ID
31543
Description
Empfehlung der DIVI Version 1.0
Keywords
Versions (2)
- 9/3/18 9/3/18 - Ann-Kristin Kock
- 2/14/19 2/14/19 -
Copyright Holder
DIVI (Deutsche Interdisziplinre Vereinigung für Intensiv- und Notfallmedizin)
Uploaded on
September 3, 2018
DOI
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License
Creative Commons BY-NC 3.0
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Intensivtransport-Protokoll
Intensivtransport-Protokoll
- StudyEvent: Study Event
Description
Einsatztaktische Daten
Description
Arztteam
Data type
text
Description
Fachrichtung
Data type
integer
Description
Arzt Qualifikation
Data type
integer
Description
Assistenzpersonal
Data type
text
Description
Assistenzpersonal Qualifikation
Data type
integer
Description
Einsatzdatum
Data type
date
Description
Auftragsvergabe
Data type
time
Description
Abfahrt/Abflug Standort
Data type
time
Description
Ankunft beim Patienten
Data type
time
Description
Transportbeginn
Data type
time
Description
Übergabe Zielklinik
Data type
time
Description
Einsatzende
Data type
time
Description
Arzt-Arzt-Gespräch
Description
Name des anfordernden Arztes
Data type
text
Description
Telefon d. anf. Arztes
Data type
text
Description
Telefax d. anf. Arztes
Data type
text
Description
Quellklinik
Data type
text
Description
Station d. Quellklinik
Data type
text
Description
Name des annehmenden Arztes
Data type
text
Description
Telefon des annehm. Arztes
Data type
text
Description
Telefax des annehm. Arztes
Data type
text
Description
Zielklinik
Data type
text
Description
Station d. Zielklinik
Data type
text
Description
Verlegungsgrund von
Data type
integer
Description
Verlegungsgrund zur
Data type
integer
Description
wenn Verlegungsgrund sonstiger, bitte angeben
Data type
text
Description
Dringlichkeit
Data type
integer
Description
Stationsart der Quellklinik
Data type
integer
Description
Stationsart der Zielklinik
Data type
integer
Description
Versorgungsstufe d. Quellklinik
Data type
integer
Description
Versorgungsstufe d. Zielklinik
Data type
integer
Description
Quellklinik Transport
Data type
integer
Description
Zielklinik Transport
Data type
integer
Description
Wenn Klinik Transport Sonstiges, bitte angeben
Data type
text
Description
Patienten-Kategorie
Data type
integer
Description
Arzt/Arztgespräch vor Übernahme stattgefunden
Data type
boolean
Description
Wenn Arzt/Arztgespräch vor Übernahme, hier dokumentieren
Data type
text
Description
Patientenstatus bei Ankunft / Übernahmestatus
Description
Neurologie
Data type
integer
Description
Pupillenfunktion links
Data type
integer
Description
Pupillenfunktion rechts
Data type
integer
Description
Bewußtseinslage
Data type
integer
Description
Meningismus
Data type
boolean
Description
Lähmungen
Data type
boolean
Description
Summe GCS
Data type
integer
Description
Schmerz
Data type
integer
Description
RR syst.
Data type
integer
Measurement units
- mmHg
Description
RR diast.
Data type
integer
Measurement units
- mmHg
Description
HF
Data type
integer
Measurement units
- /min
Description
Kreislauf
Data type
integer
Description
EKG
Data type
integer
Description
Scores
Data type
integer
Description
wenn übernommen, SAPS II
Data type
integer
Description
wenn übernommen, TISS 28
Data type
integer
Description
NACA
Data type
text
Description
Funktionseinschränkung ZNS
Data type
integer
Description
Funktionseinschränkung Herz
Data type
integer
Description
Funktionseinschränkung Gefäße
Data type
integer
Description
Funktionseinschränkung Lunge
Data type
integer
Description
Funktionseinschränkung Blut/Gerinnung
Data type
integer
Description
Funktionseinschränkung Leber
Data type
integer
Description
Funktionseinschränkung Niere/Urog.
Data type
integer
Description
Atmung
Data type
integer
Description
Beatmung
Data type
integer
Description
wenn sonst. Beatmungsform, bitte angeben
Data type
text
Description
O2-Sonde
Data type
integer
Measurement units
- l/min
Description
SaO2
Data type
integer
Measurement units
- %
Description
etCO2
Data type
integer
Measurement units
- mmHg
Description
AF
Data type
integer
Measurement units
- /min
Description
AMV
Data type
integer
Measurement units
- l/min
Description
FiO2
Data type
float
Description
I:E
Data type
text
Description
PEEP
Data type
integer
Measurement units
- cm H2O
Description
PIP
Data type
text
Measurement units
- cm H2O
Description
Druckunterstützung
Data type
integer
Measurement units
- cm H2O
Description
pO2
Data type
integer
Measurement units
- mmHg
Description
pCO2
Data type
integer
Measurement units
- mmHg
Description
pH
Data type
float
Description
S-Bic
Data type
integer
Measurement units
- mmol/l
Description
Temp.
