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1. Development, implementation and first insights of a time- and location-independent longitudinal postgraduate curriculum in emergency medicine

Author

Sauter, Thomas C., Exadaktylos, Aristomenis, Krummrey, Gert, Lehmann, Beat, Brodmann-Maeder, Monika, and Hautz, Wolf E.

Subjects
curriculum development, emergency medicine, medical education, Switzerland, Special aspects of education, LC8-6691, Medicine
Abstract

Introduction, background and context: There have been few reports on the implementation of a structured curriculum for emergency medicine, as emergency medicine is not yet an established medical specialty for training in many European countries, including Switzerland and Germany. Because of the non-plannable workload in the emergency setting, common training approaches are often difficult to implement. Need-assessments of emergency medicine trainees commonly identify a need for interactive, time-independent ways of learning that integrate modern forms of knowledge transfer. Methods: In the present study, we assess the local needs of emergency medicine specialists and trainees for a curriculum in emergency medicine and elaborate possible solutions for the implementation of this curriculum, taking into account the special needs in a highly dynamic, unplannable environment, such as an interdisciplinary emergency department. Results: We describe the development of the emergency medicine curriculum on the basis of the six steps proposed by Kern for curriculum development in medical education, as well as the implementation, lessons learned and interval evaluation.Conclusions: The combination of multiple teaching formats, ranging from time- and location-independent solutions such as podcasted lectures to simulation-based training sessions, as well as small-group workshops and skill training sessions, might be a valuable approach to implementing a state-of-the-art curriculum in a busy emergency department.

Published
2018
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8. „Resuscitative endovascular balloon occlusion of the aorta“ bei schwer verletzten Patienten im Schockraum: eine Fallserie

Author

Knapp, Jürgen, Jakob, Dominik A., Haltmeier, Tobias, Lehmann, Beat, and Hautz, Wolf E.

Abstract

Eine Hämorrhagie ist in 30–40 % der Patienten, die im Rahmen eines Traumas versterben, todesursächlich und die häufigste vermeidbare Todesursache. Für nichtkomprimierbare Blutungen im Bereich des Abdomens oder des Beckens wird in den letzten Jahren zunehmend (wieder) die Anwendung der „resuscitative endovascular balloon occlusion of the aorta“ (REBOA) zur temporären Blutungskontrolle diskutiert. Seit August 2020 steht im Schockraum des Universitären Notfallzentrums des Universitätsspital Bern die REBOA als Therapieoption im Rahmen der Schwerverletztenversorgung zur Verfügung. Wir berichten in dieser Fallserie unsere Erfahrungen aus allen 7 Anwendungen im Laufe des ersten Jahres.

Published
2024
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11. Entwicklungen, Herausforderung und Perspektiven des Handheld-Ultraschalls (HHUS)

Author

Dietrich, Christoph F., additional, Bulla, Peter, additional, Dudwiesus, Heiko, additional, Lo, Hendra, additional, Hocke, Michael, additional, Hoffmann, Beatrice, additional, Horn, Rudolf, additional, Lehmann, Beat, additional, Morf, Susanne, additional, Nuernberg, Dieter, additional, Prosch, Helmut, additional, Serra, Andreas, additional, Spengler, Jörg, additional, Blaskova, Andrea, additional, and Jenssen, Christian, additional

Published
2022
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16. [Resuscitative endovascular balloon occlusion of the aorta in severely injured patients in the emergency trauma room: a case series]

Author

Knapp, J��rgen, Jakob, Dominik A, Haltmeier, Tobias, Lehmann, Beat, and Hautz, Wolf E

Subjects
610 Medicine & health
Abstract

Hemorrhage is the cause of death in 30-40% of severely injured patients due to trauma and the most frequent avoidable cause of death. In civilian emergency medical services, the majority of life-threatening hemorrhages are found in incompressible body regions (e.g. abdomen and pelvis). Resuscitative endovascular balloon occlusion of the aorta (REBOA) has therefore been discussed in recent years as a��lifesaving procedure for temporary bleeding control in multiple trauma patients. Since August 2020 REBOA is implented in the treatment of seriously injured patients in the emergency department of the University Hospital of Bern. In this case series we report on our experiences in all seven patients in whom we performed this procedure during the first year.

Published
2022
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22. [COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization?]

