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Prva pomoč pri snežni slepoti : diplomsko delo
ID Verhovc, Monika (Author), ID Slabe, Damjan (Mentor) More about this mentor... This link opens in a new window, ID Dolenc, Eva (Comentor)

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Abstract
Uvod: V izpostavljenem svetu kot so gore, lahko že manjše poškodbe očesa in motnje vida osebo prizadenejo do te mere, da postane popolnoma odvisna od drugih. Ena takih poškodb je snežna slepota, katere hujša oblika lahko povzroči trajno izgubo vida, zato je PP (prva pomoč) v primeru obolenja ključnega pomena. Namen: Namen diplomskega dela je predstaviti PP pri snežni slepoti, vzroke za njen nastanek in posledice. Cilji so opredeliti pojme ultravijolično sevanje, snežna slepota ali fotokeratitis, opisati simptome in znake snežne slepote, opisati prvo pomoč ob obolenju s snežno slepoto in opredeliti preventivne ukrepe za preprečevanje obolenja s snežno slepoto. Metode dela: Naredili smo sistematični pregled strokovne in znanstvene literature v slovenskem in angleškem jeziku o snežni slepoti in prvi pomoči ob pojavu le-te. Uporabili smo literaturo, izdano med letoma 2002 in 2019 z izjemo petih slovenskih knjig in enega angleškega članka. Temeljno literaturo smo iskali prek svetovnega spleta po bibliografski bazi CINAHL, ScienceDirect in PubMed, ter s pomočjo COBISS-a in Google Učenjaka. Rezultati: Z naraščanjem nadmorske višine narašča tudi ultravijolično sevanje in s tem vzporedno je več možnosti za obolenje s snežno slepoto. Največjo nevarnost predstavlja sneg, ki lahko odbije 90 % odseva UV (ultravijoličnih) žarkov od tal. PP v primeru obolenja s snežno slepoto se prične na terenu s prepoznavo poslabšanja vida ter se nadaljuje z nadaljnjimi ukrepi, kot so počitek v temnem prostoru, zaprte oči, hlajenje skozi zaprte oči in aplikacija protivnetnih kapljic ali antibiotičnega mazila ter po potrebi analgetika. Olajšanje simptomov in znakov se pojavi spontano v 24-72 urah. Razprava in zaključek: Vid je za naše življenje izrednega pomena, saj je vključen v skoraj vsako našo aktivnost. V skrajnih primerih lahko pride, ne samo do snežne slepote – kratkotrajne slepote, temveč tudi do trajne izgube vida. Snežno slepoto je mogoče enostavno preprečiti, če se na snežne razmere v gorah pravilno pripravimo. Uporaba kakovostnih sončnih očal, nošenje klobukov ter predvsem izobraževanje o dejavnikih, ki vplivajo na izpostavljenost ultravijoličnega sevanja in načine preprečevanja izpostavljenosti, so ključnega pomena. Gorniki se morajo zavedati posledic snežne slepote in svoje oči dobro zaščititi. Velik pomen pri ozaveščanju ciljnih skupin o tej problematiki imajo društva v okviru planinske in alpinistične šole. Planinci in alpinisti se učijo gibanja v snežnih razmerah, kamor sodi tudi tematika preprečevanja snežne slepote in ukrepi PP, če do nje pride.

Language:Slovenian
Keywords:snežna slepota, prva pomoč, fotokeratitis
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2019
PID:20.500.12556/RUL-110768 This link opens in a new window
COBISS.SI-ID:5691499 This link opens in a new window
Publication date in RUL:19.09.2019
Views:2790
Downloads:382
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Secondary language

Language:English
Title:First aid and snow blindness : diploma work
Abstract:
Introduction: In an exposed world such are mountains, even minor eye injuries or visual disturbances can affect a person to such extent that he or she becomes completely dependent on others. One such injury is snow blindness, whose severe form can lead to permanent vision loss, so first aid in case of illness is crucial. Purpose: The purpose of this diploma thesis is to present first aid in case of snow blindness, its causes and consequences. The goals are to define the concepts of ultraviolet radiation, snow blindness or photokeratitis, to describe the symptoms and signs of snow blindness, to describe first aid in case of snow blindness, and to identify preventative measures to prevent snow blindness. Methods: We have made a systematic review of professional and scientific literature in Slovene and English on first aid and snow blindness when it occurs. We used the literature published between 2002 and 2019 except for five Slovenian books and one English article. We searched the basic literature online through the bibliographic database CINAHL, ScienceDirect and PubMed, and with the help of COBISS and Google Scholar. Results: With increasing altitude, ultraviolet radiation is increasing, and thus there is more potential for snow blindness. The greatest danger is snow, which can reflect 90 % of the reflection of (ultraviolet) rays from the ground. Firs aid in case of snow blindness begins in the field with recognition of impaired vision and is followed by further measures such as rest in the dark, closed eyes, cooling through closed eyes and application of anti-inflammatory drops or antibiotic ointment and, if necessary, analgesics. The relief of symptoms and signs occurs spontaneously within 24-72 hours. Discussion and conclusion: Vision is one of the most important senses in our lives and it is involved in almost every activity of ours. In emergency situations, not only snow blindness - short-term blindness, but also permanent vision loss can occur. Snow blindness can be easily prevented if one is properly prepared for snow conditions in the mountains. The use of quality sunglasses, wearing hats and, above all, educating on the factors that influence ultraviolet radiation exposure and how to prevent exposure, are crucial. Mountaineers should be aware of the effects of snow blindness and protect their eyes well. Associations within the Alpine and Mountaineering School play an important role in raising awareness of the target groups. Mountaineers and alpinists learn about snowmobiling, including the topic of snow blindness prevention and first aid measures, if it occurs.

Keywords:snow blindness, first aid, photokeratitis

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