[Organization of emergency care of locomotor injuries in the Canton of Sarajevo].
The system of the urgent medicine services in Sarajevo is organised on the principle of the step by step treatment, i.e. with a clear difference between preclinical and clinical levels. The objective of our work is to analyze the existing system of organisation of the urgent medical treatment in situations of loco-motor apparatus injuries, that is to find out how big discrepancy is between diagnostics performed during the pre-clinical period phase and diagnosis which is definitely clinically verified. During the above mentioned analyses were used patients of the Institute for Urgent medical care who were treated in the period of March-June 1999, during the time period from 7 pm-8 am (when surgical examination or x-ray diagnostics were not available). The analyses has been carried out as a short term survey. During the same time period the patients were monitored also by Urgent Medicine Centre of Clinical Centre of Sarajevo University, where were available both suitable surgical and x-ray diagnostics. For that purpose were controlled 34 patients who were treated by the above mentioned institutions with the following monthly frequency: March-13 patient, April-11, May-4, June-6. The ratio between male and female patients was 26:8. Based on the results, we can conclude that there is a great significant discrepancy between the initial diagnosis, verified diagnosis and the final treatment. The discrepancy was present in the following months: Marc-incorrect initial treatment in even 17.6% (6 patients), April 8.7% (3 patients), May-June 17.6% (6 patients). The authors are due to complete evaluation of mistakes caused by the initial diagnoses and their impact on the final outcome of the treatment, including all the consequences caused by them.
Hadzimuratović
A
A
Zavod za hitnu medicinsku pomoć, Kantona Sarajevi.
Hadziahmetović
Z
Z
D000328:Adult; D017522:Bosnia and Herzegovina; D004632:Emergency Medical Services / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D009141:Musculoskeletal System / Q000293:injuries*
Organizacija urgentnog zbrinjavanja lokomotornih povreda u Sarajevskom Kantonu.