Dr. Ben Thal

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Retz
Dr. Ben Thal

Meine Wahlarzt-Ordination bietet das ganze Spektrum zeitgemäßer Allgemeinmedizin und versteht sich als Tor zu einem Netzwerk erfahrener Spezialisten.

Arzt für Allgemeinmedizin

02/02/2026

In der aktuellen Episode des RESPonse Notfallmedizin Podcasts geht es um eine einfache, aber unbequeme Erkenntnis: Gutes Training lässt sich nicht abhaken. 🧠

Wir sprechen darüber, warum es Zeit für einen Systemwechsel in der notfallmedizinischen Ausbildung ist – weg vom reinen Abarbeiten von Aufgaben, hin zur gezielten Entwicklung von Kompetenzen wie Entscheidungsfindung, Kommunikation, Teamarbeit und Haltung.

Competency-Based Training rückt genau das in den Fokus, was im Ernstfall den Unterschied macht 🚑
Nicht nur was wir tun, sondern wie wir denken, priorisieren und gemeinsam handeln, wenn Situationen komplex, dynamisch und unübersichtlich werden.

Die wichtigsten Kernaussagen dieser Folge habe ich euch hier im Karussell zusammengefasst.
Die komplette Episode gibt es überall, wo es Podcasts gibt 🎧
Link zur Folge in der Bio.

⸻

26/01/2026

For years, I placed arterial lines distally at the wrist. That’s how I learned it, that’s how I did it.
Lately, I’ve been moving them slightly more proximal – around mid-forearm – and honestly: it works really well.

The idea came from my colleague after a great conversation (and our latest RESPonse Podcast episode on arterial lines – German language 🇩🇪). Since then, I’ve used this approach several times with very good success.

With ultrasound guidance, the artery is easy to visualize. The big advantage for me: stability.
The radius acts like a natural splint, the line sits securely, no SAM splint needed – and subjectively, fewer motion artifacts in the waveform.

This seems especially useful in the prehospital setting, where patients are constantly moved, transferred, and repositioned. Every bit of stability counts.

Not a new dogma. Not for every patient.
Just a small tweak that works well in daily practice.

💬 Curious to hear your thoughts:
Where do you usually place your arterial lines?
Distal, more proximal – or case by case?

criticalcare ultrasoundguided foamed meded clinicalpractice hems fieldmedicine

15/01/2026

🩸 Prähospitale Arterial Lines.
7 Kernaussagen zu Nutzen, Indikation und Workflow.
Zusammengefasst aus Episode #30 des RESPonse Notfallmedizin-Podcasts der Berufsrettung Wien.
Jetzt reinhörn‘ (Link in Bio)
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08/01/2026

Übergabe ist kein Nebenschauplatz. Sie ist ein sicherheitskritischer Moment.

In Episode #29 des RESPonse Notfallmedizin Podcast sprechen wir darüber, warum gute Übergaben Haltung brauchen, Shared Situational Awareness schaffen und warum Standardisierung Verlässlichkeit ist – keine Bürokratie.

SINNHAFT.

Ein strukturierter Rahmen für die Schnittstelle Präklinik ↔ Klinik.

🎧 Jetzt anhören – Link in Bio
💬 Feedback, Kritik oder Erfahrungen gern in die Kommentare oder per DM
_

–
notarzt präklinik Rettungsdienst patientsafety humanfactors

27/11/2025

The VieRT (Vienna Resuscitative Thoracotomy) Course by and focuses on structured, high-quality training for rare but critical emergency procedures. While the prehospital clamshell thoracotomy has already proven its value in Vienna, the course goes far beyond that single intervention. 🫁🔧

Participants work through anatomy, decision-making, airway management, vascular access, haemorrhage control, and team-based scenarios. The emphasis is on precision, shared mental models, and dependable teamwork — not theatrics. 🧠🤝

I was grateful to join again this year, and it reminded me how essential it is to train high-stakes skills regularly, no matter how experienced you are. 🔄📈

19/11/2025

This photo is from an mission back in my early days at Vienna EMS, during a call involving two stabbing victims - one with a deep upper-arm wound, the other with a thoracic stab wound. The scene was chaotic: lots of people, police, noise, aggression. I triaged both patients quickly and, because the thoracic injury was more critical, I stayed with the more experienced team. The arm-injury patient was handed over to another crew — competent, motivated, and doing their best under pressure — but without a Highly Advanced Paramedic, simply because to me this patient seemed more stable. 🙏

During loading, the patient was briefly unobserved. 🫣 Under the rescue blanket, the tourniquet loosened - something that can happen easily once muscle tone drops - and the bleeding restarted. By the time we caught it, a quite significant amount of blood had been lost. Both patients recovered fully (thankfully) 🙌, but the blood on the floor still reminds me of a simple truth:

Skills fade. Details matter. And even good teams can miss something when chaos hits. ⚠️

Today was Day 1 of our Viennese Resuscitative Thoracostomy Course (VieRT) 🔪💨 and while refreshing our tourniquet skills, this case came back to me. Not as shame but as learning.

I think in a Just Culture, we don’t have to blame ourselves for mistakes. We have to talk openly about them so others don’t have to repeat them. 🤝

My takeaway from that day:
Always re-check every tourniquet.
Even a perfectly applied one can loosen after some time. A firm reassessment must be part of triage — especially when handing off to another team. 🩸

This one won’t happen to me again.

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16/11/2025

Sometimes the most valuable learning moments happen right after the mission. This photo captures a debriefing with one of our teams from on the ramp of Vienna General Hospital — the perfect setting to share what can add to a case.

