Postupci zbrinjavanja politraumatiziranog pacijenta u izvanbolničkoj hitnoj medicinskoj službi

master's thesis

• Title (english): Treatmnet procedures for polytraumatized patient in an outpatient emergency medical service
• Author: Željka Samac
• 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; Zagreb
• Defense date and country: 2023-09-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract

Politrauma je jedno od najtežih i najkompleksnijih stanja u hitnoj medicini. Definicijom,
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. U suvremenom pristupu liječenju politraume od velike su pomoći
algoritmi, čijom se primjenom postižu bolji rezultati uz smanjenje propusta i grešaka 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. Za kvalitetno zbrinjavanje pacijenta potreban je
multidisciplinaran tim i pristup pacijentu koji se očituje u suradnji izvanbolničke hitne medicinske
pomoći i bolničkih hitnih timova. Svaki član tima je jednako važan i ima svoju ulogu u
zbrinjavanju, a sve sa ciljem da se održi pacijenta na životu, prevenira nastanak komplikacija i
olakša posthospitalna rehabilitacija. U izvanbolničkoj hitnoj medicini bitan je mehanizam
nastanka ozljede te prvi pregled kao osnova skrbi za sve osobe koje su doživjele traumu. Uloga
medicinske sestre/medicinskog tehničara u bilo kojoj od navedenih situacija zahtijevaju veliku
spretnost, stručnost te mnoštvo znanja i vještina.

Abstract (english)

Polytrauma is one of the most difficult and complex conditions in emergency medicine. By
definition, polytrauma is the simultaneous existence of a serious injury to at least two body
regions, where at least one injury or a combination of them endangers the life of the injured
person. Due to the complexity of the injuries themselves, as well as insufficiently explained
responses of the organism to the trauma itself and to therapeutic procedures, the treatment of
polytraumatized patients is one of the most complex in modern medicine. Algorithms are of
great help in the modern approach to the treatment of polytrauma, the application of which
achieves better results while reducing omissions and errors and raising the quality of healthcare
to the highest level. The basic principle of treatment of polytraumatized patients is timely,
comprehensive and continuous treatment, which necessarily begins at the place of injury,
continues during transport and continues in the hospital or trauma center, with the simultaneous
implementation of diagnostic and therapeutic procedures.
Prehospital care at the scene of the accident and transport to the hospital within the golden
hour is of crucial importance for a favorable outcome. Quality patient care requires a
multidisciplinary team and an approach to the patient that manifests itself in the cooperation of
outpatient emergency medical care and hospital emergency teams. Each member of the team
is equally important and has his own role in care, all with the aim of keeping the patient alive,
preventing complications and facilitating post-hospital rehabilitation. In outpatient emergency
medicine, the mechanism of injury is important and the first examination is the basis of care for
all persons who have experienced trauma. The role of a nurse/medical technician in any of the
above situations requires great dexterity, expertise and a lot of knowledge and skills.

• Keywords: politrauma; ozljeda; izvanbolnička hitna medicinska služba; transport
• Keywords (english): polytrauma; injury; emergency medical services; transport
• Language: croatian
• URN:NBN: urn:nbn:hr:105:669967
• 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: 2024-04-18 11:44:05