{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:21:55Z","timestamp":1740108115578,"version":"3.37.3"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T00:00:00Z","timestamp":1606176000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T00:00:00Z","timestamp":1606176000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004168","name":"Universit\u00e4t zu L\u00fcbeck","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004168","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Anaesthesist"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die logistischen Besonderheiten eines maritimen Notfallortes und die h\u00e4ufig zus\u00e4tzlich drohende akzidentelle Hypothermie machen die Versorgung medizinischer Notf\u00e4lle auf dem Meer besonders anspruchsvoll. In dieser Arbeit sollen die Charakteristika notfallmedizinischer Eins\u00e4tze der Deutschen Gesellschaft zur Rettung Schiffbr\u00fcchiger (DGzRS) als Haupttr\u00e4gerin der nichthelikopterbasierten medizinischen Seenotrettung auf den Meeren vor der deutschen K\u00fcste beschrieben werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Es erfolgte eine retrospektive Analyse aller Eins\u00e4tze der DGzRS der Jahre 2017 und 2018. Die Einsatzdaten und \u2013zeiten sowie die Erkrankungsschwere der Patienten (graduiert mittels NACA-Score) wurden ausgewertet und exemplarisch mit denen eines NEF der Hansestadt L\u00fcbeck verglichen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Bei insgesamt 182 medizinischen Eins\u00e4tzen wurden 224 Patienten behandelt. Die Einsatzeinheiten der DGzRS ben\u00f6tigten im Mittel 30\u202f\u00b1\u200921\u202fmin bis zur Ankunft und 43\u202f\u00b1\u200930\u202fmin f\u00fcr Rettung, Behandlung und Transport. Bei 63 Eins\u00e4tzen wurden die Patienten durch einen Notarzt betreut, der bei 44 Eins\u00e4tzen durch die Landrettung herangef\u00fchrt wurde. Durch die Wartezeit auf bordfremdes Personal wurde bei 26 Eins\u00e4tzen die Abfahrt um im Mittel 18\u202f\u00b1\u20097\u202fmin verz\u00f6gert.<\/jats:p>\n                <jats:p>Die durchschnittliche Erkrankungsschwere in der Seenotrettung war signifikant h\u00f6her als im L\u00fcbecker Notarztdienst; es gab vergleichbar h\u00e4ufig Reanimationen und Todesf\u00e4lle.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Trotz der hohen Krankheitsschwere medizinischer Notf\u00e4lle auf den Meeren vor Deutschlands K\u00fcste treffen Not\u00e4rzte dort h\u00e4ufig mit erheblicher Verz\u00f6gerung ein. Es gibt den dringenden Bedarf effektiverer Unterst\u00fctzung der DGzRS durch f\u00fcr den maritimen Einsatz ausgebildetes \u00e4rztliches Personal.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00101-020-00885-5","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T14:07:59Z","timestamp":1606226879000},"page":"280-290","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Notfallmedizin in der Deutschen Gesellschaft zur Rettung Schiffbr\u00fcchiger \u2013 Auswertung medizinischer Notf\u00e4lle auf der Nord- und Ostsee \u00fcber 2\u00a0Jahre","Emergency medicine in the German Maritime Search and Rescue Service\u2014Evaluation of medical emergencies in the North Sea and Baltic Sea over 2 years"],"prefix":"10.1007","volume":"70","author":[{"given":"S.","family":"Schemke","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Schwalbe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Grunewald","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Maurer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,11,24]]},"reference":[{"issue":"6","key":"885_CR1","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1093\/occmed\/kqi063","volume":"55","author":"CJ Brooks","year":"2005","unstructured":"Brooks\u00a0CJ, Howard\u00a0KA, Neifer\u00a0SK (2005) How much did cold shock and swimming failure contribute to drowning deaths in the fishing industry in British Columbia 1976\u20132002? 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