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Background <p>Preclinical identification of the underlying causes in emergency patients with predominant disability (D)-problem is often unreliable, leading to misallocation and capacity issues in intensive care and stroke units. To address these challenges, the management of these patients, including acute stroke care, is increasingly shifting to emergency departments or emergency centers. This results in a&#xa0;higher proportion of patients with D‑problems requiring immediate evaluation within the framework of a&#xa0;non-traumatological resuscitation room; however, a&#xa0;standardized care concept for this patient group in the non-traumatological resuscitation room is lacking.</p> Aim of the study (research question) <p>To optimize time-critical acute care for emergency patients with predominant D‑problems in the non-traumatological resuscitation room, the “neurological emergency receiving team” (NERT) was established at the University Emergency Department of the University Hospital Freiburg. The NERT concept aims to enable rapid and systematic evaluation and treatment of patients with acute focal neurological deficits and/or unexplained impairment of consciousness through predefined diagnostic and therapeutic pathways.</p> Material and methods <p>A&#xa0;specialized team was formed comprising experts from neurology, emergency medicine and emergency nursing. In close collaboration with (neuro)radiologists experienced in emergency diagnostics, the team provides acute in-hospital care for this time-sensitive patient population. This article describes the team’s composition, responsibilities, and workflow within the NERT concept.</p> Results <p>The NERT concept enables rapid and standardized management of patients with predominant D‑problems. Interdisciplinary and interprofessional collaboration improves the time to diagnosis and initiation of treatment while reducing the risk of misallocation.</p> Discussion <p>The NERT concept represents a&#xa0;feasible model for delivering efficient and high-quality emergency care to patients with D‑problems in the non-traumatological resuscitation room.</p>

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Das Freiburger Konzept des „Neurological Emergency Receiving Team“ (NERT)

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月17日

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  • J. Brich,
  • M. Hieber,
  • S. Petrik,
  • K. Müller-Peltzer,
  • C. Taschner,
  • T. Künzle,
  • J. Augustinski,
  • J. Duffner,
  • K. Fink,
  • H. Wiendl,
  • H.-J. Busch

摘要

Background

Preclinical identification of the underlying causes in emergency patients with predominant disability (D)-problem is often unreliable, leading to misallocation and capacity issues in intensive care and stroke units. To address these challenges, the management of these patients, including acute stroke care, is increasingly shifting to emergency departments or emergency centers. This results in a higher proportion of patients with D‑problems requiring immediate evaluation within the framework of a non-traumatological resuscitation room; however, a standardized care concept for this patient group in the non-traumatological resuscitation room is lacking.

Aim of the study (research question)

To optimize time-critical acute care for emergency patients with predominant D‑problems in the non-traumatological resuscitation room, the “neurological emergency receiving team” (NERT) was established at the University Emergency Department of the University Hospital Freiburg. The NERT concept aims to enable rapid and systematic evaluation and treatment of patients with acute focal neurological deficits and/or unexplained impairment of consciousness through predefined diagnostic and therapeutic pathways.

Material and methods

A specialized team was formed comprising experts from neurology, emergency medicine and emergency nursing. In close collaboration with (neuro)radiologists experienced in emergency diagnostics, the team provides acute in-hospital care for this time-sensitive patient population. This article describes the team’s composition, responsibilities, and workflow within the NERT concept.

Results

The NERT concept enables rapid and standardized management of patients with predominant D‑problems. Interdisciplinary and interprofessional collaboration improves the time to diagnosis and initiation of treatment while reducing the risk of misallocation.

Discussion

The NERT concept represents a feasible model for delivering efficient and high-quality emergency care to patients with D‑problems in the non-traumatological resuscitation room.