Universität zu Köln

Michels, G., Hempel, D., Pfister, R. and Janssens, U. (2019). Emergency ultrasound and echocardiography in patients with infarct-related cardiogenic shock: Asurvey among members of the German Society of Medical Intensive Care and Emergency Medicine. Med. Klin.-Intensivmed Notfallmed., 114 (5). S. 434 - 439. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 2193-6226

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Abstract

Current international and national guidelines promote the use of emergency echocardiography in patients with cardiogenic shock. We assessed whether these recommendations are followed in clinical practice of infarct-related cardiogenic shock patients. For this purpose we conducted aweb-based survey among all members of the German Society of Medical Intensive Care and Emergency Medicine (DGIIN); 40% of the DGIIN members completed the survey. Participants reported that in their department emergency echocardiography/ultrasound is performed on most patients in infarct-related cardiogenic shock presenting to the emergency department/chest pain unit or intensive care unit (58.6% versus 81.4%). Only 33% stated that on patients admitted directly to the catheterization laboratory emergency ultrasound/echocardiography is applied in their institution. Local availability of astandardized algorithm was lacking in the majority of departments (77.2%). Agreat proportion (38.3%) of participants stated that they personally had no formal training in emergency ultrasound. In order to meet the demands of the current guidelines, in addition to integration of ultrasound examinations into diagnostic algorithms, astructured training of all emergency and intensive care physicians is necessary.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Michels, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hempel, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Janssens, U. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-146723
DOI:	10.1007/s00063-018-0431-0
Journal or Publication Title:	Med. Klin.-Intensivmed Notfallmed.
Volume:	114
Number:	5
Page Range:	S. 434 - 439
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	2193-6226
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EUROPEAN ASSOCIATION; CARDIAC ULTRASONOGRAPHY; APPROPRIATE USE; GUIDELINES; MANAGEMENT; RECOMMENDATIONS; DIAGNOSIS; ESC Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14672