Loading...

Muž, 20 let, dopravní nehoda osobního vozidla, boční náraz levou stranou vozidla do stromu. Příjezd posádky RLP současně s hasiči, Vystříháván 45 minut, Iniciální GCS 3, TK 90/50, P 90, Ventilace spontánní suficientní SpO2 94%. Zornice -6/-6. Diff. Dg? Terapie? Směřování (Nejbližší nemocnice 6 km, Traumacentrum 100km)?

Řešení:
Posádka RLP po vyproštění hasiči pacienta Zaintubovala, zasedovala, zrelaxovala, vyšetřením nezjistila žádné jiné poranění pro „susp.“ kraniotrauma a zvolila pozemní transfer do Traumacentra. Po cca hodinovém transferu dorazili na Emergency krajské nemocnice kde byl pacient vyšetřen v algoritmu polytraumatu – FAST s negativním nálezem, MDCT s nálezem dominujícího Kraniotraumatu (SDH, SAK l. dx , Edém mozku a přetla středočarových struktur o 15 mm doleva), kontuze plic a fraktury 3 žeber vlevo. Pac. byl předán k akutní NCH intervenci kde mu byla provedena dekompresivní kraniektomie s odsátím hematomu. Po výkonu přijat tlumený na RES odd a Zahájena komplexní resuscitační terapie. Nicméně po kontrolním CT druhý den progrese předešlého nálezu. Kde se NCH vyjádřilo že prognoza je infaustní. Vysazeno tlumení .po 24 hodinách bez tlumení a bez žádných reakcí pacienta provedena diagnostika smrti mozku, při které byla potvrzena areflexie nad C1. po dohodě s rodinou byl pac. zařazen do dárcovského programu.

Comments(14)

  • 28. 8. 2021, 7:05  Odpovědět

    An impressive share! I’ve just forwarded this onto a colleague who was conducting a little homework on this.

    And he actually bought me dinner due to the fact that I discovered
    it for him… lol. So allow me to reword this….
    Thanks for the meal!! But yeah, thanks for spending time to talk about
    this topic here on your blog.

  • 29. 8. 2021, 23:43  Odpovědět

    It’s the best time to make a few plans for the longer term and it’s time to be happy.
    I have learn this submit and if I may just I desire
    to counsel you few attention-grabbing issues or tips.

    Perhaps you could write next articles relating to this article.
    I desire to learn more issues approximately it!

  • 1. 9. 2021, 15:28  Odpovědět

    This info is invaluable. How can I find out more?

  • 2. 9. 2021, 11:02  Odpovědět

    Hey there, I think your website might be having browser compatibility issues.
    When I look at your website in Safari, it looks fine but when opening in Internet Explorer, it has some overlapping.
    I just wanted to give you a quick heads up! Other then that, excellent blog!

  • 3. 9. 2021, 12:51  Odpovědět

    What’s up, after reading this amazing paragraph
    i am too delighted to share my experience here with mates.

  • 4. 9. 2021, 2:43  Odpovědět

    For most recent news you have to pay a quick visit world wide web and on web
    I found this site as a most excellent web site for newest updates.

  • 5. 9. 2021, 16:53  Odpovědět

    Hmm it looks like your site ate my first comment (it was super long) so I guess I’ll just
    sum it up what I wrote and say, I’m thoroughly enjoying your
    blog. I too am an aspiring blog blogger but
    I’m still new to the whole thing. Do you have any points for rookie
    blog writers? I’d definitely appreciate it.

  • 6. 9. 2021, 3:32  Odpovědět

    Wonderful goods from you, man. I’ve remember your
    stuff prior to and you’re simply extremely magnificent. I actually like
    what you’ve obtained right here, really like what you are saying and the way in which
    wherein you are saying it. You make it entertaining and you continue to take care
    of to keep it sensible. I can not wait to read much more from you.

    That is really a tremendous

  • 11. 9. 2021, 3:12  Odpovědět

    At this time I am ready to do my breakfast, later than having my breakfast coming yet again to read more news.

    asmr https://app.gumroad.com/asmr2021/p/best-asmr-online asmr

  • 11. 9. 2021, 5:03  Odpovědět

    If you would like to obtain a good deal from this piece
    of writing then you have to apply these strategies to your
    won website. scoliosis surgery https://0401mm.tumblr.com/ scoliosis surgery

  • 11. 9. 2021, 15:40  Odpovědět

    Thank you for the good writeup. It in fact was a amusement account it.
    Look advanced to more added agreeable from you!
    By the way, how can we communicate? quest bars http://bit.ly/3jZgEA2 quest bars

  • 12. 9. 2021, 15:07  Odpovědět

    Howdy! Do you know if they make any plugins to assist with SEO?

    I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good results.
    If you know of any please share. Appreciate it! scoliosis surgery
    https://coub.com/stories/962966-scoliosis-surgery scoliosis
    surgery

  • 12. 9. 2021, 17:37  Odpovědět

    Nice post. I learn something new and challenging on blogs I stumbleupon everyday.
    It will always be exciting to read content from other authors and practice a little something
    from their sites. cheap flights http://1704milesapart.tumblr.com/ cheap flights

  • Hi, I do think this is a great site. I stumbledupon it ;
    ) I will revisit yet again since i have bookmarked it. Money and freedom is the best way to change, may you be rich and continue to guide other people.

    quest bars https://www.iherb.com/search?kw=quest%20bars quest bars

Leave a Comment