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Naslov: ANALIZA STANDARDIZIRANIH PROTOKOLOV NUJNE MEDICINSKE POMOČI PRI POŠKODOVANCIH S STRELNIM OROŽJEM Avtorji: ID Vrlinič, Jan (Avtor) ID Kren, Aljaž (Mentor) Več o mentorju... Datoteke: DIP_Vrlinic_Jan_2025.pdf (1,31 MB) MD5: 1A90F4E505243E6338FD1407F714B538   Jezik: Slovenski jezik Vrsta gradiva: Diplomsko delo/naloga Tipologija: 2.11 - Diplomsko delo Organizacija: UNM FZV - Univerza v Novem mestu - Fakulteta za zdravstvene vede Opis: Izhodišča: Poškodbe, nastale s strelnim orožjem, so glavni vzrok smrti, ki prizadene mladostnike in mlade odrasle po vsem svetu, zlasti v Ameriki. V mnogih pogledih so strelne rane le vrsta penetrantne poškodbe. Tako strelna kot vbodna rana spadata pod smernice za ravnanje s poškodbami. Strelne rane lahko razvrstimo na prestrel, zastrel in obstrel. Pri oskrbi strelne rane sta zaustavitev krvavitve in hemodinamska stabilnost poškodovanca glavna cilja. Krvavitve lahko zaustavimo s pritiskom na rano, kompresijsko obvezo ali Esmarchovo prevezo. Sama oskrba je odvisna od lokacije rane. Namen raziskave je analizirati standardizirane protokole nujne medicinske pomoči pri poškodovancih zaradi strelnega orožja. Skladno z namenom diplomske naloge smo oblikovali naslednje cilje: analizirati delež intervencij s strelnim orožjem, kjer je vzrok poskus samomora, analizirati delež intervencij s strelnim orožjem, kjer je vzrok nesreča, analizirati delež intervencij s strelnim orožjem, kjer je vzrok namerno škodovanje osebi, raziskati vlogo demografskih podatkov (spol, starost) glede na delež strelnih poškodb, ugotoviti delež intervencij, kjer so bile poškodbe s strelnim orožjem nezdružljive z življenjem, ugotoviti delež intervencij, pri katerih so bile poškodbe s strelnim orožjem življenjsko ogrožajoče, ugotoviti delež intervencij, pri katerih so bile poškodbe s strelnim orožjem lažje narave, ugotoviti najpogostejša anatomska mesta strelnih poškodb in analizirati delež intervencij v primerjavi z ostalimi intervencijami nujne medicinske pomoči. Metode: V raziskavi smo s pomočjo vnaprej pripravljene predloge analizirali statistiko poškodb, povzročenih s strelnim orožjem. Za statistično analizo podatkov v raziskavi smo uporabili kvantitativno metodo raziskovanja, ki je temeljila na neeksperimentalni kavzalni metodi dela. Uporabili smo predlogo za analizo virov, pridobljenih iz standardiziranih protokolov nujne medicinske pomoči Zdravstvenega doma Novo mesto. Pregledali smo vse protokole v obdobju od 1. 1. 2019 do 31. 12. 2023. Pregledali smo 4861 protokolov, od katerih smo v nadaljnjo analizo vključili 11 protokolov, ki so obravnavali poškodbo s strelnim orožjem. Analizo in prikaz podatkov smo opravili z Microsoft Excel 2018. Rezultati: V obdobju 2019–2023 je ekipa nujne medicinske pomoči obravnavala 11 primerov poškodb s strelnim orožjem, kar predstavlja 0,2 % vseh opravljenih intervencij. Ugotavljamo, da so poškodbo, povezano s strelnim orožjem, pogosteje utrpeli moški (n = 10; 90,9 %) in da se poškodba, povezana s strelnim orožjem, najpogosteje dogaja v starostnih obdobjih od 21 do 40 let in od 61 do 80 let. V več kot polovici primerov je strelno orožje povzročilo lažje poškodbe (n = 6; 54,5 %). Najpogostejši del poškodovanega telesa predstavlja glava (n = 7; 63,6 %), medtem ko je bilo pet poskusov samomora, pet primerov namernega škodovanja s strelnim orožjem in samo en primer nesreče. Razprava in zaključek: Poškodbe, povzročene s strelnim orožjem, sodijo med najkompleksnejša in najresnejša travmatološka stanja, saj zahtevajo hitro in natančno oceno ter intervencijo na terenu in med transportom v bolnišnico. Standardizirani protokoli so ključni za zagotavljanje enotnega pristopa k oskrbi poškodovancev, zmanjšanje možnosti napak, skrajšanje časa obravnave in izboljšanje izidov bolnikov. V analizi smo ugotovili, da so protokoli usmerjeni k obvladovanju kritičnih stanj, kot so huda krvavitev, poškodbe vitalnih organov in preprečevanje šoka, ter zajemajo tako specifične ukrepe obravnave na mestu dogodka kot tudi nadaljnje korake med transportom. Ključne besede: strelno orožje, poškodba, protokoli nujne medicinske pomoči, nevarne situacije. Leto izida: 2025 PID: 20.500.12556/ReVIS-11443  COBISS.SI-ID: 228752131  Datum objave v ReVIS: 11.02.2025 Število ogledov: 282 Število prenosov: 9 Metapodatki:    Citiraj gradivo Navadno besedilo BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Kopiraj citat

