Ist der Schockraum noch zeitgemäß?

Critically ill emergency patients place different demands on the type and duration of initial treatment in an emergency department. While those with trauma often need to receive surgical treatment as quickly as possible, critically ill patients with a wide range of non-traumatological pathologies differ both in terms of the urgency of diagnostic and therapeutic care and the length of stay until the critical illness can be reversed or patient-centred treatment goals defined.

The authors argue in favour of establishing intensive care treatment areas in emergency departments that allow optimal care for all critically ill emergency patients (with or without trauma) and allow treatment strategies to be adapted to the individual needs of patients. Shock rooms or shock room treatment areas for the care of emergency patients who require time-focussed and multi-professional initial treatment (e.g. severely injured patients, patients undergoing ongoing or post-cardiopulmonary resuscitation, and Patients undergoing extracorporeal cardiopulmonary resuscitation (eCPR)) should be integrated into these intensive care treatment areas.