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Medizinisches Handeln in komplexen Notfallsituationen

Kompetent und erfolgreich entscheiden, kommunizieren und führen

Coping with complex medical emergency situations

Competent and successful decision-making, communication and leadership

  • Allgemeinanästhesie
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Zusammenfassung

Hintergrund

Stress ist ein normaler Bestandteil des anästhesiologisch-notfallmedizinischen Arbeitsalltags.

Ziel der Arbeit

Der vorliegende Beitrag stellt Stresseffekte in komplexen Notfallsituation dar. Hilfestellungen zum Umgang damit werden vorgestellt.

Material und Methode

Hierzu fanden eine Auswertung von Publikationen aus Medizin und Psychologie sowie die Einbeziehung von Expertenmeinungen statt.

Ergebnisse

Negativer Stress beeinflusst Denk- und Kommunikationsprozesse erheblich. Dieser Tatsache wird im klinischen Alltag nur unzureichend Rechnung getragen.

Schlussfolgerungen

Zahlreiche Instrumente zum Umgang mit Stresssituationen sind v. a. aus der Denk- und Kommunikationspsychologie sowie der Luftfahrtforschung verfügbar. Deren Implementierung in die klinische Praxis sollte als sinnvoll erachtet werden.

Abstract

Background

Stress is an integral part of the daily routine among healthcare workers in anesthesiology and emergency medicine.

Objectives

This article describes negative stress effects in complex emergency situations and presents helpful tools for coping with them.

Material and methods

Evaluation and discussion of selected medical and psychological publications and the inclusion of expert opinions are presented.

Results

Negative stress of healthcare providers in medical emergencies severely affects their reasoning and communication and is inadequately taken into account during routine care.

Conclusion

Research in aviation and psychology has provided various tools to improve performance during stressful events and should be taken into consideration for routine daily use.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. B. Vetter, B. Gasch und S.A. Padosch geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik für Anästhesiologie und Operative Intensivmedizin, Uniklinik Köln (AöR), Kerpener Str. 62, 50937, Köln, Deutschland

    B. Vetter & S.A. Padosch

  2. Institut für Psychologie, Fakultät 12, Technische Universität Dortmund, Dortmund, Deutschland

    B. Gasch

  3. Arbeitsgemeinschaft für Intensivmedizin e. V., Institut für Notfallmedizin, Universität Witten-Herdecke, Arnsberg, Deutschland

    B. Gasch

Authors
  1. B. Vetter
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  2. B. Gasch
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  3. S.A. Padosch
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Correspondence to B. Vetter.

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Vetter, B., Gasch, B. & Padosch, S. Medizinisches Handeln in komplexen Notfallsituationen. Anaesthesist 64, 298–303 (2015). https://doi.org/10.1007/s00101-015-2423-2

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  • DOI: https://doi.org/10.1007/s00101-015-2423-2

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