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Vo L. X II, G O D in a 20 12, B Ro SRPSKO LEKARSKO DRUŠTVO - SEKCIJA URGENTNE MEDICINE ČASOPISABC URGENTNE MEDICINE broj 1 Vlasnik i izdavač: Sekcija urgentne medicine Srpskog lekarskog društva Adresa: Džordža Vašingtona 19, 11000 Beograd Vol. XII, godina 2012, Web: www.urgentnamedicina.org E-mail: [email protected] 3 IMPRESSUM ABC časopis urgentne medicine, vol. XII, godina 2012, broj 1 ABC – ČASOPIS URGENTNE MEDICINE Volumen XII, ISSN 1451-1053, broj 1/2012 Glavni i odgovorni urednik prim. mr sci. med. dr Siniša Saravolac Pomoćnik glavnog i odgovornog urednika prim. dr Bogdan Nikolić Uređivački odbor mr sci. med. dr Božana Dragišić-Dokmanović prim. dr Snežana Petrović mr sci. med. dr Dragan Milojević dr Dejan Veličković dr Zagorka Rakonjac dr Mihaela Budimski dr Zoran Milanov dr Saša Ignjatijević Međunarodni Naučni odbor prof. dr Leon Drobnik, Poljska prof. dr Viktor Švigelj, Slovenija dr Jana Šeblove, Češka Republika doc. dr Milan Novaković, BiH doc. dr Nada Banjac, BiH asist. dr Azra Bureković, BiH NAUČNI ODBOR Predsednik prof. dr Svetolik Avramov Članovi prof. dr Branko Đurović prof. dr Gordana Panić prof. dr Velibor Vasović prof. dr Aleksandar Pavlović prof. dr Miodrag Veličković prof. dr Miroslava Pjević prof. dr Jovan Bukelić prof. dr. Jasna Jevđić prof. dr Ana Šijački doc. dr Đorđe D. Bajec prof. dr Miroslava Živković prim. mr sc. med. dr Siniša Saravolac prof. dr Milorad Mitković prof. dr Mileta Poskurica prof. dr Borislav Lazić prim. dr sc. med. dr Slađana Anđelić prof. dr Jasna Jović-Stošić prim. dr Milivoje Panić prof. dr Ivana Stanković prim. dr sc. med. Vladimir Gajić doc. dr Svetlana Apostolović mr sc. med. dr Dragan Milojević prof. dr Zorana Vasiljević acc. spec. dr Tatjana Rajković Lektor za srpski jezik Lektor za engleski jezik prof. Ljubiša Rajković prof. Nataša Aranđelović Vlasnik i izdavač Prelom teksta Sekcija urgentne medicine dr Miljan Jović Srpskog lekarskog društva Džordža Vašingtona 19, Beograd Štampa SPASA, Knjaževac Tiraž 300 primeraka 4 IMPRESSUM ABC časopis urgentne medicine, vol. XII, godina 2012, broj 1 ABC – JOURNAL OF EMERGENCY MEDICINE Volume XII, ISSN 1451-1053, No 1/2012 Editor-in-Chief Siniša Saravolac, MD, primarius Associate Editors Bogdan Nikolić, MD, primarius Editorial Board Božana Dragišić-Dokmanović, MD, MSc Snežana Petrović, MD, primarius Dragan Milojević, MD, MSc Dejan Veličković, MD Zagorka Rakonjac, MD Mihaela Budimski, MD Zoran Milanov, MD Saša Ignjatijević, MD International Editorial Board prof. Leon Drobnik, MD, Poland prof. Viktor Švigelj, MD, Slovenia Jana Šeblove, MD, Czech Republic asoc.prof. Milan Novaković, MD, BH Asoc.prof. Nada Banjac, MD, BH ass. Azra Bureković, MD, BH Scientific Board President: prof.Svetolik Avramov, MD Members prof. Jasna Jevđić, MD prof. Branko Đurović, MD prof. Gordana Panić, MD prof. Velibor Vasović, MD prof. Aleksandar Pavlović, MD prof. Miodrag Veličković, MD prof. Miroslava Pjević, MD prof. Jovan Bukelić, MD assoc. prof. Đorđe D. Bajec, MD prof. Ana Šijački, MD prof. Mileta Poskurica, MD prof. Miroslava Živković, MD Siniša Saravolac, MD, MSc, primarius prof. Milorad Mitković, MD Slađana Anđelić, MD, PhD, primarius prof. Borislav Lazić, MD Milivoje