ID
30469
Description
Emergency protocol by the DIVI (Deutsche Interdisziplinre Vereinigung fr Intensiv- und Notfallmedizin). ODM derived from "Notaufnahmeprotokoll Modul Trauma".
Keywords
Versions (8)
- 6/6/18 6/6/18 - Ann-Kristin Kock
- 6/6/18 6/6/18 - Ann-Kristin Kock
- 6/6/18 6/6/18 - Ann-Kristin Kock
- 6/6/18 6/6/18 - Ann-Kristin Kock
- 6/6/18 6/6/18 - Ann-Kristin Kock
- 6/19/18 6/19/18 -
- 6/25/18 6/25/18 -
- 7/20/18 7/20/18 - Ann-Kristin Kock
Copyright Holder
DIVI (Deutsche Interdisziplinre Vereinigung für Intensiv- und Notfallmedizin)
Uploaded on
June 6, 2018
DOI
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License
Creative Commons BY-NC 3.0
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DIVI Notaufnahmeprotokoll Zusatzmodul Trauma
Patienteninformation und Stammdaten
- StudyEvent: ODM
Description
STAMMDATEN
Description
Angemeldetes Verletzungsmuster
Data type
text
Description
Unfalldatum und Unfallzeit
Data type
date
Measurement units
- Datum
Alias
- UMLS CUI [1]
- C0011008
Description
Unfallzeit
Data type
time
Measurement units
- Uhr
Description
ASA vor Trauma
Data type
text
Alias
- UMLS CUI [1]
- C1531480
Description
Unfallursache
Data type
text
Alias
- UMLS CUI [1]
- C0552510
Description
Unfallmechanismus
Data type
text
Alias
- UMLS CUI [1]
- C0449413
Description
Unfallart (Verkehr)
Data type
text
Alias
- UMLS CUI [1]
- C0000932
Description
Unfallart (Sturz)
Data type
text
Alias
- UMLS CUI [1]
- C0000924
Description
Unfallart (Sonstiges)
Data type
text
Alias
- UMLS CUI [1]
- C0000924
Description
Für ,,Andere" bitte erwähnen
Data type
text
Alias
- UMLS CUI [1]
- C0205394
Description
PRÄKLINIK
Alias
- UMLS CUI-1
- C1709630
Description
Alarmierungszeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Eintreffzeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Beginn Transport
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
ERSTE VITALWERTE
Alias
- UMLS CUI-1
- C0518766
Description
AF
Data type
integer
Measurement units
- /min
Alias
- UMLS CUI [1]
- C0231832
Description
SpO2
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1]
- C2237091
Description
etCO2
Data type
integer
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0428658
Description
RR sys
Data type
integer
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0871470
Description
HF
Data type
integer
Measurement units
- bpm
Alias
- UMLS CUI [1]
- C0018810
Description
Augenöffnung
Data type
text
Description
Verbale Antwort
Data type
text
Description
Motorische Antwort
Data type
text
Description
Glasgow-Koma-Skala
Data type
integer
Alias
- UMLS CUI [1]
- C1271007
Description
Rechte Pupillenweite
Data type
text
Alias
- UMLS CUI [1,1]
- C0517965
- UMLS CUI [1,2]
- C0205090
Description
Linke Pupillenweite
Data type
text
Alias
- UMLS CUI [1,1]
- C0517965
- UMLS CUI [1,2]
- C0205091
Description
Lichtreaktion (rechts)
Data type
text
Alias
- UMLS CUI [1,1]
- C1287558
- UMLS CUI [1,2]
- C0205090
Description
Lichtreaktion (links)
Data type
text
Alias
- UMLS CUI [1,1]
- C1287558
- UMLS CUI [1,2]
- C0205091
Description
Intoxikation
Data type
text
Alias
- UMLS CUI [1]
- C0728899
Description
Temperatur
Data type
float
Measurement units
- °C
Alias
- UMLS CUI [1]
- C0039476
Description
Schmerzskala
Data type
integer
Alias
- UMLS CUI [1]
- C1518471
Description
PRÄKLINISCHE THERAPIE
Description
HWS-Immobilisierung
Data type
boolean
Alias
- UMLS CUI [1]
- C1301792
Description
Intubation
Data type
boolean
Alias
- UMLS CUI [1]
- C0021925
Description
Supraglottische Atemwegshilfe
Data type
boolean
Description
Chirurgischer Atemweg
Data type
boolean
Alias
