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Die Präsenz von Angehörigen im Schockraum

The presence of family members in the trauma room

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Zusammenfassung

Das Schicksal polytraumatisierter Patienten wird durch eine große Anzahl Angehöriger mitgetragen. Obwohl zahlreiche Studien belegen, dass der Behandlungsablauf und -erfolg maßgeblich auch von der Vertrauens- und Aufklärungssituation der Familie mitbestimmt wird, existieren bislang keine wissenschaftlich fundierten Leitlinien für den Umgang mit Angehörigen im Kontext der Akutversorgung nach schwerem Trauma. Für die Einbindung von Angehörigen in die Akutversorgung bei Herz-Kreislauf-Stillstand empfiehlt der European Resuscitation Council in den aktuellen Leitlinien das Konzept der On-Scene Presence, also die Anwesenheit der Angehörigen während der medizinischen Akutversorgung. Der vorliegende Artikel diskutiert dieses Konzept und erörtert eine mögliche Übertragbarkeit auf das Schockraummanagement schwer- und schwerstverletzter Patienten.

Abstract

The fate of multiple trauma patients is witnessed by a considerable number of relatives. Although numerous studies report that the patient’s course and treatment success are dependant on the family’s confidence as well as its clarification over the clinical situation, scientifically based guidelines for contact with relatives in the context of acute care following severe traumatic injuries do not yet exist. The current guidelines of the European Resuscitation Council recommend the concept of “on scene” presence for the integration of the relatives into acute care in situations of circulatory and heart failure, thus recommending the presence of relatives during acute medical care.

This article discusses this concept and argues for a possible assignment of management of trauma care for severe and gravely injured patients.

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Literatur

  1. Bardenheuer M, Obertacke U, Waydhas C, Nast-Kolb D (2000) Epidemiology of the severely injured patient. A prospective assessment of preclinical and clinical management. AG Polytrauma of DGU. Unfallchirurg 103: 355–363

    Article  PubMed  Google Scholar 

  2. Bauchner H, Waring C, Vinci R (1991) Parental presence during procedures in an emergency room: results from 50 observations. Pediatrics 87: 544–548

    PubMed  Google Scholar 

  3. Bauchner H, Vinci R, Bak S, Pearson C, Corwin MJ (1996) Parents and procedures: a randomized controlled trial. Pediatrics 98: 861–867

    PubMed  Google Scholar 

  4. Beckman AW, Sloan BK, Moore GP, Cordell WH, Brizendine EJ, Boie ET, Knoop KJ, Goldman MJ, Geninatti MR (2002) Should parents be present during emergency department procedures on children, and who should make that decision? A survey of emergency physician and nurse attitudes. Acad Emerg Med 9: 154–158

    Article  PubMed  Google Scholar 

  5. Boie ET, Moore GP, Brummett C, Nelson DR (1999) Do parents want to be present during invasive procedures performed on their children in the emergency department? A survey of 400 parents. Ann Emerg Med 34: 70–74

    Article  PubMed  Google Scholar 

  6. Doyle CJ, Post H, Burney RE, Maino J, Keefe M, Rhee KJ (1987) Family participation during resuscitation: an option. Ann Emerg Med 16: 673–675

    Article  PubMed  Google Scholar 

  7. Federal Aviation Administration (1981) FAR 121.542/ FAR 135.100

  8. Helmer SD, Smith RS, Dort JM, Shapiro WM, Katan BS (2000) Family presence during trauma resuscitation: a survey of AAST and ENA members. American Association for the Surgery of Trauma. Emergency Nurses Association. J Trauma 48: 1015–1022

    PubMed  Google Scholar 

  9. Hensler T, Heinemann B, Sauerland S, Lefering R, Bouillon B, Andermahr J, Neugebauer EA (2003) Immunologic alterations associated with high blood transfusion volume after multiple injury: effects on plasmatic cytokine and cytokine receptor concentrations. Shock 20: 497–502

    Article  PubMed  Google Scholar 

  10. Jarvis AS (1998) Parental presence during resuscitation: attitudes of staff on a paediatric intensive care unit. Intensive Crit Care Nurs 14: 3–7