Panić, MD prof. Jasna Jović-Stošić, MD Vladimir Gajić, MD, PhD prof. Ivana Stanković, MD Dragan Milojević MD, MSc assoc.prof. Svetlana Apostolović, MD Tatjana Rajković, MD prof. Zorana Vasiljević, MD Serbian language editor: English language editor: prof. Ljubiša Rajković prof. Nataša Aranđelović Owner and Editor Layout and Prepress Serbian Medical Society Miljan Jović,MD Section of Emergency Medicine Džordža Vašingtona 19 Printed by 11000 Belgrade SPASA,Knjaževac Number of copies: 300 [email protected] 5 SADRŽAJ ABC časopis urgentne medicine, vol. XII, godina 2012, broj 1 ORIGINALNI RADOVI Radojka Jokšić-Mazinjanin, Ivan Lekin, Siniša Saravolac, Milena Jokšić, Aleksandar Jovanović, Jelena Šekarić ZBRINJAVANJE PACIJENATA SA AKUTNIM MOŽDANIM UDAROM U SISTEMU URGENTNE MEDICINE....................................................................................................................................... 8 Zoran Milanov "ABORTED" INFARKT MIOKARDA POSLE RANE PRIMENE PREHOSPITALNE FIBRINOLIZE U SHMP VRBAS ...................................................................................................................... 16 Nikola Gavrilović, Mihaela Budimski, Kornelija Jakšić-Horvat, Andrej Šimon OPRAVDANOST POZIVA ZBOG BOLA U ABDOMENU?..................................................................... 23 Radica Krstić, Snežana Mitrović, Svetlana Đorđević, Biljana Radisavljević KARDIOPULMONALNA REANIMACIJA KOD VEŠANIKA ................................................................. 29 Aleksandar Ćirić, Aleksandar Lilić, Srdjan Denčić, Velimir Colić MENADŽMENT IZOLOVANE TUPE ABDOMINALNE TRAUME U PIROTSKOJ OPŠTOJ BOLNICI U PERIODU 2009 - 2011. GODINE........................................................................................... 34 Nikola Gavrilović, Mihaela Budimski, Kornelija Jakšić-Horvat TRAUMATOLOGIJA U PEDIJATRIJI............................................................................................................. 39 PRIKAZ SLUČAJA Zoran Milanov DISKRETNE EKG PROMENE KAO UVOD U PRIMARNU VENTRIKULARNU FIBRILACIJU U AKUTNOM INFARKTU MIOKARDA........................................................................... 44 Dragana Ševo, Tatjana Rajković , Ana Dimić , Elizabeta Jovanović PRIKAZ PACIJENTA SA ILEUSOM KOD KOGA JE PRVA MANIFESTACIJA BOLESTI BILA HIPOGLIKEMIJA …………………………………..........................................................…………………… 50 Ranko Majkić, Livija Despenić ULOGA HITNE MEDICINSKE POMOĆI U LEČENJU PACIJENATA SA AKUTNIM ISHEMIJSKIM MOŽDANIM UDAROM......................................................................................................... 55 ISTORIJA MEDICINE Siniša Saravolac, Snežana Petrović SADRŽAJI DOSADAŠNJIH BROJEVA ABC ČASOPISA URGENTNE MEDICINE........................ 60 UPUTSTVO SARADNICIMA............................................................................................................................ 79 [email protected] 6 CONTENTS ABC časopis urgentne medicine, vol. XII, godina 2012, broj 1 ORIGINAL PAPERS Radojka Jokšić-Mazinjanin, Ivan Lekin, Siniša Saravolac, Milena Jokšić, Aleksandar Jovanović, Jelena Šekarić MEDICAL TREATMENT OF PATIENTS WITH ACUTE STROKE IN EMERGENCY MEDICINE SYSTEM…….....................................................