Gestosis and HELLP-syndrome are rare diseases in emergency medicine. Endoth
elial dysfunction and mismatch of endothelial mediators cause a pregnancy i
nduced systemic maternal disease with damage of an maternal organs. Especia
lly heart and circulation, central nervous system, kidneys, liver blood, he
mostasis and placenta are vulnerable. The HELLP-syndrome is a very serious
kind of gestosis, Symptoms, diagnosis and therapy are discussed. Finally, r
ecommendations are given for emergency physicians.