    Article  PubMed  Google Scholar 

  11. Kanz KG, Korner M, Linsenmaier U, Kay MV, Huber-Wagner SM, Kreimeier U, Pfeifer KJ, Reiser M, Mutschler W (2004) Priority-oriented shock trauma room management with the integration of multiple-view spiral computed tomography. Unfallchirurg 107: 937–944

    Article  PubMed  Google Scholar 

  12. MacLean SL, Guzzetta CE, White C, Fontaine D, Eichhorn DJ, Meyers TA, Desy P (2003) Family presence during cardiopulmonary resuscitation and invasive procedures: practices of critical care and emergency nurses. Am J Crit Care 12: 246–257

    PubMed  Google Scholar 

  13. McClenathan BM, Torrington KG, Uyehara CF (2002) Family member presence during cardiopulmonary resuscitation: a survey of US and international critical care professionals. Chest 122: 2204–2211

    Article  PubMed  Google Scholar 

  14. Meyers TA, Eichhorn DJ, Guzzetta CE, Clark AP, Klein JD, Taliaferro E, Calvin A (2000) Family presence during invasive procedures and resuscitation. Am J Nurs 100: 32–42

    PubMed  Google Scholar 

  15. Merritt KA, Sargent JR, Osborn LM (1990) Attitudes regarding parental presence during medical procedures. Am J Dis Child 144: 270–271

    Google Scholar 

  16. Nast-Kolb D, Aufmkolk M, Rucholtz S, Obertacke U, Waydhas C (2001) Multiple organ failure still a major cause of morbidity but not mortality in blunt multiple trauma. J Trauma 51: 835–841

    PubMed  Google Scholar 

  17. Pejaver RK, Russell HJ (1995) Parental presence during procedures: a survey of attitudes amongst paediatricians. J R Soc Med 88: 508–510

    PubMed  Google Scholar 

  18. Powers KS, Rubenstein JS (1999) Family presence during invasive procedures in the pediatric intensive care unit: a prospective study. Arch Pediatr Adolesc Med 153: 955–958

    PubMed  Google Scholar 

  19. Robinson SM, Kenzie-Ross S, Campbell Hewson GL, Egleston CV, Prevost AT (1998) Psychological effect of witnessed resuscitation on bereaved relatives. Lancet 352: 614–617

    Article  PubMed  Google Scholar 

  20. Sacchetti A, Lichenstein R, Carraccio CA, Harris RH (1996) Family member presence during pediatric emergency department procedures. Pediatr Emerg Care 12: 268–271

    PubMed  Google Scholar 

  21. Stelfox HT, Gandhi TK, Orav EJ, Gustafson ML (2005) The relation of patient satisfaction with complaints against physicians and malpractice lawsuits. Am J Med 118: 1126–1133

    Article  PubMed  Google Scholar 

  22. De Vries AP, Kassam-Adams N, Cnaan A, Sherman-Slate E, Gallagher PR, Winston FK (1999) Looking beyond the physical injury: posttraumatic stress disorder in children and parents after pediatric traffic injury. Pediatrics 104: 1293–1299

    Article  PubMed  Google Scholar 

  23. Waseem M, Ryan M (2003) Parental presence during invasive procedures in children: what is the physician’s perspective? South Med J 96: 884–887

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Institut für Klinische Radiologie, Klinikum der Ludwig-Maximilians-Universität München

    S. Buhmann

  2. Erzbischöfliches Ordinariat, Erzbistum München und Freising

    S. Kneissl

  3. Chirurgische Klinik und Poliklinik, Klinikum der Universität München, Nussbaumstraße 20, 80336, München

    C. Kirchhoff, J. Stegmaier, A. Botzlar, P. Biberthaler, W. Mutschler & K.-G. Kanz

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  1. C. Kirchhoff
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  2. J. Stegmaier
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  3. S. Buhmann
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  4. A. Botzlar
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  5. P. Biberthaler
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  6. S. Kneissl
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  7. W. Mutschler
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  8. K.-G. Kanz
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Correspondence to C. Kirchhoff.

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Kirchhoff, C., Stegmaier, J., Buhmann, S. et al. Die Präsenz von Angehörigen im Schockraum. Unfallchirurg 109, 673–677 (2006). https://doi.org/10.1007/s00113-006-1125-2

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  • DOI: https://doi.org/10.1007/s00113-006-1125-2

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