by pin-up-docs – don't panic
Perioperative-, Intensiv- und Notfallmedizin
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Publishing Since
1/15/2019
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March 31, 2025
Der Frühling naht und auch im März erwartet euch ein brandneuer Journalclub. Außerdem wird es diesen Monat mal wieder nerdig: Wenn ihr was darüber lernen möchtet, was ihr als Intensiv- und Notfallmediziner:innen über die neue "Wunderwaffe" der Onkologie wissen solltet und über Anästhesie bei Rothaarigen, dann hört rein!<br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Journal Club:<br /> <br /> <br /> <br /> Paula:<br /> <br /> <br /> <br /> Jian, SJ.Z., Cheng, TH. & Yen, CC. Prognostic accuracy of point-of-care ultrasound in patients with pulseless electrical activity: a systematic review and meta-analysis. Scand J Trauma Resusc Emerg Med 33, 27 (2025). https://doi.org/10.1186/s13049-025-01327-0<br /> <br /> <br /> <br /> George TS, Ashburn NP, Snavely AC, Beaver BP, Chado MA, Cannon H, Costa CG, Winslow JE, Nelson RD, Stopyra JP, Mahler SA. Does Single Dose Epinephrine Improve Outcomes for Patients with Out-of-Hospital Cardiac Arrest and Bystander CPR or a Shockable Rhythm? Prehosp Emerg Care. 2025;29(1):37-45. doi: 10.1080/10903127.2024.2348663. Epub 2024 May 21. PMID: 38713769; PMCID: PMC11579245.<br /> <br /> <br /> <br /> Thorben:<br /> <br /> <br /> <br /> Dominic:<br /> <br /> <br /> <br /> Flynn SG, Park RS, Jena AB, Staffa SJ, Kim SY, Clarke JD, Pham IV, Lukovits KE, Huang SX, Sideridis GD, Bernier RS, Fiadjoe JE, Weinstock PH, Peyton JM, Stein ML, Kovatsis PG. Coaching inexperienced clinicians before a high stakes medical procedure: randomized clinical trial. BMJ. 2024 Dec 16;387:e080924. doi: 10.1136/bmj-2024-080924. PMID: 39681397; PMCID: PMC11648086<br /> <br /> <br /> <br /> Anästhesie bei Rothaarigen<br /> <br /> <br /> <br /> Grundlagen Biochemie / Physiologie<br /> <br /> <br /> <br /> Schaffer JV, Bolognia JL. The melanocortin-1 receptor: red hair and beyond. Arch Dermatol. 2001 Nov;137(11):1477-85. doi: 10.1001/archderm.137.11.1477. PMID: 11708951.Xia Y, Wikberg JE, Chhajlani V. Expression of melanocortin 1 receptor in periaqueductal gray matter. Neuroreport. 1995 Nov 13;6(16):2193-6. doi: 10.1097/00001756-199511000-00022. PMID: 8595200.Amboss-Artikel Hypophyse https://next.amboss.com/de/article/jK0_TS?q=pomc#CPcqSc0 (Zuletzt abgerufen: 31.07.2024)<br /> <br /> <br /> <br /> Amboss-Artikel Haut und Hautanhangsgebilde: https://next.amboss.com/de/article/so0tWS#IloyMDJiNmU5YTQwZGRjZTYwM2Q5YzYyZmI0NjgwNTIyNiI= (Zuletzt abgerufen: 31.07.2024)<br /> <br /> <br /> <br /> Amboss-Artikel Hirnstammhttps://next.amboss.com/de/article/yo0deS?q=periaqu%C3%A4duktales%20grau#Ze49a70f5b344df1c31083fd9c99d1348 (Zuletzt abgerufen: 31.07.2024)<br /> <br /> <br /> <br /> Robinson KC, Kemény LV, Fell GL, Hermann AL, Allouche J, Ding W, Yekkirala A, Hsiao JJ, Su MY, Theodosakis N, Kozak G, Takeuchi Y, Shen S, Berenyi A, Mao J, Woolf CJ, Fisher DE. Reduced MC4R signaling alters nociceptive thresholds associated with red hair. Sci Adv. 2021 Apr 2;7(14):eabd1310. doi: 10.1126/sciadv.abd1310. PMID: 33811065; PMCID: PMC11057701.