Structured debriefings are incredibly powerful in these moments. At Vienna EMS, they’re standard after major calls — and for good reason. Led by our Field Supervisors (FISU), these sessions turn into small micro-learning opportunities where we learn from each other’s experiences, perspectives, strengths, and yes, even our mistakes. Lessons we can carry straight into the very next call of the same shift. 💪

If we want the pPOCUS message to spread, we need to share our findings with our teams. Every interesting ultrasound image, every unexpected clue, every moment where it shifted our understanding of a patient.
Debriefings naturally revisit the primary and secondary assessment, making them the perfect moment to show the team where ultrasound fits into the diagnostic pathway — and how it integrates into the broader clinical context of prehospital emergency care.

And for many teams, it’s still unfamiliar that ultrasound can play an important role in evaluating a patient — even during resuscitation, as in this case. The key learning point for pPOCUS in is clear: we must never lose time because of ultrasound. It should only be performed within the defibrillator’s analysis pauses — quick, focused, and always with the goal of identifying reversible causes or confirming cardiac activity.
Sharing what we see strengthens our practice, sharpens teamwork, and elevates patient care - one call at a time. 🦇🤩
—
.premedics .at .linz .ems
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12/10/2025

A couple of weeks ago we treated a 22-year-old woman who had jumped from the third floor in a su***de attempt. She was severely injured and had to be placed in an induced coma on scene. So... this wasn’t a “typical” pPOCUS case at all — it was a full-blown polytrauma, with no time to waste for ultrasound assessments and every second counting. ⏱️

Initially, our only goal was to keep her hemodynamically stable and get her to the trauma bay as fast as possible. Respiratorily, she remained stable, with major injuries involving the skull, pelvis, and extremities.

Once we were en route — and after all critical interventions were done — I somehow performed an eFAST assessment. Not because it was planned, but because it was the only justifiable moment to do so. The ride was rough, the patient critical, and the image quality - in my desperate attempt to stabilise myself - far from perfect… this was one of those “be grateful you can see anything at all” situations. 🚑

Still, I somehow managed to identify a small amount of free fluid in the right upper quadrant — and more unexpectedly, an early pregnancy in the pelvic view. 🩸🤰

While this finding didn’t change acute management, it did change the context. It reminded us once again that pPOCUS doesn’t just guide decisions — it reveals stories. Sometimes fragile, sometimes tragic, but in the end always human. 💔
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29/07/2025

🌟 pPOCUS‑Provider‑Lehrgang: 2 Restplätze zum Sonderpreis! 🌟

Zwei Teilnehmer mussten kurzfristig absagen – deine Chance, noch dabei zu sein!
Und das Beste:
💥 Teilnahme jetzt um nur 990 €! (pn an mich)
(statt regulär – nur bis Ende dieser Woche gültig)

📆 Du hast noch 4 Wochen für die Vorbereitungs-Phase, inklusive:
✔️ E‑Learning zur prähospitalen Sonografie
✔️ Intensives Simulator- & Tutoren-Training
Danach gibts:
✔️ Zwei top strukturierte Präsenztage
✔️ Persönliche Begleitung bei Falldokumentation
✔️ Zertifizierungsoption nach ÖGUM (Stufe 1) resp. Stufenäquivalent für nicht-ärztliches Personal

👨‍⚕️👩‍⚕️ Für alle Healthcare-Professionals, die Ultraschall im Einsatz wirklich nutzen wollen – ob Notarzt, Paramedic oder Hausärztin mit Akutfokus.

📍 Details & Anmeldung ➜ https://oenk.org/ppocus-lehrgang/
📩 Oder direkt bei mir per PN melden – first come, first scan!

⏳ Nur 2 Plätze, nur bis Sonntag – let’s POCUS!
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.wien .premedics
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26/07/2025

🔥 EPISODE #27 ONLINE
This morning we released our latest episode on the RESPonse Emergency Medicine Podcast by Vienna EMS:

#27: Reversible Causes, Irreversible Mistakes: Mastering pPOCUS in OHCA, featuring my dear colleague Tom Hamp, M.D.

🎧 In this focused discussion we unpack:

• How point-of-care ultrasound (pPOCUS) helps detect life‑saving reversible causes during cardiac arrest — think tamponade, PE, tension pneumothorax.

• The crucial distinction between true PEA and pseudo‑PEA and why it matters.

• The dangers of prolonged CPR pauses — and how smart workflow avoids them.

• Why ultrasound use in peri-arrest (just before full arrest) can guide early interventions.

• How pPOCUS supports decision‑making in traumatic arrest, without replacing surgical priorities.

• Why routine training and team communication make the difference between probe use and probe misuse.

Grab a coffee, hit play, and level up your resuscitation approach. Available now on all platforms — link in bio.
—

premedics

ems

university.krems at

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20/05/2025

🩺 Neue Ordinationstermine sind online!
Ab sofort könnt ihr wieder bequem über den Link buchen:

👉 bit.ly/termin_drthal

Ich freu mich auf euch!

15/04/2025

Jetzt reinhör’n! 😆 🥰
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Adresse

Zellerndorf 358
Retz
2051

Telefon

+43294230601

Webseite

http://www.aerztezentrum-weinviertel.at/

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Arzt/ Ärztin

Kremser Straße 17

Mit der Eröffnung meiner Ordination im Juni 2017, ging ein lang gehegter Traum in Erfüllung. Ich setze mir das Ziel, meinen Patienten in Zeiten von Hektik und Stress ausreichend Zeit für Gespräch, Diagnostik und Therapieplanung bieten zu können. Als praktischer Arzt sehe ich mich als Vertrauter und Berater meiner Patienten – eine Aufgabe, die mich gleichzeitig fordert und erfüllt.