Author

Lehmann, Beat, Baumgartner, Christine, Brill, Anne-Kathrin, Günther, Gunar, Nüesch, Susanne, Ott, Daniel, Ruder, Thomas D., Thurnheer Zürcher, Maria Christine, and Furrer, Hansjakob

Subjects
610 Medicine & health
Abstract

Switzerland has been severely affected by the COVID-19 pandemic. The clinical spectrum of this disease in terms of its clinical presentation and course is very broad. A correct initial evaluation in the practice or in the emergency department is important and includes history-taking and clinical examination as well as imaging and laboratory tests. Most patients with COVID-19 can be treated as outpatients. Hospitalization may be necessary in patients with a marked COVID-19 pneumonia or further complications, which occur primarily in the second or third phase of the disease. The dynamics of the disease must also be taken into consideration. In outpatients, symptomatic therapy is often sufficient, antibiotics and corticosteroids are not indicated.

Published
2021
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29. Extracorporeal life support in hypothermic cardiac arrest: Reconsidering trauma as an absolute contraindication

Author

Mendonca, Malaika, primary, Hautz, Wolf E., additional, Schucht, Philippe, additional, Reineke, David, additional, Kadner, Alexander, additional, Lehmann, Beat, additional, Gassmann, Mirjam, additional, Brülisauer, Thomas, additional, Graf, Michael, additional, Keitel, Kristina, additional, Schrag, Martin D., additional, and Eberle, Balthasar, additional

Published
2019
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33. Jüdische Jugend im Übergang – Jewish Youth in Transit

Author

Lehmann, Beate, Kissling, Nora M., Bergbauer, Knut, Pilarczyk, Ulrike, and Ashkenazi, Ofer

Subjects
Jewish Youth, Hakhshara, youth culture, youth movement, Zionism., thema EDItEUR::J Society and Social Sciences::JB Society and culture: general::JBS Social groups, communities and identities::JBSR Social groups: religious groups and communities, thema EDItEUR::J Society and Social Sciences::JN Education::JNB History of education
Abstract

In this volume, international researchers examine transformative processes of Jewish youth movements in Europe and Palestine between 1918 and 1945. They focus on the thoroughly controversial responses of youth to questions of tradition and future national, religious, and social community new education and equitable gender relations.

Published
2024
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36. Development, implementation and first insights of a timeand location-independent longitudinal postgraduate curriculum in emergency medicine.

Author

Sauter, Thomas C., Exadaktylos, Aristomenis, Krummrey, Gert, Lehmann, Beat, Brodmann-Maeder, Monika, and Hautz, Wolf E.

Abstract

Copyright of GMS Journal for Medical Education is the property of German Medical Science Publishing House gGmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2018
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46. Use of model predictive control and weather forecasts for energy efficient building climate control

Author

Oldewurtel, Frauke, Parisio, Alessandra, Jones, Colin, Gyalistras, Dimitrios, Gwerder, Markus, Stauch, Vanessa, Lehmann, Beat, and Morari, Manfred

Subjects
Energy efficiency, Building climate control, Stochastic model predictive control, Chance-constrained control
Abstract

This paper presents an investigation of how ModelPredictiveControl (MPC) and weatherpredictions can increase the energy efficiency in Integrated Room Automation (IRA) while respecting occupant comfort. IRA deals with the simultaneous control of heating, ventilation and air conditioning (HVAC) as well as blind positioning and electric lighting of a building zone such that the room temperature as well as CO2 and luminance levels stay within given comfort ranges. MPC is an advanced control technique which, when applied to buildings, employs a model of the building dynamics and solves an optimization problem to determine the optimal control inputs. In this paper it is reported on the development and analysis of a Stochastic ModelPredictiveControl (SMPC) strategy for buildingclimatecontrol that takes into account the uncertainty due to the use of weatherpredictions. As first step the potential of MPC was assessed by means of a large-scale factorial simulation study that considered different types of buildings and HVAC systems at four representative European sites. Then for selected representative cases the control performance of SMPC, the impact of the accuracy of weatherpredictions, as well as the tunability of SMPC were investigated. The findings suggest that SMPC outperforms current control practice.

