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  1. Article ; Online: Resuscitation (un-)wanted: Does anyone care? A retrospective real data analysis.

    Rupp, Dennis / Heuser, Nils / Sassen, Martin Christian / Betz, Susanne / Volberg, Christian / Glass, Susanne

    Resuscitation

    2024  Volume 198, Page(s) 110189

    Abstract: Background and objectives: In case of out-of-hospital cardiac arrest (OHCA) personnel of the emergency medical services (EMS) are regularly confronted with advanced directives (AD) and do-not-attempt-resuscitation (DNACPR) orders. The authors conducted ... ...

    Abstract Background and objectives: In case of out-of-hospital cardiac arrest (OHCA) personnel of the emergency medical services (EMS) are regularly confronted with advanced directives (AD) and do-not-attempt-resuscitation (DNACPR) orders. The authors conducted a retrospective analysis of EMS operation protocols to examine the prevalence of DNACPR in case of OHCA and the influence of a presented DNACPR on CPR-duration, performed Advanced-Life-Support (ALS) measures and decision making.
    Materials and methods: Retrospective analysis of prehospital medical documentation of all resuscitation incidents in a German county with 250,000 inhabitants from 1 January 2016 to 31 December 2022. Combined with data from the structured CPR team-feedback database patients characteristics, measures and course of the CPR were analysed. Statistic testing with significance level p < 0.05.
    Results: In total n = 1,474 CPR events were analysed. Patients with DNACPR vs. no DNACPR: n = 263 (17.8%) vs. n = 1,211 (82.2%). Age: 80.0 ± 10.3 years vs. 68.0 ± 13.9 years; p < 0.001. Patients with ASA-status III/IV: n = 214 (81.3%) vs. n = 616 (50.9%); p < 0.001. Initial layperson-CPR: n = 148 (56.3%) vs. n = 647 (55.7%); p = 0.40. Airway management: n = 185 (70.3%) vs. n = 1,069 (88.3%); p < 0.001. With DNACPR CPR-duration initiated layperson-CPR vs. no layperson-CPR: 19:14 min (10:43-25:55 min) vs. 12:40 min (06:35-20:03 min); p < 0.001.
    Conclusion: In case of CPR EMS-personnel are often confronted with DNACPR-orders. Patients are older and have more previous diseases than patients without DNACPR. Initiated layperson-CPR might lead to misinterpretation of patients will with impact on CPR-duration and unwanted measures. Awareness of this issue should be created through measures such as training programs in particular to train staff in the interpretation and legal admissibility of ADs.
    Language English
    Publishing date 2024-03-24
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2024.110189
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    Zs.A 1048: Show issues Location:
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  2. Book ; Online ; Thesis: Vergleich der Isoprenalin-stimulierten cAMP-Produktion von HaCaT-Keratinozyten und kultivierten Keratinozyten aus gesunder und psoriatischer Haut

    Betz, Susanne

    2002  

    Author's details vorgelegt von Susanne Betz
    Language German
    Size Online-Ressource
    Publishing country Germany
    Document type Book ; Online ; Thesis
    Thesis / German Habilitation thesis Hamburg, Univ., Diss., 2002
    Note Open Access
    HBZ-ID HT013916460
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Article: Prähospitaler Kreislaufstillstand im Lockdown: Auswirkungen der übergreifenden Infektionspräventionsmaßnahmen während der ersten SARS-CoV-2-Welle.

    Grübl, T / Plöger, B / Sassen, M C / Jerrentrup, A / Schieffer, B / Betz, S

    Notfall & rettungsmedizin

    2021  , Page(s) 1–6

    Abstract: Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread worldwide. Consequences of infection prevention measures during such contagion events can cause disadvantages especially for patients in out-of-hospital cardiac arrest ( ... ...

