Algoritam liječenja politraume

master's thesis

• Title (english): Polytrauma treatment algorithm
• Author: Gabrijela Žardin
• Mentor: Ivan Dobrić (mentor)
• Committee member: Davor Mijatović (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Ivan Dobrić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2020-07-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Politrauma je istodobno postojanje teške ozljede najmanje dviju tjelesnih regija, pri čemu najmanje jedna ozljeda ili kombinacija više njih ugrožavaju život ozlijeđenoga. Zbog složenosti samih ozljeda, kao i zbog nedovoljno objašnjenih odgovora organizma na samu traumu i na terapijske postupke, liječenje politraumatiziranih bolesnika jedno je od najsloženijih u suvremenoj medicini. Napretkom medicine, tj. poboljšanjem kvalitete liječenja šoka i liječenja u JIL-u, skraćivanjem trajanja dijagnostičkih postupaka i operacijskih zahvata te učestalijom i rasprostranjenijom primjenom algoritama kroz posljednjih 30 godina, stopa smrtnosti nakon politraume i višestrukog ozljeđivanja smanjena je s 40% na 20%. U suvremenom pristupu liječenju politraume od velike su pomoći algoritmi, čijom se primjenom postižu bolji rezultati uz smanjenje propusta i pogrešaka te podizanje kvalitete zdravstvene skrbi na najvišu razinu. Osnovni princip liječenja politraumatiziranih bolesnika je pravovremeno, sveobuhvatno i kontinuirano liječenje koje obavezno započinje na mjestu zadobivanja ozljeda, traje tijekom transporta i nastavlja se u bolnici ili trauma centru, uz istovremeno provođenje dijagnostičkih i terapijskih postupaka. Prehospitalno zbrinjavanje na mjestu nesreće i transport u bolnicu u okviru zlatnog sata je od presudne važnosti za povoljan ishod. Kod brojnih pacijenata koji prežive politraumu, unatoč liječenju najviše kvalitete po svim suvremenim standardima, zaostaje određeni stupanj invalidnosti. Tijekom i nakon liječenja pacijentima koji su doživjeli politraumu potrebno je osigurati zadovoljavajuću rehabilitaciju (fizičku, psihičku i socijalnu) s ciljem osiguravanja što bolje kvalitete života.

Abstract (english)

Polytrauma is described as the simultaneous existence of severe injury of at least two body regions and at least one injury or a combination of several injuries that are life-threatening. Due to the complexity of the injuries and insufficiently explained patient response to the trauma itself and to the therapeutic procedures, treatment of polytraumatized patients is one of the most demanding in modern medicine. Advances in modern medicine like improving the quality of shock treatment and treatment in ICUs, shortening the duration of diagnostic and surgical procedures and more frequent and widespread use of algorithms over the past 30 years resulted in a decrease in polytrauma mortality rate from 40% to 20%. The algorithms are a great help in the modern approach to the treatment of polytrauma and by using them better results and reduced omissions and errors may be achieved. The algorithms also have an impact on the quality of health care. The basic principle of polytrauma treatment is a timely, comprehensive, and continuous treatment that should begin at the site of injury, last during transport, and continue at the hospital or trauma center, with the simultaneous implementation of diagnostic and therapeutic procedures. Prehospital care at the scene of an accident and transport to a hospital within the golden hour is crucial for a positive outcome. In many patients who survive polytrauma, despite the treatment of the best quality by all modern standards, a certain degree of disability persists. During and after treatment, patients who have experienced polytrauma need to be provided with satisfactory rehabilitation (physical, mental, and social) to ensure the best possible quality of life.

• Keywords: politrauma; višestruko ozlijeđeni pacijent; teško ozlijeđeni pacijent; algoritam liječenja
• Keywords (english): polytrauma; multiply injured patient; severe injured patient; treatment algorithm
• Language: croatian
• URN:NBN: urn:nbn:hr:105:396812
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-05-10 09:11:12