47. Frequency, aetiology, and impact of vestibular symptoms in the emergency department: a neglected red flag

Author

Göldlin, Martina, Gaschen, Janika, Kammer, Christoph, Comolli, Lukas, Bernasconi, Corrado Angelo, Spiegel, Rainer, Bassetti, Claudio, Exadaktylos, Aristomenis K., Lehmann, Beat, Mantokoudis, Georgios, Kalla, Roger, and Fischer, Urs

Subjects
otorhinolaryngologic diseases, sense organs, 610 Medicine & health, 3. Good health
Abstract

OBJECTIVE We aimed to determine the incidence of all vestibular symptoms in a large interdisciplinary tertiary emergency department (ED) and to assess stroke prevalence, and frequency of other life-threatening aetiologies. METHODS In this 1-year retrospective study, we manually screened all medical records of 23,608 ED visits for descriptions of vestibular symptoms. Symptoms were classified according to the International Classification of Vestibular Disorders of the Bárány Society. We evaluated all patients older than 16 years in whom vestibular symptoms were the main or accompanying complaint. We extracted clinical, radiological, and laboratory findings as well as aetiologies from medical records. RESULTS We identified a total of 2596 visits by 2464 patients (11% of ED visits) who reported at least one vestibular symptom. In 1677/2596 visits (64.6%), vestibular symptoms were the main reason for the ED consultation. Vestibular symptoms were classified as dizziness (43.8%), vertigo (33.9%), postural symptoms (6.5%), or more than one symptom (15.8%). In 324/2596 visits (12.5%), cerebrovascular events were the aetiology of vestibular symptoms, and in 355/2596 visits (13.7%), no diagnosis could be established. In 23.8% of visits with vestibular symptoms as the main complaint, the underlying condition was life-threatening. CONCLUSION Frequency and impact of vestibular symptoms in patients visiting the ED were higher than previously reported, and life-threatening aetiologies such as strokes are common. Therefore, awareness among physicians regarding the importance of vestibular symptoms has to be improved.

48. Aorto-venous fistula between an abdominal aortic aneurysm and an aberrant renal vein: a case report

Author

Gaude Julien, Menth Markus, Haftgoli-Bakhtiari Nader, Faucherre Mélanie, and Lehmann Beat

Subjects
Medicine
Abstract

Abstract Introduction The potential complications of an abdominal aortic aneurysm include rupture, compression of surrounding structures, thrombo-embolic events and fistula. The most common site of arterio-venous fistula is the inferior vena cava. Fistula involving a renal vein is particularly uncommon. Case presentation This report describes a 54-year-old Caucasian woman who was admitted to the emergency department with fatigue, severe dyspnea and bilateral lower limb edema. In the first instance this anamnesis suggested possible heart failure. In fact, our patient presented with multi-organ system failure due to a fistula between an infra-renal aortic aneurysm and an aberrant retro-aortic renal vein. Conclusions To our knowledge, this is the first report of a woman with a fistula between an infra-renal aortic aneurysm and an aberrant retro-aortic left renal vein. Aorto-venous fistulas may be asymptomatic or may present with symptoms characteristic of arterio-venous shunting and/or aneurysm rupture. This type of fistula is a rare cause of heart failure. Clinical examination and imaging are essential for detection.

Published
2010
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49. [Perspectives and Challenges of hand-held Ultrasound].

Author

Dietrich CF, Bulla P, Dudwiesus H, Lo H, Hocke M, Hoffmann B, Horn R, Lehmann B, Morf S, Nuernberg D, Prosch H, Serra A, Spengler J, Blaskova A, and Jenssen C

Subjects
Humans, Ultrasonography, Physicians
Abstract

The use of handheld ultrasound devices from a technical and data protection point of view, device properties, functionality, documentation, indications, delegation of performance, applications by doctors, students and non-medical staff is examined and discussed., Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht., (Thieme. All rights reserved.)

Published
2023
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50. [COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization?]

Author

Lehmann B, Baumgartner C, Brill AK, Günther G, Nüesch S, Ott D, Ruder TD, Thurnheer Zürcher MC, and Furrer H

Subjects
Family Practice, Hospitalization, Humans, Pandemics, SARS-CoV-2, Switzerland, COVID-19, Outpatients
Abstract

COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization? Abstract. Switzerland has been severely affected by the COVID-19 pandemic. The clinical spectrum of this disease in terms of its clinical presentation and course is very broad. A correct initial evaluation in the practice or in the emergency department is important and includes history-taking and clinical examination as well as imaging and laboratory tests. Most patients with COVID-19 can be treated as outpatients. Hospitalization may be necessary in patients with a marked COVID-19 pneumonia or further complications, which occur primarily in the second or third phase of the disease. The dynamics of the disease must also be taken into consideration. In outpatients, symptomatic therapy is often sufficient, antibiotics and corticosteroids are not indicated.

Published
2021
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