diplomsko delo
Jernej Repše (Author), Janez Kramar (Reviewer), Robert Sotler (Mentor), Špela Plesec (Co-mentor)

Abstract

Uvod: Bolezni srca in ožilja so vodilni vzrok smrti med odraslo populacijo v Evropi. V Sloveniji srčni zastoj v povprečju vsak dan doživijo dve do tri osebe. Ob prekinjenem pretoku krvi skozi možgane se po 3 do 5 minutah pojavijo nepopravljive poškodbe. Edina učinkovita pomoč ob srčnem zastoju je takojšnje in pravilno izvajanje temeljnih postopkov oživljanja z uporabo avtomatskega eksternega defibrilatorja. Ekipe nujne medicinske pomoči so pogosto preveč oddaljene in na mesto dogodka pridejo prepozno. V ta namen se po Evropi in drugod po svetu vzpostavljajo enote prvih posredovalcev – laikov, izobraženih s strani zdravstvenih delavcev. Namen: Namen diplomskega dela je predstaviti pomen delovanja prvih posredovalcev v sistemu zaščite in reševanja Republike Slovenije. Metode dela: v diplomskem delu smo uporabili deskriptivno metodo dela. Pregledali smo znanstveno in strokovno literaturo v slovenskem in angleškem jeziku ter pravne predpise na področju prehospitalne obravnave pacientov. Literaturo smo iskali v podatkovnih bazah Medline, CINAHL in Cobiss, uporabili smo tudi iskalnika PubMed in Google Schoolar ter svetovni splet. Iskanje literature je potekalo med marcem in decembrom 2021. V končni pregled smo vključili 15 enot literature. Rezultati: Predstavili smo delovanje različnih sistemov prvih posredovalcev po svetu. Vse raziskave so potrdile hitrejši dostopni čas prvih posredovalcev. V primeru njihovega posredovanja se je izboljšal odstotek preživetja. Ocena nevrološkega izida je bila boljša v primeru hitrejšega začetka temeljnih postopkov oživljanja. Uporaba mobilne aplikacije in globalnega sistema pozicioniranja se je izkazala kot najhitrejša možnost alarmiranja, predvsem v urbanih okoljih. Uporaba prostovoljnih gasilcev omogoča najhitrejše implementiranje sistema, še posebej na ruralnem področju. Razprava in zaključek: Potrdili smo pomembnost hitrega začetka temeljnih postopkov oživljanja pri obnemoglih osebah. Prvi posredovalci so na kraj dogodka v povprečju prišli 6 minut pred prihodom ekip nujne medicinske pomoči. Po svetu obstajajo različni sistemi organiziranja prvih posredovalcev. Tudi v Sloveniji se je sistem prvih posredovalcev izkazal za učinkovitega, vendar ima veliko pomanjkljivosti.

Keywords

diplomska dela;zdravstvena nega;prva pomoč;dostopni časi;izvenbolnišnični srčni zastoj;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [J. Repše]
UDC: 616-083
COBISS: 103841027 Link will open in a new window
Views: 123
Downloads: 32
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Other data

Secondary language: English
Secondary title: Role of certified first responders in rescue and protection system
Secondary abstract: Introduction: Cardiovascular disease is the main reason for death of adult population in Europe. The incidence of cardiac arrest in Slovenija is between 2 and 3 people per day. 3 to 5 minutes after cardiac arrest unrepairable brain damage begins. Only solution is immediate start of proper cardiopulmonary resuscitation with the use of automated external defibrillator. Emergency medical units are often too far. They usually arrive too late to the scene. For that purpose, units of first responders are initiated across Europe and over the world. First responders are laypersons trained by professional health workers. Purpose: Purpose of diploma Work is to represent meaning of system for first responders in rescue and protection system in Slovenia. Methods: Descriptive approach was used. We reviewed scientific and professional literature in Slovenian and English language. We also reviewed legal regulations in the field of prehospital patient care. The search of literature was done between march and December 2021. We used 15 units of literature in final review. Results: We collected information about different first responders’ systems around the world. All research confirmed faster response times for first responders in compare to emergency medical units. Percentages of patient survival were also improved. Cerebral performance category was improved in scenarios with faster start of cardiopulmonary resuscitation. The use of mobile app and global positioning system is the quickest way for alerting in urban areas. The use of volunteer firefighter units allows quickest implementation of system in rural areas. Discussion and conclusion: We confirmed the importance of rapid cardiopulmonary resuscitation start for cardiac arrest patients. First responders arrived to the scene in average 6 minutes before the arrival of emergency medical units. Different types of systems are in use over the world. The system of first responders is also good in Slovenian regions but involves many flaws.
Secondary keywords: diploma theses;nursing care;first aid;arrival time;out of hospital cardiac arrest;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 29 str.
ID: 14927367