Typische Probleme und Fehler im radiologischen Nachtdienst

Zusammenfassung

Außerhalb der Regelarbeitszeit wird der Präsenzdienst in den meisten Krankenhäusern von Weiterbildungsassistenten geleistet. Sie sind gut beraten, einerseits die wichtigsten Krankheitsbilder zu kennen, die in dieser Übersichtsarbeit dargestellt werden, und andererseits die Fälle, die sie nicht lösen können, an ihren Hintergrund weiterzuleiten.

Abstract

After regular hours residents often are on duty in the radiology departments. It is neccessary to make decisions, diagnoses and recognize life threatening situations by oneself. Certain issues like acute adominal pain, breast pain and stroke occur regularly. We present the most important diagnoses and their emergency imaging. We give practical advise for working a night shift.

Kernaussagen

• Probleme bekommt man im Nachtdienst wegen abgelehnter Untersuchungen und Unhöflichkeit gegenüber den Zuweisern. Untersuchungen, die den Patienten nicht schaden, sollte man deshalb eher großzügig annehmen.

• Fehlbefunde im Nachtdienst sind viel seltener, als man annimmt. Dies gilt auch für Weiterbildungsassistenten. Weiterbildungen im Institut, in denen viele Nachtdienstfälle angesehen werden, helfen bei der Vorbereitung auf den ersten Dienst.

• Bestimmte Fragestellungen kehren immer wieder. Hier kann man sich gezielt vorab informieren. Seltene Fragestellungen kann man am Anfang in der Vorbereitung eher ignorieren und – wenn sie doch kommen – mit dem Hintergrunddienst besprechen.

Schlüsselwörter

Schlüsselwörter: CT - MRT - Nachtdienst - akutes Abdomen - Polytrauma - Thoraxschmerz - Schlaganfall - Notfalldiagnostik

Key words

CT - night duty - acute abdominal pain - multiple trauma

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