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[小型城市地区的紧急医疗护理]

[[Emergency medical care in small urban regions] ].

作者信息

Hasanicević E

机构信息

Jayna ustanova Dom zdravija Izudin Mulabećirević-Izo Tesanj.

出版信息

Med Arh. 2000;54(4):217-20.

PMID:11117028
Abstract

Emergency medical care is a health care segment which is essential one both in large and in small urban places. To be effective it is necessary to be well organised, and also technically equipped and properly staffed. Concerning the situation in this field, conclusions are very often made on the basis of large and very well organised units. Current legislation gave it a pretty significant place. In practice it was proven as an indispensable part of system that provides medical care for suddenly ill or injured patients, both in war and peacetime. During the war, out of total number of admissions, 5231 injured patients were treated (including cases of death), out of which 36% had just that treatment as a definite one while the rest had to be treated in hospital. In the post-war period (1996, 1997, 1998, and 1999), out of total number of 95.000 treated patients, 848 was injured in car accidents and 52% of them got a final treatment on the level of emergency medical service. However, medical amateurs but medical professionals as well put emergency medical care on a margin of evaluation. Certain number of patients is coming to emergency medical service to get prescription, be directed to specialist or simply they don't want to waist their time while waiting in the crowded surgery of general practitioner. The management does not give enough attention to staff, facilities or technical equipment of emergency medical service. Only by properly established emergency medical service we would have better and more effective subsequent stages in the treatment of suddenly ill and injured persons in large but even more in small urban places.

摘要

急诊医疗是医疗保健领域的一个重要组成部分,无论在大城市还是小地方都至关重要。要使其有效运作,就必须组织良好,配备完善的技术设备并拥有合适的人员。关于该领域的情况,结论往往是基于大型且组织良好的单位得出的。现行立法赋予了它相当重要的地位。在实践中,它被证明是为突发疾病或受伤患者提供医疗服务的系统中不可或缺的一部分,无论是在战时还是和平时期。战争期间,共治疗了5231名受伤患者(包括死亡病例),其中36%仅接受了该治疗作为最终治疗,其余患者则必须住院治疗。在战后时期(1996年、1997年、1998年和1999年),在总共95000名接受治疗的患者中,有848人在交通事故中受伤,其中52%在急诊医疗服务层面得到了最终治疗。然而,不仅是医学外行,医学专业人士也将急诊医疗置于评估的边缘。一定数量的患者前往急诊医疗服务机构获取处方、寻求转介给专科医生,或者仅仅是他们不想在拥挤的全科医生诊所等待时浪费时间。管理层对急诊医疗服务的人员、设施或技术设备关注不足。只有建立完善的急诊医疗服务,我们才能在大城市乃至小地方对突发疾病和受伤人员的后续治疗中取得更好、更有效的效果。

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