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Wyszukujesz frazę "hemorrhage" wg kryterium: Temat


Wyświetlanie 1-5 z 5
Tytuł:
Stopping hemorrhages from the limbs: raising efficiency through training on unfixed human preparations
Autorzy:
Leszczyński, P.
Klepacka, M.
Bakalarski, P.
Załęska-Marniche, S.
Krusińska, K.
Bojko, I.
Sówka, K.
Powiązania:
https://bibliotekanauki.pl/articles/2088209.pdf
Data publikacji:
2019
Wydawca:
Uniwersytet Opolski. Instytut Nauk o Zdrowiu
Tematy:
cadavers
bleeding
hemorrhage
paramedic
learning
education
Opis:
Background: Hemorrhages from the limbs are one of the most frequent injuries endangering human life. Immediate help from witnesses and the emergency services is necessary in such cases. Developing the skill of stopping the bleeding manually requires adequate training. One of the modern methods for such training is the use of cadavers, which accurately imitate real patients. Aim of the study: The aim of this research is to evaluate the effectiveness of learning to stop the bleeding manually on freshly frozen cadavers. Material and methods: Thirty-one people who had already trained on medical phantoms took part in the study. The participants stopped the hemorrhage on the cadavers twice and the time taken was recorded. The second attempt was performed after a short briefing from a teacher. After the training, the participants assessed their satisfaction with the course on a scale of 1 to 5. Results: On the first attempt, the average time of stopping the bleeding was 2.06 seconds (SD ± 1.61); the longest time was 10 seconds and the shortest was 0.7 seconds. On the second attempt, the average time was 1.52 seconds (SD ± 0.59); the longest time was 4.1 seconds and the shortest was 0.8 seconds. The average rating of course satisfaction among the respondents was 4.48 points (SD ± 0.88). Conclusions: This research showed that training on cadavers increased the quickness of reaction while stopping a hemorrhaging. Moreover, it indicated that training on medical phantoms does not assure optimal ability to perform rescue procedures.
Źródło:
Medical Science Pulse; 2019, 13, 4; 23-26
2544-1558
2544-1620
Pojawia się w:
Medical Science Pulse
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
REBOA – new era of bleeding control, literature review
Autorzy:
Marciniuk, Piotr
Pawlaczyk, Rafał
Rogowski, Jan
Wojciechowski, Jacek
Znaniecki, Łukasz
Powiązania:
https://bibliotekanauki.pl/articles/1391779.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
aortic occlusion
hemorrhage
IABO
REBOA
resuscitation
Opis:
It is extremely difficult to provide non-compressible torso hemorrhage control particularly in trauma setting. A vast majority of cases present inability of successful exsanguination arrest, leading to cardiovascular collapse, myocardial and cerebral hypoperfusion and death eventually. The only possible treatment for these patients is prompt bleeding control, either open or endovascular. Aortic occlusion seems to be the most rapid and convenient way to restrain blood loss and possibly increase survival. However, it is not proven yet. Traditional aortic occlusion for trauma consisted of supradiaphragmatic thoracic aorta cross-clamping through resuscitative thoracotomy (RT). This complicated and devastating procedure triggered the necessity to work on a simpler, less invasive resuscitation bridge which can be implemented in emergency departments or even in prehospital setting. Resuscitative balloon occlusion of the aorta (REBOA) provides a novel method of hemorrhagic shock stabilization in bleeding below the diaphragm. The mechanism lies in improving myocardial and cerebral perfusion and ceasing major bleeding itself. This method together with invasive endovascular and surgical procedures creates a new approach of choice for trauma patients. It is called Endovascular Hybrid Trauma and Resuscitation Management (EVTM) and introduces this concept to modern clinical practice. Through a detailed review, this article aims to introduce REBOA procedure to a broader recipient and present REBOA details, benefits and limitations.
Źródło:
Polish Journal of Surgery; 2020, 92, 2; 54-59
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Gallbladder sludge in a pregnant woman as a cause of severe complicated hemorrhagic-necrotizing pancreatitis with a spectacular manifestation
Autorzy:
Kamocki, Z.
Glińska, M.
Żurawska, J. L.
Powiązania:
https://bibliotekanauki.pl/articles/1918526.pdf
Data publikacji:
2017-11-12
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
Biliary sludge
hemorrhage
pancreatic fistula
pregnancy
severe pancreatitis
Opis:
Pancreatitis is an obvious but a rare event in pregnancy. From mild disease to multiorgan failure and sepsis acute pancreatitis has numerous causes and an often unpredictable outcome. The authors present a case of 22-year-old pregnant woman with severe pancreatitis due to biliary sludge. An unusual clinical manifestation of pancreatitis in our patient is worth emphasizing: massive bleeding from upper alimentary tract and concomitant two pancreatic fistulas. The bleeding is a manifestation of the pancreatic juiceinduced injury to the splenic artery, whereas the fistulas are consequence of the disconnected duct syndrome and superficial necrosis of the pancreatic head. After two and a half years lasting treatment the patient was on regular oral diet with supplementation of pancreatic enzymes, and showed normal glycaemia level. She returned to fully physical activity.
