Cengić E, Nemec-Klisura V
Dom Zdravlja Dr. Isak Samokovlija, Gorazde.
Med Arh. 1997;51(1-2 Suppl 1):11-3.
Good organisation of health protection wards is an essential precondition for a quick and efficient health service. The beginning of the aggression in Bosnia and Herzegovina and Gorazde itself in May 1992 brings Gorazde under siege preventing supply of any movement of people as well as medical material, equipment and staff, especially surgeons. Under such conditions the whole activity is carried out in the Emergency Ward and it becomes reception, triage and reanimation ward of the War Hospital with an organised part for operations of the patients (4-6 beds). The work is organised in teams of two doctors; two nurses and one assistant with constant engagement of lab, X-ray diagnostics, transfusion service and when the conditions for it were fulfilled also the consultancy of surgeons. According to data from the doctor's protocol in this ward from 4, May 1992 to 31, December 1992 there were 49,285 patients among which 4,771 or 9.67% were wounded. Also from the protocol of operations it is clear that from 21 September, 1992 the number of 712 wounded were operated or 14.9% of the total number of wounded people. From these informations we see that among 16 wounded that came to this ward on daily basis 15 of them were treated in this ward and 1 was sent to the operation theatre. Except from normal activities the doctors in this ward were engaged as court experts, visited the prison, teachers in first aid training and self-aid of civilians and members of the Army and at the periods of aggressors offensives they were treating all sick people because other wards were not working. Thanks to well organised activity and professionalism of the workers a great number of patients were treated, a great number of the badly wounded were prepared for the operation theatre. In that manner the work of surgeons was much easier and better results of the treatment were achieved.
良好组织健康防护病房是快速高效医疗服务的基本前提。1992年5月波斯尼亚和黑塞哥维那以及戈拉日德本身遭受攻击，戈拉日德被围困，人员、医疗物资、设备和工作人员，尤其是外科医生的运送均被阻断。在这种情况下，所有活动都在急诊病房进行，该病房成为了战争医院的接收、分诊和复苏病房，并设有一个有组织的区域用于患者手术（4至6张床位）。工作由两名医生、两名护士和一名助理组成的团队进行，实验室、X光诊断、输血服务持续参与，条件具备时外科医生也提供咨询。根据该病房1992年5月4日至1992年12月31日医生记录的数据，共有49285名患者，其中4771名或9.67%受伤。同样从手术记录中可以看出，1992年9月21日起，有712名伤员接受了手术，占受伤总人数的14.9%。从这些信息中我们可以看到，每天来到该病房的16名伤员中，15名在该病房接受治疗，1名被送往手术室。除了正常工作外，该病房的医生还担任法庭专家，探访监狱，担任急救培训教师以及平民和军队成员自救培训教师，在侵略者进攻期间，他们治疗所有病人，因为其他病房无法正常工作。由于活动组织良好以及工作人员的专业精神，大量患者得到了治疗，大量重伤员被送往手术室准备手术。这样，外科医生的工作变得轻松许多，治疗效果也更好。
