Introduction. Lyme neuroborreliosis is an infectious disorder of the central and/or peripheral nervous system caused by the tick stump of the genus Ixodes rici, infected with species Borrelia burgdorferi sensu lato (in Europe). The disease manifests as meningitis, encephalitis, meningoradiculitis, vasculitis, paresthesia of the facial nerve and painful radiculopathy. Case report. A 44-year-old patient reports fatigue, forgetfulness, headache, confusion, depression, drowsiness, irritability, instability, her undercooks are crushed, sheeps of a bride and does not recall being called an object. Muscular reflexes of the undergrowth are reduced. Plantar response flexion, Lazarevic sign is positive at 45 degrees from the surface. No weakness of the dorsal and plantar flexion of the fingers of the feet. Relieves sensitivity in the region of inertia nerv peroneus and tibialis. Sphincters were fine. The patient had a diagnosed Lyme disease, five months prior to the exacerbation of anxiety. Due to erythema migrans and subfebrility, diagnosis and seropositivity to Borrelia burgdorferi were established in both classes of the enzymelinked immunosorbent assay antibodies and a confirmed Western blot test. She took doxycycline 200 milligrams/day, three weeks. The analysis of cerebrospinal fluid revealed proteinhorn (0.42 g/L), normal glycorrhachia, pleocytosis, and positive intrathecal IgG antibodies. Electromyography pointed to axonal degeneration of the lower extremities. The magnetic resonance is neat. The therapy includes ceftriaxone, 2 grams/day, vitamins and analgesic therapy. Neuroborreliois was maintained by the laboratory during one-year follow-up. Mental disorders, headaches, confusion and irritability, neurological signs have significantly regressed. Conclusion. The gold standard in diagnostics of neuroborelliosis is the determination of intrathecal antibodies. For the definitive diagnosis, clinical signs of disease, pleocytosis and positive antibodies are necessary. Intrathecal antibodies remain long positive and they are not recommended for monitoring for the effects of therapy.
{"title":"Chronic Lyme neuroborreliosis","authors":"Biljana Srećković, S. Knežević, S. Đorđević","doi":"10.5937/abc2102024s","DOIUrl":"https://doi.org/10.5937/abc2102024s","url":null,"abstract":"Introduction. Lyme neuroborreliosis is an infectious disorder of the central and/or peripheral nervous system caused by the tick stump of the genus Ixodes rici, infected with species Borrelia burgdorferi sensu lato (in Europe). The disease manifests as meningitis, encephalitis, meningoradiculitis, vasculitis, paresthesia of the facial nerve and painful radiculopathy. Case report. A 44-year-old patient reports fatigue, forgetfulness, headache, confusion, depression, drowsiness, irritability, instability, her undercooks are crushed, sheeps of a bride and does not recall being called an object. Muscular reflexes of the undergrowth are reduced. Plantar response flexion, Lazarevic sign is positive at 45 degrees from the surface. No weakness of the dorsal and plantar flexion of the fingers of the feet. Relieves sensitivity in the region of inertia nerv peroneus and tibialis. Sphincters were fine. The patient had a diagnosed Lyme disease, five months prior to the exacerbation of anxiety. Due to erythema migrans and subfebrility, diagnosis and seropositivity to Borrelia burgdorferi were established in both classes of the enzymelinked immunosorbent assay antibodies and a confirmed Western blot test. She took doxycycline 200 milligrams/day, three weeks. The analysis of cerebrospinal fluid revealed proteinhorn (0.42 g/L), normal glycorrhachia, pleocytosis, and positive intrathecal IgG antibodies. Electromyography pointed to axonal degeneration of the lower extremities. The magnetic resonance is neat. The therapy includes ceftriaxone, 2 grams/day, vitamins and analgesic therapy. Neuroborreliois was maintained by the laboratory during one-year follow-up. Mental disorders, headaches, confusion and irritability, neurological signs have significantly regressed. Conclusion. The gold standard in diagnostics of neuroborelliosis is the determination of intrathecal antibodies. For the definitive diagnosis, clinical signs of disease, pleocytosis and positive antibodies are necessary. Intrathecal antibodies remain long positive and they are not recommended for monitoring for the effects of therapy.","PeriodicalId":53027,"journal":{"name":"ABC casopis urgentne medicine","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91294687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Severe thoracic trauma is a potentially lifethreatening injury, leading to immediate impairment of cardiorespiratory functions or bleeding; but also consequential fatal infections, damage of: heart, large blood vessels, mediastinal organs or pleura with pneumothorax/hematothorax. Objective: To present a case of penetrating chest injuries with forks, caused by traffic. Methodology: Case report from medical documentation. Case report: The EMS team was called for a car accident including vehicle and a tractor. At the passenger seat of the car, a female person was found stabbed with a pitchfork through the torso and fixed to the seat. Firefighters cut a part of the metal forks, while medics stabilized foreign body and made emporary hemostasis. The entrance and exit wounds were verified. Vitals were: TA: 130/60mmHg, heart rate 100/min, SaO2 90%. The peripheral venous line was opened and O2 10L/min was applied through an oxygen mask. The patient was transported in a sitting position, with medical manual stabilization, to the ER. The surgeon was immediately consulted and the patient, due to vital indications, was urgently admitted to the operating room. In the abdomen, 8 cm laceration of the III segment of the liver, cleft omentum and deserosion of the small curve of the stomach were verified. A foreign body passed between the aorta and the esophagus, without injuring them. Conclusion: Thanks to the prompt EMS reaction and the proper pre-hospital care, as well as early inpatient surgical treatment, the patient's outcome was good.