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Sekundarni jezik

Jezik:	Angleški jezik
Naslov:	ANALYSIS OF STANDARDISED EMERGENCY MEDICAL CARE PROTOCOLS FOR VICTIMS OF FIREARMS INJURIES
Opis:	Introduction: Gunshot injuries are a leading cause of death among adolescents and young adults worldwide, particularly in America. In many ways, gunshot wounds are simply a type of penetrating injury. Both gunshot wounds and stab wounds fall under the guidelines for managing injuries. Gunshot wounds can be classified as perforating wounds, penetrating wounds and graze wounds. In the care of gunshot wounds, stopping the bleeding and achieving the hemodynamic stability of the injured person are the primary goals. Bleeding can be stopped by applying pressure to the wound, using a compression bandage, or an Esmarch bandage. The specific care provided depends on the location of the wound.The purpose of this research is to analyze standardized emergency medical service protocols for patients injured by firearms. In line with the thesis objectives, we formulated the following goals: to analyze the proportion of gunshot-related interventions where the cause was an attempted suicide, the proportion of interventions where the cause was an accident, the proportion of interventions due to intentional harm to another person, to investigate the role of demographic data (gender, age) in the proportion of gunshot injuries, to determine the proportion of interventions where gunshot injuries were incompatible with life, to determine the proportion of life-threatening gunshot injuries, to determine the proportion of interventions with minor gunshot injuries, to identify the most common anatomical locations of gunshot injuries, and to analyze the proportion of gunshot interventions compared to other emergency medical interventions. Methods: Using a pre-prepared template, we analyzed statistics on gunshot-related injuries. For statistical data analysis in the study, we applied a quantitative research method based on a non-experimental causal approach. We used a template for analyzing data from standardized emergency medical service protocols from the Health Center Novo mesto. We reviewed all protocols from 1.1.2019 to 31.12.2023, examining a total of 4,861 protocols, of which 11 protocols involving gunshot injuries were included in the subsequent analysis. Data analysis and presentation were conducted using Microsoft Excel 2018. Results: From 2019 to 2023, the emergency medical team treated 11 cases of gunshot injuries, representing 0.2% of all interventions. We found that gunshot injuries were more frequently sustained by males (n = 10; 90.9%) and most commonly occurred in the age groups 21–40 and 61–80. In the majority of cases, the gunshot injuries were minor (n = 6; 54.5%), with head injuries being the most common (n = 7; 63.6%). There were five cases each of attempted suicide and intentional harm by firearm and only one accident. Discussion and Conclusion: Gunshot injuries are among the most complex and serious trauma cases, requiring swift and precise assessment and intervention on the scene and during transport to the hospital. Standardized protocols are essential to ensure a consistent approach to patient care, reduce the likelihood of errors, shorten response time, and improve patient outcomes. Our analysis showed that protocols focus on managing critical conditions such as severe bleeding, vital organ damage, and shock prevention, covering specific on-site treatment measures as well as subsequent steps during transport. Further education and skill enhancement are needed to enable quicker and more effective action in such cases.
Ključne besede:	Firearm, injury, emergency medical service protocols, hazardous situations.

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