retten! 2019; 8(03): 196-205
DOI: 10.1055/a-0653-8574
Fachwissen
© Georg Thieme Verlag KG Stuttgart · New York

Plötzlich bewusstlos! Synkopen im Rettungsdienst

Tanja Weiner
,
Marc-Michael Ventzke
Further Information

Publication History

Publication Date:
03 July 2019 (online)

Jeder Rettungsdienstmitarbeiter kennt diese Situation: Am Einsatzort besteht die Schwierigkeit, die Synkope von anderen (lebens-)bedrohlichen Notfällen abzugrenzen. Hier stellt sich v. a. die Frage, ob der Notarzt an der Einsatzstelle benötigt wird, wenn er nicht mitalarmiert wurde. Dieser Artikel soll Ihnen eine Richtschnur an die Hand geben, die ein strukturiertes, zielgerichtetes Vorgehen bei synkopierten Patienten bietet und hilft, entsprechende Differenzialdiagnosen miteinzubeziehen.

 
  • Literatur

  • 1 Kapoor WN. Evaluation and management of the patient with syncope. JAMA 1992; 268: 2553-2560
  • 2 Savage DD, Corwin L, McGee DL. et al. Epidemiologic features of isolated syncope: the Framingham Study. Stroke 1985; 16: 626-629
  • 3 Task Force for the Diagnosis and Management of Syncope; European Society of Cardiology (ESC); European Heart Rhythm Association (EHRA); Heart Failure Association (HFA); Heart Rhythm Society (HRS), et al. Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J 2009; 30: 2631-2671
  • 4 Blanc JJ, L’Her C, Touiza A. et al. Prospective evaluation and outcome of patients admitted for syncope over a 1 year period. Eur Heart J 2002; 23: 815-820
  • 5 Colivicchi F, Ammirati F, Melina D. et al. Development and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score. Eur Heart J 2003; 24: 811-819
  • 6 Hayes OW. Evaluation of syncope in the emergency department. Emerg Med Clin North Am 1998; 16: 601-615, viii
  • 7 Sun BC, Emond JA, Camargo Jr CA. Characteristics and admission patterns of patients presenting with syncope to U.S. emergency departments, 1992–2000. Acad Emerg Med 2004; 11: 1029-1034
  • 8 Brigo F, Nardone R, Ausserer H. et al. The diagnostic value of urinary incontinence in the differential diagnosis of seizures. Seizure 2013; 22: 85-90
  • 9 Reed MJ, Newby DE, Coull AJ. et al. The Risk stratification Of Syncope in the Emergency department (ROSE) pilot study: a comparison of existing syncope guidelines. Emerg Med J 2007; 24: 270-275
  • 10 Sayk F, Berndt M. Synkope – Algorithmen in der Notfallmedizin. Med Klin Intensivmed Notfmed 2012; 108: 25-32
  • 11 Brignole M. Diagnosis and treatment of syncope. Heart 2007; 93: 130-136
  • 12 Soteriades ES, Evans JC, Larson MG. et al. Incidence and prognosis of syncope. N Engl J Med 2002; 347: 878-885
  • 13 Bergfeldt L. Differential diagnosis of cardiogenic syncope and seizure disorders. Heart 2003; 89: 353-358
  • 14 Alboni P, Brignole M, Menozzi C. et al. Diagnostic value of history in patients with syncope with or without heart disease. J Am Coll Cardiol 2001; 37: 1921-1928
  • 15 Rehm CG, Ross SE. Syncope as etiology of road crashes involving elderly drivers. Am Surg 1995; 61: 1006-1008
  • 16 Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clin Geriatr Med 2002; 18: 141-158
  • 17 Sarasin FP, Louis-Simonet M, Carballo D. et al. Prevalence of orthostatic hypotension among patients presenting with syncope in the ED. Am J Emerg Med 2002; 20: 497-501