Dyspnea in preclinical and clinical emergency medicine

被引:1
作者
Schmid, B. [1 ]
Fink, K. [1 ]
Kron, J. [1 ]
Busch, H. -J. [1 ]
机构
[1] Univ Klinikum Freiburg I Br, Univ Notfallzentrum, Sir Hans A Krebs Str, D-79106 Freiburg, Germany
来源
NOTFALL & RETTUNGSMEDIZIN | 2017年 / 20卷 / 05期
关键词
Pulmonary embolism; Dyspnea; Pulmonary disease; chronic obstructive; Noninvasive ventilation; Risk stratification; OBSTRUCTIVE PULMONARY-DISEASE; ACUTE MYOCARDIAL-INFARCTION; ACUTE RESPIRATORY-FAILURE; INTENSIVE-CARE; NATRIURETIC PEPTIDE; MORTALITY; MANAGEMENT; DIAGNOSIS; EMBOLISM; UPDATE;
D O I
10.1007/s10049-017-0327-1
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Dyspnea (breathlessness) is a frequent and potentially life-threatening symptom complex in preclinical and clinical emergency medicine, which necessitates rapid and effective treatment. A broad spectrum of diseases can be concealed behind the symptom of dyspnea, which present the treating physician with many challenges. In order to be able to provide the patient with target-oriented diagnostics and an adequate initial treatment, knowledge of the various differential diagnoses together with a rapid risk stratification and prioritization of the measures to be implemented are indispensable. This article presents the most important differential diagnoses of acute dyspnea and provides guidelines for action in the initial approach to dyspnea.
引用
收藏
页码:443 / 455
页数:13
相关论文
共 39 条
[1]  
Abholz H, 2012, NATL VERSORGUNGSLEIT
[2]   Noninvasive Ventilation for the Emergency Physician [J].
Allison, Michael G. ;
Winters, Michael E. .
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA, 2016, 34 (01) :51-+
[3]   Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial [J].
Austin, Michael A. ;
Wills, Karen E. ;
Blizzard, Leigh ;
Walters, Eugene H. ;
Wood-Baker, Richard .
BMJ-BRITISH MEDICAL JOURNAL, 2010, 341 :927
[4]   Abnormal vital signs are strong predictors for intensive care unit admission and in-hospital mortality in adults triaged in the emergency department - a prospective cohort study [J].
Barfod, Charlotte ;
Lauritzen, Marlene Mauson Pankoke ;
Danker, Jakob Klim ;
Soeletormos, Gyoergy ;
Forberg, Jakob Lundager ;
Berlac, Peter Anthony ;
Lippert, Freddy ;
Lundstrom, Lars Hyldborg ;
Antonsen, Kristian ;
Lange, Kai Henrik Wiborg .
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE, 2012, 20
[5]   THE EFFECT OF CARBON-MONOXIDE INHALATION ON PULSE OXIMETRY AND TRANS-CUTANEOUS PO2 [J].
BARKER, SJ ;
TREMPER, KK .
ANESTHESIOLOGY, 1987, 66 (05) :677-679
[6]   Physician's First Clinical Impression of Emergency Department Patients With Nonspecific Complaints Is Associated With Morbidity and Mortality [J].
Beglinger, Bettina ;
Rohacek, Martin ;
Ackermann, Selina ;
Hertwig, Ralph ;
Karakoumis-Ilsemann, Julia ;
Boutellier, Susanne ;
Geigy, Nicolas ;
Nickel, Christian ;
Bingisser, Roland .
MEDICINE, 2015, 94 (07) :e374
[7]   LUNG-MECHANICS IN SITTING AND HORIZONTAL BODY POSITIONS [J].
BEHRAKIS, PK ;
BAYDUR, A ;
JAEGER, MJ ;
MILICEMILI, J .
CHEST, 1983, 83 (04) :643-646
[8]   Glucocorticoids for the treatment of anaphylaxis: Cochrane systematic review [J].
Choo, K. J. L. ;
Simons, E. ;
Sheikh, A. .
ALLERGY, 2010, 65 (10) :1205-1211
[9]   Retrospective validation of the pulmonary embolism rule-out criteria rule in 'PE unlikely' patients with suspected pulmonary embolism [J].
Crane, Steven ;
Jaconelli, Tom ;
Eragat, Mazin .
EUROPEAN JOURNAL OF EMERGENCY MEDICINE, 2018, 25 (03) :185-190
[10]  
Dalhoff K, 2012, S3 LEITLINIE EPIDEMI