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Sowohl innereuropäisch als auch innerhalb Österreichs liegt eine große Schwankungsbreite der Episotomierate vor, wobei sich diese über WHO empfohlenen Häufigkeit von 10% befindet. Aus der Geschichte geht eine stetige Veränderung der Indikationen, Häufigkeiten und Notwendigkeiten der Episiotomie hervor, weshalb eine wiederkehrende, kritische Hinterfragung notwendig zu sein scheint. Da in der Literatur beschriebene, unterschiedliche Formen der Wissensvermittlungen positive Auswirkungen für die Praxis erzielen konnten, lässt sich vermuten, dass auch eine klinikinterne Fortbildung einen entsprechenden Effekt haben könnte. Ziel der vorliegenden Arbeit ist es, zu untersuchen, inwiefern mittels einer klinikinternen Fortbildung eine Reduktion der Episiotomierate erzielt werden kann. 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Chronic Obstructive Pulmonary Disease, COPD) ist aktuell die vierthäufigste Todesursache weltweit. Im Rahmen akuter Exazerbationen (AECOPD), definiert als eine Zunahme der Atemnot über die normale tägliche Schwankungsbreite, ist innerklinisch die nicht-invasive Beatmung (engl. non-invasive ventilation, NIV) zur Therapie der respiratorischen Insuffizienz bereits ein bewährtes Tool. Zum Teil hat diese Therapieform auch Einzug in der Präklinik gefunden, Daten über die Effektivität fehlen bisher jedoch. Diese Arbeit soll untersuchen, ob eine präklinisch initiierte NIV-Therapie im Rahmen einer AECOPD klinisch und/oder laborchemisch zu einer signifikanten Verbesserung des Patient*innenzustandes führt.\nMaterial und Methoden: Für diese Diplomarbeit erfolgte eine retrospektive Analyse gewonnener Daten aus dem Notarztdokumentationssystem des Notarzteinsatzfahrzeuges Graz-Ost in Bezug auf die Blutgasanalyse (BGA) und den Glasgow Coma Scale (GCS), sowie deren Vergleich mit innerklinischen Daten aus dem Krankenhausinformationssystem (openMEDOCS) der KAGes (Steiermärkische Krankenanstaltengesellschaft). Die untersuchte Hauptzielgröße ist die Differenz zwischen dem ersten prä- und dem ersten innerklinisch gemessenen pH-Wert, sowie der arteriellen CO2-Konzentration. 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