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  1. Book ; Online ; E-Book: Atemwegsmanagement und Narkose in Notfall- und Akutmedizin

    Grübl, Tobias / Gliwitzky, Bernhard / Bernhard, Michael / Düsterwald, Stephan / Feth, Maximilian / Hossfeld, Björn

    ANNA-Kurs der DIVI

    2023  

    Keywords Intubation ; Notfallintubation ; Rapid sequence induction ; Atemwegsmanagement ; Atemwegshilfen ; Notfallnarkose ; Narkose im Notfall ; Anästhesie im Notfall ; Endotracheale Intubation ; Supraglottische Atemwegshilfen ; Videolaryngoskopie ; Koniotomie ; Beatmung ; Invasive Beatmung ; Emergency Medicine ; Intensive / Critical Care Medicine ; Anesthesiology ; Internal Medicine ; Neurology ; Surgery
    Language German
    Size 1 Online-Ressource
    Edition 1. Auflage 2023
    Publisher Springer Berlin ; Springer
    Publishing place Berlin
    Publishing country Germany
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT030369127
    ISBN 9783662654521 ; 9783662654514 ; 3662654520 ; 3662654512
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Letter to the Editor-Prehospital intubation in trauma patients: Remaining tightrope walk.

    Feth, Maximilian / Knapp, Jürgen / Bernhard, Michael / Hossfeld, Björn

    Surgery

    2024  

    Language English
    Publishing date 2024-02-23
    Publishing country United States
    Document type Letter
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2024.01.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pharmacologic Management of Pain, Agitation, and Delirium in Burn Patients.

    Pruskowski, Kaitlin A / Feth, Maximilian / Hong, Linda / Wiggins, Amanda R

    The Surgical clinics of North America

    2023  Volume 103, Issue 3, Page(s) 495–504

    Abstract: The majority of hospitalized burn patients experience pain, agitation, and delirium. The development of each one of these conditions can also lead to, or worsen, the others. Providers, therefore, need to thoroughly assess the underlying issue to ... ...

    Abstract The majority of hospitalized burn patients experience pain, agitation, and delirium. The development of each one of these conditions can also lead to, or worsen, the others. Providers, therefore, need to thoroughly assess the underlying issue to determine the most effective treatment. Multimodal pharmacologic regimens are often used in conjunction with non-pharmacologic strategies to manage pain, agitation, and delirium. This review focuses on the pharmacologic management of these complicated patients in a critical-care setting.
    MeSH term(s) Humans ; Psychomotor Agitation/drug therapy ; Psychomotor Agitation/etiology ; Delirium/drug therapy ; Delirium/etiology ; Pain/drug therapy ; Pain/etiology ; Critical Care ; Pain Management ; Intensive Care Units
    Language English
    Publishing date 2023-03-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 215713-5
    ISSN 1558-3171 ; 0039-6109
    ISSN (online) 1558-3171
    ISSN 0039-6109
    DOI 10.1016/j.suc.2023.02.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Pyrophosphate as a novel anticoagulant for storage of whole blood: A proof-of-concept study.

    Feth, Maximilian / Hainline, Robert V / Barrera, Gema / Meledeo, Michael Adam / Ross, Evan

    Transfusion

    2023  Volume 63, Issue 7, Page(s) 1392–1398

    Abstract: Background: Citrate is the only anticoagulant currently Food and Drug Administration (FDA)-approved for the long-term storage of blood for transfusion. Citrate inhibits phosphofructokinase and may play a pro-inflammatory role, suggesting that there may ... ...

    Abstract Background: Citrate is the only anticoagulant currently Food and Drug Administration (FDA)-approved for the long-term storage of blood for transfusion. Citrate inhibits phosphofructokinase and may play a pro-inflammatory role, suggesting that there may be an advantage to using alternative anticoagulants. Here, we examine the use of pyrophosphate as an anticoagulant.
    Study design and methods: Whole blood samples from healthy donors were anticoagulated either with citrate-phosphate-adenine-dextrose (CPDA-1) or our novel anticoagulant mixture pyrophosphate-phosphate-adenine-dextrose (PPDA-1). Samples were assessed for coagulation capacity by thromboelastography immediately after anticoagulation (T0) with and without recalcification, as well as 5 hours after anticoagulation (T1) with recalcification. Complete blood counts were taken at both timepoints. Flow cytometry to evaluate platelet activation as well as blood smears to evaluate cellular morphology were performed at T1.
    Results: No clotting was detected in samples anticoagulated with either solution without recalcification. After recalcification, clotting function was restored in both groups. R-Time in recalcified PPDA-1 samples was shorter than in CPDA-1 samples. A reduction in platelet count at T1 compared to T0 was observed in both groups. No significant platelet activation was observed in either group at T1. Blood smear indicated platelet clumping in PPDA-1.
    Conclusion: We have shown initial proof of concept that pyrophosphate functions as an anticoagulant at the dose used in this study, though there is an associated loss of platelets over time that may limit its usefulness for blood storage. Further dose optimization of pyrophosphate may limit or reduce the loss of platelets.
    MeSH term(s) Humans ; Anticoagulants/pharmacology ; Diphosphates/pharmacology ; Citrates/pharmacology ; Blood Platelets ; Glucose/pharmacology ; Adenine/pharmacology ; Phosphates/pharmacology ; Citric Acid ; Blood Preservation
    Chemical Substances CPDA solutions ; Anticoagulants ; diphosphoric acid (4E862E7GRQ) ; Diphosphates ; Citrates ; Glucose (IY9XDZ35W2) ; Adenine (JAC85A2161) ; Phosphates ; citrate phosphate dextrose (51404-37-6) ; Citric Acid (2968PHW8QP)
    Language English
    Publishing date 2023-05-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.17420
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Atemwegsmanagement im Notfall.