    Title translation Out-of-hospital cardiac arrest during lockdown.
    Abstract Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread worldwide. Consequences of infection prevention measures during such contagion events can cause disadvantages especially for patients in out-of-hospital cardiac arrest (OHCA).
    Methods: Retrospective analysis of OHCAs in one county from January-May in 2018, 2019 and 2020, with the first appearance of the SARS-CoV‑2 pandemic in 2020 and a high incidence of the influenza virus in 2018.
    Results: A total of 497 OHCAs were investigated (2018
    Discussion: The lockdown during the first wave of SARS-CoV‑2 pandemic does not seem to have affected the outcome of OHCA patients without coronavirus disease 2019 (COVID-19) in the end.
    Language German
    Publishing date 2021-08-24
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 1424737-9
    ISSN 1436-0578 ; 1434-6222
    ISSN (online) 1436-0578
    ISSN 1434-6222
    DOI 10.1007/s10049-021-00932-7
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  4. Article ; Online: Effect of coronavirus (COVID-19) pandemic on orthopedic trauma patients presenting in the emergency department of a maximum care hospital and level 1 trauma center.

    Frink, M / Ketter, V / Klama, N / Knauf, T / Betz, S / Ruchholtz, S / Aigner, R

    Archives of orthopaedic and trauma surgery

    2021  Volume 143, Issue 3, Page(s) 1231–1236

    Abstract: Introduction: While overcrowding of emergency departments was often reported in the recent years, during the early phase of the pandemic, a reduction in patient numbers was seen. The aim of the current study was to describe the orthopedic trauma patient ...

    Abstract Introduction: While overcrowding of emergency departments was often reported in the recent years, during the early phase of the pandemic, a reduction in patient numbers was seen. The aim of the current study was to describe the orthopedic trauma patient cohort presenting to the emergency department (ED) during the early pandemic period as compared to the cohort from the analogue time period 2019.
    Materials and methods: A single-center case-control study was performed. All the consecutive orthopedic trauma patients > 12 years presenting to the ED were included. Patients in the same time period in 2019 served as the control group.
    Results: Compared to 2019, in 2020, 33% less patients presented in the emergency department. Patients treated in 2020 were significantly older, significantly more often brought to ED by emergency medical services and significantly more often admitted. The number of fractures and diagnoses requiring surgical treatment decreased only slightly and the proportion of these patients among all the patients was significantly higher during the pandemic than in the control period. Furthermore, a higher percentage of polytrauma patients could be found in 2020 as well. Analysis of Manchester Triage System showed significantly less not urgent patients in 2020.
    Conclusion: The present study shows a significant decline in the number of patients treated in the ED during the pandemic period but at the same time almost identical numbers of patients with fractures or diagnoses requiring surgical treatment. In the context of an overall decline in patient numbers, a stronger concentration on level 1 trauma centers seems to be evident during the pandemic.
    MeSH term(s) Humans ; COVID-19 ; Trauma Centers ; Case-Control Studies ; Pandemics ; Emergency Service, Hospital ; Fractures, Bone ; Hospitals ; Retrospective Studies
    Language English
    Publishing date 2021-11-09
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80407-1
    ISSN 1434-3916 ; 0003-9330 ; 0344-8444
    ISSN (online) 1434-3916
    ISSN 0003-9330 ; 0344-8444
    DOI 10.1007/s00402-021-04234-y
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  5. Article ; Online: Synkope in der präklinischen Notfallmedizin.

    Kill, C / Betz, S / Bösl, E

    Medizinische Klinik, Intensivmedizin und Notfallmedizin

    2018  Volume 115, Issue 2, Page(s) 88–93

    Abstract: Loss of consciousness is a frequent cause for an emergency call to the emergency medical services (EMS). It can be associated with life-threatening conditions. A distinction must be made between transient loss of consciousness (TLOC) and syncope, which ... ...

