PURPOSE OF THE STUDY This thesis presents the very current topic of general hospital preparedness to deal with crisis situations in mass casualty incidents. MATERIAL AND METHODS The key part of the work consists in a questionnaire survey of 26 foreign and domestic respondents, which provides a very good description of this issue in various countries of the world. The group is divided into health facilities in developed and developing countries of the world according to the UN Human Development Index.
View Article and Find Full Text PDFActa Chir Orthop Traumatol Cech
November 2020
Disasters (more than 50 people affected) and mass casualty incidents (more than 10 people affected) which are the result of natural or civilisation disasters, traffic accidents or terrorist attacks are characterised by a large number of injured persons. In these critical situations, triage - prioritisation of patients based on the severity and type of the injury must be performed. Patients are sorted into those who need immediate medical intervention and those whose care can wait.
View Article and Find Full Text PDFActa Chir Orthop Traumatol Cech
March 2020
Recently, there has been an apparent increase in terrorism-related incidents. The security experts believe that the risk of terrorist attacks cannot be fully ruled out in the Czech Republic either. For this reason, it is appropriate to obtain information from regions with more experience with terrorism and to learn from their mistakes.
View Article and Find Full Text PDFActa Chir Orthop Traumatol Cech
January 2018
PURPOSE OF THE STUDY The calcaneus bone is the largest tarsal bone of a complex shape, the restoration of which after fracturing, often caused by a high-energy injury, is critical. The top priority in treating these fractures is to correctly asses the condition of the surrounding soft tissues that may be further excessively traumatized by inappropriate timing, surgical approach or technique. Even when adhering to all the rules and guidelines, complications in surgical wound healing have been described in up to 16-33% cases when the extended lateral approach was used.
View Article and Find Full Text PDFPURPOSE OF THE STUDY The incidence of geriatric fractures (proximal femur, distal radius, proximal humerus and thoracolumbar spine injuries) in the population increases with ageing. However, the role of weather conditions, such as icy and slippery winter, should not be overlooked. A deeper insight into this relationship may bring about a better understanding of the fracture aetiology and thus allow for improvement in the prevention of fractures in elderly people.
View Article and Find Full Text PDFBackground: Surgery for benign disease is associated with a low-risk of developing venous thromboembolism (VTE). Despite a relatively low incidence of postoperative VTE in patients after elective cholecystectomy and abdominal hernia repair there are data proving hypercoagulability in the early postoperative period. We focused on assessment of the systemic inflammatory response and coagulation status in these surgical patients after hospital discharge.
View Article and Find Full Text PDFIntroduction: Cervical spondylotic myelopathy (CSM) can lead to significant disability through a spectrum of clinical manifestations ranging from dexterity loss to more profound weakness, incontinence and paralysis.
Aim: To determine the outcome of surgical decompression for CSM and investigate pre-operative predictors of outcome.
Methods: Prospectively collected data on all patients who underwent decompressive surgery for CSM and completed 12-month follow-up were reviewed.
Acta Chir Orthop Traumatol Cech
August 2012
Purpose Of The Study: The opinion that proximal femur fractures occur mainly in the winter season and are related to slippery surfaces prevails in both the lay and medical communities. The elucidation of this relationship would lead to a better understanding of the aetiology of these fractures and may help to prevent them in the elderly population.
Material And Methods: In a retrospective study conducted at two departments, the occurrence of proximal femur fractures in patients 60+ years old in relation to weather conditions (air temperature and its humidity, atmospheric pressure, rain and mist) between January 1, 2001 and December 31, 2005 was investigated.
The aim of our study was to compare two groups of patients with pertrochanteric femoral fracture types 31 A1 A2 A3 according to the AO who were treated with two different types of implants. The first group of 54 consecutive patients with above mentioned types of femoral fractures were treated using Proximal reconstruction nail manufacturer Beznoska comp., which is a standard implant we have been using for two years.
View Article and Find Full Text PDFThe case diagnosis and treatment of hydatic cyst in the right and left lobe of the liver in a 28 year old pregnant woman is described in the article.
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