Zbrinjavanje politramatiziranog pacijenta u objedinjenom hitnom bolničkom prijemu

master's thesis

• Title (english): Polytraumatised patient care in the emergency department
• Author: Miro Stojanović
• Mentor: Ivan Dobrić (mentor)
• Committee member: Tomislav Luetić (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Ivan Dobrić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Dermatology); Zagreb
• Defense date and country: 2014-09-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Emergency Medicine

Abstract

Politrauma spada u red najkompliciranijih stanja u kojima se ljudski organizam može naći. Za vrijeme proživljavanja politraume organizam prolazi cijeli niz patofizioloških procesa koji zahtijevaju iznimno znanje i vještine od osoba koje sudjeluju u liječenju i zbrinjavanju. U današnje vrijeme znatna sredstva se ulažu u istraživanja, opremu i edukaciju osoblja u izvanbolničkoj hitnoj službi, objedinjenim hitnim bolničkim prijemima, posebno trauma centrima kojima je primarna zadaća zbrinjavanje teško traumatiziranih pacijenata, odnosno njihovo liječenje, rehabilitacija, te procjena ishoda pomoću ocjenskih ljestvica (ISS,AIS,RTS). Zadnjih nekoliko desetljeća su napredovale i operativne tehnike, što je, uz sve već navedeno, smanjilo smrtnost politraumatiziranih bolesnika s 40% na 20%. Politrauma predstavlja istovremenu tešku ozljedu najmanje dvije tjelesne regije, pri čemu jedna od tih ozljeda ili kombinacija više njih ugrožava život pacijenta. U samo zbrinjavanje je uključen cijeli tim, koji je povezan s prehospitalnom hitnom službom, radiološkom dijagnostikom te ostalim potencijalno potrebnim službama tijekom zbrinjavanja pacijenta. Zbrinjavanje politraumatiziranog pacijenta vodi specijalist kirurg, po mogućnosti traumatolog, koristeći „ABCDE“ pristup, ocjenske ljestvice o težini ozljede, te smjernice o zbrinjavanju politraumatiziranih pacijenata. Zbrinjavanje politraumatiziranog pacijenta započinje na mjestu događaja i nastavlja se u objedinjenom hitnom bolničkom prijemu.

Abstract (english)

Polytrauma is one of the most complicated situations in which the human body can be found. While experiencing polytrauma organism undergoing a full range of pathophysiological processes that require extreme knowledge and skils in managing people treat him and the care. Nowadays, considerable resources have been invested in research, equipment and staff training in ambulatory emergency services, integrated emergency hospital admissions, particularly trauma centers, where the primary task care difficult traumatized patients, their treatment, rehabilitation and outcome evaluation using graded scale (ISS,AIS,RTS). In last few decades operational techniques were also developed and improved, and with everithing mentioned reduced mortality from 40% to 20%. Polytrauma is also defined as injuries of at least two regions where in one of these i, or a combination of several, the patient's life is endangered. The whole trauma team is associated with prehospital emergency organizations, radiological diagnostics and other potentially necessary services during the care of the patient. Complete process of early hospital treatment of polytraumatized patient is coordinated by surgeon, preferably traumatologist using the "ABCDE" approach, rating scales on the severity of the injury and guidelines for treating polytrauma patients. The care for polytraumatized patient begins at the scene of injury and continues in emergency department.

• Keywords: politrauma; ocjenske ljestvice; objedinjeni hitni bolnički prijem; smjernice
• Keywords (english): polytrauma; scores and scales; emergency department; guidelines
• Language: croatian
• URN:NBN: urn:nbn:hr:105:925478
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2015-11-06 13:51:37