Völker MT, Jahn N, Kaisers U, Laudi S, Knebel L, Bercker S. Anaesthesist 2015; 64(4): 304-314.
Vernacular Title
Soziale Aspekte von Einsätzen im Rettungsdienst.
Affiliation
Klinik und Poliklinik für Anästhesiologie und Intensivmedizin, Uniklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland, Theresa.Voelker@medizin.uni-leipzig.de.
BACKGROUND: Many missions in the preclinical emergency services seem to be triggered by false indications as defined by the Federal State Rescue Act. These emergency calls are often a result of or associated with social issues. Emergency rescue personnel are confronted with social problems and as a result often feel left alone with the problem.
AIM: This article promotes the understanding of emergency service personnel for the associations between social problems and health. Solution strategies for frequent social emergencies are described. MATERIAL AND METHODS: This article demonstrates the associations between socioeconomic status, health and disease. Typical indications for missions in which social aspects play an important role are presented and solution strategies for the approach are suggested. A discussion is presented on how to deal with cases of child abuse and domestic violence. Three classical psychiatric problem areas with common social components are explained: psychomotor state of excitation, suicide and alcohol-associated incidents and special attention is paid to danger to third parties and aggressive patients. In addition to the treatment of medical conditions, social problems play an important role particularly for the elderly and chronically ill patients.
RESULTS AND CONCLUSION: Emergency personnel have only limited options for dealing with such problems; however, it is important to be aware of regional structures and non-medical organizations, which might be of help in such situations. These include social services, youth welfare services, crisis interventions teams and social psychiatric services.