TRAVMA RESÜSÝTASYONUNDA MORTALÝTEYÝ ETKÝLEYEN FAKTÖRLER

Travma sayýsýnýn artýþý önemli bir toplumsal sorun olarak gözükmektedir. Diðer hastalýklardan daha fazla oranda genç nüfusun kaybýna neden olmaktadýr. Multipl travmalý hastanýn multipl sorunlarý vardýr. Aðýr travmalý olgularda temel amaç ayný anda deðerlendirme, resüsitasyon, tam bir fiziksel muayene, hasta stabilse tanýsal tetkikler ve cerrahi tedavi uygulanmasýdýr. Ýyi donanýmlý acil servis ve kurtarma servisleri, travma resüsitasyonu hakkýnda eðitim ve çalýþma, iyi bir organizasyon, önlenebilir travma ölümlerini azaltacaktýr.

FACTORS AFFECTING OUTCOME IN THE RESUSCITATION OF TRAUMA

The magnitude of trauma as a major public health problem is well established. It causes death in young adults than any other disease. The multiply injured patient has by definition multiple problems, and adequate treatment necessitates a team approach. The principles of management in all cases of extensive trauma are simultaneous assessment and resuscitation, complete physical examination, diagnostic studies if the patient becomes hemodynamically stable, and life saving surgery. A well equipped emergency department and rescue system, training and education in resuscitation of trauma, excellent trauma organisation will decrease preventable trauma deaths.