Publications by authors named "G Michels"
[Summary of the S1 guideline on sustainability in intensive care and emergency medicine].
Med Klin Intensivmed Notfmed
November 2024
Background: Man-made climate change is one of the greatest challenges of the future. The course is being set in the current generation. As the healthcare sector contributes a considerable proportion of greenhouse gas emissions, measures to counteract this must be introduced as a matter of urgency.
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- Body composition analysis measures skeletal muscle mass and total body fat, highlighting the importance of muscle function in health outcomes.
- The loss of muscle mass can lead to frailty, higher fall risks, and longer hospital stays, indicating it’s a significant clinical concern.
- The proposed term "steatosarcopenia" describes a condition of muscle loss paired with excessive fat in muscle tissue, aiming to improve understanding and treatment of metabolic diseases.
[Action algorithm: management of acute pancreatitis in acute and emergency medicine].
Med Klin Intensivmed Notfmed
November 2024
Point of Care Ultrasound (POCUS) can be useful as a tool before, during and after the performance of cardiopulmonary resuscitation (CPR). Before or after resuscitation it can help with monitoring unstable hemodynamics, has the potential to identify reversible causes if patient deteriorates. During resuscitation POCUS can help detect potentially treatable causes of the cardiac arrest.
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- The study investigates the significance of cardiac troponin (cTn) levels in predicting mortality in patients with Takotsubo syndrome (TTS), analyzing data from the International Takotsubo Registry.
- It identifies that a cTn increase greater than 28.8 times the upper reference limit signals clinically relevant myocardial injury, correlating with a higher risk of mortality over 5 years (adjusted HR 1.58).
- The findings enhance understanding of patient risk profiles in TTS, emphasizing the need for increased monitoring and follow-up for those with significant troponin elevations.