    Title translation Syncope in prehospital emergency medicine.
    Abstract Loss of consciousness is a frequent cause for an emergency call to the emergency medical services (EMS). It can be associated with life-threatening conditions. A distinction must be made between transient loss of consciousness (TLOC) and syncope, which is of cardiovascular origin by definition. Initial assessment in prehospital emergency care should follow the ABCDE algorithm including a 12-lead ECG. The presence of important risk factors such as occurrence in supine position, physical stress, palpitations, history of heart diseases, and any abnormalities in the ECG warrants hospital admission. Initial treatment without admission to an emergency department may only be acceptable for healthy patients without any risk factors and injuries, when vital signs are normal and an orthostatic etiology seems most likely.
    MeSH term(s) Emergency Medical Services ; Emergency Medicine ; Emergency Service, Hospital ; Humans ; Syncope/diagnosis ; Unconsciousness
    Language German
    Publishing date 2018-07-16
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2636018-4
    ISSN 2193-6226 ; 1435-1420 ; 0723-5003 ; 2193-6218 ; 0175-3851
    ISSN (online) 2193-6226 ; 1435-1420
    ISSN 0723-5003 ; 2193-6218 ; 0175-3851
    DOI 10.1007/s00063-018-0458-2
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  6. Book ; Thesis: Extrakutane Manifestation bei kutanen Non-Hodgkin-Lymphomen

    Betz, Susanne

    1991  

    Author's details vorgelegt von Susanne Betz
    Size 183 S. : graph. Darst.
    Document type Book ; Thesis
    Thesis / German Habilitation thesis München, Univ., Diss., 1991
    HBZ-ID HT004191254
    Database Catalogue ZB MED Medicine, Health

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  7. Article ; Online: Thriving after pediatric spinal cord injury: two life stories.

    Betz, Samantha / Cadematori, Caitlin / Mulcahey, M J

    Spinal cord series and cases

    2021  Volume 7, Issue 1, Page(s) 25

    Abstract: Introduction: The primary objective of this qualitative study was to explore the lived experience of spinal cord injury (SCI) as described by life story interviews with two adults who sustained SCI as children.: Case presentation: Data were collected ...

    Abstract Introduction: The primary objective of this qualitative study was to explore the lived experience of spinal cord injury (SCI) as described by life story interviews with two adults who sustained SCI as children.
    Case presentation: Data were collected by conducting 15 life story interviews with two individuals with SCI. Atkinson's Life Story Interview approach along with open-ended questions was utilized to capture the narrative data. Polkinghorne's narrative analysis of eventful data approach was used to configure the data elements into a story with the purpose of understanding the lived experience of SCI of these two individuals. Four themes relevant to the experience of living with a chronic condition emerged: adjustment to life with SCI, hardiness, interdependence, and post-traumatic growth.
    Discussion: This study illustrated how the two participants' personal development and life trajectories were deeply shaped by pediatric-onset SCI. The life story interview process proved to be an effective approach to understanding the lived experience of SCI as told by two adults with pediatric-onset SCI. While the two participants represented unique contexts, their stories conveyed several cohesive, transcendent themes relevant to the experience of living with a chronic condition. Future narrative inquiry research in individuals with pediatric-onset SCI is necessary to build a representation of this population's lived experiences.
    MeSH term(s) Adult ; Child ; Humans ; Qualitative Research ; Spinal Cord Injuries
    Language English
    Publishing date 2021-03-26
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 2058-6124
    ISSN (online) 2058-6124
    DOI 10.1038/s41394-021-00392-8
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  8. Article ; Online: Characterization of soil structure in Neuras, a Namibian desert-vineyard

    Eden, M. / Bens, O. / Betz, S. / Völkel, J.

    Die Erde

    2020  

    Abstract: Soil plays an important role in the context of vine growth and wine production; particularly soil structure which gov-erns plant water uptake. Therefore, soil physical and hydrological properties were studied at Neuras vineyard, located near the Namib ... ...

