Der Arzt Am Unfallort: Pathophysiologie, Dringliche Diagnostik Und Erste Hilfe
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Obwohl der Aufgabenbereich des Laienhelfers und Arztes bei Aus- übung Erster Hilfe vieles gemeinsam hat, bestehen doch in mancher Hinsicht prinzipielle Unterschiede, da der Arzt, auf Grund seiner Aus- bildung, z. B. eine respiratorische Insuffizienz vom Herzstillstand eher und sicherer abgrenzen und schon deswegen besser und wirksamer hel- fen kann. Sichtet man die Fülle von Therapievorschlägen für die Erste Hilfe, dann zeigt sich, da selbst die Auffassungen von Experten auf diesem Gebiete teilweise voneinander abweichen und in dem einen oder anderen Punkt sogar divergieren. Es fällt daher nicht immer leicht, theo- retische Möglichkeiten und heute noch problematisch erscheinende Vor- stellungen von experimentell erarbeitetem oder durch klinische Beobach- tungen untermauertem Wissensgut so scharf zu trennen, wie es vielleicht notwendig wäre, wenn man sich in erster Linie auf die praktischen Be- dürfnisee beschränken will. Sie stehen hier ganz im Vordergrund. Als Schlüssel zu deren Verständnis sind die pathophysiologischen Vorgänge ausführlich behandelt, ohne den Anspruch auf Vollständigkeit erheben zu wollen. Ma nahmen der Blutstillung, des Wundverbandes, Schie- nung eines Bruches u. a. sind mit einbezogen worden, um ein möglichst vollständiges Bild über zweckmä ige Erste Hilfe zu vermitteln. Auf häufig begangene Fehler wird in den verschiedenen Abschnitten des Buches jeweils besonders hingewiesen. Mit Aktivierung und Intensivierung der Ersten I-Iilfe am Unfallort stellt sich zwangsläufig die Frage, ob und inwieweit hierdurch eine effektive Senkung der Todesziffer erreichbar ist. Soviellä t sich schon vorwegnehmen, da daran geknüpfte Erwartungen wegen des komp- xen Problemkreises ihren Niederschlag nicht allein in sogenannten Er- folgsstatistiken werden finden können.
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