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RESponse Notfallmedizin Podcast
Berufsrettung Wien
27 episodes
3 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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Medicine
Health & Fitness
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All content for RESponse Notfallmedizin Podcast is the property of Berufsrettung Wien and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
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...
Medicine
Health & Fitness
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#26: Critical Bleeding – vom Hämostyptikum zum Blutprodukt
RESponse Notfallmedizin Podcast
1 hour 10 minutes 26 seconds
3 months ago
#26: Critical Bleeding – vom Hämostyptikum zum Blutprodukt
In Episode #26 des RESPonse-Podcasts dreht sich alles um das erste „C“ im c-ABCDE-Ansatz: Critical Bleeding. Dr. Ben Thal und Dr. Johannes Strobl erläutern zunächst die Hateful Eight Frühindikatoren (u. a. Blässe, Schwitzen, Hypotonie, Agitiertheit), mit denen kritische Blutungen bereits im Primary Assessment erkannt werden können. Anhand eines eindrücklichen Fallbeispiels – einer Patientin mit Machetenverletzungen – zeigen sie, wie wichtig schnelle Tourniquets, korrektes Wound-Packing und moderne Hämostyptika sind.

Zudem erklären sie, warum in der Akutphase Rocuronium + Ketamin das Mittel der Wahl ist und weshalb man bei massiver Blutung auf permissive Hypotension setzt, um frisch gebildete Gerinnsel zu schützen. Der Trend in der präklinischen Hämotherapie geht laut Strobl hin zu Vollblut, das alle Blutzell- und Gerinnungskomponenten enthält und logistisch einfacher handhabbar ist als Einzelkomponenten. Abgerundet wird die Folge durch praxisorientierte Tipps zur präklinischen Gabe von Tranexamsäure und zur Realisierung effektiver Blutlogistik im Rettungsdienst.
RESponse Notfallmedizin Podcast
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.