Title Transport vitalno ugroženog bolesnika Title (english) Transport of a critically ill patient Author Luka Posilović Mentor Daniela Bandić Pavlović (mentor)Committee member Slobodan Mihaljević (predsjednik povjerenstva)Committee member Dinko Tonković (član povjerenstva)Committee member Daniela Bandić Pavlović (član povjerenstva)Granter University of Zagreb Defense date and country 2024-09-11, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Medicinski transport vitalno ugroženih pacijenata dio je svakodnevnice medicinskog osoblja. Takvim pacijentima prijeti, ili su se već razvila stanja koja narušavaju život, te zahtijevaju rano prepoznavanje i pravovremenu primjenu intenzivnih mjera liječenja. S obzirom na navedeno, odluku o transportu takvih pacijenata treba donijeti na temelju procjene objektivne koristi i potencijalnih rizika za pacijenta. Postoje različite vrste transporta, te svaka od njih ima svoje posebnosti koje treba razmotriti prije započinjanja transporta. Sastav transportnog tima ovisi o pacijentu, ali najčešće uključuje minimalno liječnika i medicinsku sestru. Transportu je bitno pristupiti holistički i pritom uzeti u obzir pacijentovo stanje i bolest, te predvidjeti moguće komplikacije i probleme. Od velike pomoći u tome su različite smjernice, protokoli i checkliste utemeljene na dokazima, kao i standardizirana i adaptirana oprema i monitoring. Najvažniji dio transportnog procesa je predtransportna obrada i stabilizacija pacijenta, s obzirom da minimizira velik dio potencijalnih komplikacija. Pacijent se tokom transporta treba kontinuirano pratiti i pregledavati, te u slučaju pogoršanja pravovremeno i adekvatno zbrinuti. Proces transporta završava primopredajom i pripremom za idući transport. Važno je naglasiti ulogu komunikacije i vođenja dokumentacije tokom cijelog transportnog procesa. Problematikom specijaliziranih bave se specifične smjernice i protokoli postupanja, koji nadopunjavaju ili zamjenjuju uobičajene. Prilikom transporta, pacijent je izložen različitim fiziološkim promjenama i rizicima, koji mogu dovesti do razvoja poteškoća i komplikacija samog transporta, te negativno utjecati na ishode pacijenta. Adekvatna priprema i edukacija, kao i moderna tehnologija su od velike pomoći u minimizaciji ovih neželjenih događaja. Pošto možemo očekivati kontinuiran porast broja transportiranih pacijenata, trebalo bi raditi na standardizaciji i ažuriranju postojećih smjernica, protokola i checklista, edukaciji i integraciji tehnoloških napredaka u rad transportnog osoblja, kao i provoditi kontinuiranu evaluaciju cjelokupnog transportnog procesa s ciljem poboljšanja ishoda.
Abstract (english) Medical transportation of critically ill patients is a daily occurrence in the medical field. Those patients are developing, or have already developed life-threatening conditions, which require early diagnosis, and prompt intensive care. Because of this, the decision to transport such patients should be made after weighing the objective benefits against potentials risks for the patient. There exist various transport modalities, each of which has specific considerations which have to be taken into consideration prior to initiating transportation. The composition of the transport team depends on the patient in question, but usually includes at least a physician and a nurse. The transportation process should be holistically approached, keeping the condition and illness of the transported patient in mind, and foreseeing possible issues and complications. Different evidence-based guidelines, protocols and checklists, as well as standardized and adapted equipment and monitoring can be of great help in this regard. The most important part of the transfer is the pre-transport examination and stabilization of the patient, because it minimizes a great number of potential complications. During transport, the patient should be continually monitored and examined, and any arising issues treated rapidly and adequately. The transportation process ends with the handover and preparation for the next transport. It is important to state the role of communication and documentation during the entire transport process. In the case of specialized transports there exist special guidelines and protocols which supplement or supplant the normal ones. During the transportation process, the patient experiences various physiological alterations and risks, which can lead to issues and complications, negatively affecting patient outcomes. Adequate preparation and education, as well as modern technology are greatly helpful in minimizing these adverse events. Because we can expect a continuous increase in the number of transported patients, standardization and updating of existing guidelines, protocols and checklists. Staff education and integration of technology into their work, as well as continual evaluation of the entire transportation process should be done in order to improve patient outcomes.
Keywords
transport pacijenta
vitalno ugrožavajuća stanja
transportna oprema
komplikacije
smjernice
Keywords (english)
patient transport
critical conditions
transport equipment
complications
guidelines
Language croatian URN:NBN urn:nbn:hr:105:679774 Study programme Title: Medicine Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2024-07-15 11:28:13
