INTRODUCTION: The conflict in Ukraine, ongoing since 2014 and escalating with the Russian invasion in 2022, has unveiled profound challenges in prehospital care essential for the survival and recovery of warfighters and civilians alike, necessitating a detailed examination of the current medical response mechanisms and their effectiveness. MATERIALS AND METHODS: This study provides an overview of these challenges and examines how these critical vulnerabilities have impacted the delivery of medical care in war-torn regions. It also explores the role of NATO and its member states in addressing these challenges, focusing on the efforts to standardize prehospital care, enhance training, and foster interoperability among medical services. Furthermore, it explores the role of global heath engagement through NGOs in addressing these prehospital care gaps within the Ukrainian conflict zone, drawing from direct observations, expert testimonials, and secondary data. RESULTS: Findings reveal significant enhancements in prehospital care through improved training, interoperability, and logistics management, despite ongoing challenges in medical infrastructure and extended evacuation times, which continue to impact the quality of care. CONCLUSIONS: The study underscores the critical role of international collaboration and standardized protocols in bolstering prehospital medical responses in conflict settings, highlighting the need for continuous adaptation and support to mitigate the complexities of modern warfare. The insights gained from the Ukraine conflict offer valuable lessons for future military and humanitarian medical responses in similar conflict settings.
- MeSH
- celosvětové zdraví MeSH
- lidé MeSH
- ozbrojené konflikty MeSH
- urgentní zdravotnické služby * metody normy trendy MeSH
- vedení války MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Ukrajina MeSH
BACKGROUND: Acute IH is a common surgical presentation. Despite new guidelines being published recently, a number of important questions remained unanswered including the role of taxis, as initial non-operative management. This is particularly relevant now due to the possibility of a lack of immediate surgical care as a result of COVID-19. The aim of this review is to assess the role of taxis in the management of emergency inguinal hernias. METHODS: A review of the literature was undertaken. Available literature published until March 2019 was obtained and reviewed. 32,021 papers were identified, only 9 were of sufficient value to be used. RESULTS: There was a large discrepancy in the terminology of incarcerated/strangulated used. Taxis can be safely attempted early after the onset of symptoms and is effective in about 70% of patients. The possibility of reduction en-mass should be kept in mind. Definitive surgery to repair the hernia can be delayed by weeks until such time as surgery can be safely arranged. CONCLUSIONS: The use of taxis in emergency inguinal hernia is a useful first line of treatment in areas or situations where surgical care is not immediately available, including the COVID-19 pandemic. Emergency surgery remains the mainstay of management in the strangulated hernia setting.
- Klíčová slova
- Incarcerated, Inguinal hernia, Strangulated, Surgery,
- MeSH
- Betacoronavirus MeSH
- čas zasáhnout při rozvinutí nemoci trendy MeSH
- COVID-19 MeSH
- dostupnost zdravotnických služeb trendy MeSH
- inguinální hernie terapie MeSH
- klinické rozhodování MeSH
- kontrola infekce metody MeSH
- konzervativní terapie metody MeSH
- koronavirové infekce * epidemiologie prevence a kontrola MeSH
- lidé MeSH
- muskuloskeletální manipulace metody MeSH
- operace kýly metody MeSH
- pandemie * prevence a kontrola MeSH
- SARS-CoV-2 MeSH
- urgentní zdravotnické služby * metody trendy MeSH
- virová pneumonie * epidemiologie prevence a kontrola MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
BACKGROUND AND PURPOSE: Stroke treatment is time-dependent, yet no study has systematically examined response to individual stroke symptoms in the general population. This nationwide study identifies which specific factors prompt correct response (calling 911) to stroke. METHODS: Between November and December of 2005, a survey using a 3-stage random-sampling method including area, household, and household member sampling was conducted throughout the Czech Republic. Participants >40 years old were personally interviewed via a structured and standardized questionnaire concerning general knowledge and correct response to stroke as assessed by the Stroke Action Test (STAT). Predictors of scoring >50% on STAT were identified by multiple regression. RESULTS: A total of 650 households were contacted, yielding 592 interviews (response rate 91%). Mean age was 58+/-12, 55% women. Sixty-nine percent thought stroke was serious condition, and 57% thought it could be treated. Also 54% correctly named >/=2 risk factors, and 46% named >/=2 warning signs. Eighteen percent of respondents scored >50% on STAT. The predictors of such a score were age (for each 10-year increment, OR 1.4, 95% CI 1.2 to 1.7), secondary school education (OR 1.7, 95% CI 1.1 to 2.6), knowing that stroke is a serious disease (OR 1.8, 95% CI 1.1 to 3.1), and knowing that stroke is treatable (OR 2.0, 95% CI 1.2 to 3.2). CONCLUSIONS: Knowledge about stroke in the Czech Republic was fair, yet response to warning signs was poor. Our study is the first to identify that calling 911 was influenced by knowledge that stroke is a serious and treatable disease and not by recognition of symptoms.
- MeSH
- cévní mozková příhoda ošetřování prevence a kontrola terapie MeSH
- komunikační systémy urgentních lékařských služeb statistika a číselné údaje trendy MeSH
- lidé středního věku MeSH
- lidé MeSH
- pacientův souhlas se zdravotní péčí statistika a číselné údaje MeSH
- průzkumy a dotazníky MeSH
- rizikové faktory MeSH
- senioři MeSH
- stupeň vzdělání MeSH
- trombolytická terapie psychologie trendy MeSH
- urgentní zdravotnické služby statistika a číselné údaje trendy MeSH
- věkové faktory MeSH
- vzdělávání pacientů jako téma statistika a číselné údaje trendy MeSH
- zdravé chování MeSH
- zdraví - znalosti, postoje, praxe MeSH
- zdravotní výchova statistika a číselné údaje trendy MeSH
- zdravotnické přehledy MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
- MeSH
- časové faktory MeSH
- cévní mozková příhoda etiologie patofyziologie terapie MeSH
- kauzalita MeSH
- lidé MeSH
- postoj ke zdraví MeSH
- průzkumy a dotazníky MeSH
- průzkumy zdravotní péče statistika a číselné údaje MeSH
- sanitky normy statistika a číselné údaje MeSH
- trombolytická terapie normy statistika a číselné údaje trendy MeSH
- urgentní zdravotnické služby normy statistika a číselné údaje trendy MeSH
- věkové faktory MeSH
- veřejné zdravotnictví - praxe normy statistika a číselné údaje MeSH
- vzdělávání pacientů jako téma normy statistika a číselné údaje trendy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- komentáře MeSH
- práce podpořená grantem MeSH
- úvodníky MeSH
- Geografické názvy
- Česká republika MeSH
