Przegla̧d lekarski
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Trauma is a third killer of modern european and world societies. Everywhere in Europe there is the great necessity of having an efficient emergency prehospital and hospital trauma care organization which will reduce mortality and invalidity of the trauma critical patients. Three objectives are the most important: 1) defining of the lines guide (e.g. ⋯ Emergency Surgical Training should be established on three levels namely; 1) within the undergraduate medical curriculum 2) complementary training in emergency surgery during the general surgery specialization 3) additional theoretical and practical training for emergency nurses. There are many cultural and organizational differences among the "old and new" European Countries. The most important and special objective is the evolution of a correct and equal education in training care in order to improve our situation.
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Historical Article
The history of development and perspectives of breast cancer surgery.
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During the past 10 years, we have treated 11 patients who were admitted with acute respiratory failure due to goiter. Multinodular goiter was examined in four patients, one patient suffered from Graves disease and six patients had malignant thyroid lesions. Four patients required emergency intubation and in two cases we performed tracheostomy because of significant narrowing of trachea lumen. ⋯ The goiters with progress of trachea compression symptoms should be operated in elective surgery to avoid sudden life-threatening complications like severe dyspnea. When the hoarseness is present the possibility of malignant goiter is particularly high. In our opinion patients with suspected respiratory failure should be referred to the centres with special interest in thyroid surgery.