Title Strujni udar u dječjoj dobi
Title (english) Electric shock in pediatric population
Author Dora Pugar
Mentor Ana Milardović (mentor)
Committee member Iva Bilić Čače (predsjednik povjerenstva)
Committee member Kristina Lah Tomulić (član povjerenstva)
Committee member Gordana Blagojević Zagorac (član povjerenstva)
Granter University of Rijeka Faculty of Medicine Rijeka
Defense date and country 2024-06-17, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Pediatrics
Abstract Strujni udar označava kontakt unesrećenika sa strujom te prolazak struje kroz tijelo. Strujni udar u pedijatrijskoj populaciji zauzima jednu petinu svih strujnih udara. U pedijatrijskoj populaciji, najveća je incidencija strujnih udara u dojenačkoj dobi te u adolescenciji. Učinak struje na organe i tkiva ovisi o takozvanim Kouwenhovenovim faktorima (vrsta struje, napon, jakost struje, otpor kože, električno polje, vrijeme izlaganja struji, smjer struje kroz tijelo). Oni se koriste za predviđanje oštećenja tkiva uzrokovana električnom energijom. Učinak struje na organizam očituje se širokim spektrom oštećenja koja mogu varirati od blagih opeklina do kardiopulmonalnog zastoja zbog ventrikularne fibrilacije ili paralize mišića prsnog koša. Oštećenja tkiva i organa očituju se raznim patološkim zbivanjima poput rabdomiolize ili razvoja aritmija i opeklina. Važno je spriječiti sekundarne komplikacije poput razvoja sepse ili akutne bubrežne ozljede zbog hipovolemije. Pristup pacijentu koji je pretrpio strujni udar sastoji se od uzimanja anamneze ili heteroanamneze, detaljnog fizikalnog pregleda i kliničke evaluacije te daljnje dijagnostičke obrade, ukoliko je ona potrebna. Liječenje strujnog udara u dječjoj dobi je simptomatsko. Posebnu pažnju potrebno je posvetiti liječenju opeklina. Upravo zbog širokog spektra djelovanja električne energije, samo liječenje je izazovno te zahtjeva usku suradnju različitih specijalista, poput pedijatrijskog intenziviste, dječjeg kirurga, pedijatrijskog kardiologa i sl.
Abstract (english) Electric shock refers to the casualty's contact with electricity and the passage of electricity through the body. Electric shock in the pediatric population accounts for 1/5 of all electric shocks. In the pediatric population, the incidence of electric shocks is highest in infancy and adolescence. The effect of current on organs and tissues depends on the Kouwenhoven factors (type of current, current strength, length of time of exposure, body resistance, pathway of the current in the body and electrical field strength). These are used to predict tissue damage caused by electrical energy. The effect of electricity on the body is manifested by a wide range of damage that can vary from mild burns to cardiopulmonary arrest due to ventricular fibrillation or paralysis of the thoracic muscles. Tissue and organ damage is manifested by various pathological events such as rhabdomyolysis or the development of arrhythmias and burns. It is important to prevent secondary complications such as the development of sepsis or acute kidney injury due to hypovolemia. The approach to a patient who has suffered an electric shock consists of taking ananamnesis or a heteroanamnesis, physical examination and clinical evaluation, and further diagnostic processing if necessary. Treatment of electric shock in children is symptomatic. Special attention should be paid to the treatment of burns. Treatment of these patients is challenging because of the wide range of effects of electricity and it requires close cooperation of various specialists, such as pediatric intensive care specialists, pediatric surgeons, cardiologists, and other.
Keywords
aritmija
opekline
pedijatrijska populacija
strujni udar
Keywords (english)
arrythmia
burns
electric shock
pediatric population
Language croatian
URN:NBN urn:nbn:hr:184:646683
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Access restricted to authenticated users
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Created on 2024-06-20 20:30:08