- UMLS CUI [1]
- C2096028
Description
Rechte Thoraxdrainage
Data type
boolean
Alias
- UMLS CUI [1]
- C1096536
Description
Linke Thoraxdrainage
Data type
boolean
Alias
- UMLS CUI [1]
- C1096536
Description
Sauerstoff
Data type
boolean
Alias
- UMLS CUI [1]
- C0030054
Description
Rechter venöser Zugang
Data type
boolean
Alias
- UMLS CUI [1]
- C0750164
Description
Linker venöser Zugang
Data type
boolean
Alias
- UMLS CUI [1]
- C0750164
Description
Rechter arterieller Zugang (radial)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3272298
- UMLS CUI [1,2]
- C1278948
Description
Linker arterieller Zugang (radial)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3272298
- UMLS CUI [1,2]
- C1278948
Description
Rechter arterieller Zugang (femoral)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3272298
- UMLS CUI [1,2]
- C1280173
Description
Linker arterieller Zugang (femoral)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3272298
- UMLS CUI [1,2]
- C1280173
Description
ZVK
Data type
text
Alias
- UMLS CUI [1]
- C1145640
Description
Rechter IO Zugang
Data type
boolean
Alias
- UMLS CUI [1]
- C0162590
Description
Linker IO Zugang
Data type
boolean
Alias
- UMLS CUI [1]
- C0162590
Description
Kristalloide
Data type
boolean
Description
Kristalloide
Data type
float
Measurement units
- ml
Alias
- UMLS CUI [1]
- C0056562
Description
Kolloide
Data type
boolean
Description
Kolloide
Data type
float
Measurement units
- ml
Alias
- UMLS CUI [1]
- C0009361
Description
Small Volume Resuscitation
Data type
boolean
Alias
- UMLS CUI [1]
- C0035273
Description
Herzdruckmassage
Data type
boolean
Alias
- UMLS CUI [1]
- C0018807
Description
Defibrillation
Data type
boolean
Alias
- UMLS CUI [1]
- C0013778
Description
Katecholamine
Data type
boolean
Alias
- UMLS CUI [1]
- C0007412
Description
Blutstillung
Data type
boolean
Description
Blutstillung
Data type
text
Alias
- UMLS CUI [1]
- C0740166
Description
Fraktur
Data type
boolean
Description
Fraktur
Data type
text
Alias
- UMLS CUI [1]
- C0016658
Description
Beckengurt
Data type
boolean
Alias
- UMLS CUI [1]
- C0553557
Description
Tranexamsäure
Data type
boolean
Alias
- UMLS CUI [1]
- C0040613
Description
FAST (Focused assessment with ultrasonography for trauma)
Data type
text
Alias
- UMLS CUI [1]
- C2585897
Description
Analgosedierung
Data type
boolean
Description
Thermoprotektion
Data type
boolean
Description
PRÄKLINISCHE DIAGNOSE
Alias
- UMLS CUI-1
- C0011900
- UMLS CUI-2
- C1709630
Description
Schädel-Hirn
Data type
text
Alias
- UMLS CUI [1]
- C1456496
Description
Gesicht
Data type
text
Alias
- UMLS CUI [1]
- C0015450
Description
Thorax
Data type
text
Alias
- UMLS CUI [1]
- C1269614
Description
Abdomen
Data type
text
Alias
- UMLS CUI [1]
- C0000726
Description
Wirbelsäule
Data type
text
Alias
- UMLS CUI [1]
- C0037949
Description
Becken
Data type
text
Alias
- UMLS CUI [1]
- C0030797
Description
Obere Extremität
Data type
text
Alias
- UMLS CUI [1]
- C1140618
Description
Untere Extremität
Data type
text
Alias
- UMLS CUI [1]
- C0023216
Description
Weichteil
Data type
text
Alias
- UMLS CUI [1]
- C0225317
Description
NACA-Score
Data type
text
Description
Bemerkung
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
ERSTE VITALWERTE (Bitte siehe Basismodul)
Alias
- UMLS CUI-1
- C0518766
Description
SCHOCKRAUM DIAGNOSTIK/ ADJUNCTS
Alias
- UMLS CUI-1
- C0562508
- UMLS CUI-2
- C0011900
Description
FAST (Focused assessment with ultrasonography for trauma)
Data type
text
Alias
- UMLS CUI [1]
- C2585897
Description
FAST Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Relevanter gefühlter Blutverlust?
