Pub Date : 2026-02-06DOI: 10.1007/s00063-026-01412-x
Christoph Dodt
Spiritual needs play an important role in the experience of illness, particularly in cases involving an existential threat. The majority of patients in the emergency department express spiritual needs, particularly the desire for inner peace. Such needs are reported significantly more often by women. However, identifying these needs can be challenging due to a lack of time and insufficient staff training as well as patients' reluctance, which renders holistic, patient-centered care difficult. Nevertheless, many patients wish for their spiritual concerns to be acknowledged. Indications of these needs may arise from religious affiliation, advance directives, or spiritual symbols worn on the body. To adequately address these needs, protected spaces should be created. Relatives should be involved wherever possible and pastoral care should be organized if necessary. Among emergency patients, this increases trust in medical care that considers the person as a whole. Engaging with spirituality is also important for the treatment team as it helps to prevent compassion fatigue and burnout, thus improving care in the process. However, many staff members rate their spiritual competencies as low, which is why targeted training appears advisable. Overall, both patients and teams benefit from the conscious integration of spiritual aspects into emergency care.
{"title":"[Spiritual needs in emergency medicine].","authors":"Christoph Dodt","doi":"10.1007/s00063-026-01412-x","DOIUrl":"https://doi.org/10.1007/s00063-026-01412-x","url":null,"abstract":"<p><p>Spiritual needs play an important role in the experience of illness, particularly in cases involving an existential threat. The majority of patients in the emergency department express spiritual needs, particularly the desire for inner peace. Such needs are reported significantly more often by women. However, identifying these needs can be challenging due to a lack of time and insufficient staff training as well as patients' reluctance, which renders holistic, patient-centered care difficult. Nevertheless, many patients wish for their spiritual concerns to be acknowledged. Indications of these needs may arise from religious affiliation, advance directives, or spiritual symbols worn on the body. To adequately address these needs, protected spaces should be created. Relatives should be involved wherever possible and pastoral care should be organized if necessary. Among emergency patients, this increases trust in medical care that considers the person as a whole. Engaging with spirituality is also important for the treatment team as it helps to prevent compassion fatigue and burnout, thus improving care in the process. However, many staff members rate their spiritual competencies as low, which is why targeted training appears advisable. Overall, both patients and teams benefit from the conscious integration of spiritual aspects into emergency care.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-03DOI: 10.1007/s00063-025-01366-6
Michael Zinner, Cordula Tilkorn
{"title":"[55/m with difficult airway : Preparation for the medical specialist examination: part 31].","authors":"Michael Zinner, Cordula Tilkorn","doi":"10.1007/s00063-025-01366-6","DOIUrl":"https://doi.org/10.1007/s00063-025-01366-6","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1007/s00063-025-01377-3
Lisa Besch, Benedikt Schrage
{"title":"[58/m with acute coronary syndrome : Preparation for the medical specialist examination: part 6].","authors":"Lisa Besch, Benedikt Schrage","doi":"10.1007/s00063-025-01377-3","DOIUrl":"https://doi.org/10.1007/s00063-025-01377-3","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1007/s00063-026-01411-y
Priyanka Böttger, Ulf Müller-Ladner
{"title":"[45/m with hemoptysis and weight loss : Preparation for the medical specialist examination: part 17].","authors":"Priyanka Böttger, Ulf Müller-Ladner","doi":"10.1007/s00063-026-01411-y","DOIUrl":"https://doi.org/10.1007/s00063-026-01411-y","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1007/s00063-025-01401-6
Matthias Janusch, M Buerke
{"title":"[55/m with acute cardiac decompensation and fever : Preparation for the medical specialist examination: part 8].","authors":"Matthias Janusch, M Buerke","doi":"10.1007/s00063-025-01401-6","DOIUrl":"https://doi.org/10.1007/s00063-025-01401-6","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-11-25DOI: 10.1007/s00063-025-01355-9
Felix A Rottmann, Guido Michels, Eike Tigges, Udo Boeken, Ingrid Magnet, Benedikt Schrage, Michael R Preusch, Tobias Wengenmayer, Dawid L Staudacher
{"title":"[Extracorporeal life support (ECLS)-update 2025].","authors":"Felix A Rottmann, Guido Michels, Eike Tigges, Udo Boeken, Ingrid Magnet, Benedikt Schrage, Michael R Preusch, Tobias Wengenmayer, Dawid L Staudacher","doi":"10.1007/s00063-025-01355-9","DOIUrl":"10.1007/s00063-025-01355-9","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"63-66"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-06-10DOI: 10.1007/s00063-025-01283-8
Sebastian Herren, Jowita Bruno, Victor Speidel
{"title":"[Anisocoria in the intensive care unit].","authors":"Sebastian Herren, Jowita Bruno, Victor Speidel","doi":"10.1007/s00063-025-01283-8","DOIUrl":"10.1007/s00063-025-01283-8","url":null,"abstract":"","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"67-70"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2025-11-18DOI: 10.1007/s00063-025-01349-7
Christian Weimar
After successful resuscitation, cases of persisting neurological deficits or prolonged intensive care usually require inpatient neurological rehabilitation treatment. Depending on the severity this is either early neurological and neurosurgical rehabilitation in phase B as a continuation of acute hospital treatment or neurological rehabilitation in phase C or D. To relieve the burden on intensive care and monitoring wards in acute care hospitals, phase B often initially involves intensive care with weaning from ventilation and decannulation. In this phase, quantitative and qualitative disturbances of consciousness often occur, along with disorientation and behavioral disorders in the sense of organic psychosis or delirium. After reorientation and sufficient independence in activities of daily living, rehabilitation with a focus on the remaining individual neurological and neuropsychological deficits is then possible, which can individually be very different. This requires regular monitoring of progress and adjustment of therapy goals. Residual emotional, memory or cognitive problems after discharge from inpatient rehabilitation can often prevent return to work and can pose major challenges to home life.
{"title":"[Aims of rehabilitation after successful resuscitation].","authors":"Christian Weimar","doi":"10.1007/s00063-025-01349-7","DOIUrl":"10.1007/s00063-025-01349-7","url":null,"abstract":"<p><p>After successful resuscitation, cases of persisting neurological deficits or prolonged intensive care usually require inpatient neurological rehabilitation treatment. Depending on the severity this is either early neurological and neurosurgical rehabilitation in phase B as a continuation of acute hospital treatment or neurological rehabilitation in phase C or D. To relieve the burden on intensive care and monitoring wards in acute care hospitals, phase B often initially involves intensive care with weaning from ventilation and decannulation. In this phase, quantitative and qualitative disturbances of consciousness often occur, along with disorientation and behavioral disorders in the sense of organic psychosis or delirium. After reorientation and sufficient independence in activities of daily living, rehabilitation with a focus on the remaining individual neurological and neuropsychological deficits is then possible, which can individually be very different. This requires regular monitoring of progress and adjustment of therapy goals. Residual emotional, memory or cognitive problems after discharge from inpatient rehabilitation can often prevent return to work and can pose major challenges to home life.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"38-41"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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