Search

Your search keyword '"Radojka, Jokšić-Mazinjanin"' showing total 2 results
Start Over Author "Radojka, Jokšić-Mazinjanin" Topic emergency medical services
2 results on '"Radojka, Jokšić-Mazinjanin"'

1. Prehospital Trauma Scoring Systems for Evaluation of Trauma Severity and Prediction of Outcomes

Author

Radojka Jokšić-Mazinjanin, Nikolina Marić, Aleksandar Đuričin, Zoran Gojković, Velibor Vasović, Goran Rakić, Milena Jokšić-Zelić, and Siniša Saravolac

Subjects
injury, trauma, trauma scoring systems, indicators of severity of injury, triage, emergency medical services, Medicine (General), R5-920
Abstract

Introduction: Trauma scoring systems in prehospital settings are supposed to ensure the most appropriate in-hospital treatment of the injured. Aim of the study: To determine the sensitivity and specificity of the CRAMS scale (circulation, respiration, abdomen, motor and speech), RTS score (revised trauma score), MGAP (mechanism, Glasgow Coma Scale, age, arterial pressure) and GAP (Glasgow Coma Scale, age, arterial pressure) scoring systems in prehospital settings in order to evaluate trauma severity and to predict the outcome. Materials and Methods: A prospective, observational study was conducted. For every trauma patient, a questionnaire was initially filled in by a prehospital doctor and these data were subsequently collected by the hospital. Results: The study included 307 trauma patients with an average age of 51.7 ± 20.9. Based on the ISS (injury severity score), severe trauma was diagnosed in 50 (16.3%) patients. MGAP had the best sensitivity/specificity ratio when the obtained values indicated severe trauma. The sensitivity and specificity were 93.4 and 62.0%, respectively, for an MGAP value of 22. MGAP and GAP were strongly correlated with each other and were statistically significant in predicting the outcome of treatment (OR 2.23; 95% Cl 1.06–4.70; p = 0.035). With a rise of one in the MGAP score value, the probability of survival increases 2.2 times. Conclusion: MGAP and GAP, in prehospital settings, had higher sensitivity and specificity when identifying patients with a severe trauma and predicting an unfavorable outcome than other scoring systems.

Published
2023
Full Text
View/download PDF

2. Location of out-of-hospital cardiac arrest as a determinant in the survival of patients

Author

Velibor Vasović, Siniša Saravolac, Momir Mikov, Predrag Šaponja, Milena Joksic, Aleksandar Djuricin, and Radojka Jokšić-Mazinjanin

Subjects
Male, survival rate, Emergency Medical Services, medicine.medical_specialty, Pediatrics, medicine.medical_treatment, lcsh:Medicine, cardiopulmonary resuscitation, Out of hospital cardiac arrest, Humans, Medicine, Cardiopulmonary resuscitation, Systole, out-of-hospital cardiac arrest, Survival rate, Aged, Retrospective Studies, A determinant, business.industry, Public place, lcsh:R, Retrospective cohort study, General Medicine, Middle Aged, Survival Analysis, Methods observational, 3. Good health, Emergency medicine, Female, business, Serbia
Abstract

Introduction. Cardiac arrest (CA) is defined as a sudden cessation of normal circulation of blood due to failure of the heart to contract effectively during systole. Objective. The aim of this study was to determine the difference in outcome among patients, depending on the location of out-of-hospital CA; to determine the influence of observed determinants on the survival rate. Methods. Observational and retrospective study was conducted in the Institute for Emergency Medical Service Novi Sad (IEMS NS). It included patients who underwent cardiopulmonary resuscitation (CPR) by medical ambulance squads. Patients were divided into three groups, based on the location of CA: private place, public place, and medical institution. Results. CA occurred in private places in 151 cases (76.26%). The shortest duration of a phone call with the dispatcher and Reaction Time I was in the group of patients with CA in a public place (59.1 ± 36.4 seconds and 137.1 ± 89.8 seconds, respectively). CA was recognized in more than 80% of cases, but CPR was initiated in only 9.09% of patients in private places and in 19.35% of patients in public places. Though they initially presented with shockable rhythm in 57.14% of cases in public places, this group has the worst immediate outcome (11.43%), in contrast to the patients with CA in medical institutions (58.33%). Factors determining the survival of patients with CA were CPR attempted immediately after collapse, initial rhythm and eyewitnesses of CA. Conclusion. In order to improve survival of patients with out-of-hospital CA, both education of laymen and introduction of standard questioning protocol in the IEMS Call Centre are necessary. [Projekat Ministarstva nauke Republike Srbije, br. 175007]

Published
2016

Catalog

Books, media, physical & digital resources
See catalog results