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Влияние артериальной гипо- и гипертезии на клиническое состояние на догоспитальном этапе у больных с черепно-мозговой травмой

Sun, 01 Jan 2017 00:00:00 GMT

Влияние артериальной гипо- и гипертезии на клиническое состояние на догоспитальном этапе у больных с черепно-мозговой травмой Скуртов, Н.В.; Чобану, Г.К.; Катаной, Н.Я.; Резняк, Л.Г.

Pacientul cu traumatism craniocerebral sever. Aspecte de abordare contemporană la etapa de prespital

Sat, 01 Jan 2011 00:00:00 GMT

Pacientul cu traumatism craniocerebral sever. Aspecte de abordare contemporană la etapa de prespital Scurtov, Natalia; Ciubotaru, Eugenia; Codreanu, Oleg; Rabovila, Ala; Catanoi, Natalia; Gherman, Olimpia; Lişinschi, Gabriela; Bordian, I. Traumatismul craniocerebral sever în cazul unui politraumatism este o leziune acutăşi este complicat prin dezvoltarea leziunii secundare, ca urmare a hipotensiunii şi hipoxiei. Hipoxia şi hipotensiunea sunt predictorii unui prognostic negativ la pacienţii cu traumatism craniocerebral sever. Managementul TCC grav se începe la locul accidentului şi este axat pe asigurarea oxigenării şi menţinerii presiunii arteriale, care determină perfuzia cerebrală adecvată şi prognosticul pozitiv.; Traumatic brain injury is the result of a primary, acute injury and is complicated by the development of secondary injury due to hypotension and hypoxia. Both hypoxia and hypovolemia are individual predictors of poor outcome in the patient with severe head trauma. Management begins in the field and is focused on ensuring oxygenation and maintaining a blood pressure that supports cerebral perfusion.; Тяжелая черепно-мозговая травма, в случае политравмы осложняется развитием вторичного повреждения в следствие гипотонии и гипоксии. Гипоксия и гипотони и являются предшественниками неблагоприятного прогноза у пациентов с тяжелой травмой головы. Менеджмент тяжелой черепномозговой травмы начинается на месте происшествия и нацелен на обеспечение оксигенации, поддержание артериального давления и перфузии головного мозга, что в совокупности определяет соответствующий положительный исход.

The role of remote ECG in prehospital medical care [FLASH]

Mon, 01 Jan 2018 00:00:00 GMT

The role of remote ECG in prehospital medical care [FLASH] Cebanu, M.; Rabovila, A.; Sadovici-Bobeica, V.; Ciobanu, G. Introduction: The in-hospital mortality rate of ST Segment Elevation Myocardial Infarction (STEMI) is still high, due to lethal arrhythmias that are triggered by ischemic events, but it could be significantly reduced by the modern reperfusion therapy and improved secondary prophylaxis. Remote ECG support for diagnosis and therapy in acute coronary syndromes (ACSs) has been established in emergency medical services (EMS) as feasible and safe. Objectives: To evaluate the types and frequency ofheart diseases, diagnosed by EMS dispatch using remote ECG. Methods: In a retrospective study were analyzed 25195 ECG’sperformed by paramedics, when called for a cardiovascular emergency, during 2016 - 2017. The recorded ECG signals were transmitted through mobile phone to emergency dispatch, where a PC-based ECG receiving station displayed them for remote analysis and evaluation by a cardiologist. Results: A total of11449 (100%) ECG’s were transmitted and remote analyzed in 2016 and 13746 (100%) – in 2017.Atotal number of 19135 (76%) ECGs were transmitted by emergency medical assistants and 6060 (24%) ECGs - by emergency doctors. Remote analysis permitted to diagnose 163 (0,6%) cases of STE-ACS, 600 (2,3%) of NSTE-ACS, 6901 (27,4%) of cardiac arrhythmias, 8723 (34,6%) of chronic changes during two years. Early recognition of 763 cases of ACS led to timely emergency hospitalization and appropriate treatment. Conclusion: Prehospital remote ECG, carried out by paramedics and supported by physicians significantly improved quality of diagnosis in ACS, time of admission and patient survival. Emergency Medicine, State University of Medicine and Pharmacy "Nicolae Testemitanu", Chisinau, Republic Internal Medicine State University of Medicine and Pharmacy "Nicolae Testemitanu", Chisinau, Republic of Moldova

Borg dyspnea scale and 6 Minute Walk Test could be useful tools for assessing respiratory involvement in systemic lupus erythematosus

Mon, 01 Jan 2018 00:00:00 GMT

Borg dyspnea scale and 6 Minute Walk Test could be useful tools for assessing respiratory involvement in systemic lupus erythematosus Cebanu, Mariana; Sadovici-Bobeica, Victoria; Salaru, Virginia; Garabajiu, Maria; Ciobanu, Gheorghe Abstract Background: Systemic lupus erythematosus (SLE) is an autoimmune disease which can involve any organ system, including respiratory system and at any stage of disease evolution. Early diagnosis of pulmonary involvement is of a major importance. Objectives: To assess the correlation between Borg dyspnea scale and 6 Minute Walk Test (6MWT) with pulmonary function tests (PFT) in patients with SLE and respiratory system (RS) involvement. Methods: In a cross-sectional study, were evaluated 106 consecutive SLE patients (according SLICC/ACR 2012 classification criteria). Lung involvement were assessed in all patients, including 6MWT, dyspnea Borg scale, PFT and imaging techniques (XRay and/or CT). Results: According to the RS assessment, the patients were divided into 2 groups: group I – patients with RS involvement (n=45) and group II - patients without RS involvement (n=61). Borg dyspnea score in groups I and II was 2,91±1,97 vs. 0,95±1,30, p<0,01 and 6MWT was 461,2±110,1 m vs. 477,2±125,1 m, p>0,05. In patients with SLE lung involvement, Borg dyspneea scale correlated significantly with 6MWT (r= -0,50, p<0,01). Also, the Borg scale showed a significant negative correlation with PFT: FVC (r= -0,49, p<0,01) and FEV1 (r= -0,48, p<0,01). Conclusion: The Borg dyspnea scale corelated significantly with 6MWT and PFT, which reflects it’s sensibility to the presence of lupus lung involvement. It could be an appropriate tool for screening of respiratory’s system involvement in patients with SLE. Emergency Medicine, Chisinau, Republic of Moldova Internal Medicine, Chisinau, Republic of Moldova Family Medicine, Chisinau, Republic of Moldova