Author/Editor		Kovač, Miha
Title		Zmote in pasti pri prvi oceni, nadzoru in predaji urgentnega bolnika v predbolnišničnem okolju
Translated title		Errors and pitfalls in primary assessment, monitoring and transfer of emergency patients in prehospital setting
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2000
Volume		str. 69-78
Language		slo
Abstract		At every intervention, prehospital emergency doctors face all kinds of complications and pitfalls that can hardly be avoided, but may be reduced to a minimum by careful consideration and proper action. Difficulties may arise either at the receiving of emergency call, during the primary assessment, during the emergency transfer, and also during the acceptance of an emergency patient by the hospital medical staff. The newly established dispatch services (112, 113) only cause further delay during the procedure of receiving an emergency call. The personnel of the central dispatch service (112) should be fully qualified, which means that they should be able to make decisions on the departure of ALS ambulance and on the eventual presence of the emergency doctor. Assessment and treatment of a patient or injured person in the field and in pre-hospital conditions in many aspects differ from classical treatment of a patient in a hospital. Working conditions are much worse, there is less time, often the patient has no companions who could tell what was the patient's condition before the incident. The emergency doctors must therefore act quickly and often even before the final diagnosis has been made. During the transfer to the hospital, the patient needs to be under constant supervision. Prehospital emergency doctors use available technical equipment, such as defibrillator, pulse oximeter and manual or automatic pressure gauge. Appliances facilitate treatment to a great extent but do have certain deficiencies which emergency doctors must be aware of and acquainted with. It often happens that we fail to intubate the patient, establish a vascular access or take blood pressure. Well known and frequently used medicines are not equally suitable for every patient or injured person and must therefore be used cautiously and after careful consideration in order not to cause more harm than good. (Abstract truncated at 2000 characters).
Descriptors		EMERGENCY MEDICAL SERVICES MONITORING, PHYSIOLOGIC TRANSPORTATION OF PATIENTS EQUIPMENT AND SUPPLIES FIRST AID ELECTRIC COUNTERSHOCK ELECTROCARDIOGRAPHY BLOOD PRESSURE MONITORS OXIMETRY INTUBATION, INTRATRACHEAL MORPHINE INFUSIONS, INTRAVENOUS EPINEPHRINE MIDAZOLAM AMIODARONE ADENOSINE ANALGESICS KETAMINE MEDICAL ERRORS