Mythen und Missverständnisse in der Notfall-Labormedizin – Treat the Patient, Not the Blood Test
Myths and Misconceptions in Emergency Laboratory Medicine – Treat the Patient, Not the Blood Test
Abstract
Zusammenfassung. Verbessertes Verständnis der menschlichen Physiologie und technische Fortschritte haben zu einer breiten Verwendung von Labordiagnostik in der klinischen Aufarbeitung eines Patienten geführt. Diese Entwicklungen gingen jedoch mit der Verbreitung von falschen Mythen und Missverständnissen einher, die humane und ökonomische Ressourcen konsumieren sowie das klinische Denken und – nicht zuletzt – den Patienten gefährden. Das Ziel dieses Artikels ist es daher, eine Übersicht über typische Beispiele von falschen Dogmen über in der Notfallmedizin häufig verwendete Laborwerte zu geben.
Abstract. mprovements in understanding human physiology and technical advances have contributed to the widespread use of laboratory diagnostics in patient work-up. However, this evolution in laboratory diagnostics was accompanied by the spread of false myths and misconceptions – consuming human and economic resources – and endangering clinical reasoning and especially patients. The aim of this article is therefore to provide an overview on some typical examples of false dogmata about frequently used values in emergency medicine laboratory diagnostics.
Résumé. La compréhension avancée de la physiologie humaine et le progrès technologique ont contribué à une large utilisation des valeurs laboratoires pour l’approche diagnostique du eatient. Cette évolution, néanmoins, a été accompagnée par une prolifération de mythes et de malentendus. Cela consume des ressources humaines et économiques, et met au risque poar le raisonnement clinique et le patient. Le but de cet article est ainsi de présenter un bref aperçu des dogmes les plus fréquents rencontrés sur le plan du diagnostic laboratoire de la médicine d’urgence.
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