    Feth, Maximilian / Fritz, Stephanie / Grübl, Tobias / Gliwitzky, Bernhard / Düsterwald, Stephan / Bathe, Janina / Bernhard, Michael / Hossfeld, Björn

    Deutsche medizinische Wochenschrift (1946)

    2024  Volume 149, Issue 8, Page(s) 458–469

    Abstract: Emergency airway management is a rare but essential emergency medical intervention directly impacting morbidity and mortality of emergency patients. The success of airway management depends on various factors such as patient anatomy, environmental ... ...

    Title translation Airwaymangement in Emergencies.
    Abstract Emergency airway management is a rare but essential emergency medical intervention directly impacting morbidity and mortality of emergency patients. The success of airway management depends on various factors such as patient anatomy, environmental aspects and the provider performing the procedure. Therefore, the use of a clearly structured algorithm for anticipating the difficult airway in emergency situations is strongly recommended. Our article explains different ways of securing the airway as part of a structured algorithm as well as pitfalls and helpful tips.
    MeSH term(s) Humans ; Emergencies ; Airway Management/methods ; Algorithms ; Intubation, Intratracheal
    Language German
    Publishing date 2024-04-02
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-2220-1411
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Arztbegleitete Interhospitaltransporte – eine Analyse aus Schleswig-Holstein.

    Köser, Andrea / Eimer, Christine / Feth, Maximilian / Lorenzen, Ulf / Seewald, Stephan / Lehn, Henrik / Corzillius, Michael / Schmalbach, Bjarne / Reifferscheid, Florian

    Medizinische Klinik, Intensivmedizin und Notfallmedizin

    2024  

    Abstract: Background: The need for interhospital transport (IHT) of intensive care patients is increasing due to changes in the hospital environment. Interhospital transports are challenging and require careful operational planning of personnel and rescue ... ...

    Title translation Physician-assisted interhospital transfer-an analysis from Schleswig-Holstein.
    Abstract Background: The need for interhospital transport (IHT) of intensive care patients is increasing due to changes in the hospital environment. Interhospital transports are challenging and require careful operational planning of personnel and rescue vehicles.
    Objective: To investigate the need for IHT, an analysis was conducted in the service area of the emergency medical service central dispatch center (IRLS) in Schleswig-Holstein.
    Material and methods: Emergency physician-assisted IHT were analyzed in the period from 01.10.2021 to 30.09.2022.
    Results: Of a total of 158,823 documented IRLS missions, 2264 (1.4%) records could be identified and included as IHT: 1389 IHT (61.4%) were managed by specialized ambulances, 875 (38.6%) by primary care ambulances. Primary care ambulances were mainly used for time-critical transfers and outside the duty hours of the intensive care ambulances, 21.2 % were by air. Of all IHT, 43.1% were required to hospitals with a higher level of medical care.
    Conclusion: Emergency physician-assisted IHT are a relevant part of the emergency service's operational spectrum and concern both primary care and specialized rescue vehicles. A relevant number of urgent IHT were recorded outside the duty hours of the intensive care ambulances. For emergency transports during nighttime, an expansion of air-based transfer capacities should be considered due to the time advantage. For less urgent IHT, an adjustment of the capacities of specialized ground-based vehicles in Schleswig-Holstein seems reasonable.
    Language German
    Publishing date 2024-03-07
    Publishing country Germany
    Document type English Abstract ; Journal Article
    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/s00063-024-01119-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Atemwegsmanagement im Notfall

    Feth, Maximilian / Fritz, Stephanie / Grübl, Tobias / Gliwitzky, Bernhard / Düsterwald, Stephan / Bathe, Janina / Bernhard, Michael / Hossfeld, Björn

    DMW - Deutsche Medizinische Wochenschrift

    2024  Volume 149, Issue 08, Page(s) 458–469

    Keywords Atemwegsmanagement ; chirurgischer Atemweg ; Teamarbeit ; Supraglottische Atemwegshilfen ; Endotracheale Intubation ; Notfallmedizin ; Airwaymanagement ; surgical airway ; team approach ; supraglottic airway device ; endotracheal intubation ; emergency medicine ; rapid sequence induction
    Language German
    Publishing date 2024-04-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-2220-1411
    Database Thieme publisher's database

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  8. Article: ECLS und eCPR – Was ist wichtig für den Notarzt?

