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العنوان
Initial Management of Severely Traumatized Patients
المؤلف
Abu Taha,Omar Methkal
هيئة الاعداد
باحث / Omar Methkal Abu Taha
مشرف / Abd El-Rahman M. ElMaraghy
مشرف / Mohamed M. ElMatry
مشرف / Hesham Adel Alaa ElDin
الموضوع
Abdominal and pelvic trauma -
تاريخ النشر
2005
عدد الصفحات
188.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2005
مكان الإجازة
جامعة عين شمس - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

from 188

from 188

Abstract

Trauma is a third killer of modern European and world societies. Every where in the world there is the great necessity of having an efficient emergency prehospital and hospital trauma care organization which will reduce mortality and invalidity of the trauma critical patients. There objectives are the most important:
1) defining of the lines guide
2) continuous education and training for the medical and paramedical operators (doctors, nurses, technicians, paramedics)
3) applying the method of organization and structural base.
Sorting, or triage, implies the evaluation and classification of casualties for purposes of treatment and evacuation. It is based on the principle of accomplishing the greatest good for the greatest number of wounded and injured men in the special circumstances of warfare at a particular time. The decisions which must be made concern the need for resuscitations, the need for emergency surgery and the futility of surgery when the intrinsic lethality of certain wounds in clearly overwhelming. Sorting also involves the establishment of priorities for treatment and evacuation.
The plan for the treatment of poly-traumatized patients consists of 5 stages which are:
1. Resuscitation.
2. Phase of immediate operation.
3. Phase of stabilization
4. Phase of delayed operative procedures.
5. Phase of recovery.
The stages of this plan can not be described within a clearly defined time frame. Each therapeutic step follows the other and is contingent on the patients condition before the next procedure can be indicated. These steps should be taken rapidly.
Trauma centers should take patients with life threatening injury, the management of which was beyond the facilities or capabilities of most District General Hospitals. The Trauma Centre staff should ensure immediate and appropriate care for injured patients, all patients with multiple systems or major injury should be evaluated initially by the Trauma Team and the surgeon responsible for overall care of the patient (Team leader) should be identified. Optimum staff requirements for Trauma Centers were laid out.