Lijec̆nic̆ki vjesnik
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Lijec̆nic̆ki vjesnik · Jan 2009
Review[Tako-Tsubo cardiomyopathy; reversible left ventricular dysfunction mimicking acute myocardial infarction with ST-elevation].
Tako-Tsubo cardiomyopathy is still en entity of unknown etiology and pathophysiology which clinically manifests with sudden, severe chest pain and/or dyspnea. It is generally triggered by emotional or physical stress and most cases are reported in postmenopausal women. ⋯ Generally, Tako-Tsubo cardiomyopathy has a good prognosis, in-hospital mortality rate is about 1%. In this article, we present a review about todays knowledge on Tako-Tsubo cardiomyopathy.
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Lijec̆nic̆ki vjesnik · Jan 2009
Ultrasound, new strategy, new pharmacological approach and clinical research priorities for cardiopulmonary resuscitation.
The group of experts appointed to review specific resuscitation topics and identify knowledge gaps. The experts compiled and organized these knowledge gaps and, through a process of consultation and consensus, identified areas of priority for clinical research. ⋯ The results, recommendations and guidelines were published 2007 in basic journals for CPR (Circulation and Resuscitation). We compared some of them with the clinical trials in cardiopulmonary resuscitation in Center for Emergency Medicine Maribor.
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The outcome of patient care can be dramatically improved by bringing rapid rescue-medical treatment to the scene and by rapid transport to a medical facility. In mountainous areas this is usually possible only with the use of helicopters. ICAR MEDCOM suggests international standards for competent and safe response to medical problems in mountainous and wilderness areas. ⋯ Safety is most important issue in mountain rescue. Activation and approach time should be as short as possible. All persons responsible for activation and realization of a helicopter rescue operation should be aware of all specific problems in the mountains and wilderness.
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Lijec̆nic̆ki vjesnik · Jan 2009
Emergency medicine in Slovenia--emergency center, prehospital emergency medicine and academic emergency medicine.
Public health service is organized in such a manner so as to ensure all the inhabitants of the Republic of Slovenia the emergency medical assistance available at all times, including emergency transport and provision of emergency medicinal products as soon as possible and as close to the date of their manufacture as possible and during transport. Emergency medical assistance means the implementation of necessary measures by doctors and their teams with persons whose life is imminently threatened due to illness or injury and persons, respectively, who could be affected by such a risk in a short period of time according to the symptoms. Emergency calls are received and processed by the emergency medical assistance service which forms an integral part of the public health service network. ⋯ Slovenia has very well organised prehospital on-physician based emergency service and new qualification criteria for those physicians in emergency departments, therefore, need to be developed with primary education trainers for emergency medicine. In the model of integration of prehospital and hospital emergency medicine in academic emergency centers, emergency physicians work equal in ED and in the field on the method of rotation without changes of actual prehospital on-physicians based EMS. The integrative model have one in-door for emergency patients, mobility ofprehospital emergency physicians, a nurse-driven triage system and support of primary care physicians as gatekeepers.