{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T10:15:56Z","timestamp":1775038556914,"version":"3.50.1"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Basierend auf 1. einschl\u00e4gigen selektiven Referenzen der aktuellen fachspezifischen\n        medizinisch-wissenschaftlichen Literatur und 2. kompetenten klinischen Erfahrungen des\n        interdisziplin\u00e4ren, professionellen und sektoralen Profils von Notfallmedizinern und\n        Allgemein-\/Viszeralchirurgen aktuelle Inhalte und Trends des Notfallmanagements mit\n        fachspezifisch-chirurgischer Relevanz zu umrei\u00dfen.<\/jats:p>\n                  <jats:p>Narrative \u00dcbersicht.<\/jats:p>\n                  <jats:p>Zum allgemein- und viszeralchirurgischen Versorgungsspektrum in der Notaufnahme geh\u00f6ren\n        neben akut entz\u00fcndlichen oder tumor\u00f6sen Erkrankungen des GI-Trakts (und seiner\n        Anhangsorgane) mit drohender oder stattgehabter Perforation auch die Versorgung von\n        verletzten Patient*innen (Verkehrsunfall, physische Gewalt) sowie Blutungen mit\n        viszeralchirurgischer Dimension. Bei der Notfallversorgung besteht aufgrund der starken\n        Schwankungen des Patientenaufkommens sowie der Bandbreite des Patientenzustands (v\u00f6llig\n        unbeeintr\u00e4chtigte bis zu zeitkritisch vital bedrohte Patient*innen) immer wieder ein\n        Ungleichgewicht zwischen der Anzahl und der Fallschwere der zu versorgenden Patient*innen\n        und den vorhandenen Ressourcen. Neben den \u201eklassischen\u201c allgemein- und viszeralchirurgischen\n        Krankheitsbildern erweitert sich das chirurgische Versorgungsspektrum zunehmend um\n        penetrierende Verletzungen durch Schuss- und Stichverletzungen. W\u00e4hrend es f\u00fcr traumatische\n        Verletzungen, inkl. des Abdomens, Empfehlungen f\u00fcr die Diagnostik, Behandlung sowie die\n        vorzuhaltenden personellen Ressourcen und Strukturen gibt, ist eine solche Standardisierung\n        f\u00fcr allgemein-\/viszeralchirurgische Notfallpatienten nicht existent. Die Standardisierung\n        der Notfalldiagnosen, eine Erfassung und Risikostratifizierung anhand der vorliegenden\n        Befunde (klinisch, anatomisch, radiologisch) sowie evidenzbasierte Behandlungspfade und\n        Ma\u00dfnahmenb\u00fcndel mit Erfassung der Behandlungsergebnisse in einem nationalen Register zur\n        Qualit\u00e4tssicherung k\u00f6nnten zur Verbesserung der Versorgung von\n        allgemein-\/viszeralchirurgischen Notfallpatienten f\u00fchren.<\/jats:p>\n                  <jats:p>Um einer angestrebten fokussierten Aufgabenerf\u00fcllung interdisziplin\u00e4rer Notaufnahmen\n        ad\u00e4quat gerecht zu werden, sind stringente Arbeitsabl\u00e4ufe, fach-, befund- und\n        diagnosebezogene Behandlungsstandards, eine hohe wie auch stetig weiterzuentwickelnde\n        Fachexpertise der \u00e4rztlich-klinischen Akteure sowie eine interprofessionelle Zusammenarbeit\n        unerl\u00e4sslich, um dem gestellten Versorgungsauftrag gerecht zu werden. Eine klinische\n        Qualit\u00e4tssicherung mit registerbasierter Dokumentation und periodischer Auditierung k\u00f6nnte\n        die Patientenversorgung verbessern.<\/jats:p>","DOI":"10.1055\/a-2557-4795","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T19:59:11Z","timestamp":1744142351000},"page":"185-196","source":"Crossref","is-referenced-by-count":1,"title":["Interaktion von interdisziplin\u00e4rer Notaufnahme und Allgemein-\/Vizeralchirurgie: grundlegende Aspekte und aktuelle Trends von Organisationsstruktur und Krankheitsbildern (Wissen des [Allgemein-\/Viszeral-]Chirurgen)"],"prefix":"10.1055","volume":"151","author":[{"given":"Tobias","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Interdisziplin\u00e4re zentrale Notaufnahme, Otto-von-Guericke-Universit\u00e4t mit Universit\u00e4tsklinikum, Magdeburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Breitling","sequence":"additional","affiliation":[{"name":"Interdisziplin\u00e4re zentrale Notaufnahme, Otto-von-Guericke-Universit\u00e4t mit Universit\u00e4tsklinikum, Magdeburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Meyer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral-, Gef\u00e4\u00df- und Transplantationschirurgie, Otto-von-Guericke-Universit\u00e4t mit Universit\u00e4tsklinikum, Magdeburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"key":"ref3","first-page":"259","volume-title":"Routinebasierte Versorgungsforschung in der klinischen Notfallmedizin \u2013\n          Herausforderungen und M\u00f6glichkeiten","author":"F Greiner","year":"2018"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1007\/s00113-020-00819-1","article-title":"Kostenfaktor \u201eambulante Wundversorgung\u201c in der Notaufnahme. 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