scholarly journals The rescue of the polytraumatized victims due to violence in transit in the city of Chapecó-SC: the “golden hour”

2020 ◽  
Vol 13 (7) ◽  
pp. 102
Author(s):  
G. A. S. Moser ◽  
D. C. M. Aguiar ◽  
B. C. Franciscon ◽  
J. F. Lima ◽  
F. B. Haag
Keyword(s):  
Customer Service ◽  
Hospital Care ◽  
Life Support ◽  
Fire Department ◽  
Modern Society ◽  
Advanced Trauma Life Support ◽  
Structured Interviews ◽  
The West ◽  
Golden Hour ◽  
Delay Of Care

Trauma is considered the third cause of death, being understood as a disease with endemic character in modern society is not only affecting the field of public health, but also, the socio-political society. According to the Advanced Trauma Life Support - ATLS, in emergencies, the first hour, called the "Golden Hour" (Golden hour), this is the moment in which more deaths occur. However, this is also the time for more if you can avoid them. This study aimed to understand how the pre-hospital care and hospital conducted both by the Fire Department of the west of SC, and by nurses from the emergency department of a regional hospital in the west of Santa Catarina, whereas the reception and customer service in the first hour of trauma ("golden hour") the polytraumatized patients. It is a qualitative, with data collection in the first half of October 2016, through semi structured interviews held with nine Militarized Firemen and four nurses to an emergency room, using as analytical method to Content Analysis of Bardin. In this study, it was observed that within 60 minutes that comprise the golden hour, first medical care which is since the so-called redemption until the reached the hospital, is done quickly and properly in most of the times, ignoring the factors that may delay the answer, as transit, incarceration and away from the occurrence, being the victim transported in a timely manner. This delay in care is often caused by delay of complementary examinations, delay of care by the medical team, deficiency of structure and overcrowding, these factors generate a cascade of delay, which consequently worsen the situation of the patient, increasing morbidity and mortality. You will notice that the golden hour is valuable in that it concerns the maintenance of life and consequences for patients. A quick and effective way can increase the chances of survival of same. It is known that the development of services of APH, whether public or private, culminate with the need for trained and qualified professionals that meet the specific needs of the nursing care during the pre-hospital care, with a view to prevention, protection and recovery to healthIt is of great importance to discuss more about the topic and conduct further studies to develop mechanisms that reduce this time-response thus lowering the risk of sequelae and mortality due to trauma.

Trauma surgery

2014 ◽  
Author(s):  
Sebastian Dawson-Bowling ◽  
Serena Ledwidge
Keyword(s):  
Life Support ◽  
Trauma Surgery ◽  
Clinical Signs ◽  
Tension Pneumothorax ◽  
Trauma Team ◽  
Definitive Treatment ◽  
Advanced Trauma Life Support ◽  
Mortality And Morbidity ◽  
Golden Hour ◽  
The Uk

Appreciation of the ‘golden hour’ for resuscitation, and adoption of prin­ciples of the advanced trauma life support (ATLS) system are key factors in improving outcome for the patient with major injuries. Adherence to the strict protocols of the ABCDEs of the primary survey enables the trauma team to identify and deal with life-threatening conditions, prior to definitive treatment of problems with lesser immediacy. The clinician who understands the mechanism of injury will main­tain heightened levels of suspicion for clinical signs which point to well-recognized conditions resulting in early mortality and morbidity, for instance, tension pneumothorax, cardiac tamponade, and rising intrac­ranial pressure. This chapter will probe your grasp of the principles of trauma manage­ment. You will also be tested on common patterns of thoracic, abdomi­nal, vascular, and cranial injuries. Whilst clinical presentations of civilian trauma have remained consist­ent in recent years, the impact of military trauma in worldwide theatres of conflict has stimulated numerous advances in the management of trauma. The current impetus for reorganization of trauma services in the UK is tacit acknowledgement of the improvement in outcomes that can be achieved by adherence to recognized protocols in this challenging and demanding field of surgery.

