Oskrba poškodovanca s poškodbo hrbtenice in transport s helikopterjem : diplomsko delo

Podobnik, Miha (author), Slabe, Damjan (mentor), Bregant, Gorazd (comentor), Sotler, Robert (reviewer)

Uvod: Poškodba hrbtenice lahko pri posamezniku povzroči invalidnost ali celo smrt. Prav zaradi omenjenih tveganj je v primeru teh poškodb pomemben hiter in obziren transport poškodovanca do najbližjega urgentnega centra oz. do terciarne ustanove. Namen: Opisati smernice obravnave poškodovanca s poškodbo hrbtenice, predstaviti pomen enote helikopterske nujne medicinske pomoči pri oskrbi poškodovancev s poškodbo hrbtenice v Sloveniji ter opredeliti prednosti in slabosti prevoza poškodovanca s helikopterjem v primerjavi s prevozom po cesti. Metode dela: Uporabljena je bila deskriptivna metoda dela. Narejen je bil sistematični pregled literature, pridobljene v podatkovnih bazah PubMed, CINAHL, Cobbis, Google Učenjak in ScienceDirect. Uporabljena literatura ni starejša od deset let, je polno dostopna in napisana v slovenskem ali angleškem jeziku. Rezultati: V sistematični pregled literature smo vključili deset člankov, od tega dva sistematična pregleda literature, štiri retrospektivne študije na podlagi zbranih podatkov z intervencij, eno deskriptivno opazovalno študijo, eno presečno študijo, eno kohortno študijo in en pregledni znanstveni članek. Razprava in zaključek: V Sloveniji uporabljamo protokola International trauma life support za oskrbo poškodovanca v predbolnišničnem okolju in Advanced trauma life support za oskrbo v urgentnih centrih. Standardizirani protokoli so pomembni za usklajeno delovanje ekipe, da vsi člani prepoznavajo življenjsko ogrožajoča stanja in jih rešujejo. Helikopterska nujna medicinska pomoč je pomembna pri reševanju poškodovanih in obolelih oseb zaradi številnih prednosti uporabe helikopterja. Pri tem je pomembno poudariti, da se helikopterska nujna medicinska pomoč in smernice za obravnavo poškodb hrbtenice po svetu zelo razlikujejo, saj upoštevajo razgibanost okolja, razvitost držav in izobraženost ljudi, ki delujejo v teh sistemih. Vendar pa helikopterski prevoz ni vedno najboljša izbira, odločitev o vrsti prevoza ponesrečenca je odvisna od specifike vsake intervencije.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, helikopterska nujna medicinska pomoč, nujna medicinska pomoč, sistematični pregled
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [M. Podobnik]
• Year: 2024
• Number of pages: 28 str.
• PID: 20.500.12556/RUL-154318-b3d58f89-e0a8-6582-9740-f73983e370ad
• UDC: 616-083
• COBISS.SI-ID: 184044035
• Publication date in RUL: 07.02.2024

Secondary language

• Language: English
• Title: Treatment of an injured person with spine injury and transport by helicopter assistance : diploma work

Abstract

Introduction: Spinal injury can lead to disability or even death in an individual. Due to these risks, prompt and careful transportation of the injured person to the nearest emergency center or tertiary facility is crucial in the case of such injuries. Purpose: To describe guidelines for managing a person with a spinal injury, to present the importance of helicopter emergency medical services in the care of individuals with spinal injuries in Slovenia, and to identify the advantages and disadvantages of transporting the injured person by helicopter compared to ground transportation. Methods: A descriptive research method was employed. A systematic literature review was conducted using databases such as PubMed, CINAHL, Cobbis, Google Scholar, and ScienceDirect. The literature used is no older than ten years, fully accessible, and written in Slovenian or English. Results: The systematic literature review included ten articles, comprising two systematic literature reviews, four retrospective studies based on collected intervention data, one descriptive observational study, one cross-sectional study, one cohort study, and one review article. Discussion and Conclusion: In Slovenia, the International Trauma Life Support protocol is utilized for pre-hospital care of the injured, and Advanced Trauma Life Support is used in emergency centers. Standardized protocols are essential for the coordinated functioning of the team, ensuring that all members recognize life-threatening conditions and address them appropriately. Helicopter emergency medical services are crucial for rescuing injured and ill individuals due to numerous advantages of helicopter use. It is important to note that helicopter emergency medical services and spinal injury management guidelines vary globally, considering the terrain, development of countries, and the education of individuals operating within these systems. However, helicopter transport is not always the best choice, and the decision on the type of transport for the accident victim depends on the specifics of each intervention.

• Keywords: diploma theses, nursing care, helicopter emergency medical assistance, emergency medical asistance, systematic literature review