Crundlagen des Vorgehens am Notfallort, Untersuchung und Uberwachung des Notfallpatienten*

摘要

Professional performance is the very basis of any successful medical action on the scene of emergency which may be, additionally, endangered. Same is true for an appropriate self-protection, including the cooperation with the fire brigade or police forces, als well as for an organized approach to the emergency patient himself or herself. In spite of an increasing number of technical devices available even in the prehospital setting, nevertheless, the basic skills of the so-called "art of medicine" remain to be of utmost importance. Thing is, the main contributing factors to a guiding emergency diagnosis are the consideration of what exactly has happened, the goal-directed patient's history, and the physical examination in order to get a first survey (Part one). Technical equipment and diagnostic tools, in general, are serving as a completion (Part two). This may be the confirmation as well as the exclusion of a diagnosis suspected (e.g. hypo-glycemia), the specification (type of a myocardial infarction), the identification of additional risks (e.g. hypothermia), and the patient's safety (e.g. respiratory monitoring). By far, the emergency doctor remains to be the most important monitor.