THE MANAGEMENT OF POLYTRAUMATIZED PATIENTS AT THE UNIFIED EMERGENCY HOSPITAL ADMISSION

Politrauma je jedno od najkompliciranijih stanja u hitnoj medicini koje se definira kao istovremena ozljeda najmanje dvije tjelesne regije od kojih najmanje jedna ozljeda ili kombinacija više njih životno ugrožava pacijenta (3). Statistički gledano, politrauma je prisutna u 3 – 5% svih ozljeda, a stopa smrtnosti zadobivenih politraumatskim ozljedama iznosi 25 – 35% (1). Istraživanje na temu zbrinjavanja politraume u OHBP – u je provedeno retrospektivnom analizom podataka dobivenih iz Bolničkog informatičkog sustava u Kliničkom bolničkom centru Rijeka na Objedinjenom hitnom bolničkom prijemu, lokalitet Sušak za vremensko razdoblje od 01.01.2019. do 31.12.2019. Podaci su statistički obrađeni u računalnom programu Microsoft Excel koristeći deskriptivnu metodu analize (grafikoni). Cilj je bio saznati koliko je politrauma zbrinuto na OHBP – u tijekom 2019. godine te koliko je uspješno bilo zbrinjavanje pacijenata s obzirom na njihovo preživljavanje unutar 48 sati. Pozitivni rezultati, s obzirom na postavljeni cilj, daju do znanja da je zdravstvena skrb koju politraumatizirani pacijenti dobiju od trenutka ozljeđivanja kvalitetna i usko usmjerena na što dulje održavanje pacijenta na životu. Nizak postotak smrtnosti uslijed politraume od 14% je najvećim dijelom povezan sa smrtnošću uslijed srčanog zastoja te pacijenti ni ne stignu biti premješteni u Jedinicu intenzivnog liječenja. Pacijenti koji su preživjeli prvih 48 sati (u postotku 86% zbrinutih pacijenata) i koji nisu pokleknuli pod ozljedama i komplikacijama poput multiorganskog zatajenja, nastavljaju s rehabilitacijom. Politrauma je stanje koje treba ozbiljno shvatiti i pridržavati se propisanih algoritama jer svaka minuta u zbrinjavanju pacijenta može biti od važnosti.Polytrauma is one of the most complicated conditions in emergency medicine, which is defined as a single injury to at least two different regions, at least one of which is an injury or a combination of more than one severely compromised patient (3). Statistically speaking, polytrauma is present in 3 - 5% of all injuries, and the mortality rate resulting from polytrauma consequences is 25 - 35% (1). The research on the topic of polytrauma care in Unified emergency hospital admission was conducted by retrospective analysis of data obtained from the Hospital Information System at the Clinical Hospital Center Rijeka at the Unified emergency hospital admission, Sušak locality for the period from 01.01.2019. to 31.12.2019. Data were statistically processed in the computer program Microsoft Excel using a descriptive method of analysis (graphs). The aim was to find out how much polytrauma was treated at Unified emergency hospital admission during 2019 and how successful the care of patients was in terms of their survival within 48 hours. Positive results, given the set goal, indicate that the health care that polytraumatized patients receive from the moment of injury is of high quality and narrowly focused on keeping the patient alive for as long as possible. The low mortality rate due to polytrauma of 14% is mostly related to cardiac arrest mortality and such patients are not even transferred to the Intensive Care Unit. Patients who survived the first 48 hours (in a percentage of 86% of carried patients) and who did not succumb to injuries and complications such as multiorgan failure continue to rehabilitate. Polytrauma is a condition that needs to be taken seriously and adhered to prescribed algorithms because every minute in patient care can be important