Drnda K
Centar urgentne medicine, Klinicki centar Sarajevo.
Med Arh. 1997;51(1-2 Suppl 1):25-7.
In siege and blocked Sarajevo, in 40 months, in primary care unit and than in Emergency Department 42,075 injured and ill persons have got the first aid. Out of that, 37% were injures 16% acute surgical conditions, 23% internal urgent conditions (since October 1994). There were 24% non-urgent cases from the surgical field. In this period of time 107,453 patients were treated hospitably, with an average of 2.108 hospital beds. In 1996, the primary care was given in 21,708 urgent cases, or 60% of 36,312 hospitably treated persons in total. There were 29% injuries, 24% of acute surgical cases, and 47% of internal medicine cases. Urgent centre received 53% individual paints who came by themselves without any medical aid; 25% from health centres where they have bog a primary care, and 22% came after received first aid of primary care in the Emergency department. By applying war surgical doctrine and general medical doctrine, with appropriate services for prompt diagnostics and treatment, with qualified specialists and consultancy services, a good quality of adequate treatment and care has been achieved, the mortality has been reduced, the hospitalisation has been rationalised, and treatment length has been reduced. Analysis demonstrates the reasons for existence of such medical centres in large hospitals. We have recognised the problems we are facing with, and which have to be solved progressively, as well as those concerning the functioning health services in Sarajevo Canton, and Federation of B&H. On the basis of all these knowledge's we believe that a well organised urgent medicine implemented in practice has great importance in the overall treatment. Basic objectives for establishing the urgent medicine as a system are: The first priority is to organise a modern system of urgent medicine, based on the principles of general medical doctrine and complementing with health care system. Urgent medicine programme should be incorporated in the process of medical education of the medical staff, giving a priority to the activities in practice. Provide modern equipment and adequate working space. Develop already developed co-operation with institutions and professionals from Europe and USA. Improve the low level of the first aid training of the population through the first aid courses.
在被围困和封锁的萨拉热窝，40个月里，在初级保健单位以及后来的急诊科，42075名伤病员得到了急救。其中，37%为受伤者，16%为急性外科病症，23%为内科急症（自1994年10月起）。外科领域的非急症病例占24%。在此期间，107453名患者得到了妥善治疗，平均拥有2108张病床。1996年，在21708例急症病例中提供了初级保健，占该年总共妥善治疗的36312人的60%。其中受伤者占29%，急性外科病例占24%，内科病例占47%。急救中心接待的患者中，53%是自行前来且未接受任何医疗救助的个体患者；25%来自已接受初级保健的健康中心；22%是在急诊科接受初级保健急救后来到这里的。通过应用战伤外科原则和普通医学原则，配备用于快速诊断和治疗的适当服务、合格的专家和咨询服务，实现了高质量的充分治疗和护理，降低了死亡率，使住院治疗合理化，并缩短了治疗时间。分析表明了大型医院中此类医疗中心存在的原因。我们已经认识到我们面临的问题，这些问题必须逐步解决，以及与萨拉热窝州和波黑联邦卫生服务运作相关的问题。基于所有这些认识，我们认为在实践中实施组织良好的急救医学在整体治疗中具有重要意义。将急救医学确立为一个体系的基本目标是：首要任务是基于普通医学原则并结合医疗保健体系，组织一个现代的急救医学体系。急救医学项目应纳入医务人员的医学教育过程，优先开展实践活动。提供现代化设备和充足的工作空间。发展与欧洲和美国机构及专业人员已有的合作。通过急救课程提高民众急救培训水平较低的状况。
