Author/Editor		Kovač, Miha
Title		Najpogostejši zapleti med transportom urgentnega pacienta
Translated title		Most frequent complications during emergency transport of critical patients
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 5. Zbornik 6. mednarodni simpozij o urgentni medicini; 1999 jun 16-19; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1999
Volume		str. 199-204
Language		slo
Abstract		Beside some 25000 dispensary medical examinations and 8000 home visits, prehospital emergency doctors of the Ljubljana Medical Centre yearly intervene with the ALS ambulance in some 2500 emergency situations. Resuscitation is necessary in some 150 cases. Each intervention in the field has its own particularities which a doctor must detect and consider. Complications are constituent of almost every intervention. Their frequency and arduousness exponentially increase with the number of interventions and the degree of affectedness of patients or victims respectively and are inversely proportioned with the experience of the rescuers. It may therefore be expected that in a bad traffic accident with several injured persons more complications may follow which probably will not be solved in the best way possible. It is essential, however, that they should be reduced to a minimum and that doctors should not fear those complications which can not be avoided. Complications may arise before, during or after the emergency medical assistance has been offered. They may be caused either by the doctor, the nurse, the driver, the patient or by standers (relatives, witnesses). The most frequent complications that must be detected and prevented are the loss of consciousness, absence of breathing, fibrillation of ventricles, reduction of blood pressure, anaphylactic reaction, an aggressive psychiatric patient, unsuccessful endotracheal intubation or the placement of intravenous channel, extraction of the endotracheal tubus and intravenous channel. With each complication the reason for its occurrence should be established in order to act effectively. Doctors should reconcile with the fact that complications are an unavoidable part of the medical profession. It is our duty to reduce them to a minimum, to detect life threatening complications and solve them. (Abstract truncated at 2000 characters).
Descriptors		LIFE SUPPORT CARE CRITICAL CARE TRANSPORTATION OF PATIENTS VENTRICULAR FIBRILLATION RESPIRATORY INSUFFICIENCY INTUBATION, INTRATRACHEAL HYPOTENSION