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Notaufnahme up2date 2023; 05(03): 289-309
DOI: 10.1055/a-1900-8444
DOI: 10.1055/a-1900-8444
Spezifische Aspekte in der Notaufnahme
Leitsymptom Schock: Klassifikation und klinische Relevanz
![](https://www.thieme-connect.de/media/10.1055-s-00043001/202303/lookinside/thumbnails/10-1055-a-1900-8444-1.jpg)
Die Leitbefunde des Schockes – Tachykardie und Hypotonie – sind alltägliche Symptome der klinischen Notfallmedizin. Zugrunde liegt eine Sauerstoffunterversorgung der Organe und des Gewebes. Da häufig ein potenziell letales Krankheitsbild zugrunde liegt, sind eine rasche Stabilisierung des Patienten und Ursachendiagnostik entscheidend. Dieser Beitrag gibt eine Übersicht über die Schockformen sowie die diagnostischen und therapeutischen Maßnahmen.
Publication History
Article published online:
21 July 2023
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Literatur
- 1 Standl T, Annecke T, Cascorbi I. et al. The Nomenclature, Definition and Distinction of Types of Shock. Dtsch Ärztebl Int 2018; 115: 757-768 DOI: 10.3238/arztebl.2018.0757. (PMID: 30573009)
- 2 Hempel D, Pfister R, Michels G. Hemodynamic monitoring in intensive care and emergency medicine : Integration of clinical signs and ultrasound findings. Med Klin Intensivmed Notfmed 2016; 111: 596-604 DOI: 10.1007/s00063-016-0172-x. (PMID: 27279379)
- 3 Ring J, Beyer K, Biedermann T. et al. Guideline (S2k) on acute therapy and management of anaphylaxis: 2021 update: S2k-Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Medical Association of German Allergologists (AeDA), the Society of Pediatric Allergology and Environmental Medicine (GPA), the German Academy of Allergology and Environmental Medicine (DAAU), the German Professional Association of Pediatricians (BVKJ), the Society for Neonatology and Pediatric Intensive Care (GNPI), the German Society of Dermatology (DDG), the Austrian Society for Allergology and Immunology (OGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Anaesthesiology and Intensive Care Medicine (DGAI), the German Society of Pharmacology (DGP), the German Respiratory Society (DGP), the patient organization German Allergy and Asthma Association (DAAB), the German Working Group of Anaphylaxis Training and Education (AGATE). Allergo J Int 2021; 30: 1-25 DOI: 10.1007/s40629-020-00158-y. (PMID: 33527068)
- 4 Fleischmann-Struzek C, Schwarzkopf D. et al. Inzidenz der Sepsis in Deutschland und weltweit. Med Klin Intensivmed Notfmed 2021; 117: 264-268 DOI: 10.1007/s00063-021-00777-5.
- 5 SepNet Critical Care Trials Group. Incidence of severe sepsis and septic shock in German intensive care units: the prospective, multicentre INSEP study. Intensive Care Med 2016; 42: 1980-1989 DOI: 10.1007/s00134-016-4504-3.
- 6 Evans L, Rhodes A, Alhazzani W. et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med 2021; 49: e1063-e1143 DOI: 10.1097/CCM.0000000000005337. (PMID: 34599691)
- 7 Werdan K, Buerke M, Geppert A. et al. Infarction-Related Cardiogenic Shock- Diagnosis, Monitoring and Therapy-A German-Austrian S3 Guideline. Dtsch Ärztebl Int 2021; 118: 88-95 DOI: 10.3238/arztebl.m2021.0012. (PMID: 33827749)
- 8 Backhaus T, Fach A, Schmucker J. et al. Management and predictors of outcome in unselected patients with cardiogenic shock complicating acute ST-segment elevation myocardial infarction: results from the Bremen STEMI Registry. Clin Res Cardiol 2018; 107: 371-379 DOI: 10.1007/s00392-017-1192-0.
- 9 Perera P, Mailhot T, Riley D. et al. The RUSH Exam: Rapid Ultrasound in SHock in the Evaluation of the Critically lll. Emerg Med Clin North Am 2010; 28: 29-56 DOI: 10.1016/j.emc.2009.09.010. (PMID: 19945597)
- 10 Park JH, Balmain S, Berry C. et al. Potentially detrimental cardiovascular effects of oxygen in patients with chronic left ventricular systolic dysfunction. Heart 2010; 96: 533-538 DOI: 10.1136/hrt.2009.175257.
- 11 McDonagh TA, Metra M, Adamo M. et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J 2021; 42: 3599-3726 DOI: 10.1093/eurheartj/ehab368. (PMID: 34447992)
- 12 Gibson NS, Sohne M, Kruip MJHA. et al. Further validation and simplification of the Wells clinical decision rule in pulmonary embolism. Thromb Haemost 2008; 99: 229-234 DOI: 10.1160/TH07-05-0321.
- 13 Konstantinides SV, Meyer G, Becattini C. et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur Heart J 2019; 41: 543-603 DOI: 10.1093/eurheartj/ehz405.