Predbolnišnična oskrba pacientov s poškodbo hrbtenjače

Farič, Gregor

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Title:	Predbolnišnična oskrba pacientov s poškodbo hrbtenjače
Authors:	ID Farič, Gregor (Author) ID Strnad, Matej (Mentor) More about this mentor... ID Fekonja, Zvonka (Comentor)
Files:	VS_Faric_Gregor_2018.pdf (503,15 KB) MD5: 83D85803BAB29C47BB94DA2D10A9FA13 PID: 20.500.12556/dkum/97387be9-ae5b-41cf-8f94-c5574c19754d
Language:	Slovenian
Work type:	Bachelor thesis/paper
Typology:	2.11 - Undergraduate Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Teoretično izhodišče: poškodbe hrbtenice predstavljajo 1-2 % vseh poškodb. Pri približno 20 % od teh je prisotna tudi poškodba hrbtenjače. Najpogostejši mehanizmi poškodb so prometne nesreče, padci ter športne in rekreativne aktivnosti. Sposobnost zdravstvenega osebja, da na terenu prepozna poškodbo hrbtenjače igra pomembno vlogo pri pravilni triaži, oskrbi in izidu pacientovega stanja. Namen zaključnega dela je sistematični pregled literature in analiza podatkov obstoječih raziskav o najbolj ogroženem delu populacije in predbolnišnični oskrbi poškodb hrbtenjače. Raziskovalne metode: za sistematični pregled literature smo uporabili podatkovne baze Pub Med, Science Direct, CINAHL in Web Of Science. Iskanje smo izvedli z uporabo Boolovih operaterjev AND in OR ter z naslednjimi ključnimi besedami: prehospital, spinal cord injury, patient in njihovimi sopomenkami. V analizo smo vključili vse vire objavljene med januarjem 2000 in decembrom 2017. V končno analizo je od 837 zadetkov bilo vključenih 10 virov. Rezultati: pri podrobni analizi virov sta bili oblikovani 2 glavni temi, ki opisujeta poškodbo hrbtenjače in predbolnišnično oskrbo, 5 podtem sekundarnega nivoja ter 12 tem primarnega nivoja. Diskusija in zaključek: najpogostejši ugotovljeni mehanizmi poškodb so bili prometne nesreče, padci ter šport in rekreativne dejavnosti. Več poškodovancev je bilo moških, pri prometnih nesrečah so najbolj ogroženi mlajši moški, pri padcih pa ženske in starejši. Cilji predbolnišnične obravnave poškodb hrbtenjače so zmanjšanje možnosti morebitnih zapletov, zmanjšanje nevrološkega deficita in dodatnih poškodb, pravilna ocena in prepoznava poškodbe, ustrezna imobilizacija poškodovanca ter čim hitrejši in varen transport in predaja poškodovanca v ustrezno zdravstveno ustanovo.
Keywords:	urgenca, reševalci, travma, ogroženost, predbolnišnično okolje
Place of publishing:	Maribor
Publisher:	[G. Farič]
Year of publishing:	2018
PID:	20.500.12556/DKUM-72816
UDC:	616-001-083.98(043.2)
COBISS.SI-ID:	2467236
NUK URN:	URN:SI:UM:DK:ACZBGQ4L
Publication date in DKUM:	14.01.2019
Views:	1704
Downloads:	233
Metadata:
Categories:	FZV
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Licences

License:	CC BY-ND 4.0, Creative Commons Attribution-NoDerivatives 4.0 International

Link:	http://creativecommons.org/licenses/by-nd/4.0/
Description:	Under the NoDerivatives Creative Commons license one can take a work released under this license and re-distribute it, but it cannot be shared with others in adapted form, and credit must be provided to the author.
Licensing start date:	22.11.2018

Secondary language

Language:	English
Title:	Prehospital management of patients with spinal cord injury
Abstract:	Theoretical background: Spine injuries represent 1-2 % of all traumatic injuries. Approximately 20 % of those are spinal cord injuries. The most common mechanisms of injury are traffic accidents, falls and sport and recreational activities. The medical personnel's ability of recocnizing a spinal cord injury plays an important role at the triage and the outcome of patients state. The purpose of this work is a systematic review of the literature and data analysis of existing literature about the most at risk part of the population and the prehospital management of spinal cord injuries. Methods: We used the following databases: Pub Med, Science Direct, CINAHL and Web Of Science. We carried out the search using Bool's operators AND and OR and the following keywords: prehospital, spinal cord injury, patient and their synonyms. We included all the sources that have been published between January 2000 and December 2018. We included 10 sources out of 837 into the final analysis. Results: we identified 2 main categories that describe spinal cord injuries and their prehospital management, 5 secondary subcategories and 12 primary subcategories. Discussion and conclusion: the most common mechanisms of injury were traffic accidents, falls and sport and recreational activities. Most of the patients were male, younger males were more at risk regarding traffic accidents while women and older people were more at risk regarding falls. The goals of prehospital management is decreasingthe chance of possible complications, neurological deficit and further injuries, adequate immobilisation and the fastest and safest possible transport into an appropriate health institution.
Keywords:	emergency, paramedics, trauma, risk, prehospital environment

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