Major trauma

2021 ◽  
pp. 581-596
Keyword(s):  
Major Trauma ◽  
Life Support ◽  
Head Injuries ◽  
Initial Assessment ◽  
Advanced Trauma Life Support ◽  
Thoracic Injuries ◽  
Golden Hour ◽  
Secondary Survey ◽  
Time Periods ◽  
Second Peak

This chapter discusses the management of major trauma. Trauma is the leading cause of death in the first four decades of life, and every minute, more than nine people die from injuries and violence. Trimodal distribution of death implies death from injury occurs in one of three time periods: first peak (within seconds to minutes), second peak (within minutes to several hours), and third peak (after several days to weeks). The ‘golden hour’ refers to the period when medical care can make the maximum impact on death and disability. A systematic, rapid initial assessment is essential and this includes preparation, triage, primary survey (ABCDE), resuscitation, secondary survey, continued monitoring, and reevaluation and definitive care. The chapter then looks at the advanced trauma life support (ATLS) system. It also considers thoracic injuries, abdominal trauma, vascular injuries, and head injuries.

Survey Penyebab Kematian Berdasarkan Prosedur Advance Trauma Life Support (ATLS) pada Pasien Multiple Trauma di Instalasi Gawat Darurat (IGD) Bedah Rumah Sakit Hasan Sadikin Bandung Periode Januari – Juli 2014

2018 ◽  
Vol 9 (1) ◽  
pp. 10
Author(s):  
Gamal Ramadiputra ◽  
Yoyos Dias Ismiarto ◽  
Herry Herman
Keyword(s):  
Multiple Trauma ◽  
Life Support ◽  
Advance Trauma Life Support ◽  
Advanced Trauma Life Support ◽  
Golden Hour

Trauma adalah penyebab kematian utama pada usia di bawah 44 tahun di Amerika Serikat (AS).  Di Indonesia, trauma menjadi penyebab kematian utama pada kelompok umur 15 – 24 tahun, dan nomor 2 pada kelompok usia 25 – 34 tahun.  Penyebab umumnya ialah kecelakaan lalulintas, diikuti jatuh dari ketinggian, luka bakar dan karena kesengajaan (usaha pembunuhan atau kekerasan lain dan bunuh diri). Salah satu perintis pelayanan kedaruratan medik termasuk kasus trauma adalah Dr. Adams R. Cowley, dari beliau muncul konsep “The golden hour”. Pelatihan Advanced Trauma Life Support (ATLS) dimulai pada tahun 1980 di Alabama, AS, dan atas prakarsa Dr. Aryono D. Pusponegoro, Ketua Komisi Trauma IKABI pusat, mulai 1995 kursus ATLS terselenggara di Indonesia. Penelitian ini dilakukan secara retrospektif dalam kurun waktu Januari sampai Juli 2014 dengan jumlah pasien meninggal di instalasi gawat darurat bedah Rumah Sakit Hasan Sadikin Bandung sebanyak 58 pasien. Melalui penelitian ini akan ditelusuri penyebab kematian dilihat dari segi pertolongan pertama ketika pasien datang ke instalasi gawat darurat, dengan mengacu kepada prosedur Advanced Trauma Life Support (ATLS) yang biasa diterapkan. Hasilnya, pasien meninggal di instalasi gawat darurat bedah Rumah Sakit Hasan Sadikin Bandung dari Januari sampai Juli 2014 sebanyak 58 pasien, sebanyak 6 pasien (10,34%) meninggal pada satu jam pertama, 12 pasien (20,68%) meninggal pada satu sampai enam jam pertama. Dinilai dari segi prosedur Advanced Trauma Life Support (ATLS), mayoritas mengalami kegagalan pada tahap disability (D), yaitu sebanyak 41 pasien meninggal (70,06%), pada tahap circulation (C) sebanyak 10 pasien (17,24%), pada tahap breathing (B) sebanyak 6 pasien (10,34%) dan tahap airway (A) sebanyak 1 pasien (1,72%). 

Model Kaderisasi Anggota Partai Politik Islam dalam Membentuk Pemimpin Islami

2017 ◽  
Vol 2 (2) ◽  
pp. 103-114
Author(s):  
Muhammad Saiful Haq AlFaruqy ◽  
Ahmad Sarbini ◽  
Asep Iwan Setiawan
Keyword(s):  
Data Collection ◽  
Learning Process ◽  
Structured Interviews ◽  
The West ◽  
West Java ◽  
Qualitative Descriptive

