ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2026
[The Freiburg concept of the "Neurological Emergency Receiving Team (NERT)" : Concept for structuring of time-critical courses of action for patients with a predominant disability problem with an interdisciplinary and interprofessional emergency team in the nontraumatological resuscitation room].
Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPreclinical identification of the underlying causes in emergency patients with predominant disability (D)-problem is often unreliable, leading to misallocation and capacity issues in intensive care and stroke units. To address these challenges, the management of these patients, including acute stroke care, is increasingly shifting to emergency departments or emergency centers. This results in a higher proportion of patients with D‑problems requiring immediate evaluation within the framework of a non-traumatological resuscitation room; however, a standardized care concept for this patient group in the non-traumatological resuscitation room is lacking. AIM OF THE STUDY (RESEARCH QUESTION): To optimize time-critical acute care for emergency patients with predominant D‑problems in the non-traumatological resuscitation room, the "neurological emergency receiving team" (NERT) was established at the University Emergency Department of the University Hospital Freiburg. The NERT concept aims to enable rapid and systematic evaluation and treatment of patients with acute focal neurological deficits and/or unexplained impairment of consciousness through predefined diagnostic and therapeutic pathways. MATERIAL AND
methodsA specialized team was formed comprising experts from neurology, emergency medicine and emergency nursing. In close collaboration with (neuro)radiologists experienced in emergency diagnostics, the team provides acute in-hospital care for this time-sensitive patient population. This article describes the team's composition, responsibilities, and workflow within the NERT concept.
resultsThe NERT concept enables rapid and standardized management of patients with predominant D‑problems. Interdisciplinary and interprofessional collaboration improves the time to diagnosis and initiation of treatment while reducing the risk of misallocation. DISCUSSION: The NERT concept represents a feasible model for delivering efficient and high-quality emergency care to patients with D‑problems in the non-traumatological resuscitation room.
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