    Feth, Maximilian / Hörsch, Sabrina I. / Danziger, Guy / Muellenbach, Ralf M. / Michels, Guido / Lepper, Philipp M.

    Notfallmedizin up2date

    2023  Volume 18, Issue 03, Page(s) 277–292

    Keywords Reanimation ; ECLS ; ECMO ; ECPR ; OHCA ; Resuscitation ; ECLS ; ECMO ; ECMO ; OHCA
    Language German
    Publishing date 2023-09-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2255461-0
    ISSN 1862-6955 ; 1611-6550
    ISSN (online) 1862-6955
    ISSN 1611-6550
    DOI 10.1055/a-2150-4907
    Database Thieme publisher's database

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  9. Article ; Online: Ultraschalldiagnostik in der prähospitalen Notfallmedizin – brauchen wir eine standardisierte Ausbildung?

    Eimer, Christine / Lorenzen, Ulf / Reifferscheid, Florian / Passau, Nils / Helzel, Katharina / Schmuck, Alexander / Seewald, Stephan / Köser, Andrea / Weiler, Norbert / Gässler, Holger / Hossfeld, Björn / Gruenewald, Matthias / Feth, Maximilian

    Medizinische Klinik, Intensivmedizin und Notfallmedizin

    2023  

    Abstract: Background: Limited diagnostic capabilities represent an ongoing obstacle in out-of-hospital emergency settings. Prehospital deployment of ultrasound might reduce this particular diagnostic gap. So far, little is known about the availability and usage ... ...

    Title translation Ultrasound diagnostics in prehospital emergency care-do we need a standardized educational approach?
    Abstract Background: Limited diagnostic capabilities represent an ongoing obstacle in out-of-hospital emergency settings. Prehospital deployment of ultrasound might reduce this particular diagnostic gap. So far, little is known about the availability and usage of ultrasound in emergency medical services (EMS) or about the level of education of EMS physicians regarding prehospital ultrasound (point-of-care ultrasound, POCUS).
    Methods: A nationwide survey was conducted among emergency physicians in Germany focusing on POCUS education and experience.
    Results: Between 02/2022 and 05/2022, 1079 responses were registered, of which 853 complete responses were analyzed. Of the emergency physicians, 71.9% consider POCUS beneficial for out-of-hospital diagnostics and 43.8% had participated in a certified POCUS training prior to the survey. The self-evaluation of POCUS skills among emergency physicians depended significantly on their participation in a certified training (p < 0.001) and frequent ultrasound routine (p < 0.001).
    Conclusion: The majority of participating emergency physicians in Germany consider POCUS to improve out-of-hospital diagnostic capabilities. Participation in a certified POCUS training and frequent use of ultrasound facilitated higher self-confidence in POCUS skills.
    Language German
    Publishing date 2023-08-14
    Publishing country Germany
    Document type English Abstract ; Journal Article
    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/s00063-023-01045-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Interhospitaler Intensivtransport.

    Feth, Maximilian / Zeiner, Carsten / Danziger, Guy / Eimer, Christine / Mang, Sebastian / Kühn, Stefan / Villalobos, Nick / Muellenbach, Ralf M / Hörsch, Sabrina I / Lepper, Philipp M

    Notfall & rettungsmedizin

    2023  Volume 26, Issue 3, Page(s) 227–237

    Abstract: Critically ill patients in need of specialized diagnostic or therapeutic procedures, but are being cared for in a hospital without such equipment, have to be transferred to appropriate centers without discontinuation of current critical care ( ... ...

    Title translation Interhospital critical care transport.
    Abstract Critically ill patients in need of specialized diagnostic or therapeutic procedures, but are being cared for in a hospital without such equipment, have to be transferred to appropriate centers without discontinuation of current critical care (interhospital critical care transfer). These transfers are resource intensive, challenging, and require high logistical effort, which must be managed by a specialized and highly trained team, predeployment planning and efficient crew-resource management strategies. If planned adequately, interhospital critical care transfers can be performed safely without frequent adverse events. Beside routine interhospital critical care transfers, there are special missions (e.g., for patients in quarantine or supported by extracorporeal organ support) that might require adaption of the team composition or standard equipment. This article describes interhospital critical care transport missions including their different phases and special circumstances.
    Language German
    Publishing date 2023-04-13
    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/s10049-023-01148-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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