Penelitian ini dilakukan untuk mengentahui tugas pokok Bidang Kaderisasi DPW PKS Jawa Barat, untuk mengetahui proses tahapan dan sistem model kaderisasi PKS yang marhalah (berjenjang), untuk mengetahui dan mendapatkan data dalam memebentuk kader pemimpin Islami Bidang Kaderisasi DPW PKS Jawa Barat. Metode yang digunakan dalam penelitian ini ialah deskrptif kualitatif dengan tekinik pengeumpulan data berupa wawancara terstrurktur, observasi, dan studi dokumentasi.. Hasil dari penelitian ini menunjukan bahwa model kaderisi dalam menciptakan pemimpin Islami melalui tahapan-tahapan pembinaan kader yang marhalah (berjenjang). Yaitu, Pertama, ta’lim proses pembelajaran yang mana bertujuan para kader diberikan kurikulum kaderisiasi partai. Kedua, Tandzhim yang mana setelah pembelajaran diharapkan para kader dapat mengasah dan mengimplementasikan hasil kurikulum kaderisasi. Ketiga, taqwin para kader harus dapat menginternalisasi ajaran Islam dalam partai maupun kehidupan berbangsa dan bernegara. This research was conducted to identify the main tasks of the West Java PKS DPW Cadre Field Division, to find out the stages and stages of the PKS cadre model model that is marhalah (tiered), to find out and obtain data in forming the Islamic leaders cadre of the West Java PKW DPW Cadre. The method used in this study is a qualitative descriptive with data collection techniques in the form of structured interviews, observations, and documentation studies. The results of this study indicate that the cadre model in creating Islamic leaders through the stages of training cadres who are marhalah (tiered). That is, First, ta'lim the learning process in which the cadres aim to be given a party cadre curriculum. Second, Tandzhim which after learning is expected that the cadres can hone and implement the results of the regeneration curriculum. Third, taqwin of cadres must be able to internalize the teachings of Islam in the party and the life of the nation and state.

Case Report: FAST Ultrasound Interpretation in Trauma Resuscitation

POCUS Journal ◽  
2016 ◽  
Vol 1 (3) ◽  
pp. 13-14
Author(s):  
Stuart Douglas, PGY4 ◽  
Joseph Newbigging, MD ◽  
David Robertson, MD
Keyword(s):  
Case Report ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Life Support ◽  
Advanced Trauma Life Support ◽  
Trauma Patients ◽  
Ultrasound Probe ◽  
Trauma Resuscitation ◽  
Highly Sensitive ◽  
Pouch Of Douglas

FAST Background: Focused Assessment with Sonography for Trauma (FAST) is an integral adjunct to primary survey in trauma patients (1-4) and is incorporated into Advanced Trauma Life Support (ATLS) algorithms (4). A collection of four discrete ultrasound probe examinations (pericardial sac, hepatorenal fossa (Morison’s pouch), splenorenal fossa, and pelvis/pouch of Douglas), it has been shown to be highly sensitive for detection of as little as 100cm3 of intraabdominal fluid (4,5), with a sensitivity quoted between 60-98%, specificity of 84-98%, and negative predictive value of 97-99% (3).

Peregrinação Acadêmica: A mulher Romeira do Bom Jesus da Lapa

2020 ◽  
Author(s):  
Sandra Célia Coelho Gomes da Silva
Keyword(s):  
Gender Identity ◽  
Social Reproduction ◽  
Participant Observation ◽  
Female Gender ◽  
Age Group ◽  
Structured Interviews ◽  
The West ◽  
Patriarchal Family ◽  
The Family ◽  
West Part

This work is the result of the doctoral thesis entitled Pilgrimage of Bom Jesus da Lapa: Social Reproduction of the Family and Female Gender Identity, specifically the second chapter that talks about women in the Pilgrimage of Bom Jesus da Lapa, emphasizing gender relations, analyzing the location of the pilgrimage as a social reproduction of the patriarchal family and female gender identity. The research scenario is the Bom Jesus da Lapa Pilgrimage, which has been held for 329 years, in that city, located in the West part of Bahia. The research participants are pilgrim women who are in the age group between 50 and 70 years old and have participated, for more than five consecutive years in the Bom Jesus da Lapa Pilgrimage, belonging to five Brazilian states (Bahia, Minas Gerais, São Paulo, Espírito Santo and Goiás) that register a higher frequency of attendance at this religious event. We used bibliographic, qualitative, field and documentary research and data collection as our methodology; we applied participant observation and semi-structured interviews as a technique. We concluded that the Bom Jesus da Lapa Pilgrimage is a location for family social reproduction and the female gender identity, observing a contrast in the resignification of the role and in the profile of the pilgrim women from Bom Jesus da Lapa, alternating between permanence and the transformation of gender identity coming from patriarchy.