Data type
float
Measurement units
- °C
Description
Bemerkungen / Besonderheiten /Labor
Data type
text
Description
Diagnosen
Description
Hauptdiagnosen (ICD 10)
Data type
text
Description
Zusatzdiagnosen (ICD 10)
Data type
text
Description
Operation/Intervention (ICPM)
Data type
text
Description
Mitgegeben: CT-/Röntgenbilder, Befunde, Wertsachen
Data type
text
Description
Verlauf
Description
Ereignis
Data type
time
Description
Puls
Data type
integer
Description
RR
Data type
text
Description
Defi
Data type
time
Description
Intub.
Data type
time
Description
HDM
Data type
time
Description
Transport
Data type
time
Description
AF / AMV
Data type
text
Description
PIP / PEEP
Data type
text
Description
I:E
Data type
text
Description
O2 / FiO2
Data type
text
Description
SaO2 / etCo2
Data type
text
Description
Medikamente
Data type
text
Description
Inf./Trans.
Data type
text
Description
Urin
Data type
text
Description
Drainagen
Data type
text
Description
Bemerkungen
Data type
text
Description
Maßnahmen/Geräte
Description
PVK
Data type
integer
Description
PVK Anzahl
Data type
integer
Description
PVK Ort
Data type
text
Description
ZVK
Data type
integer
Description
ZVK Anzahl
Data type
integer
Description
ZVK Ort
Data type
text
Description
AK
Data type
integer
Description
AK Ort
Data type
text
Description
PAK
Data type
integer
Description
PAK Ort
Data type
text
Description
Notfallpacer
Data type
integer
Description
REA/HDM
Data type
integer
Description
12-Kanal-EKG
Data type
integer
Description
O2-Inhalation
Data type
integer
Description
Intubation
Data type
integer
Description
Intubation Art
Data type
integer
Description
Intubation Größe
Data type
text
Description
Tubustiefe/-fixierung
Data type
text
Description
Absaugung
Data type
integer
Description
Magensonde
Data type
integer
Description
Thoraxdrainage
Data type
integer
Description
Thoraxdrainage Seite
Data type
integer
Description
Thoraxdrainage Größe
Data type
text
Description
Thoraxdrainage Position
Data type
text
Description
Harnableitung
Data type
integer
Description
Monitoring vorhanden
Data type
integer
Description
Monitoring neu
Data type
integer
Description
Geräteeinsatz vorhanden
Data type
integer
Description
Geräteeinsatz neu
Data type
integer
Description
Medikamente vorhanden
Data type
integer
Description
Medikamente neu
Data type
integer
Description
Infusionen vorhanden
Data type
integer
Description
Infusionen neu
Data type
integer
Description
Übergabestatus
Description
Neurologie
Data type
integer
Description
Pupillenfunktion links
Data type
integer
Description
Pupillenfunktion rechts
Data type
integer
Description
Bewußtseinslage
Data type
integer
Description
Meningismus
Data type
boolean
Description
Lähmungen
Data type
boolean
Description
Summe GCS
Data type
integer
Description
Schmerz
Data type
integer
Description
RR syst.
Data type
integer
Measurement units
- mmHg
Description
RR diast.
Data type
integer
Measurement units
- mmHg
Description
HF
Data type
integer
Measurement units
- /min
Description
Kreislauf
Data type
integer
Description
EKG
Data type
integer
Description
Atmung
Data type
integer
Description
Beatmung
Data type
integer
Description
wenn sonst. Beatmungsform, bitte angeben
Data type
text
Description
O2-Sonde
Data type
integer
Measurement units
- l/min
Description
SaO2
Data type
integer
Measurement units
- %
Description
etCO2
Data type
integer
Measurement units
- mmHg
Description
AF
Data type
integer
Measurement units
- /min
Description
AMV
Data type
integer
Measurement units
- l/min
Description
FiO2
Data type
float
Description
I:E
Data type
text
Description
PEEP
Data type
integer
Measurement units
- cm H2O
Description
PIP
Data type
integer
Measurement units
- cm H2O
Description
Druckunterstützung
Data type
integer
Measurement units
- cm H2O
Description
pO2
Data type
integer
Measurement units
- mmHg
Description
pCO2
Data type
integer
Measurement units
- mmHg
Description
pH
Data type
float
Description
S-Bic
Data type
integer
Measurement units
- mmol/l
Description
Temp.
Data type
float
Measurement units
- °C
Description
Bemerkungen
Data type
text
Description
Ergebnis
Description
Transportmittel medizinisch indiziert
Data type
boolean
Description
Einsatzbeschreibung
Data type
integer
Description
AVB Art
Data type
text
Description
AVB Schweregrad
Data type
text
Description
AVB Zeitpunkt
Data type
text
Description
übernehmende Station / Arzt
Data type
text
Description
Telefon / Telefax-Nr.
Data type
text
Description
Stempel / Unterschrift des Arztes
Data type
text
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- StudyEvent: Study Event