Abdominal injuries in traffic accidents

Ovaj rad se bavi abdominalnim ozljedama u prometnim nesrećama. Prometne nesreće su treći najbrojniji vanjski uzrok smrtnosti na razini Republike Hrvatske. Na globalnoj i na nacionalnoj razini ovo je značajan javno-zdravstveni problem pri čemu smrtno stradaju većinom mlade osobe. Ozljede ne moraju rezultirati smrtnim ishodom, a da bi se to izbjeglo potrebni su pravovremen i brz pistup ozljeđeniku, točna procjena ozljede odnosno dijagnostika, te zbrinjavanje pacijenta. Pri ozljedama abdomena dolazi do tupih i probojnih ozljeda, a možebitno i do kombinacije istih. Češće su tupe ozljede koje je ujedno mnogo teže idenitificirati zbog čestih izostanaka bolova u abdominalnoj regiji te pridruženih ozljeda. Uslijed spomenute činjenice češća je i smrtnost od tupih abdominalnih ozljeda. Prvi ITLS pregled mora ići točno određenim redoslijedom, a pri dijagnostici ozljede najkorisniji je FAST ultrazvučni pregled. Kod abdominalnih ozljeda u prometnim nesrećama vrijeme je kritičan čimbenik, a ne treba odbacivati sumnju na pridružene ozljede abdominalnih organa. Iako se sve više koriste neinvazivne metode zbrinjavanja pacijenata s abdominalnim ozljedama uslijed prometnih nesreća, nekada je kirurška intervencija neizbježna. Stručnost i upoznatost medicinskog osoblja s neophodnim postupcima pri abdominalnim ozljedama pacijenata, pa i medicinskih sestara, igra važnu ulogu u procesu pristupa i stabilizacije te povećanju vjerojatnosti preživljavanja pacijenata.This work deals with abdominal injuries in traffic accidents. Traffic accidents are the third most common external cause of death in the Republic of Croatia. Globally and nationally, this is a significant public health problem, with most young people being killed. Injuries do not have to result in death, and in order to avoid this, timely and fast access to the injured person, accurate assessment of the injury or diagnosis, and patient care are required. In the case of abdominal injuries, blunt and penetrating injuries occur, and possibly a combination of the same. Blunt injuries are more common, which are also much more difficult to identify due to frequent absence of pain in the abdominal region and associated injuries. Due to the mentioned fact, mortality is more common in blunt abdominal injuries. The first ITLS examination must go in a specific order, and the FAST ultrasound examination is the most useful in diagnosing an injury. In abdominal injuries in traffic accidents, time is a critical factor and the suspicion of associated abdominal injuries should not be ruled out. Although non-invasive methods of caring for patients with abdominal injuries due to traffic accidents are increasingly used, sometimes surgical intervention is unavoidable. The expertise and familiarity of medical staff with the necessary procedures for abdominal injuries of patients, including nurses, plays an important role in the process of access and stabilization and increase the likelihood of patient survival