<br /> <br /> <br /> <br /> Meuser T, Ameis A, Lehmann KA: Haben Patienten mit roten Haaren ein höheres Risiko fürKomplikationen in Anästhesie und Schmerztherapie? Eine kritische Auswertung der Literatur.Anästh Intensivmed 2019;60:57–64. DOI: 10.19224/ai2019.057<br /> <br /> <br /> <br /> Blutungsanamnese: <br /> <br /> <br /> <br /> Kumar VV, Kumar NV, Isaacson G. Superstition and post-tonsillectomy hemorrhage. Laryngoscope. 2004 Nov;114(11):2031-3. doi: 10.1097/01.mlg.0000147942.82626.1c. PMID: 15510037.Liem EB, Hollensead SC, Joiner TV, Sessler DI. Women with red hair report a slightly increased rate of bruising but have normal coagulation tests. Anesth Analg. 2006 Jan;102(1):313-8. doi: 10.1213/01.ANE.0000180769.51576.CD. PMID: 16368849; PMCID: PMC1351323.<br /> <br /> <br /> <br /> Angst und Aufregung: <br /> <br /> <br /> <br /> Binkley CJ, Beacham A, Neace W, Gregg RG, Liem EB, Sessler DI. Genetic variations associated with red hair color and fear of dental pain,
February 19, 2025
Ein neuer Journal Club, neue Themen, ein Abschied von X und ein brandneuer Lieblingsfehler erwarten Euch.<br /> <br /> <br /> <br /> Und ein Appell von den "Pin up doctoresse": <br /> <br /> <br /> <br /> GEHT WÄHLEN UND WÄHLT DEMOKRATISCH!!!<br /> <br /> <br /> <br /> Scroll-Story des ZDF zu Nicht-Wähler*innen: https://zdfheute-stories-scroll.zdf.de/wahlbeteiligung/index.html<br /> <br /> <br /> <br /> Wahl-O-Mat: https://www.wahl-o-mat.de/bundestagswahl2025/app/main_app.html<br /> <br /> <br /> <br /> Real-O-Mat: https://real-o-mat.de <br /> <br /> <br /> <br /> Journal Club: <br /> <br /> <br /> <br /> Paula:<br /> <br /> <br /> <br /> Yasuda M, Amagasa S, Kashiura M, Yasuda H, Uematsu S. Duration of prehospital and in-hospital cardiopulmonary resuscitation and neurological outcome in paediatric out-of-hospital cardiac arrest. Emerg Med J. 2024 Nov 21;41(12):742-748. doi: 10.1136/emermed-2023-213730. PMID: 39406464.<br /> <br /> <br /> <br /> Ramaswamy T, DeWane MP, Dashti HS, Lau M, Wischmeyer PE, Nagrebetsky A, Sparling J. Nine Myths about Enteral Feeding in Critically Ill Adults: An Expert Perspective. Adv Nutr. 2025 Jan;16(1):100345. doi: 10.1016/j.advnut.2024.100345. Epub 2024 Nov 17. PMID: 39551432; PMCID: PMC11784768.<br /> <br /> <br /> <br /> Dana:<br /> <br /> <br /> <br /> Epiglottitis: https://www.ncbi.nlm.nih.gov/books/NBK430960/<br /> <br /> <br /> <br /> 2. Studie zu Palliativmedizin<br /> <br /> <br /> <br /> Palliative Care Initiated in the Emergency Department A Cluster Randomized Clinical Trial<br /> <br /> <br /> <br /> Corita R. Grudzen, MD, MSHS1; Nina Siman, MA, MSEd2; Allison M. Cuthel, MPH2; et alOluwaseun Adeyemi, MBBS, PhD2; Rebecca Liddicoat Yamarik, MD3; Keith S. Goldfeld, DrPH, MS, MPA4; and the PRIM-ER Investigators<br /> <br /> <br /> <br /> JAMA. Published online January 15, 2025. doi:10.1001/jama.2024.23696<br /> <br /> <br /> <br /> Berechnung Gagne-Komorbiditäten: https://eprognosis.ucsf.edu/gagne.php<br /> <br /> <br /> <br /> Ines:<br /> <br /> <br /> <br /> Ortega R, Vietor R, Arbelaez C, Feliu D, Nozari A, Ortoleva J. Blast Injuries. N Engl J Med. 2024 Dec 12;391(23):e58. doi: 10.1056/NEJMvcm2408353. PMID: 39665654.