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| SM ISO690:2012|
CALANCEA, Octavian. Managementul traumatismelor cranio-cerebrale în prespital. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”. 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 331.
|Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020|
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" |
Chişinău, Moldova, 21-23 octombrie 2020
Background. Cerebral lesions are determined by the summation of physical, mechanical and biological factors which happened to the tissue. The role of Emergency Medical Services is essential, because the rightness of their actions rise the chances of a good survical rate. Objective of the study. Quality evaluation of the Emergency Medical Services granted to patients with TBI in the acute period of prehospital and ED. Material and Methods. The information was collected in various time periods: current neurological state, initial neurological state, the evolution of neurological state. This time periods have included 78 clinical and paraclinical parameters according to NCP for treatment of BTI and BTF. For the processing of information it was used software database Excel 2016 and IBM SPSS Statistics 22 program. Results. TBI by agression 46% and ebriety in the moment of trauma 62%. The severity of TBI by GCS (3-8p.) was 80%. Hemodynamic was not stable on 98% cases. Hematomas were in 66%, contusion in 84%. In 62% it was found the deviation of medial structures and fractures were in 76%. Conclusion. Pacients with TBI with the evaluation score according GCS<8 without assisted breathing are in higher danger at transport. A successful completion of treatment of patients with TBI depends of the correct grant and in short time of the emergency medical care at the prehospital level.
prehospital care, traumatic brain injury,
asistență prespital, traumă cranio-cerebrală