{"title":"Prehospital recognition of life-threating thoracic trauma","authors":"Daniela Velikanac, Bojana Uzelac","doi":"10.5937/abc2102015v","DOIUrl":"https://doi.org/10.5937/abc2102015v","url":null,"abstract":"Introduction: Severe thoracic trauma is a potentially lifethreatening injury, leading to immediate impairment of cardiorespiratory functions or bleeding; but also consequential fatal infections, damage of: heart, large blood vessels, mediastinal organs or pleura with pneumothorax/hematothorax. Objective: To present a case of penetrating chest injuries with forks, caused by traffic. Methodology: Case report from medical documentation. Case report: The EMS team was called for a car accident including vehicle and a tractor. At the passenger seat of the car, a female person was found stabbed with a pitchfork through the torso and fixed to the seat. Firefighters cut a part of the metal forks, while medics stabilized foreign body and made emporary hemostasis. The entrance and exit wounds were verified. Vitals were: TA: 130/60mmHg, heart rate 100/min, SaO2 90%. The peripheral venous line was opened and O2 10L/min was applied through an oxygen mask. The patient was transported in a sitting position, with medical manual stabilization, to the ER. The surgeon was immediately consulted and the patient, due to vital indications, was urgently admitted to the operating room. In the abdomen, 8 cm laceration of the III segment of the liver, cleft omentum and deserosion of the small curve of the stomach were verified. A foreign body passed between the aorta and the esophagus, without injuring them. Conclusion: Thanks to the prompt EMS reaction and the proper pre-hospital care, as well as early inpatient surgical treatment, the patient's outcome was good.","PeriodicalId":53027,"journal":{"name":"ABC casopis urgentne medicine","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85746163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Metoclopramide is commonly prescribed drug for treatment of nausea and vomiting. Acute dystonic reaction is the most common adverse effect and occur at approximately 0.2% of population. Material: Data from original medical reports and the hospital discharge summary were used. Material: Retrospective study of the work of one physician in the City Institute for EMS Belgrade in the period from 2017 to 2018 involving 2481 patients. Case report: In November 2019, the parents brought a thirteen year old child in the EMS. The child had vomited for 3 days and his parents gave him 2 tablets of metoclopramide, 24h after the pill ingestion the child began to cramping. During the examination, the patient was fully consciousness and upset, with a noticeable trismus, oculogyric reaction, torticollis, tongue protrusion and dysphonia. Vital signs at admission: BP 100/60 mmHg, HR 120/minute, SpO2 98%, blood glucose level 5.6 mmol/l. ECG noted signs of sinus tachycardia. The patient was transported to the hospital, with the i.v infusion of 500ml 0.9% NaCl solution and with oxygen support of 3l/min. According to the medical documentation, the patient was hospitalized and treated with i.v. Diazepam and saline infusions. Two days after hospitalization, the patient was released home in a stable condition. Conclusion: We must be careful with an uncritically usage of metoclopramide because of possible extrapyramidal side effect. Drug induced dystonia is a potentially life-threatening condition, and it is important to recognize and timely take care of such a condition in EMS.