Źródło:
Progress in Health Sciences; 2017, 7(2); 126-130
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Peculiarities of liver functional state in the early period of cranioskeletal injury combined with bleeding, and its correction by cell therapy
Autorzy:
Zayets, T.A.
Gudyma, A.A.
Powiązania:
https://bibliotekanauki.pl/articles/1032349.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Kazimierza Wielkiego w Bydgoszczy
Tematy:
crinoskeletal injury
hemorrhage
liver
biligenic
bile excretion
fetal cells
Opis:
During the early manifestations of traumatic disease as a result of cranioskeletal injury (CSI) the content of total bile acids in bile is significantly reduced, biliary excretion is slowed, lithogenic properties of bile are increased. Intraperitoneal injection of fetal nerve cells in 12 hours after causing an injury accompanied by improvement of biligenic and biliary excretion liver functions, reduces the lithogenic properties of bile.
Źródło:
Journal of Health Sciences; 2014, 4, 1; 383-390
1429-9623
Pojawia się w:
Journal of Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Функциональное состояние тромбоцитов у пациентов с уролитиазом после литотрипсии
Functional state of platelets among patients with urolythiasis after lithotripsy
Autorzy:
Barinov, Edward F
Kravchenko, Artem N
Sulaieva, Oksana N.
Powiązania:
https://bibliotekanauki.pl/articles/1032340.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Kazimierza Wielkiego w Bydgoszczy
Tematy:
работы: установить
как исходное функциональное состояние тромбоцитов влияет
на развития гематурии после проведения литотрипсии
urolithiasis
lithothripsy
hemorrhage
platelets
Opis:
По данным мировой статистики, мочекаменная болезнь (МКБ) занимает лидирующее место в структуре урологических заболеваний [5]. В различных странах мира МКБ регистрируют у 1,5-3% населения. Несмотря на значительные успехи в изучении патогенеза и разработке методов лечения МКБ в высоком проценте случаев уролитиаз ведет к обструкции мочевых путей [3]. Данное состояние требует экстренного восстановления оттока мочи, для чего наиболее часто используется литотрипсия [1, 9]. Общепризнанный в мире метод контактной литотрипсии позволяет эффективно и надежно разрушать конкременты разной локализации и химического состава, однако, в ряде случаев сопровождается развитием осложнений, связанных с травмирующим действием уретероскопа и волновой энергии литотриптера на слизистую оболочку мочевыводящих путей и паренхиму почки [11]. Наиболее частым симптомом повреждения органов мочевой системы при этом является микро- или макрогематурия [4, 10]. При этом выраженность и длительность гематурии варьирует у пациентов с уролитиазом, в зависимости от размера, локализации и плотности камня [3]. Феномен гематурии может быть связан как с повреждением слизистой оболочки мочевыводящих путей, так и с нарушением механизмов гемостаза. Поэтому возникает закономерный вопрос: в каком функциональном состоянии находятся тромбоциты пациентов с уролитиазом, и влияет ли исходный статус тромбоцитов на развитие гематурии у пациентов после литотрипсии.
Introduction The functional state of platelets in patients with urolithiasis was estimated to establish whether platelets reactivity is important in determination of hemorrhage development after lithotripsy. Methods Platelets aggregation, induced by collagen (1 µM), ADP (5 µМ), epinephrine (5 µМ) and PAF (150 µM), was measured by aggregometer 490-2D (Chrono-log, USA) at hospital admission and 1 day after lithotripsy in 67 patients with urolithiasis. Data analysis was performed using MedCalc version 12.3 statistical software. Results Patients with urolithisasis demonstrated low platelet aggregation, induced with collagen and PAF (p<0,001), was related with inflammatory reaction of organism in negative manner: patients with leukocytosis demonstrated decrease reactivity of platelets (10,39,6%) where as in patients without sighs of inflammatory reaction this value was 30,93,8% (p<0,05). We did not find relation between platelet aggregation, induced by collagen, PAF and epinephrine with risk of hemorrhage after lithothripsy. However ADP-stimulated platelet aggregation was related with risk of haematuria (p=0,026) after lithotripsy. Conclusions Urolithiasis is accompanied with reduction of platelet response to collagen and PAF. Additional decrease of ADP-induced aggregation is associated with risk of hemorrhage after lithotripsy.
Źródło:
Journal of Health Sciences; 2014, 4, 1; 151-160
1429-9623
Pojawia się w:
Journal of Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-5 z 5

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