Dr. Ben Thal

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

The VieRT (Vienna Resuscitative Thoracotomy) Course by  and  focuses on structured, high-quality training for rare but c...
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. 🔄📈

This photo is from an mission back in my early days at Vienna EMS, during a call involving two stabbing victims - one wi...
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.



Sometimes the most valuable learning moments happen right after the mission. This photo captures a debriefing with one o...
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

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. 💔

🌟 pPOCUS‑Provider‑Lehrgang: 2 Restplätze zum Sonderpreis! 🌟Zwei Teilnehmer mussten kurzfristig absagen – deine Chance, n...
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!

.wien .premedics

🔥 EPISODE  #27 ONLINEThis morning we released our latest episode on the RESPonse Emergency Medicine Podcast by Vienna EM...
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



🩺 Neue Ordinationstermine sind online!Ab sofort könnt ihr wieder bequem über den Link buchen:👉 bit.ly/termin_drthalIch f...
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!

Jetzt reinhör’n! 😆 🥰—  —
15/04/2025

Jetzt reinhör’n! 😆 🥰






This photo shows a Vienna Police Officer right in the middle of an active resuscitation alongside our Vienna EMS & ÖAMTC...
14/04/2025

This photo shows a Vienna Police Officer right in the middle of an active resuscitation alongside our Vienna EMS & ÖAMTC HEMS team. Not just standing by — but fully embedded in the scene. Working side by side, as one team.

I want to take a moment to say how incredibly proud we are of the strong partnership we share with the Vienna Police- and Fire-Department. Again and again, we’re joined on scene by officers and firefighters who bring structure, safety, and calm to even the most chaotic environments — allowing us to focus 100% on our patients.

Last night, me and my team were personally faced with the emotionally and logistically challenging task of an infant resuscitation. While our team worked on the patient, the police handled everything else in the background — with incredible sensitivity and professionalism. From managing the scene and people involved to handling all the administrative necessities, they were simply outstanding. 🙏💪

The integration of police and fire services into Vienna’s emergency medical response system has saved countless lives. It’s not something we ever take for granted. It works because of the commitment, the clarity, and the steady presence of those who show up when it counts.

So here’s to our friends & collegues in blue and black:

Massive respect. We’re proud to have you as part of the team. You’re doing a phenomenal job — and we see you. 💙♥️💙♥️









pPOCUS isn’t just an ultrasound!!It’s a revolution — happening right here 🚑, on the street, in the chaos, in the mids of...
11/04/2025

pPOCUS isn’t just an ultrasound!!
It’s a revolution — happening right here 🚑, on the street, in the chaos, in the mids of our every-day working realities. ❤️‍🩹.

Emergency ultrasound is changing the game in prehospital emergency medicine. Whether it’s during CPR, major trauma, acute chest pain, or severe dyspnea – the ability to sharpen our diagnosis before the hospital doors swing open is nothing short of groundbreaking.

It’s not about gadgets.
It’s about precision.
It’s about better, faster decisions ⚡
And ultimately: better outcomes.

Let’s bring this tool where it belongs – right into the pockets of our uniforms.


premedics
kremswiengrazkrems


Tonight, literarily two minutes before the end of our shift, we got called out for a skier with a broken shinbone. 🚁🎿 Yo...
07/03/2025

Tonight, literarily two minutes before the end of our shift, we got called out for a skier with a broken shinbone. 🚁🎿 You’d think that would dampen the mood — but not for her! She stayed in great spirits, even cracking jokes and asking her son to snap some photos of the rescue. 😅

It’s inspiring to see how resilient people can be, even in tough situations. Night missions add an extra challenge with limited visibility, but that’s what makes them so rewarding.

Huge respect to our patient for her positivity — and a reminder that a good attitude makes all the difference! 😍

🏔️🎿 Slushy Snow, Hard Consequences 🏔️🎿The warm weather is taking a toll on the ski season – slushy snow, icy slopes. And...
04/03/2025

🏔️🎿 Slushy Snow, Hard Consequences 🏔️🎿

The warm weather is taking a toll on the ski season – slushy snow, icy slopes. And we’re feeling the impact in emergency medicine: More falls, more head injuries. 🧠💥

Stay safe out there! ⛑️

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Retz
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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.