Author/Editor     Tomazin, Iztok
Title     Reševanje in nujna medicinska pomoč na težko dostopnem terenu ter bolnišnična obravnava politravmatiziranega gozdnega delavca
Translated title     Rescue and emergency medical treatment in hard to access terrain and hospital treatment of polytraumatized forest worker
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 39, št. Suppl 11
Publication year     2000
Volume     str. 85-8
Language     slo
Abstract     A case of a 41-year-old forest worker who fell 70 m into a gorge together with a bulldozer during the Slovene war of independence in 1991 is presented. The polytraumatized victim was located in a difficult to access area between two waterfalls. A female doctor from the local health centre was unable to reach him. Soon after that, another doctor from the same centre, a member of the Mountain Rescue Service (MRS) of Slovenia, climbed to the victim and began to give him medical assistance. At the same time, he mobilized an MRS group. In the field, the diagnostics and therapeutic measures (protection from cold, analgesia and immobilization) were very difficult to perform and incomplete because of the circumstances (water, cold, noise and lack of equipment). After the arrival of the MRS group, the victim was lowered down the gorge to an emergency vehicle and slowly transported (the roads were blocked), together with the doctor, to the Jesenice Hospital. Emergency assessment, therapy and outcome are described.
Summary     Opisan je primer 41-letnega gozdnega delavca. V času slovenske osamosvojitvene vojne je pri delu v gozdu z goseničarjem zgrmel 70 metrov globoko in politravmatiziran obležal na težko dostopnem kraju v strugi potoka med dvema slapovoma. Dežurna zdravnica ni mogla do njega. Prvi je do njega priplezal sodelavec, kmalu za tem pa še zdravnik Gorske reševalne službe (GRS), ki je začel z izvajanjem postopkov nujne medicinske pomoči (NMP) in hkrati aktiviral moštvo GRS. Zaradi neugodnih okoliščin (voda, mraz, hrup, pomanjkanje opreme) je bila oskrba poškodovanca na kraju dogodka zahtevna in nepopolna, predvsem zaščita pred ohlajanjem, analgezija in imobilizacija. Zaradi vojne helikoptersko reševanje ni bilo možno, zato ga je kasneje prispelo moštvo GRS v gorskih nosilih z vrvno tehniko spustilo iz soteske in preneslo do ceste, od tam pa je bil po številnih ovinkih zaradi blokiranih cest v spremstvu zdravnika prepeljan v Splošno bolnišnico Jesenice. Opisani so nujni sprejem, zdravljenje in posledice.
Descriptors     RESCUE WORK
ACCIDENTS, OCCUPATIONAL
EMERGENCY MEDICAL SERVICES
MULTIPLE TRAUMA
TRANSPORTATION OF PATIENTS
HOSPITALIZATION