<br /> <br /> <br /> <br /> Gurgenci T, Podbury B, O'Leary C, Good P. Palliative management of nausea and vomiting in advanced cancer. Aust J Gen Pract. 2024 Nov-Supplement;53(11 Suppl):S33-S36. doi: 10.31128/AJGP-09-23-6957. PMID: 39542672.<br /> <br /> <br /> <br /> S3-Leitlinie Palliativmedizin für Patienten mit einer nicht heilbaren Krebserkrankung<br /> <br /> <br /> <br /> Fachärztliches Repetitorium Anästhesie Vol. III<br /> <br /> <br /> <br /> Quellen:<br /> <br /> <br /> <br /> LAST-Leitlinie<br /> <br /> <br /> <br /> Regionalanästhesie bei ambulanten Patient*innen<br /> <br /> <br /> <br /> AMBOSS Regionalanästhesie<br /> <br /> <br /> <br /> AMBOSS Lokalanästhetika<br /> <br /> <br /> <br /> Placebo und Nocebo - Effekt<br /> <br /> <br /> <br /> Behandlungserwartung und Medikamentenwirkung: https://www.science.org/doi/10.1126/scitranslmed.3001244<br /> <br /> <br /> <br /> Kommunikationstechniken Prämedikation: https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0040-100082<br /> <br /> <br /> <br /> Kommunikation in der Anästhesie: https://journals.lww.com/anesthesia-analgesia/fulltext/2010/03000/nocebo_induced_hyperalgesia_during_local.42.aspx. <br /> <br /> <br /> <br /> Erwartungsoptimierung vor Herz-OP: https://pmc.ncbi.nlm.nih.gov/articles/PMC6191882/<br /> <br /> <br /> <br /> Scheinoperationen am Meniskus: Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear | New England Journal of Medicine<br /> <br /> <br /> <br /> Immunmodulation durch Placebo: https://www.pnas.org/doi/full/10.1073/pnas.1720548115<br /> <br /> <br /> <br /> Fallbericht Nocebo und Suizidversuch: https://pubmed.ncbi.nlm.nih.gov/17484949/<br /> <br /> <br /> <br /> Open-Label-Placebo Metaanalyse: https://pubmed.ncbi.nlm.nih.
January 29, 2025
Auch im neuen Jahr möchten wir Euch wieder ein paar Studien im Journal Club präsentieren.. <br /> <br /> <br /> <br /> Zudem haben wir spannende Hauptthemen: Dana und Prof. Dr. Reinhard Strametz erklären Euch die wichtigsten Punkte zum Thema "Second victim", ein wichtiges Thema, was uns alle betrifft. Zudem reden Thorben und Paula mit Bastian Grande über das Debriefing im Rettungsdienst..<br /> <br /> <br /> <br /> Hört rein und nehmt auch in diesem Jahr nebenher beim Bügeln, Joggen oder im Auto ein paar Dinge aus der FOAM-Medizinwelt mit =). <br /> <br /> <br /> <br /> Kommentare: <br /> <br /> <br /> <br /> Hier der Link zur Studie aus dem ILMA-Kommentar: https://pubmed.ncbi.nlm.nih.gov/35151143/ <br /> <br /> <br /> <br /> Vermischtes: <br /> <br /> <br /> <br /> Update mit Julian Veith zu ökologischen Gesichtspunkten der Anästhesie: <br /> <br /> <br /> <br /> https://www.ai-online.info/archiv/2024/11-2024/positionspapier-mit-konkreten-handlungsempfehlungen-der-dgai-und-des-bda-oekologische-nachhaltigkeit-in-der-anaesthesiologie-und-intensivmedizin-aktualisierung-2024.html<br /> <br /> <br /> <br /> Alternativen zu Evidence Based Medicine<br /> <br /> <br /> <br /> Isaacs D, Fitzgerald D. Seven alternatives to evidence based medicine. BMJ. 1999 Dec 18-25;319(7225):1618. doi: 10.1136/bmj.319.7225.1618. PMID: 10600968; PMCID: PMC28313.