Data type
boolean
Alias
- UMLS CUI [1]
- C3163616
Description
AUFNAHMELABOR
Alias
- UMLS CUI-1
- C0022877
Description
pH
Data type
float
Alias
- UMLS CUI [1]
- C0202165
Description
Base Excess
Data type
float
Measurement units
- mmol/l
Alias
- UMLS CUI [1]
- C0201985
Description
PaO2
Data type
float
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0391840
Description
Hb
Data type
float
Measurement units
- g/dl
Alias
- UMLS CUI [1]
- C0019046
Description
Thrombozyten
Data type
float
Measurement units
- gpt/l
Alias
- UMLS CUI [1]
- C0005821
Description
Quick
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1]
- C0483455
Description
PTT
Data type
float
Measurement units
- sek
Alias
- UMLS CUI [1]
- C0030605
Description
INR
Data type
float
Alias
- UMLS CUI [1]
- C0525032
Description
Fibrinogen
Data type
float
Measurement units
- g/l
Alias
- UMLS CUI [1]
- C0016006
Description
Calcium (io)
Data type
float
Measurement units
- mmol/l
Alias
- UMLS CUI [1]
- C0201925
Description
Ethanol
Data type
float
Measurement units
- mg/dl
Alias
- UMLS CUI [1]
- C0202304
Description
ROTEM Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
EXTEM MCF
Data type
float
Measurement units
- mm
Description
EXTEM CT
Data type
float
Measurement units
- sek
Description
FIBTEM A10
Data type
float
Measurement units
- mm
Description
BILDGEBUNG
Alias
- UMLS CUI-1
- C0011923
Description
SCHOCKRAUM THERAPIE
Description
HWS-Immobilisierung
Data type
boolean
Alias
- UMLS CUI [1]
- C1301792
Description
HWS-Immobilisierung Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Intubation
Data type
boolean
Alias
- UMLS CUI [1]
- C0021925
Description
Intubation Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Supraglottische Atemwegshilfe
Data type
boolean
Description
Supraglottische Atemwegshilfe Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Chirurgischer Atemweg
Data type
boolean
Alias
- UMLS CUI [1]
- C2096028
Description
Chirurgischer Atemweg Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Rechte Thoraxdrainage
Data type
boolean
Alias
- UMLS CUI [1]
- C1096536
Description
Rechte Thoraxdrainage Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Linke Thoraxdrainage
Data type
boolean
Alias
- UMLS CUI [1]
- C1096536
Description
Linke Thoraxdrainage Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Sauerstoff
Data type
boolean
Alias
- UMLS CUI [1]
- C0030054
Description
Sauerstoff Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Venöser Zugang
Data type
text
Alias
- UMLS CUI [1]
- C0750164
Description
Venöser Zugang Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Arterieller Zugang (radial)
Data type
text
Alias
- UMLS CUI [1,1]
- C3272298
- UMLS CUI [1,2]
- C1278948
Description
Arterieller Zugang (radial) Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Arterieller Zugang (femoral)
Data type
text
Alias
- UMLS CUI [1,1]
- C3272298
- UMLS CUI [1,2]
- C1280173
Description
Arterieller Zugang (femoral) Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
ZVK
Data type
text
Alias
- UMLS CUI [1]
- C1145640
Description
ZVK Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
IO Zugang
Data type
text
Alias
- UMLS CUI [1]
- C0162590
Description
Kristalloide
Data type
float
Measurement units
- ml
Alias
- UMLS CUI [1]
- C0056562
Description
