#18: Clamshell Thorakotomie – Maßnahme am Limit?

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RESponse Notfallmedizin Podcast

Berufsrettung Wien

27 episodes

2 days ago

In this episode, Ben & Tom explore the critical role of point-of-care ultrasound (pPOCUS) during cardiac arrest. Together, they dive into the power — and the pitfalls — of using ultrasound to identify reversible causes like tamponade, pulmonary embolism, and tension pneumothorax. They discuss how pPOCUS can help differentiate true PEA from pseudo PEA and guide life-saving decisions in both traumatic and non-traumatic arrests. But there’s a catch: ultrasound can extend pauses in chest compressions, with potentially harmful consequences.

From peri-arrest insights to penetrating trauma scenarios, this conversation highlights when — and how — ultrasound truly adds value. The key takeaway? pPOCUS can be a powerful ally in resuscitation, but only when used with precision, preparation, and a well-coordinated team.

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Health & Fitness

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In this episode, Ben & Tom explore the critical role of point-of-care ultrasound (pPOCUS) during cardiac arrest. Together, they dive into the power — and the pitfalls — of using ultrasound to identify reversible causes like tamponade, pulmonary embolism, and tension pneumothorax. They discuss how pPOCUS can help differentiate true PEA from pseudo PEA and guide life-saving decisions in both traumatic and non-traumatic arrests. But there’s a catch: ultrasound can extend pauses in chest compressions, with potentially harmful consequences.

From peri-arrest insights to penetrating trauma scenarios, this conversation highlights when — and how — ultrasound truly adds value. The key takeaway? pPOCUS can be a powerful ally in resuscitation, but only when used with precision, preparation, and a well-coordinated team.

Show more...

Health & Fitness

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#18: Clamshell Thorakotomie – Maßnahme am Limit?

RESponse Notfallmedizin Podcast

48 minutes

2 years ago

#18: Clamshell Thorakotomie – Maßnahme am Limit?

Die Clamshell-Thorakotomie ist eine maximal invasive Notfall-Maßnahme innerhalb der Traumareanimation, die nachgewiesenermaßen Leben retten kann, aber in Vergangenheit auch aus vieler Munde als "zu invasiv" und "zu risiko-behaftet" kritisiert wurde. Mit dieser Folge wollen wir Vorurteile ausräumen und uns einen guten Überblick über deren Ziel, Indikation und Durchführung verschaffen.

Dr. Mario Krammel, Chefarzt der Berufsrettung Wien, sowie aus dem Team unserer Oberärztinnen und Oberärzte, Priv.-Doz. Dr. Thomas Hamp sind Fachärzte für Anästhesie und Intensivmedizin und haben sich in den letzten Jahren intensiv mit dem Thema auseinandergesetzt.

Freut euch auf eine spannende Episode mit unseren Gästen!