Einweihung Dachlandeplatz am BwKrhs Ulm

Am Mittwoch 20. Juli 2022 um 14:00 Uhr wird die Betriebsurkunde im Rahmen einer Feierstunde durch das Regierungspräsidium Stuttgart an das Bundeswehrkrankenhaus (BwKrhs) Ulm übergeben. Ab 1. August 2022 werden dann Patientinnen und Patienten mit Rettungshub-schraubern auf dem neuen Dachlandeplatz landen und direkt über einen Fahrstuhl in die interdisziplinäre Notfallaufnahme gebracht. An dieser Feierstunde nehmen neben den Vertretern der Bundeswehr der Stadt Ulm und Neu-Ulm, der Landrat des Alb-Donau-Kreises, Vertreter des Hochbauamtes, des THW, des ADAC, sowie Ärztliche Direktoren verschiedener Kliniken teil. Zu Ende der Veranstaltung wir ein ADAC-Hubschrauber außerhalb des Rettungsdienstes auf dem Dachlandeplatz landen. Den Vertretern der Presse wird die Teilnahme an der Feierstunde, respektive die Möglichkeit gegeben, vom Dach des BwKrhs Ulm den Anflug und die erste Landung zu filmen und zu fotografieren. Für ein Interview stehen Oberstarzt Prof. Dr. Benedikt Dieter Friemert, der Stellv. Kommandeur des BwKrhs Ulm und Klinische Direktor der Klinik für Orthopädie und Unfallchirurgie, und Oberstarzt a.D. Prof. Dr. Matthias Helm, der ehemalige Klinische Direktor der Klinik für Anästhesie und Intensivmedizin am BwKrhs Ulm, zur Verfügung.

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Bundeswehrkrankenhaus Ulm
Telefon: 0731 1710 1042
bwkrhsulmpresseoffizier@bundeswehr.org

Quellen und weiterführende Links

RTH

Oligoanalgesie im Luftrettungsdienst?

BACKGROUND: Oligoanalgesia, as well as adverse events related to the initiated pain therapy, are prevalent in out-of-hospital emergency medicine, even when a physician is present. We sought to identify factors involved in insufficient pain therapy of patients presenting with an initial Glasgow Coma Scale (GCS) >= 8 in the out-of-hospital phase, when therapy is provided by a physician-staffed helicopter emergency medical service (p-HEMS).

METHODS: This was a multicenter, secondary data analysis of conscious patients treated in primary p-HEMS missions between January 1, 2005, and December 31, 2017. Patients with a numeric rating scale (NRS) pain score >= 4, GCS >= 8 on the scene, without cardiopulmonary resuscitation, and a < VI were included. Multivariable logistic binary regression analyses were used to identify characteristics of oligoanalgesia (NRS >= 4 at handover or pain reduction < 3). Linear regression analysis was used to identify changes in pain treatment within the study period.

RESULTS: We analyzed data from 106,730 patients (3.6% missing data at variable level). Of these patients, 82.9% received some type of analgesic therapy on scene; 79.1% of all patients received analgesic drugs, and 38.6% received non-pharmacological interventions, while 37.4% received both types of intervention. Oligoanalgesia was identified in 18.4% (95% confidence interval [CI], 18.1–18.6) of patients. Factors associated with oligoanalgesia were a low National Advisory Committee for Aeronautics (NACA) score and a low NRS score, as well as central nervous system or gynecological/obstetric complaints. The use of weak opioids (odds ratio 1.05, 95% CI 0.68–1.57) had no clinically relevant association with oligoanalgesia, in contrast to the use of strong or moderate opioids, non-opioid analgesics, or ketamine. We observed changes in the analgesic drugs used over the 12-year study period, particularly in the use of strong opioids (fentanyl or sufentanil), from 30.3% to 42.3% (p value < 0.001). Of all patients, 17.1% (95% CI, 16.9–17.3) did not receive any type of pain therapy. 

CONCLUSIONS: In the studied p-HEMS cohort, oligoanalgesia was present in 18.4% of all cases. Special presenting complaints, low NACA scores, and low pain scores were associated with the occurrence of oligoanalgesia. However, 17.1% of patients received no type of pain therapy, which suggests scope for further improvement in prehospital pain therapy. Pharmacological and non-pharmaceutical pain relief should be initiated whenever indicated.

Helm M, Hossfeld B, Braun B, Werner D, Peter L, Kulla M: Oligoanalgesia in Patients With an Initial Glasgow Coma Scale Score ≥8 in a Physician-Staffed Helicopter Emergency Medical Service: A Multicentric Secondary Data Analysis of >100,000 Out-of-Hospital Emergency Missions. Anesth Analg130: 176-186 (2020)