{"title":"Dystonija caused with metoklopramid in emergency medical service: Case report","authors":"Dimitije Đurđević","doi":"10.5937/abc2101001d","DOIUrl":"https://doi.org/10.5937/abc2101001d","url":null,"abstract":"Introduction: Metoclopramide is commonly prescribed drug for treatment of nausea and vomiting. Acute dystonic reaction is the most common adverse effect and occur at approximately 0.2% of population. Material: Data from original medical reports and the hospital discharge summary were used. Material: Retrospective study of the work of one physician in the City Institute for EMS Belgrade in the period from 2017 to 2018 involving 2481 patients. Case report: In November 2019, the parents brought a thirteen year old child in the EMS. The child had vomited for 3 days and his parents gave him 2 tablets of metoclopramide, 24h after the pill ingestion the child began to cramping. During the examination, the patient was fully consciousness and upset, with a noticeable trismus, oculogyric reaction, torticollis, tongue protrusion and dysphonia. Vital signs at admission: BP 100/60 mmHg, HR 120/minute, SpO2 98%, blood glucose level 5.6 mmol/l. ECG noted signs of sinus tachycardia. The patient was transported to the hospital, with the i.v infusion of 500ml 0.9% NaCl solution and with oxygen support of 3l/min. According to the medical documentation, the patient was hospitalized and treated with i.v. Diazepam and saline infusions. Two days after hospitalization, the patient was released home in a stable condition. Conclusion: We must be careful with an uncritically usage of metoclopramide because of possible extrapyramidal side effect. Drug induced dystonia is a potentially life-threatening condition, and it is important to recognize and timely take care of such a condition in EMS.","PeriodicalId":53027,"journal":{"name":"ABC casopis urgentne medicine","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80256644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Orbital myositis is an acute or chronic nonspecific idiopathic inflammation of the extraocular muscles of the eye. The main symptoms are pain in the periorbital region, muscle weakness, double images, limited mobility of the eyeball. The etiology of the diseases is not. entirely known. Beside of the basic ophtalmological examination, additional diagnostics are required in order to make a diagnosis. Treatment is individual, since orbital myositis is a rare disease. Aim: Indicate the importance of differential diagnosis in exophthalmos and double images. Method of work: Analisys of patient medical records. Case report: This is a case report of a 56 years old man with exophthalmos, double images, eye pain and myositis as such as idiopathic, nonspecific inflammation of one extraocular muscle. During the clinical processing of the patient, after the exclusion of the other diseases, we focused examination on the changes in the thyroid gland and myositis of the eye. After two years of the treatment, the patient still has double images but in smaller range and they are not continuous.
{"title":"Orbital myositis: Case report","authors":"Vinka Repac, M. Petrovacki","doi":"10.5937/abc2101007r","DOIUrl":"https://doi.org/10.5937/abc2101007r","url":null,"abstract":"Introduction: Orbital myositis is an acute or chronic nonspecific idiopathic inflammation of the extraocular muscles of the eye. The main symptoms are pain in the periorbital region, muscle weakness, double images, limited mobility of the eyeball. The etiology of the diseases is not. entirely known. Beside of the basic ophtalmological examination, additional diagnostics are required in order to make a diagnosis. Treatment is individual, since orbital myositis is a rare disease. Aim: Indicate the importance of differential diagnosis in exophthalmos and double images. Method of work: Analisys of patient medical records. Case report: This is a case report of a 56 years old man with exophthalmos, double images, eye pain and myositis as such as idiopathic, nonspecific inflammation of one extraocular muscle. During the clinical processing of the patient, after the exclusion of the other diseases, we focused examination on the changes in the thyroid gland and myositis of the eye. After two years of the treatment, the patient still has double images but in smaller range and they are not continuous.","PeriodicalId":53027,"journal":{"name":"ABC casopis urgentne medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89057876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In many centres for pediatric surgery too many children still experience intense postoperative pain. Factors that contribute to inadequate postoperative pain control in children are: lack of the experience, inadequate use of pain scales, interpatient variability in pain perception and analgesic requirements, differences in pharmacodynamics and pharmacokinetics, age restricted drug licensing and a relative paucity of researches. The proper pain estimation scales are dependent on the child's age and their understanding of pain and of the scale. Most commonly used drugs in pediatric postoperative pain relief are opioid and nonopioid analgesics (nonsteroidal anti-inflammatory drugs, paracetamol, metamizole, ketamine, Dexamethasone and Alpha-2-agonists). The use of regional anesthesia techniques is becoming increasingly popular in postoperative analgesia following pediatric surgery. Severe acute postoperative pain in children can have significant long term effects such as chronic pain. Of great importance is that acute postoperative pain in children is optimally managed from the outset.
