Author/Editor		Mitrović, Goran; Bolič, Stojan
Title		Politravma na terenu in sodelovanje NMP in HNMP - prikaz primera
Translated title		Prehospital polytrauma and cooperation between ground and helicopter EMS - case report
Type		članek
Source		In: Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 13. mednarodni simpozij o urgentni medicini; 2006 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2006
Volume		str. 337-40
Language		slo
Abstract		Through a number 112, connected with the operator, on a November day, 2004, at 8:40 a.m., we received a call for intervention at the highway between Postojna and Razdrti. In a crash of the two trucks, two persons were hurt, out of which one was squeezed in the cabin, as we were told by the operator. Already during the drive towards the crash site, we checked the availiability of the helicopter intervention medical team (HNMP). They were available and were waiting for us to call them if necessary. The driver of one of the trucks had almost no evident injuries, and was feeling stable. The driver of the other truck was squeezed in the vehicle, but responsive. The firemen squad were pulling him out of the vehicle for 40 minutes. In the meantime, we prepared infusions and medicines, we activated the helicopter team and informed the traumatology department of the Clinical Centre in Ljubljana, as a reception institution. We treated an evident haemoragia shock (vital signs were measured under unfavourable meteorological conditions in the vehicle: cyanotic, GCS 8, RR 90/54 p. 134, saturation 02 84%,), we immobilised the neck and arms, we applied painrelievers (Ketanest - total 65 mg) and we assured, along with the colleagues from the HNMP team, that air/breathing ways were open. The intervention was concluded at 10:15 a.m. by handing over the patient to the traumatology team ofthe Clinical Centre in Ljubljana. The patient has been treated and rehabilitated for several months, and transferred afterwards for further recovery in its native country, Bosnia and Herzegovina. The above intervention is an example of a good cooperation of the two teams of Urgent medical aid, for the benefit of the patient. The interaction in the aid assistance to a heavily injurec patient, as well as timely and safe transport, have helped that the consequences for the polytraumatised patient were minimised.
Descriptors		MULTIPLE TRAUMA EMERGENCY MEDICAL SERVICES ACCIDENTS, TRAFFIC SHOCK, HEMORRHAGIC RESCUE WORK