Kristalloide Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Kolloide
Data type
float
Measurement units
- ml
Alias
- UMLS CUI [1]
- C0009361
Description
Kolloide Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Small Volume Resuscitation
Data type
boolean
Alias
- UMLS CUI [1]
- C0035273
Description
Small Volume Resuscitation Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Herzdruckmassage
Data type
boolean
Alias
- UMLS CUI [1]
- C0018807
Description
Herzdruckmassage Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Defibrillation
Data type
boolean
Alias
- UMLS CUI [1]
- C0013778
Description
Defibrillation Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Katecholamine
Data type
boolean
Alias
- UMLS CUI [1]
- C0007412
Description
Katecholamine Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Blutstillung
Data type
text
Alias
- UMLS CUI [1]
- C0740166
Description
Blutstillung
Data type
boolean
Description
Blutstillung Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Fraktur
Data type
boolean
Description
Fraktur
Data type
text
Alias
- UMLS CUI [1]
- C0016658
Description
Fraktur Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Beckengurt
Data type
boolean
Alias
- UMLS CUI [1]
- C0553557
Description
Beckengurt Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Analgosedierung
Data type
boolean
Description
Analgosedierung Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Aktiver Wärmeerhalt
Data type
boolean
Description
Aktiver Wärmeerhalt Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
SCHNITTZEITPUNKT NOTFALLEINGRIFFE
Description
Hirndruckentlastung Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Laminektomie Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Thorakotomie (ohne Thoraxdrainage) Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Laparotomie Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Revaskularisation Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Embolisation Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Stabil. Becken Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
Stabil. Extremität Zeit
Data type
time
Measurement units
- Uhr
Alias
- UMLS CUI [1]
- C0040223
Description
ANTIKOAGULATION
Alias
- UMLS CUI-1
- C0003281
Description
TEAM MITGLIEDER
Description
Anaesthesist
Data type
text
Alias
- UMLS CUI [1]
- C0473161
Description
Chirurg
Data type
text
Alias
- UMLS CUI [1]
- C0582175
Description
ZINA (Zentrale Interdisziplinäre Notaufnahme)
Data type
text
Description
Radiologe
Data type
text
Alias
- UMLS CUI [1]
- C0260194
Description
MTRA (Medizinisch-technische Radiologieassistenten)
Data type
text
Description
Andere
Data type
text
Alias
- UMLS CUI [1]
- C0205394
Description
KÖRPERLICHE UNTERSUCHUNG
Alias
- UMLS CUI-1
- C0031809
Description
ABSCHLUSSDIAGNOSEN
Description
Abschlussdiagnosen
Data type
text
Description
Diagnostik vor ICU Aufnahme komplett?
Data type
boolean
Alias
- UMLS CUI [1]
- C0011900
Description
Schockraumdiagnostik regulär beendet?
Data type
boolean
Description
WEITERES PROCEDERE
Similar models
Patienteninformation und Stammdaten
- StudyEvent: ODM
C0205090 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,2])
C1278948 (UMLS CUI [1,2])
C1278948 (UMLS CUI [1,2])
C1280173 (UMLS CUI [1,2])
C1280173 (UMLS CUI [1,2])
C0011900 (UMLS CUI-2)
C1278948 (UMLS CUI [1,2])
C1280173 (UMLS CUI [1,2])