    Abstract Soil plays an important role in the context of vine growth and wine production; particularly soil structure which gov-erns plant water uptake. Therefore, soil physical and hydrological properties were studied at Neuras vineyard, located near the Namib Desert. Water is scarce in this environment and wine production is limited to few vineyards in Namibia, overall. Managed plots and unmanaged nearby sites were investigated using field and laboratory methods. Viticultural techniques were noted and management related aspects were gathered in an interview. Datasets from two sampling trips in 2014 and 2016 were generated. In 2014, older vineyard soils displayed different properties than unmanaged soils or a younger vineyard, showing lower bulk densities and higher total porosities, with increased organic carbon and ni-trogen contents. In 2016, the unmanaged reference plot differed from managed plots mainly in terms of lower electrical conductivity and higher cation exchange capacity. In managed soils contents of Smectites and Vermiculites were higher, while those of Chlorites and Illites were lower. Soil water retention properties were also altered, in line with structural changes indicated by bulk density and total porosity. These differences were more pronounced in vineyards of differ-ent ages than in those with even ages and indicate overall very different soil and soil structural conditions for the older versus the younger vineyards affecting vine growth.
    Subject code 630
    Language English
    Publishing country de
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Book ; Thesis: Die Entstehung, die Behandlung und die Folgen inkarzerierter Leistenhernien im hohen Lebensalter

    Betz, Susanne

    Auswertung von Leistenbruchoperationen in der Chirurgischen Abteilung des Krankenhauses rechts der Isar der Technischen Universität München im Zeitraum von 1970 bis 1980

    1989  

    Author's details Susanne Betz
    Size 145 S. : Ill.
    Document type Book ; Thesis
    Thesis / German Habilitation thesis München, Techn. Univ., Diss., 1989
    HBZ-ID HT003766568
    Database Catalogue ZB MED Medicine, Health

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  10. Article ; Online: Time to change the times? Time of recurrence of ventricular fibrillation during OHCA.

    Spies, D M / Kiekenap, J / Rupp, D / Betz, S / Kill, C / Sassen, M C

    Resuscitation

    2020  Volume 157, Page(s) 219–224

    Abstract: Aim of the study: For out-of-hospital-cardiac-arrest (OHCA) due to ventricular fibrillation (VF) guidelines recommend early defibrillation followed by chest compressions for two minutes before analyzing shock success. If rhythm analysis reveals VF again, ...

    Abstract Aim of the study: For out-of-hospital-cardiac-arrest (OHCA) due to ventricular fibrillation (VF) guidelines recommend early defibrillation followed by chest compressions for two minutes before analyzing shock success. If rhythm analysis reveals VF again, it is obscure whether VF persisted or reoccurred within the two-minutes-cycle of chest compressions after successful defibrillation. We investigated the time of VF-recurrence in OHCA.
    Methods: We examined all cases of OHCA presenting with initial VF rhythm at arrival of ALS-ambulance (Marburg-Biedenkopf-County, 246.648 inhabitants) from January 2014 to March 2018. Three independent investigators analyzed corpuls3® ECG-recordings. We included ECG-data from CPR-beginning until four minutes after the third shock. VF termination was defined as the absence of a VF-waveform within 5 s of shock delivery. VF recurrence was defined as the presence of a VF-waveform in the interval 5 s post shock delivery.
    Results: We included 185 shocks in 82 patients. 74.1% (n = 137) of all shocks terminated VF, but VF recurred in 81% (n = 111). The median (IQR) time of VF-recurrences was 27 s (13.5 s/80.5 s) after shock. 51.4% (n = 57) of VF-recurrence occurred 5-30 s after shock, 13.5% (n = 15) VF-recurrence occurred 31-60 s after shock, 21.6% (n = 24) of VF-recurrence occurred 61-120 s after shock, 13.5% (n = 15) of VF-recurrence occurred 121-240 s after shock.
    Conclusions: Although VF was terminated by defibrillation in 74.1%, VF recurred in 81% subsequent to the chest compression interval. Thus, VF reappears frequently and early. It is unclear to which extend chest compressions influence VF-relapse. Further studies need to re-evaluate the algorithm, timing of antiarrhythmic therapy or novel defibrillation strategies to minimize refibrillation during shockable OHCA.
    MeSH term(s) Ambulances ; Cardiopulmonary Resuscitation ; Electric Countershock ; Humans ; Out-of-Hospital Cardiac Arrest/therapy ; Recurrence ; Ventricular Fibrillation/therapy
    Language English
    Publishing date 2020-10-03
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2020.09.029
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