Zusammenfassung
Der plötzliche Herztod ist mit einer Inzidenz von ca. 120–180/100.000 Einwohner und Jahr ein epidemiologisch bedeutsames Ereignis und stellt eine besondere Herausforderung für den Notarzt und Rettungsdienst dar. Das Reanimationsregister der DGAI richtet sich an die verantwortlichen ärztlichen Leiter in der Notfallmedizin und bietet diesen ein umfassendes Werkzeug zum Qualitätsmanagement (QM). Die Überlebensraten nach Kollaps und Reanimation werden im Reanimationsregister differenziert – unter Nutzung eines Vorhersage-Scores, von Inzidenzen und prozentualen Raten – dargestellt, so dass jeder Verantwortliche im Notarzt- und Rettungsdienst eine Stärken- und Schwächenanalyse in seinem Verantwortungsbereich erstellen kann.
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Literatur
Atwood C, Eisenberg MS, Herlitz J, Rea TD (2005) Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 67(1):75–80
Bakalos G, Mamali M, Komninos C, Koukou E, Tsantilas A, Tzima S, Rosenberg T (2011) Advanced life support versus basic life support in the pre-hospital setting: a meta-analysis. Resuscitation 82(9):1130–1137
Berdowski J, Berg RA, Tijssen JG, Koster RW (2010) Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation 81(11):1479–1487
Eisenberg M, Horwood B, Cummins R, Reynolds-Haertle R, Hearne T (1990) Cardiac arrest and resuscitation: a tale of 29 cities. Annals Emerg Med 19:238–243
Fischer H, Strunk G, Neuhold S, Kiblbock D, Trimmel H, Baubin M, Domanovits H, Maurer C, Greif R (2012) The effectiveness of ERC advanced life support (ALS) provider courses for the retention of ALS knowledge. Resuscitation 83(2):227–231
Fischer M, Fischer NJ, Schuttler J (1997) One-year survival after out-of-hospital cardiac arrest in Bonn city: outcome report according to the „Utstein style“. Resuscitation 33(3):233–243
Fischer M, Kamp J, Garcia-Castrillo Riesgo L, Robertson-Steel I, Overton J, Ziemann A, Krafft T (2011) Comparing emergency medical service systems – A project of the European Emergency Data (EED) Project. Resuscitation 82(3):285–293
Fischer M, Krep H, Wierich D, Heister U, Hoeft A, Edwards S, Castrillo-Riesgo LG, Krafft T (2003) Effektivitäts- und Effizienzvergleich der Rettungsdienstsysteme in Birmingham (UK) und Bonn (D). Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie 38(10):630–642
Fischer M (2011) Die Postreanimationsbehandlung (Post Resuscitation Care. In: Bundesärztekammer (Hrsg) Reanimation – Empfehlungen für die Wiederbelebung, 5. Aufl. Deutscher Ärzte-Verlag, Köln, S 159–173
Gräsner JT, Meybohm P, Lefering R, Wnent J, Bahr J, Schleppers A, Jantzen T, Franz R, Scholz J, Messelken M et al (2011) ROSC after cardiac arrest – the RACA score to predict outcome after out-of-hospital cardiac arrest. European heart journal 32(13):1649–1656
Handley AJ, Handley SA (2003) Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator. Resuscitation 57(1):57–62
Herlitz J, Bahr J, Fischer M, Kuisma M, Lexow K, Thorgeirsson G (1999) Resuscitation in Europe: a tale of five European regions. Resuscitation 41(2):121–131
Hollenberg J, Bang A, Lindqvist J, Herlitz J, Nordlander R, Svensson L, Rosenqvist M (2005) Difference in survival after out-of-hospital cardiac arrest between the two largest cities in Sweden: a matter of time? J Intern Med 257(3):247–254
Holzer M (2010) Targeted temperature management for comatose survivors of cardiac arrest. N Engl J Med 363(13):1256–1264
Lukas RP, Gräsner JT, Seewald S, Lefering R, Weber TP, Van Aken H, Fischer M, Bohn A (2012) Chest compression quality management and return of spontaneous circulation: A matched-pair registry study. Resuscitation
Messelken M, Kehrberger E, Dirks B, Fischer M (2010) The quality of emergency medical care in Baden-Wurttemberg (Germany): four years in focus. Dtsch Arztebl Int 107(30):523–530
Messelken M, Schlechtriemen T (2003) Der minimale Notarztdatensatz MIND2. Notfall Rettungsmed 6(3):189–192
The Hypothermia after Cardiac Arrest Study Group (2002) Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med 346(8):549–556
Neukamm J, Gräsner JT, Schewe JC, Breil M, Bahr J, Strickmann B, Wnent J, Bohn A, Heller G, Heister U et al (2011) The impact of response time reliability on CPR incidence and resuscitation success: a benchmark study from the German Resuscitation Registry. Critical care 15(6):R282
Olasveengen TM, Wik L, Kramer-Johansen J, Sunde K, Pytte M, Steen PA (2007) Is CPR quality improving? A retrospective study of out-of-hospital cardiac arrest. Resuscitation 75(2):260–266
Olasveengen TM, Sunde K, Brunborg C, Thowsen J, Steen PA, Wik L (2009) Intravenous drug administration during out-of-hospital cardiac arrest: a randomized trial. Jama 302(20):2222–2229
Stiell IG, Wells GA, Field B, Spaite DW, Nesbitt LP, Munkley D, Nichol G, Cousineau D, Blackburn J, De Maio VJ et al (2004) Advanced cardiac life support in out-of-hospital cardiac arrest. N Engl J Med 351(7):647–656
Sladjana A, Gordana P, Ana S (2011) Emergency response time after out-of-hospital cardiac arrest. Eur J Intern Med 22(4):386–393
Testori C, Sterz F, Behringer W, Haugk M, Uray T, Zeiner A, Janata A, Arrich J, Holzer M, Losert H (2011) Mild therapeutic hypothermia is associated with favourable outcome in patients after cardiac arrest with non-shockable rhythms. Resuscitation 82(9):1162–1167
Tomte O, Andersen GO, Jacobsen D, Draegni T, Auestad B, Sunde K (2011) Strong and weak aspects of an established post-resuscitation treatment protocol – A five-year observational study. Resuscitation 82(9):1186–1193
Woodall J, McCarthy M, Johnston T, Tippett V, Bonham R (2007) Impact of advanced cardiac life support-skilled paramedics on survival from out-of-hospital cardiac arrest in a statewide emergency medical service. Emerg Med J 24(2):134–138
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Fischer, M., Gräsner, JT. (2013). Reanimationsregister als QM-Instrument. In: Neumayr, A., Schinnerl, A., Baubin, M. (eds) Qualitätsmanagement im prähospitalen Notfallwesen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1597-8_30
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