Medicinski vjesnik, Vol. 24 No. (1-2), 1992.
Ostalo
Anesthesiologic-resuscitation approach to the treatment of the wounded in the Slavonski Brod Medical center during the 1991-1992 patriotic war
Josip Jelić
Vesna Hečimović-Kodjoman
Jasna Kopić
Blanka Sabolić-Körmendy
Mladen Zemba
Sažetak
Service for anesthesion, reanimation and intensive care has been doing its duties from the begginning of the agression on Croatia and Slavonski Brod in adapted and unsitable cellar rooms. In such conditions 6 918 anesthesys were done and we took care on 1135 vitally endangered patients. 755 of the total number were vitally endangered wounded people. 37 of the total number were badly wounded children. From the beginning of the aggression on Slavonski Brod and war in Bosanska Posavina when Slavonski Brod was not very exposed to danger, we had been accepting vitally imperilled wounded from hospitals in Nova Gradiška and Vinkovci which were destroyed and hospitals in Đakovo, Mikanovci and Županja which had no intensive care departments. In this period we accepted 18 vitally imperilled wounded, half of which were soldiers and half civilians (168/150). When destroying of Slavonski Brod and Slavonska Posavina began and the war in the northern Bosnia developed, the number of the severely wounded rapidly increased. It should be stressed that in this second period general condition of the accepted wounded was very bad, especially of those which came from battlefields in northern Bosnia. The cause for such condition were difficult conditions of transportation of the wounded often from 70 km far battlefields. They were transported on forest roads and accross the Sava river by boats and ferries. By the severest exertions and working by day and night with help of medical staff from other departments and by the help of anestesiologists from other hospitals we could take care of all the wounded. After treatment and hemodinamic stabilisation, the wounded were on artifical ventilation transported to other departments in far away hospitals. We had to do this because of 10-15 new vitaly wounded which were accepted daily. The average duration of treatment on our department of Intensive care was 2,8 days. Respiratoral support by the artificial ventilation was 2,7 days. In this period we used 3 192 doses of blood for treatment of the wounded on Intensive care department. It is important to say that no one wounded died because of insufficiency of conserved blood. The mortality of treated wounded was the following: the total number of treated wounded was 755; of these 113 wounded or 14,9% died. Of these, 57% died from head wounds, abdomenon 21%, various sores (excluding head) 13% and lungs and thoracic cage wounds 11,5%. During the war destroying no one of 43 people in the service abandoned his post. With no regard to the life perils during coming to and leaving the hospital they all honestly did their human and patriotic duties.
Ključne riječi
anesthesiology-resuscitation; treatment; the wounded war
Hrčak ID:
195229
URI
Datum izdavanja:
1.12.1992.
Posjeta: 674 *