VIZUALNA OCENA IZGUBE KRVI MED HEMORAGIČNIM ŠOKOM

Lah, Iztok

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Title:	VIZUALNA OCENA IZGUBE KRVI MED HEMORAGIČNIM ŠOKOM
Authors:	ID Lah, Iztok (Author) ID Križmarić, Miljenko (Mentor) More about this mentor... ID Koželj, Anton (Comentor)
Files:	VS_Lah_Iztok_2012.pdf (10,89 MB) MD5: 2EC23464786A80210FEE69DE13A980F6 PID: 20.500.12556/dkum/a37768c6-6ae9-4787-bdf0-3e93ab53ab4b
Language:	Slovenian
Work type:	Undergraduate thesis
Typology:	2.11 - Undergraduate Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	V obravnavi nujnih stanj je vizualna ocena izgube krvi izredno pomembna zaradi določanja smeri nadaljnjega zdravljenja. V diplomskem delu smo z eksperimentalno metodo raziskali, kakšne vzorce oblikuje kri, ki smo jo razlili po različnih podlagah. Za simulacijo smo uporabljali kri živalskega izvora. Prav tako smo iskali najboljši približek glede barve krvi iz sadnih sokov. Barvo smo ocenjevali po RAL in NCS lestvicah. V drugem delu raziskave smo na vzorcu 30 študentov izvedli anketo, s katero so študentje ocenjevali izgubo živalske krvi. Rezultati kažejo, da kri ne oblikuje pravilnih krožnih vzorcev, kot smo prvotno domnevali. Najbolj nepravilne oblike kri zavzema na laminatu in toplem podu, sledila je asfaltna podlaga. Pri simulaciji izgube 1500 ml, smo izmerili največje pravokotno polje, dimenzije 132 x 108 cm na toplem podu, v katero lahko umestimo vzorec, ki je nastal pri izgubi krvi. Na podlagi finega gramoza smo pri simulaciji izgube 1500 ml, izmeril najmanjše polje dimenzij 26 x 18 cm. Največjo površino zavzame kri pri izgubi 1500 ml na laminatu, najmanjšo površino pa zavzame pri izgubi 100 ml na finem gramozu. Za enostavno simulacijo krvi predlagamo jagodni sok (barva RAL 3000), ki je glede barve najbolj podoben krvi (barva RAL 3020). Študentje statistično signifikantno podcenjujejo visoke izgube krvi (p<0,001), po drugi strani pa so pri manjših izgubah krvi njihove ocene precenjene (p<0,001). Pri vizualni oceni je treba biti pozoren predvsem pri visokih izgubah krvi, ki so lahko nepravilno ocenjene, zelo pa moramo biti pozorni na podlago, na katero se steka kri.
Keywords:	hemoragični šok, ocena izgube krvi, nadomeščanje, krvavitev, simulacija
Place of publishing:	Maribor
Publisher:	[I. Lah]
Year of publishing:	2012
PID:	20.500.12556/DKUM-38163
UDC:	616-001
COBISS.SI-ID:	1850788
NUK URN:	URN:SI:UM:DK:UKEQS5OK
Publication date in DKUM:	29.10.2012
Views:	2356
Downloads:	311
Metadata:
Categories:	FZV
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Secondary language

Language:	English
Title:	A VISUAL ESTIMATION OF BLOOD LOSS DURING HEMORRHAGIC SHOCK
Abstract:	In treatment of emergency conditions a visual estimation of blood loss is extremely important because of the direction of future medical treatments definition. In diploma work we researched with experimental method what samples the blood which was poured of the direction of future medical treatments definition. We searched the best approximation to the colour of blood in fruit juice. We estimated the colour on RAL and NCS scales. In the second part of the research we made an inquiry in which was poured on different foundations, form. For simulation we used the animal source blood. We searched the best approximation to the colour of blood in fruit juice. We estimated the colour on RAL and NCS scales. In the second part of the research we made an inquiry in which 30 students estimated the loss of animal blood. The results of experimental method show that blood does not create the right circle patterns as we presumed before. The blood takes the most irregular forms on laminate and warm under, followed by asphalt base.With loss simulation of 1500 ml we measured the biggest rectangular field of dimension 132 x 108 cm on warm under, where we can set the sample which originated from blood loss. On the base of fine gravel at the loss simulation of 1500 ml we measured the smallest field of dimensions 26 x 18 cm. Blood takes the largest surface at the loss of 1500 ml on laminate, the smallest one at the loss of 100 ml on fine gravel. For a simple blood simulation we suggest strawberry juice (colour RAL 3000) which colour is similar to blood (colour RAL 3020). Statistically students with significance underestimate high blood loss (p<0,001), on the other side their estimations are overestimated at smaller blood loss (p<0,001) with visual estimation. It is important to be attentive, especially at high blood loss, which can be incorrectly estimated. We have to be careful about the surface where the blood is put.
Keywords:	hemoragic shock, blood loss estimation, substitution, bleeding, simulation

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