Travma olgular�nda hastane �ncesi ya�am deste�i se�imi:  Temel ya da ileri travma ya�am deste�i

�zdo�an, Mehmet; A�alar, Fatih; Ery�lmaz, Mehmet; �zel, G�rkan; Tavilo�lu, Korhan

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Travma olgular�nda hastane �ncesi ya�am deste�i se�imi: Temel ya da ileri travma ya�am deste�i [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2006; 12(2): 87-94

Travma olgular�nda hastane �ncesi ya�am deste�i se�imi: Temel ya da ileri travma ya�am deste�i

Mehmet �zdo�an¹, Fatih A�alar², Mehmet Ery�lmaz³, G�rkan �zel⁴, Korhan Tavilo�lu⁵
¹Atat�rk E�itim ve Ara�t�rma Hastanesi, Genel Cerrahi Klini�i, Ankara
²K�r�kkale �niversitesi T�p Fak�ltesi, Genel cerrahi Anabilim Dal�, K�r�kkale
³G�lhane Askeri T�p Akademisi, Acil T�p Anabilim Dal�, Ankara
⁴Paramedik, Denver, ABD
⁵�stanbul �niversitesi T�p Fak�ltesi, Genel Cerrahi Anabilim Dal�, �stanbul

Travmal� olgularda hastane �ncesi d�nemde uygulanmas� gereken tedavinin ��leri Travma Ya�am Deste�i� (�TYD) ya da �Temel Ya�am Deste�i� (TYD) �eklinde olmas� gerekti�i �zerindeki tart��malar s�rmektedir. Bu derlemede travma hastalar�na hastane �ncesi d�nemde uygulanan �TYD ve TYD tedavileri �zerine olan literat�r g�zden ge�irildi; �TYD ve TYD i�eren toplam 76 �al��ma de�erlendirildi. �ntraven�z katater uygulamas�, hastane �ncesi s�v� tedavisi, hasta transport s�resi, ent�basyon ve �l�m oranlar� gibi de�i�kenler incelendi. Literat�rdeki bilgilerin sahada travma hastalar�na rutin olarak �TYD uygulanmas�n�n gereklili�i konusunda net olmad�� sonucuna var�ld�. Bu konudaki eksikli�in giderilmesi i�in travma hastalar�nda �TYD ve TYD�yi kar��la�t�ran prospektif, kontoll� �al��malara gereksinim vard�r.

Anahtar Kelimeler: �leri travma ya�am deste�i/e�itim/standartlar, acil t�p/e�itim; hayat deste�i/standartlar; hastane �ncesi ilkyard�m; res�sitasyon/e�itim; retrospektif �al��ma; hasta ta��ma/ standartlar; T�rkiye

Prehospital life support in trauma patients: basic or advanced trauma life support

Mehmet �zdo�an¹, Fatih A�alar², Mehmet Ery�lmaz³, G�rkan �zel⁴, Korhan Tavilo�lu⁵
¹Ataturk Egitim ve Arast�rma Hospital, Department of General surgery, Ankara, Turkey
²Kirikkale University Medical School, Department of General Surgery, Kirikkale, Turkey
³Gulhane Military Medical School, Ankara, Turkey
⁴Paramedic, Denver, USA
⁵Istanbul University Medical School, Department of General Surgery, Istanbul, Turkey

The controversy between Advanced Trauma Life Support (ATLS) and Basic Life Support (BLS) in the prehospital care of trauma patients has not been resolved yet. The purpose of this study was to examine the literature with respect to the type of prehospital care applied to the trauma patients. A total of 76 papers on ATLS and/or BLS for trauma were reviewed regarding the variables such as intravenous catheter application, prehospital fluid resuscitation, transport time, intubation and mortality. As a conclusion, the data in the literature do not support the routine use of on-field ATLS in trauma patients. Prospective randomized trials comparing ATLS and BLS in prehospital management of trauma patients are needed to clarify this issue.

Keywords: Advanced trauma life support/education/standards, emergency medicine/education, life support care/standards; prehospital emergency care; resuscitation/education; retrospective studies; transportation of patients/standards; Turkey.

Sorumlu Yazar: Mehmet �zdo�an, T�rkiye
Makale Dili: T�rk�e

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