………………………………………………………… 8 Zoran Milanov "ABORTED" MYOCARDIAL INFARCTION AFTER EARLY APPLICATION PREHOSPITAL FIBRINOLYSIS IN THE EMS VRBAS………....……………………………...………….. 16 Nikola Gavrilović, Mihaela Budimski, Kornelija Jakšić-Horvat, Andrej Šimon JUSTIFICATION OF A CALL FOR ABDOMINAL PAIN? ...................................................................... 23 Radica Krstić, Snežana Mitrović, Svetlana Đorđević, Biljana Radisavljević CARDIOPULMONARY RESUSCITATION FOR HANGED……………………………………………….. 29 Aleksandar Ćirić, Aleksandar Lilić, Srdjan Denčić, Velimir Colić MANAGEMENT OF ISOLATED BLUNT ABDOMINAL TRAUMA IN GENERAL HOSPITAL PIROT FROM 2009 - 2011. ........................................................................................................................... 34 Nikola Gavrilović, Mihaela Budimski, Kornelija Jakšić-Horvat TRAUMATOLOGY IN PEDIATRIC................................................................................................................ 39 CASE REPORT Zoran Milanov DISCREET ECG CHANGES AS THE INTRODUCTION TO THE PRIMARY VENTRICULAR FIBRILLATION IN THE ACUTE MYOCARDIAL INFARCTION ....................................................... 44 Dragana Ševo, Tatjana Rajković , Ana Dimić , Elizabeta Jovanović THE REVIEW OF A PATIENT WITH ILEUS IN WHOM THE FIRST MANIFESTATION OF THE DISEASES WAS HYPOGLYCEMIA.............................................................................................. 50 Ranko Majkić, Livija Despenić THE ROLE OF PREHOSPITAL EMERGENCY MEDICAL CARE IN ACUTE ISCHEMIC STROKE TREATMENT........................................................................................................................................ 55 HISTORY OF MEDICINE Siniša Saravolac, Snežana Petrović CONTENTS OF PAST PUBLICATIONS ABC –JOURNAL OF EMERGENCY MEDICINE……... 60 INSTRUCTION FOR AUTHORS............................................................................................................ 82 [email protected] 7 REČ UREDNIKA/FROM THE EDITOR ABC časopis urgentne medicine, vol. XII, godina 2012, broj 1 LITERA SCRIPTA MANET /napisano slovo ostaje/ Poštovane koleginice i kolege, Urgentna medicina se poslednjih godina razvija izuzetno brzo i zato je naša jedina želja da se ABC časopis urgentne medicine nađe na radnom stolu i u kućnoj biblioteci svakog lekara koji se svakodnevno bavi problemima urgentne medicine u različitim uslovima, od ruralnog do visoko urbanog područja. U eri kada internet kao sredstvo razmene informacija dobija enormne razmere ovaj broj časopisa, kao i svi naredni, biće i u elektronskoj formi radi lakše dostupnosti relevantnih činjenica velikom broju medicinskih profesionalaca. Zato je poziv na saradnju stalno otvoren, jer samo dovoljan broj kvalitetnih radova, koji pristižu Uredništvu časopisa potrebnom dinamikom, omogućiće kontinuirano štampanje novih brojeva. Uz želju da što više sarađujemo u nastojanju da naš zajednički ABC časopis urgentne medicine bude što bolji i dostupan svima, u ime Uredništva časopisa, srdačno vas pozdravljam. S poštovanjem, prim. mr sci. med. dr Siniša Saravolac glavni urednik [email protected] 8 ORIGINALNI RAD/ORIGINAL
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