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master's thesis
Acute trauma victim - chest injury
Zagreb: University of Zagreb, School of Medicine, 2019. urn:nbn:hr:105:063875
Mahmutovic, Leyla
University of Zagreb
School of Medicine

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

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Mahmutovic, L. (2019). Acute trauma victim - chest injury (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:063875

Mahmutovic, Leyla. "Acute trauma victim - chest injury." Master's thesis, University of Zagreb, School of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:105:063875

Mahmutovic, Leyla. "Acute trauma victim - chest injury." Master's thesis, University of Zagreb, School of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:105:063875

Mahmutovic, L. (2019). 'Acute trauma victim - chest injury', Master's thesis, University of Zagreb, School of Medicine, accessed 20 April 2024, https://urn.nsk.hr/urn:nbn:hr:105:063875

Mahmutovic L. Acute trauma victim - chest injury [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2019 [cited 2024 April 20] Available at: https://urn.nsk.hr/urn:nbn:hr:105:063875

L. Mahmutovic, "Acute trauma victim - chest injury", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2019. Available at: https://urn.nsk.hr/urn:nbn:hr:105:063875

Metadata
TitleAcute trauma victim - chest injury
Title (croatian)Ozljede prsnog koša u traumatiziranih bolesnika
AuthorLeyla Mahmutovic
MentorDaniela Bandić Pavlović (mentor)
Committee memberDaniela Bandić Pavlović (predsjednik povjerenstva)
Committee memberMladen Perić (član povjerenstva)
Committee memberDINKO TONKOVIĆ (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
Zagreb
Defense date and country2019-07-12, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
Acute chest trauma is a common and serious injury in trauma patients. According to the mechanism of injury, acute chest trauma can be divided into blunt or penetrating trauma. The thorax has three major anatomical systems: airway, cardiovascular and the lungs. Approach to trauma victim with chest injuries should be approached according to ATLS algorithm and assessment of the ABCDEs first. Primary survey is an initial assessment of a trauma patient. It is conducted in order to identify and treat the most imminent life threatening injuries. Primary survey adjuncts such as ECG, ABG, X-ray pelvis, Chest X-ray, eFAST exam, DPL, and pulse oximetry and IV lines should be placed and oxygenation prepared with monitors. Secondary survey is performed with complete history and physical examination. Chest trauma can lead to life threatening conditions such as airway obstruction, pneumothorax, tension pneumothorax, open pneumothorax, massive hemothorax, flail chest and cardiac tamponade. These injuries should be recognized in the primary survey and treated as soon as possible. Problem of acute chest trauma is hypoxia, hypercarbia, hypovolemia and acidosis due to hypoxia. Treatment is according to the injury sustained and establishment of normal gas exchange and hemodynamics
Abstract (croatian)
.Akutna trauma prsnog koša je česta i ozbiljna povreda kod pacijenata s politraumom. Prema mehanizmu ozljede, akutne trauma prsnog koša mogu se podijeliti na tupe ili prodorne traume. U prsnom košu su smještena tri velika anatomska sistema: dišni putevi, pluća i kardiovaskularni sistem. Pristup pacijentu s ozljedom prsnog koša i primarna procjena ABCDE se zasniva na ATLS algoritmu. Primarni pregled je početna procjena traumatiziranog pacijenta. Provodi se kako bi se otkrile i liječile ozljede opasne po život pacijenta. Primarni pregled uključuje primarne dijagnostičke procedure kao što su EKG, ABG, rendgenska slika zdjelice, rendgenska slika pluća, eFAST pregled, DPL i pulsna oksimetrija, otvaranje venskog puta i oksigenacija uz monitoring. Sekundarni pregled podrazumijeva kompletnu povijest bolesti pacijenta uz kompletan fizički pregled. Ozljeda prsnog koša može dovesti do po život opasnih stanja kao što su: opstrukcija dišnih puteva, pneumotoraks, tenzijski pneumotoraks, otvoreni pneumotoraks, masivni hematotoraks, flail chest i srčana tamponada. Ove ozljede treba prepoznati u primarnom pregledu i tretirati ih što je prije moguće. Posljedice akutne traume prsnog koša su: hipoksija, hiperkapnija, hipovolemija i acidoza zbog hipoksije. Liječenje je u skladu s oštećenjima i u cilju uspostavljanja normalne izmjene plinova i hemodinamskog statusa.
Keywords
Keywords (croatian)
Languageenglish
URN:NBNurn:nbn:hr:105:063875
Study programmeTitle: Medicine (in English language)
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Public noteKljučne riječi oblikovao urednik
Created on2020-07-22 10:55:04