ABSTRACT
Anaesthesiological and resuscitation service is a special component of disaster medicine. It is of paramount importance in LSFA (life-supporting first aid) training of the lay public. Lack of knowledge and inadequate application of LSFA are estimated to increase the mortality rate of disaster victims by 40%. The paper discusses quantity and quality of anaesthesiological and resuscitation aid delivered immediately at the disaster scene, during triage before and after evacuation, during transportation. Much attention is devoted to pain management and infusion therapy performed at the disaster scene and during transportation.
Subject(s)
Anesthesiology/organization & administration , Disasters , Emergency Medical Services/organization & administration , Resuscitation , First Aid/methods , Humans , Transportation of Patients/organization & administrationABSTRACT
Central hemodynamics (CH) were studied in 43 elderly (72.4 years) patients by means of the Swan-Ganz catheter. Analysis according to three main criteria--the clinical picture and the values of volume blood flow and jamming pressure in the pulmonary artery--disclosed several hemodynamic types. The "hypovolemic" CH variant was prevalent (17), the eukinetic type of CH was encountered in 8, the "hyperkinetic" type--in 7, and the "hypokinetic" type--in 2 patients. Some parameters of the system of oxygen transport were used as additional information. Patients with limited reserves of circulation were set apart. Additional preoperative management for correcting CH disorders was recommended for them. It is concluded that the approach to the appraisal of the condition and reserves of circulation in the elderly must be more scrupulous.
