und bedürfen einer sofortigen Behandlung. Die Pathogenese von „B-Problemen“ ist gerade im nichttraumatologischen Schockraum vielfältig. Klinische Untersuchung, Notfallsonographie und Kenntnisse in den Oxygenierungstechniken und der Beatmung stellen hier wichtige Bestandteile der Diagnostik und Therapie dar. Hierzu sind ein standardisiertes Vorgehen und regelmäßiges Training in der Notaufnahme von elementarer Bedeutung.

Keywords: Airway management; Emergency ventilation; Point-of-care ultrasonography (POCUS); Respiratory insufficiency.

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