{"title":"Postoperative analgesia in children","authors":"D. Simić, A. Vlajković, M. Stevic","doi":"10.5937/ABC2001001S","DOIUrl":"https://doi.org/10.5937/ABC2001001S","url":null,"abstract":"In many centres for pediatric surgery too many children still experience intense postoperative pain. Factors that contribute to inadequate postoperative pain control in children are: lack of the experience, inadequate use of pain scales, interpatient variability in pain perception and analgesic requirements, differences in pharmacodynamics and pharmacokinetics, age restricted drug licensing and a relative paucity of researches. The proper pain estimation scales are dependent on the child's age and their understanding of pain and of the scale. Most commonly used drugs in pediatric postoperative pain relief are opioid and nonopioid analgesics (nonsteroidal anti-inflammatory drugs, paracetamol, metamizole, ketamine, Dexamethasone and Alpha-2-agonists). The use of regional anesthesia techniques is becoming increasingly popular in postoperative analgesia following pediatric surgery. Severe acute postoperative pain in children can have significant long term effects such as chronic pain. Of great importance is that acute postoperative pain in children is optimally managed from the outset.","PeriodicalId":53027,"journal":{"name":"ABC casopis urgentne medicine","volume":"150 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72443245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aleksandra Lučić-Prokin, Radmila Petrović, Nemanja Popović
Uvod: Endovaskularna mehanička trombektomija sa ili bez intravenske trombolitičke terapije, značajno smanjuje invalidnost u bolesnika sa akutnim ishemijskim moždanim udarom (AIMU) i okluzijom velikog krvnog suda (LVO) u prvih 6 sati. Korist od ovih terapijskih modaliteta postaje značajno manja sa produžavanjem vremena od pojave prvih simptoma do terapijske primene. Identifikacija bolesnika sa AIMU i LVO na prehospitalnom nivou, presudna je za brži transport u odgovarajuće zdravstvene centre osposobljene za endovaskularno lečenje.
{"title":"The significance of the RACE (Rapid Arterial Occlusion Evaluation) scale in acute ischemic stroke","authors":"Aleksandra Lučić-Prokin, Radmila Petrović, Nemanja Popović","doi":"10.5937/abc1903018l","DOIUrl":"https://doi.org/10.5937/abc1903018l","url":null,"abstract":"Uvod: Endovaskularna mehanička trombektomija sa ili bez intravenske trombolitičke terapije, značajno smanjuje invalidnost u bolesnika sa akutnim ishemijskim moždanim udarom (AIMU) i okluzijom velikog krvnog suda (LVO) u prvih 6 sati. Korist od ovih terapijskih modaliteta postaje značajno manja sa produžavanjem vremena od pojave prvih simptoma do terapijske primene. Identifikacija bolesnika sa AIMU i LVO na prehospitalnom nivou, presudna je za brži transport u odgovarajuće zdravstvene centre osposobljene za endovaskularno lečenje.","PeriodicalId":53027,"journal":{"name":"ABC casopis urgentne medicine","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87560183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Gajić, S. Milojević, N. A. Rašković, P Vuk Niković
Introduction: Thoracic trauma requires intensive care treatment since in many cases it could have fatal outcome due to heart, lungs or major blood vessels injuries. Typically chest and internal body organs injuries are caused by falling from significant high, could be seen in firearm or in cold weapon injuries due to penetrating mechanism, but most often are seen in motor vehicle accidents. The case report of severe thoracic trauma which was successfully resolved upon treatment received from prehospital and hospital teams. 54 year old female patient has been injured in a traffic accident, under unclear circumstances, when her car hit the wooden fence. The ambulance arrived on 24-Jun-2017 at 17:45 after they received a call for traffic accident in which a female driver experienced severe trauma. The patient was found stabbed by a large spear-like piece of wooden fence in her right chest. Initial physical exam revealed unconscious female patient with heavy bleeding from the chest wound. Her Glasgow Coma Score was checked as 3. Patient appeared pale and hypotensive with blood pressure of 98/50 mmHg, heart rate of 104/min, and O2 saturation of 90%. The ambulance team performed initial hemostasis and stabilized the foreign body. IV cannula was inserted and normal saline therapy was initiated. Laryngeal Mask Airway was inserted and cervical spine was manually stabilized and the patient was immediately transported to the hospital. At admission patient was unconscious, with heart rate of 70/min and O2 saturation of 70%. Large part of wooden fence 1.5m in length, with rectangle shape (10cmx4cm), was found stabbed in the frontal area of the right