The New Islamic State

2020 ◽  
Author(s):  
Farhad Khosrokhavar
Keyword(s):  
Middle East ◽  
Modern Society ◽  
Islamic State ◽  
Imagined Community ◽  
The West ◽  
Patriarchal Family ◽  
The Past ◽  
The World ◽  
The Creation

The creation of the Islamic State in Iraq and Sham (ISIS) changed the nature of jihadism worldwide. For a few years (2014–2017) it exemplified the destructive capacity of jihadism and created a new utopia aimed at restoring the past greatness and glory of the former caliphate. It also attracted tens of thousands of young wannabe combatants of faith (mujahids, those who make jihad) toward Syria and Iraq from more than 100 countries. Its utopia was dual: not only re-creating the caliphate that would spread Islam all over the world but also creating a cohesive, imagined community (the neo-umma) that would restore patriarchal family and put an end to the crisis of modern society through an inflexible interpretation of shari‘a (Islamic laws and commandments). To achieve these goals, ISIS diversified its approach. It focused, in the West, on the rancor of the Muslim migrants’ sons and daughters, on exoticism, and on an imaginary dream world and, in the Middle East, on tribes and the Sunni/Shi‘a divide, particularly in the Iraqi and Syrian societies.

Sechs Jahre Advanced Trauma Life Support (ATLS) in Deutschland

2010 ◽  
Vol 113 (7) ◽  
pp. 561-567 ◽  
Author(s):  
M. Münzberg ◽  
L. Mahlke ◽  
B. Bouillon ◽  
T. Paffrath ◽  
G. Matthes ◽  
...  
Keyword(s):  
Life Support ◽  
Advanced Trauma Life Support

Pediatric Emergency Medicine: A Developing Subspecialty

PEDIATRICS ◽  
1989 ◽  
Vol 84 (2) ◽  
pp. 336-342
Author(s):  
Marilyn Li ◽  
M. Douglas Baker ◽  
Leland J. Ropp
Keyword(s):  
Emergency Medicine ◽  
Emergency Care ◽  
Emergency Departments ◽  
Life Support ◽  
Pediatric Emergency ◽  
Advanced Trauma Life Support ◽  
Full Time ◽  
Pediatric Emergency Medicine ◽  
Pediatric Hospitals ◽  
Pediatric Emergency Care

Questionnaires were sent to 245 North American institutions with pediatric residency programs. There was a 69% response rate. Pediatric emergency care is provided in three types of facilities: emergency departments in pediatric hospitals, separate pediatric emergency departments or combined pediatric and adult emergency departments, in multidisciplinary hospitals. There are at least 262 pediatricians practicing full-time pediatric emergency medicine. The majority work in pediatric emergency departments, an average of 30.7 clinical hours per week. There are 27 pediatric emergency medicine programs with 46 fellows in training and 117 full-time positions available for emergency pediatricians throughout North America. Varying qualifications for these positions include board eligibility in pediatrics, certification in Basic Life Support or Advanced Trauma Life Support, and a fellowship in pediatric emergency medicine. The demonstrated need for pediatricians, preferably trained in emergency care, clearly indicates that pediatric emergency medicine is a rapidly developing subspecialty of Pediatrics that will be an attractive career choice for future pediatricians.

Islamic International Relations Towards a Theoretical Framework

2015 ◽  
Vol 1 ◽  
Author(s):  
Gubara Hassan
Keyword(s):  
Social Sciences ◽  
International Relations ◽  
Modern Society ◽  
Theoretical Framework ◽  
World Politics ◽  
Muslim World ◽  
The West ◽  
The Past ◽  
Alternative Approach ◽  
The World

The Western originators of the multi-disciplinary social sciences and their successors, including most major Western social intellectuals, excluded religion as an explanation for the world and its affairs. They held that religion had no role to play in modern society or in rational elucidations for the way world politics or/and relations work. Expectedly, they also focused most of their studies on the West, where religion’s effect was least apparent and argued that its influence in the non-West was a primitive residue that would vanish with its modernization, the Muslim world in particular. Paradoxically, modernity has caused a resurgence or a revival of religion, including Islam. As an alternative approach to this Western-centric stance and while focusing on Islam, the paper argues that religion is not a thing of the past and that Islam has its visions of international relations between Muslim and non-Muslim states or abodes: peace, war, truce or treaty, and preaching (da’wah).

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