Vitalzeichen/en: Unterschied zwischen den Versionen

Aktuelle Version vom 16. April 2019, 22:35 Uhr

Sprachen:

Deutsch • ‎English

The vital signs control begins with the first eye contact with the patient and the associated recording of the vital signs and is a component of the compilation of an overview in the emergency situation. The vital sign control is the first diagnostic measure in every emergency situation and takes place permanently, e.g. through conversation with the patient.

In inanimate patients without spontaneous vocal expression, the "Diagnostic Block" according to ERC guidelines, which is customary in emergency medical services, is specifically used: Consciousness - Breathing - Pulse or life sign? worked off.

Depending on the circumstances of the situation, the emergency doctor, unlike the inexperienced, will check the vital signs control less in the ritualized form (consciousness, breathing, pulse/life signs). A patient who sits and breathes or a newborn child who cries is, of course, vital even without the ritualized procedure. The vital signs have now been checked. However, vital signs obtained do not allow conclusions to be drawn about the vital threat posed by an acute disease. For example, an adapted patient with severe obstructive pulmonary disease with a blood pressure of 80 mmHg systolic and an oxygen saturation of 35 mmHg can show preserved vital signs and even talk to the emergency physician. The vital sign control therefore takes place permanently according to the guidelines of all emergency organizations and immediately with every change of the clinical picture.

@@ Zeile 2: / Zeile 2: @@
 The vital signs control begins with the first eye contact with the patient and the associated recording of the vital signs and is a component of the compilation of an overview in the emergency situation. The vital sign control is the first diagnostic measure in every emergency situation and takes place permanently, e.g. through conversation with the patient.
-Bei leblosen Patienten ohne spontane Lautäußerung wird gezielt der im Notarztdienst übliche „Diagnostische Block“ nach ERC-Richtlinien: Bewußtsein – Atmung – Puls oder Lebenszeichen? abgearbeitet.
+In inanimate patients without spontaneous vocal expression, the "Diagnostic Block" according to ERC guidelines, which is customary in emergency medical services, is specifically used: Consciousness - Breathing - Pulse or life sign? worked off.
-Je nach den Gegebenheiten der Situation wird der Notarzt, anders als der Nichtgeübte, die Vitalzeichenkontrolle weniger in der ritualisierten Form (Bewußtsein, Atmung, Puls/Lebenszeichen) prüfen. Ein Patient, der sitzt und atmet oder ein Neugeborenes, das schreit ist selbstverständlich auch ohne das ritualisierte Vorgehen als vital zu bezeichnen. Damit ist die Vitalzeichenkontrolle erfolgt. Erhaltene Vitalzeichen lassen aber keine Schlüsse hinsichtlich der vitalen Bedrohung durch eine akute Erkrankung zu. So kann z.B. ein adaptierter Patient mit schwerer obstruktiver Atemwegserkrankung mit einem Blutdruck von 80mmHg systolisch und einer Sauerstoffsättigung von 35 mmHg durchaus erhaltene Vitalzeichen zeigen und sogar mit dem Notarzt sprechen. Die Vitalzeichenkontrolle findet daher nach den Richtlinien aller Notfallorganisationen permanent und bei jeder &Auml;nderung des klinischen Bildes sofort gezielt statt.
+Depending on the circumstances of the situation, the emergency doctor, unlike the inexperienced, will check the vital signs control less in the ritualized form (consciousness, breathing, pulse/life signs). A patient who sits and breathes or a newborn child who cries is, of course, vital even without the ritualized procedure. The vital signs have now been checked. However, vital signs obtained do not allow conclusions to be drawn about the vital threat posed by an acute disease. For example, an adapted patient with severe obstructive pulmonary disease with a blood pressure of 80 mmHg systolic and an oxygen saturation of 35 mmHg can show preserved vital signs and even talk to the emergency physician. The vital sign control therefore takes place permanently according to the guidelines of all emergency organizations and immediately with every change of the clinical picture.