Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Cross-border intensive care medicine

16.02.2015

Frankfurt-based intensive care medical practitioner, Kai Zacharowski, is working on a joint curriculum for Europe.

Anyone who becomes seriously ill or has an accident while on holiday would like to be treated as well as they are at home. It is vitally important for the patient that the doctor has been well trained, in particular in intensive care medicine.

A commission at the European Union under the leadership of Prof. Kai Zacharowski, the Director of the Clinic for Anaesthesiology, Intensive Care Medicine and Pain Therapy at the Goethe University Frankfurt is striving for uniform standards across Europe. This commission - shortened to MJC ICM for Multiple Joint Committee Intensive Care Medicine - has worked out general guidelines, which the member states are now expected to ratify. This will certainly not happen without compromises.

"United in diversity" - this is the motto of the European Union. At the level of professional training this diversity can also be obstructive, as it restricts the freedom there actually is in this diversity. And in the field of medicine diversity can also become a disadvantage to the patient. The regulations in intensive care medicine are particularly inconsistent.

For example, in Germany medical practitioners initially finish their specialist medical training before they can be further trained as a practitioner in intensive care medicine, while in Spain, intensive care medicine is a specialist medical training directly connected to study. It's not surprising that a change within Europe for practitioners of intensive care medicine might be difficult.

"Young doctors do not want to commit themselves for their whole professional life to the field of intensive care medicine", Kai Zacharowski gives the reasons for the organisation of training in Germany. Shift work and the considerable psychological strain suggest that doctors should not commit themselves to intensive care medicine at too early a stage, according to the professor, who also represents Germany in the Union Européene des Médicins Spécialistes (UEmS).

He considers a training period of a total of seven years to be essential: "After three years we cannot allow a young colleague to work independently". In the end, however, the length of training remains a matter for the individual states. There should, however, be uniform standards in the contents. Guidelines for the medical professions are drawn up nationally, by health ministries or by professional associations. There are already obligatory general requirements for subjects such as heart surgery, anaesthesia or neurosurgery. Now there is also to be a new European framework for intensive care medicine, which was worked out in agreement with the national professional associations.

"Intensive care medicine has changed a lot in the last few years", says Zacharowski: "We can now revive people, who would certainly have died ten years ago". This is resulting in new challenges for intensive care medicine and nursing treatment. A medical practitioner on the intensive care ward must competently manage the whole spectrum required in working with critically ill people: the replacement of organ functions, dialysis, artificial ventilation, the recognition and treatment of different types of blood poisoning, the correct use of antibiotics, the management of blood transfusions - and, not least, dealing with relatives.

On the basis of the EU-sponsored programme, CoBaTriCE, a paper was drawn up, which Zacharowski presented to the European Commission at the end of 2014 . Before parliament decides on the guidelines, the various national authorities must have ruled on them. Zacharowski is expecting a conclusion by the end of the year, before then, however, he will have to have many discussions. Individual countries such as Great Britain have already indicated a positive response, reports Zacharowski. Nevertheless, compromises will have to be reached, as in the end a more extensive training also means higher costs. It is certain, however: If Europe is to draw closer, a uniform training is essential.

Information: Prof. Dr. Dr. Kai Zacharowski, Direktion.Anaesthesie@kgu.de

Goethe University is a research-oriented university in the European financial centre Frankfurt Founded in 1914 with purely private funds by liberally-oriented Frankfurt citizens, it is dedicated to research and education under the motto "Science for Society" and to this day continues to function as a "citizens’ university". Many of the early benefactors were Jewish. Over the past 100 years, Goethe University has done pioneering work in the social and sociological sciences, chemistry, quantum physics, brain research and labour law. It gained a unique level of autonomy on 1 January 2008 by returning to its historic roots as a privately funded university. Today, it is among the top ten in external funding and among the top three largest universities in Germany, with three clusters of excellence in medicine, life sciences and the humanities.

Publisher The President of Goethe University, Marketing and Communications Department, 60629 Frankfurt am Main
Editor: Dr. Anke Sauter, Officer for Scientific Communication, International Communication, Tel: (069) 798-12498, Fax (069) 798-761 12531, sauter@pvw.uni-frankfurt.de
Internet: www.uni-frankfurt.de 

Dr. Anke Sauter | idw - Informationsdienst Wissenschaft

More articles from Health and Medicine:

nachricht Norovirus evades immune system by hiding out in rare gut cells
12.10.2017 | University of Pennsylvania School of Medicine

nachricht Flexible sensors can detect movement in GI tract
11.10.2017 | Massachusetts Institute of Technology

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Smart sensors for efficient processes

Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).

When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...

Im Focus: Cold molecules on collision course

Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.

How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...

Im Focus: Shrinking the proton again!

Scientists from the Max Planck Institute of Quantum Optics, using high precision laser spectroscopy of atomic hydrogen, confirm the surprisingly small value of the proton radius determined from muonic hydrogen.

It was one of the breakthroughs of the year 2010: Laser spectroscopy of muonic hydrogen resulted in a value for the proton charge radius that was significantly...

Im Focus: New nanomaterial can extract hydrogen fuel from seawater

Hybrid material converts more sunlight and can weather seawater's harsh conditions

It's possible to produce hydrogen to power fuel cells by extracting the gas from seawater, but the electricity required to do it makes the process costly. UCF...

Im Focus: Small collisions make big impact on Mercury's thin atmosphere

Mercury, our smallest planetary neighbor, has very little to call an atmosphere, but it does have a strange weather pattern: morning micro-meteor showers.

Recent modeling along with previously published results from NASA's MESSENGER spacecraft -- short for Mercury Surface, Space Environment, Geochemistry and...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

World Health Summit 2017: International experts set the course for the future of Global Health

10.10.2017 | Event News

Climate Engineering Conference 2017 Opens in Berlin

10.10.2017 | Event News

Conference Week RRR2017 on Renewable Resources from Wet and Rewetted Peatlands

28.09.2017 | Event News

 
Latest News

A single photon reveals quantum entanglement of 16 million atoms

16.10.2017 | Physics and Astronomy

The melting ice makes the sea around Greenland less saline

16.10.2017 | Earth Sciences

On the generation of solar spicules and Alfvenic waves

16.10.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>