EMERGENCIES CARDIOVASCULAR SYSTEM IN EMERGENCY MEDICINE ROLE OF NURSES / TECHNICIANS

Cilj: Cilj ovog rada je objasniti hitna stanja kardiovaskularnog sustava i ukazati na važnost ranog uočavanja i postavljanja dijagnoze. Upravo u tom segmentu, medicinske sestre i tehničari imaju značajnu ulogu jer najviše vremena provode uz bolesnike. Koliko je bitno prevovremeno uočiti poremećaj, toliko je bitno i pravovremeno pravilno postupiti te pristupiti kardiopulmonalnoj renimaciji ili čak defibrilariji. Da bi sestre i tehničari kvalitetno odradili taj dio u svoj poslu, potrebno je da imaju klinička znanjka i vještine koje će se vremenom i praksom nadograditi. Rasprava: Već je prije spomenuto da navedeni poremećaji i sindromi zahtjevaju brzu reakciju medicinskih sestara i tehničara. Oni su ti koji uočavaju i prvi započinju liječenje. Pod pojmom ''liječenje'' podrazumjevamo KPR, zbrinjavanje dišnog puta (LMA, supraglotična pomagala, airway, intubacija ukoliko je potrebno, aspiracija), defibriliranje ukoliko to ritam zahtjeva (AED, manualni defibrilator), uspostava venskog puta, priprema bolesnika za PCI, itd. Od iznimne je važnosti i dobro poznavaje monitoringa te čitanje osnovnih EKG zapisa kako bi se uopće moglo pristupiti liječenju. Sve se to naravno stiče kroz radno iskustvo i usavršavanje, ali u podlozi svega mora biti kliničko znanje i znanje iz zdravstvenoj njege bolesnika u jedinici intenzivnog liječenja. Zaključak: S obzirom da u početnim trenucima, kada se pristupa vitalno ugroženom bolesniku, u arestnim aritmijama, u KPR i defibriliranju nema razlike između medicinske sestre ili tehničara i liječnika. Zajednički je cilj-spašavanje bolesnikova života. Da bi cilj bio uspješan, potrebna su klinička znanja i dobre vještine. Zato je iznimno bitno da sve sestre i tehničari koji rade u jedinicama intenzivnog liječenja budu kvalitetno i visoko obrazovani te educirani o svim novim prijedlozima i izmjenama u liječenju i njezi vitalno ugroženog bolesnika.Objective: The objective of this paper is to explain the emergencies of the cardiovascular system and point out the importance of early detection and diagnosis. In this segment nurses and technicians play an important role because they spend most of the time with patients. How important is it in due time to spot the disorder, It is as important to do the cardiopulmonary reanimation timely and properly even in defibrillation as it is to spot the disorder timely. Nurses and technicians are necessary to have clinical knowledge and skills that will be improved with time and practice in order to do their job properly. Discussion: As it was mentioned earlier these disorders and syndromes require rapid response of nurses and technicians. They are the first who observe and start the treatment. The term '' treatment '' includes the CPR, airway management (LMA, supraglottic devices, airway, intubation, if necessary, aspiration), defibrillation-proof applied if the rhythm requires (AED, manual defibrillator), establishment of venous access, preparing patients for PCI, etc. It is extremely important to know about monitoring and reading basic ECG well in order to access treatment. All this of course is acquired through experience and training, but underlying all must be clinical knowledge and knowledge of the health care of patients in the intensive care unit. Conclusion: Considering that in the initial moments, when accessing the patient who is in vital danger, in arrest arrhythmias, in CPR and defibrillation-proof applied there is no difference between nurses and technicians and doctors. The common goal is saving the patient's life. In order for this aim to be successful, clinical knowledge and good skills are required. It is therefore extremely important that all nurses and technicians who work in intensive care units are properly and highly educated and trained about all of the new proposals and changes in the treatment and care of vitally endangered patients