Oskrba amputiranega uda v prehospitalnem okolju

Gorenjak, Zdenka

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Title:	Oskrba amputiranega uda v prehospitalnem okolju
Authors:	ID Gorenjak, Zdenka (Author) ID Koželj, Anton (Mentor) More about this mentor...
Files:	VS_Gorenjak_Zdenka_2013.pdf (597,55 KB) MD5: C72ED3B83EE7843A46F4F0B281E6E825 PID: 20.500.12556/dkum/0ee85cba-afc3-4aaa-87ff-be29bca3a7d4
Language:	Slovenian
Work type:	Bachelor thesis/paper
Typology:	2.11 - Undergraduate Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	V diplomskem delu smo predstavili amputacije, spremljevalna pojava krvavitev in šok, ter pravilno prvo pomoč in oskrbo amputiranega uda. Opozorili smo na problem nepravilne oskrbe amputiranega uda in posledice za potencialno replantacijo in povrnitev fiziološke in estetske funkcije uda. V raziskovalnem delu nas je zanimala stopnja ozaveščenosti in znanje prve pomoči v povezavi z amputacijami med laiki. Teoretična izhodišča smo pridobili z analizo domače in tuje strokovne literature, raziskovalni del smo izvedli z metodo spraševanja z izvedbo ankete. S pregledom literature smo ugotovili, da obstaja deficit znanja tudi znotraj stroke, hkrati pa se v literaturi pojavljajo kontradiktorne navedbe glede pravilne oskrbe amputiranega uda. Najsodobnejše pravilo je, da amputiran ud transportiramo povit v sterilno gazo, ki jo nato damo v čisto vrečko, in jo nepredušno zapremo. Prvo vrečko damo v drugo vrečko, ki je napolnjena z vodo in z zdrobljenim ledom, tako, da prva vrečka plava v njej. Pazimo, da se amputiran ud ne dotika ledu, da ne pride do dodatnih poškodb in ozeblin uda. Temperatura vode naj ne bo nižja od 4 in višja od 6 stopinj celzija. Vse skupaj, damo še v tretjo vrečko,da se izognemu razlitju. Rezultati ankete so pokazali, da anketirani poznajo osnovno prvo pomoč in prioritete pri amputacijski poškodbi, vendar slabše poznajo pravilen postopek shranjevanja in transporta amputiranega uda z namenom ohranitve za čim boljšo možnost za uspešno replantacijo. Ugotovili smo, da obstaja potencial za izboljšanje stanja, saj si vprašani želijo dodatno poglobiti svoje znanje prve pomoči.
Keywords:	amputacija, prva pomoč, amputiran ud, krvavitev, šok
Place of publishing:	Maribor
Publisher:	[Z. Gorenjak]
Year of publishing:	2012
PID:	20.500.12556/DKUM-39346
UDC:	616-089.873-083
COBISS.SI-ID:	1882788
NUK URN:	URN:SI:UM:DK:5OASRS9X
Publication date in DKUM:	25.02.2013
Views:	2855
Downloads:	420
Metadata:
Categories:	FZV
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Secondary language

Language:	English
Title:	Medical treatment of amputated limb in prehospital care
Abstract:	In the thesis we have presented amputations, accompanying phenomenon of bleeding and shock and correct first aid and care of an amputated limb. We warned about the problem of incorrect care of an amputated limb and its consequences for potential replantation and restoration of physiological and esthetic function of the limb. In the research part we were interested in stage of awareness and knowledge of first aid in connection with amputations among laymen. We have acquired theoretical origins by analyzing domestic and foreign professional literature. We have used questioning method by performing a survey for the research part of the thesis. By analyzing literature we have determined that there is also a deficit in knowledge among professionals and that there are contradictory claims about correct care of an amputated limb. The most up to date rule says that an amputated limb should be transported wrapped in a sterile gauze, which is than to be put in an air tight clean plastic bag. We put the first bag into the second one containing water and crushed ice, so that the first bag floats in the liquid. We have to be carefull that the amputated limb doesn’t touch the ice, to prevent additional damage and prevent frostbite. The temperature of the water should not be lower than 4 and should not exceed 6 degrees Celsius. At the end we put both bags into a third bag, to prevent spilling. Results of the survey have shown that respondents know basic first aid and priorities in case of amputations, but lack knowledge of correct procedure and correct keeping and transporting of amputated limb with a purpose of preserving it in a best condition for possible replantation. We have determined that there is potential for improving the state of knowledge among laymen, since they want to deepen their knowledge of first aid.
Keywords:	amputation, first aid, amputated limb, bleeding, shock

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