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V diplomskem delu smo predstavili začetke in organiziranost nujne medicinske pomoči (NMP) v Sloveniji, organiziranost NMP na Koroškem, ker je posebnost v slovenskem prostoru, ter samo sestavo prehospitalne (PHE) enote. Na kratko smo predstavili tudi zgradbo in delovanje krvnih obtočil. Opisali smo akutni koronarni sindrom (AKS), klinično sliko ter verigo preživetja ob AKS-ju. Opredelili smo delitev AKS-ja glede na 12-kanalni elektrokardiogram in možne zaplete ob AKS-ju. Omenili smo tudi obravnavo bolnika z AKS-jem s strani PHE enote NMP ter vlogo diplomiranega zdravstvenika in aktivnost zdravstvene nege pri oskrbi bolnikov z AKS-jem v PHE enoti. V raziskavi, ki smo jo izvedli na Zdravstveno reševalnem centru Koroške, smo predstavili podatke, koliko bolnikov z AKS-jem iz terena prepeljemo v nadaljnjo oskrbo in zdravljenje v Splošno bolnišnico Slovenj Gradec in koliko v Univerzitetni klinični center Maribor. Ugotovili smo, da so bolniki z AKS-jem starejši ter da prevladuje moški spol, čas in pot sta bila krajša do SB Slovenj Gradec. Večino bolnikov smo prepeljali v SB Slovenj Gradec, vsi bolniki so bili dispnoični ali z bolečino v prsih, v samo enem primeru je prišlo do zapletov med prevozom — reanimacija. In this diploma paper we presented the beginnings and the organization of the emergency medical aid in Slovenia. The structure of the NMP in Koroška, as the specificity of the Slovenian territory, as well as the structure of the pre-hospital unit. We also presented the structure and functioning of the blood circulatory system. We described an acute coronary syndrome (ACS), the clinical picture and the chain of survival at ACS as well as defined the division of an acute coronary syndrome according to the twelve-channel electrocardiogram and possible complications with ACS. We also mentioned the treatment of patients with an acute coronary syndrome by the pre-hospital emergency medical unit, the role of a male nurse as well as nursing activities in caring for patients with ACS in pre-hospital unit. In the survey, which was carried out at Zdravstveno reševalni center Koroška, we presented the data showing the number of patients with an acute coronary syndrome transported for further care and treatment to the General Hospital Slovenj Gradec and to the University Medical Centre Maribor. We found out that, patients with ACS are older, and that the male gender is dominant, time and route was shorter to SB Slovenj Gradec. Most patients were transported in SB Slovenj Gradec, all patients have diffculty breathing or having chest pain, only in one case there was a complication during transport/ resuscitation. |