<br /> <br /> <br /> <br /> Leitlinie Perioperative Antibiotika Prophylaxe:<br /> <br /> <br /> <br /> Dana spricht über die neue Leitlinie zu periopertiver Antibiotikaprophylaxe:<br /> <br /> <br /> <br /> Ihr findet die Leitlinie hier in Kurz- und Langfassung: https://register.awmf.org/de/leitlinien/detail/067-009 <br /> <br /> <br /> <br /> PEN-FAST-Score aus der Langfassung (S. 334): https://register.awmf.org/assets/guidelines/067-009l_S3_PAP_2025-01.pdf <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Journal Club: <br /> <br /> <br /> <br /> Ines: <br /> <br /> <br /> <br /> Randall ZD, Strok MJ, Mazzola JW, Agrawal R, Yaeger LH, Berkes MB. The known and unknown reality of knee dislocations: A systematic review. Injury. 2024 Nov;55(11):111904. doi: 10.1016/j.injury.2024.111904. Epub 2024 Sep 18. PMID: 39357194.<br /> <br /> <br /> <br /> Dominic: <br /> <br /> <br /> <br /> https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16495?s=09<br /> <br /> <br /> <br /> Thorben: <br /> <br /> <br /> <br /> Couper K, Ji C, Deakin CD, Fothergill RT, Nolan JP, Long JB, Mason JM, Michelet F, Norman C, Nwankwo H, Quinn T, Slowther AM, Smyth MA, Starr KR, Walker A, Wood S, Bell S, Bradley G, Brown M, Brown S, Burrow E, Charlton K, Claxton Dip A, Dra'gon V, Evans C, Falloon J, Foster T, Kearney J, Lang N, Limmer M, Mellett-Smith A, Miller J, Mills C, Osborne R, Rees N, Spaight RES, Squires GL, Tibbetts B, Waddington M, Whitley GA, Wiles JV, Williams J, Wiltshire S, Wright A, Lall R, Perkins GD; PARAMEDIC-3 Collaborators. A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest. N Engl J Med. 2024 Oct 31:10.1056/NEJMoa2407780. doi: 10.1056/NEJMoa2407780. Epub ahead of print. PMID: 39480216; PMCID: PMC7616768.<br /> <br /> <br /> <br /> Vallentin MF, Granfeldt A, Klitgaard TL, Mikkelsen S, Folke F, Christensen HC, Povlsen AL, Petersen AH, Winther S, Frilund LW, Meilandt C, Holmberg MJ, Winther KB, Bach A, Dissing TH, Terkelsen CJ, Christensen S, Kirkegaard Rasmussen L, Mortensen LR, Loldrup ML, Elkmann T, Nielsen AG, Runge C, Klæstrup E, Holm JH, Bak M, Nielsen LR, Pedersen M, Kjærgaard-Andersen G, Hansen PM, Brøchner AC, Christensen EF, Nielsen FM, Nissen CG, Bjørn JW, Burholt P, Obling LER, Holle SLD, Russell L, Alstrøm H, Hestad S, Fogtmann TH, Buciek JUH, Jakobsen K, Krag M, Sandgaard M, Sindberg B, Andersen LW. Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Epub ahead of print. PMID: 39480221.<br /> <br /> <br /> <br /> Second victim: <br /> <br />
pin-up-docs – don't panic
Ingmar Finkenzeller (Klinik für Anästhesiologie der Universitätsmedizin Göttingen)
Armin und Gordon
AMBOSS-Redaktion
Dr. med. Kai Gruhn, Dr. med. Dietrich Sturm, Prof. Markus Wübbeler
Dr. Roman Ewert
Redaktion SpringerMedizin.de
Philip Banse & Ulf Buermeyer
Sebastian Schiffer und Andreas Müller
Christian Manshen, Luis Teichmann, Mike Rauch
Frankfurter Allgemeine Zeitung
NDR Info
Nibras Naami & Florian Babor
detektor.fm – Das Podcast-Radio
Berufsrettung Wien
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