Avtor/Urednik		Božiček, Franc
Naslov		Izkušnja zdravnika na podeželju v zvezi z nudenjem nujne medicinske pomoči HIV pozitivnem bolniku
Prevedeni naslov		Experience of a general practitioner in rural area with emergency medical care of a HIV positive patient
Tip		članek
Vir		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja 8. Zbornik 9. mednarodni simpozij o urgentni medicini; 2002 jun 19-22; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2002
Obseg		str. 213-8
Jezik		slo
Abstrakt		The author who works as a general physician in rural area describes the possibility of HIV transmission during urgent medical care procedures. Despite low prevalence of HIV infected apatients in Slovenia, there is a growing possibility for HIV transmission during urgent medical procedures. Therefore the physician must conduct constant protective measures in order to prevent HIV transmission. In rural areas a physician seldom encounters medical patients who require urgent medical care. These states occur periodically, often unexpectedly and are therefore often stressful. When performing urgent procedures, physician overcomes transient stress forgetting that the patient might had been infected with HIV. But when the physician is confronted with HIV positive patient, such experience becomes more unpleasant. The author describes his own experience with a HIV positive patient who had cut his wrist and ingested various tablets for suicidal purpose. While attempting to lavage patients' stomach he bit and squeezeed author's digit and wounded skin without any bleeding. The physician was oblivious about the wound until the patient admitted his HIV positivity during urgent medical transport to hospital. The author establishes that the first contact with HIV positive person might cause intensive and persistent concern. Physicians do often not receive proper data, or may have forgotten necessary measures. There is no universal, comprehensive and easily available data on resolving such incidents. It is also known that protective gloves may become damaged, small wounds may become overlooked during intensive urgent medical procedures and last in distant rural sites a general physician might get involved with HIV positive persons. Finally, the article eliminates undue fear and promotes self-consciousness in order to prevent "burn out process" for every physician who might experience similar event and should react properly when left to himself.
Deskriptorji		EMERGENCY MEDICAL SERVICES HIV SEROPOSITIVITY RURAL HEALTH SERVICES CROSS INFECTION DISEASE TRANSMISSION, PATIENT-TO-PROFESSIONAL BITES, HUMAN