Weinmann MEDUMAT Standard2 Instructions

Excerpt from the S1 guideline
"Pre-hospital emergency anesthesia in adults" of the German
Association for Anesthesiology and Intensive Care Medicine (DGAI)
Indications for pre-hospital emergency anesthesia
• Acute respiratory insufciency (hypoxia and/or respiratory rate* <6 or >29/min)
and contraindications for or failure of non-invasive ventilation (NIV)
• Loss of consciousness/neurological decit with risk of aspiration
• Multiple trauma/severe trauma with
i) hemodynamic instability, systolic BP <90mmHg or
ii) hypoxia with SpO
2
<90% despite = 2l/min O
2
administration or
iii) traumatic brain injury with GCS <9
* in the presence of not rapidly reversible causes
if required
Management of complications
Indication: patient, application and user-related factors, experience of the
emergency medical team, situation at the scene, transport times, air and ground
rescue
Communication in the team: Site of anesthesia induction, clear allocation of
tasks, selection of medicines, other important notes and agreements
Optimal positioning: "Light, space, warmth" concept, ideal for upper
body elevation in the ambulance (caution: not with spinal immobilization or
hemodynamically unstable patients), head in "snifng" position.
Pre-oxygenation:
For a spontaneously breathing
patient, at least 3-4 min O
2
insufation with 12-15l/min via a
face mask with reservoir or demand
valve, if applicable, NIV or mask
ventilation
parallel
Standardized preparation:
Anesthetic and emergency medicine,
alternative airways, suction, capnography.
Monitoring: Pulse oximetry, ECG, blood
pressure, capnography
Two peripheral venous accesses: In case
of difcult puncture conditions, consider in
-
traosseous puncture in a time-critical manner.
Rapid Sequence Induction (RSI)
Continuous monitoring: Anesthesia management and monitoring

Weinmann MEDUMAT Standard2 Specifications

General

Brand	Weinmann
Model	MEDUMAT Standard2
Category	Medical Equipment
Language	English