chest, penetrating the right breast and exiting at the area of the right armpit. The patient was intubated, thoracic tube/drainage was inserted and foreign body was extracted. Upon performed MSCT of the head, neck, chest and abdomen the additional removal of necrosed tissue and thromboendarterectomy with anastomosis of right axillary artery was performed. The patient was put on mechanical ventilation on the same day at 19:40. During the hospital stay many specialist consultations were performed. On 06-Jul2017 right chest tube was removed. On 12-Jul-2017 left chest tube was removed and percutaneous tracheostomy was performed. On 20-Jul-2017 wound plastic surgery was done. On 21-Jul-2017 the patient was removed from the ventilator. On 26-Jul-2017 Vacuum Assisted Closure therapy was applied. On 08-Aug-2017 Thiersch procedure was done. On 16-Aug-2017 plastic tracheal tube was change for metal tube, which was removed on 28-Aug-2017. During the hospital stay patient received multiple antibiotic therapy, antifungal treatment, gastroprotective therapy, anticoagulant therapy, analgesic treatment, bronchodilator therapy, antihypertensive therapy, cardiovascular therapy, antiepileptic therapy, vitamin supplements, hormone substitution, crystalloid and colloid solutions support, and blood and plasma transfusions. The patient
{"title":"Case report of penetrating thoracic trauma in road traffic accident","authors":"S. Gajić, S. Milojević, N. A. Rašković, P Vuk Niković","doi":"10.5937/abc1902026g","DOIUrl":"https://doi.org/10.5937/abc1902026g","url":null,"abstract":"Introduction: Thoracic trauma requires intensive care treatment since in many cases it could have fatal outcome due to heart, lungs or major blood vessels injuries. Typically chest and internal body organs injuries are caused by falling from significant high, could be seen in firearm or in cold weapon injuries due to penetrating mechanism, but most often are seen in motor vehicle accidents. The case report of severe thoracic trauma which was successfully resolved upon treatment received from prehospital and hospital teams. 54 year old female patient has been injured in a traffic accident, under unclear circumstances, when her car hit the wooden fence. The ambulance arrived on 24-Jun-2017 at 17:45 after they received a call for traffic accident in which a female driver experienced severe trauma. The patient was found stabbed by a large spear-like piece of wooden fence in her right chest. Initial physical exam revealed unconscious female patient with heavy bleeding from the chest wound. Her Glasgow Coma Score was checked as 3. Patient appeared pale and hypotensive with blood pressure of 98/50 mmHg, heart rate of 104/min, and O2 saturation of 90%. The ambulance team performed initial hemostasis and stabilized the foreign body. IV cannula was inserted and normal saline therapy was initiated. Laryngeal Mask Airway was inserted and cervical spine was manually stabilized and the patient was immediately transported to the hospital. At admission patient was unconscious, with heart rate of 70/min and O2 saturation of 70%. Large part of wooden fence 1.5m in length, with rectangle shape (10cmx4cm), was found stabbed in the frontal area of the right chest, penetrating the right breast and exiting at the area of the right armpit. The patient was intubated, thoracic tube/drainage was inserted and foreign body was extracted. Upon performed MSCT of the head, neck, chest and abdomen the additional removal of necrosed tissue and thromboendarterectomy with anastomosis of right axillary artery was performed. The patient was put on mechanical ventilation on the same day at 19:40. During the hospital stay many specialist consultations were performed. On 06-Jul2017 right chest tube was removed. On 12-Jul-2017 left chest tube was removed and percutaneous tracheostomy was performed. On 20-Jul-2017 wound plastic surgery was done. On 21-Jul-2017 the patient was removed from the ventilator. On 26-Jul-2017 Vacuum Assisted Closure therapy was applied. On 08-Aug-2017 Thiersch procedure was done. On 16-Aug-2017 plastic tracheal tube was change for metal tube, which was removed on 28-Aug-2017. During the hospital stay patient received multiple antibiotic therapy, antifungal treatment, gastroprotective therapy, anticoagulant therapy, analgesic treatment, bronchodilator therapy, antihypertensive therapy, cardiovascular therapy, antiepileptic therapy, vitamin supplements, hormone substitution, crystalloid and colloid solutions support, and blood and plasma transfusions. The patient ","PeriodicalId":53027,"journal":{"name":"ABC casopis urgentne medicine","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72393209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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