Vloga izvajalcev službe nujne medicinske pomoči pri uporabi medeničnega pasu v predbolnišničnem okolju : diplomsko delo

Uršič, Luka (avtor), Thaler, Darja (mentor), Kramar, Janez (komentor)

Uvod: Poškodbe medenice so relativno redke. Pojavijo se v približno 3 % vseh poškodb skeleta. Praviloma so visoko energijske poškodbe, do katerih pride pri prometnih nesrečah ali padcih z višine. Pri starejši populaciji pa lahko do poškodb medenice privede pri nizko energijskih poškodbah, kot so padci s stojne višine. Najhujša posledica poškodovane medenice je krvavitev. Terapija poškodovane medenice na terenu je zelo omejena. Ukrep članov ekipe nujne medicinske pomoči je imobilizacija z uporabo medeničnega pasu. Oskrba hudo poškodovanih na terenu je pomemben element pri celotni zdravstveni oskrbi poškodovanca. Člani ekipe nujne medicinske pomoči morajo dobro poznati protokol obravnave poškodovanih. V Sloveniji se zdravstvene službe poslužujejo protokola ITLS (International Trauma Life Support). Namen: Namen diplomskega dela je predstaviti ukrep članov ekip nujne medicinske pomoči pri poškodbi medenice na terenu in sicer imobilizacijo z uporabo medeničnega pasu. Predstavljen bo tudi ITLS pregled, s pomočjo katerega si reševalci na terenu pomagajo, da temeljito in hitro pregledajo poškodovanca. Metode dela: Pri izdelavi diplomskega dela je bila uporabljena deskriptivna metoda dela. Delo temelji na pregledu prostodostopne literature od leta 2006 do leta 2019. Pri iskanju literature smo uporabili ključne besede: medenični pas, poškodba medenice, medenica. Članki so bili iskani na straneh elektronskih baz podatkov: MEDLINE, PubMed, COBISS.SI, s pomočjo iskalnika DiKul ter v zbornikih na temo izbrane tematike. Rezultati: Imobilizacija je ključnega pomena pri poškodbi medenice. Pripomoček, s katerim si zdravstveno osebje pomaga pri imobilizaciji, je medenični pas. Namestitev medeničnega pasu zmanjša ali celo ustavi krvavitev, učvrsti medenični obroč, kar onemogoča dodatne premike poškodovanca in s tem zmanjša bolečine, istočasno pa zmanjša tudi možnost razdrtja koagulov. Razprava in zaključek: Oskrba in obravnava poškodovanca na terenu je izjemnega pomena za njegovo nadaljnje zdravstveno stanje. Poškodovana medenica lahko povzroči hudo krvavitev in poškodovanec lahko izgubi do 3 litre krvi, zato je hitro ukrepanje zdravstvene ekipe nujno. Vsi člani ekipe nujne medicinske pomoči morajo dobro poznati protokol obravnave, ki je standardiziran in sistematičen. Nameščanje pasu proizvede dodatne premike medenice, kar seveda ni ugodno za poškodovančevo stanje, a je korist pravilne namestitve medeničnega pasu večja.

• Jezik: Slovenski jezik
• Ključne besede: izvajalci službe nujne medicinske pomoči, medenica, medenični pas, ITLS
• Vrsta gradiva: Diplomsko delo/naloga
• Organizacija: ZF - Zdravstvena fakulteta
• Leto izida: 2019
• PID: 20.500.12556/RUL-112952
• COBISS.SI-ID: 5734507
• Datum objave v RUL: 24.11.2019

URŠIČ, Luka, 2019, Vloga izvajalcev službe nujne medicinske pomoči pri uporabi medeničnega pasu v predbolnišničnem okolju : diplomsko delo [na spletu]. Diplomsko delo. [Dostopano 3 maj 2025]. Pridobljeno s: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=slv&id=112952

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: The role of emergency medical assistants in the use of the pelvic binder in the prehospital environment : diploma work

Izvleček

Introduction: Pelvic injuries are relatively rare. They appear in 3% of all skeletal injuries. Mostly we talk about high energy fracture, that can occur in an accident or a fall from a height. Low energy pelvic injuries mostly happened to elderly people, and are caused by a standing height. The worst result of pelvic fracture is bleeding. Emergency medical procedures in prehospital settings on fractured pelvis are very limited. The first procedure from an emergency medical service (EMS) team members is pelvic immobilisation with the pelvic splint. Medical care of a seriously injured patient is very important in the prehospital settings. It is crucial in the overall medical treatment of the patient. EMS team members must have a good knowledge of implementing protocols for the medical treatment of injured patients. In the Republic of Slovenia, all prehospital emergency medical departments use the International Trauma Life Support (ITLS) standards and protocols. Purpose: The thesis aims to present the medical treatment of a pelvic injury using a pelvic splint provided by prehospital EMS team members. The diploma study will also present the ITLS trauma patient assessment, which helps the EMS personnel to thoroughly and quickly inspect the injured person. Methods: A descriptive work method was used in the preparation of the diploma thesis. The work is based on a review of freely available literature from 2006 to 2019. We used the following keywords to find the literature: pelvic girdle, pelvic injury, pelvis. The articles were searched on the pages of the electronic databases: MEDLINE, PubMed, COBISS.SI, with the help of the DiKul search engine and in proceedings on selected topics. Results: Immobilization is crucial in damaging the pelvis. An aid that medical staff help immobilize is the pelvic binder. The placement of the pelvic binder reduces or even stops the bleeding, strengthens the pelvic ring, which prevents additional movement of the injured person, thereby reducing pain and, at the same time, reducing the possibility of tearing of the coagula. Discussion and conclusion: The prehospital medical care and treatment of an injured person in the field are of paramount importance to his of her continued medical condition. A damaged pelvic can cause severe bleeding, and the injured person may lose up to 3 litres of blood, so prompt action by the EMS team is imperative. All members of the emergency medical team must be well aware of the treatment protocol, which is standardised and systematic. Installing the pelvic splint produces additional movements of the pelvis, which is of course not conducive to injury, but the benefit of correctly installing the pelvic splint is greater.

• Ključne besede: emergency medical assistants, pelvis, pelvic binder, ITLS