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Societatea europeana de medicina de urgenta (eusem) sub conducerea d-lui gunnar Öhlén s-a intrunit anul acesta la cel de-al vi congres european de medicina de urgenta in perioada 11-14 octombrie la stockholm

Participare romaneasca la al VI lea Congres European de Medicina de Urgenta Societatea Europeana de Medicina de Urgenta (EUSEM) s-a intrunit anul acesta la cel de-al VI lea Congres European de Medicina de Urgenta, care a avut loc in perioada 11-14 octombrie la Stockholm, Suedia. Congresul s-a desfasurat in City Conference Centre , unul din cele mai mari centre de conferinte din tarile nordice. Seara festiva a avut loc la Primaria din Stockolm in sala ce gazduieste ceremonia de decernare a premiilor Nobel. Acest congres s-a bucurat de un numar mare de participanti uniti de un interes comun: promovarea stiintei si a practicilor clinice în domeniul Medicinei de Urgenţă. In conferinta de deschidea s-au mai facut cativa pasi in recunoasterea la nivel de UE (si european - in statele non UE) a specialitatii de Medicina de Urgenta (aceasta specialitate fiind recunoscuta ca o specialitate de sine statatoare si cu o curricula de studiu bine pusa la punct doar in 11 din cele 27 de tari membre UE). Romania a fost reprezentata de o delegatie alcatuita din aproximativ 120 de participanti din diferite orase ale tarii (Alba 1;Arad 2;Arges 2;Bacau 1;Bihor 4; Braila 1;Bucuresti 15;Cluj 6;Constanta 11; Dambovita 2; Dolj 6 ;Galati 4; Iasi 10;Mures 24;Prahova1;Sibiu 1;Satu-Mare 1;Timis 7;Vaslui 1), impreuna cu asistenti medicali au fost sustinuti de catre Fundatia Pentru SMURD si Societatea de Medicina de Urgenta si Catastrofa. Dintre acestia ponderea cea mai mare a revenit medicilor rezidenti 56%, medici primari 14%, medici specialisti 6%, studenti 9% si asistenti medicali 15%. Pe parcursul celor patru zile de prezentari stiintifice Romania a fost reprezentata prin 5 prezentari orale si 19 postere repartizate pe doua sesiuni, care au acoperit majoritatea sectiunilor. Prima sesiune de postere a fost in intervalul 11-12 octombrie, cu urmatoarele prezentari: -Cardiovascular(The Role Of Troponin I (Tni) In The Diagnosis Of The Acute Coronary Syndrome Without The Elevation Of The T Segment (nonSTEMI)-Cluj-Napoca; Comparative efficiency of electric and pharmacological treatment of cardiac arrhythmias in the emergency department-Oradea) -Case presentation ( Hypernatremia in Rare cases – then Acute Exogenous Salt Intoxication-Iasi; The fulminant evolution of transverse myelitis on a young patien tcase report-Targu-Mures; Metformin Induced Lactic Acidosis - case presentation-Targu-Mures; Emergency department thoracotomy. Case report.-Targu Mures; Is ultrasound needed to effectively resuscitate the patient with pulseless electrical activity (PEA)?-Cluj-Napoca -Resuscitation:- Study on the resuscitation teams activity in the Clinical Emergency County Hospitals Departments from Targu-Mures, Romania in 2009; Early and late outcome of the cardiac arrests, in the Emergency Department of the Clinical Emergency County Hospital from Targu-Mures, Romania, in 2009; - Diagnostic Technology & Radiology: - Disaster Preparedness - from local to national level the Experience of the Emergency Clinical Hospital – Bucharest -Education and training: Background and Motivation in Bls Training for Medical Students-Iasi Sectiunea de Telemedicina din cea de-a IIIa zi de prezentari a fost dominata de prezente romanesti. Au fost prezentate trei lucrari: “The design of telemedicine system in emergency care in Romania.Why did we do it?and haw did we do it?”- Dr.Raed Arafat, “Telemedicine use in emergency departments in Romania”-Dr. Cristian Boeriu si Telemedicine in prehospital emergency care and real time distance monitoring” –Dr.Laura Balinca. In cadrul acestor lucrari a fost prezentat sistemul de telemedicina din Romania ( implementat cu succes in august 2009) special creat pentru rezolvarea in timp real a cazurilor de urgente din spitalele care nu au dotarea tehnica sau specialistii necesari. Sistemul deserveste 7 judete (Alba, Brasov, Bistrita-Nasaud, Covasna, Harghita, Mures, Sibiu) si are conectate un numar de 40 spitale ce transmit date catre echipa SMURD din incinta Unitatii de Primiri Urgente a Spitalului Clinic Judetean de Urgenta Targu-Mures. Rolul de moderator al acestei sectiuni a revenit domnului Dr.Raed Arafat- trezorier al Societatii Europene de Medicina de Urgenta. A IIIa zi de congres a cupris ultima sesiune de postere cu urmatoarele sectiuni: -informative technology:- The role of contrast-enhanced transabdominal ultrasound (CEUS) in the evaluation of the severity of acute pancreatitis in emergency department(ED)- - legislation: Is necessary to have a “do not resuscitate” (DNR) code adopted from Ministry of Health and applied in emergency system in Romania? -Pre-hospital / EMS /Out of Hospital: The results of the First Responder- EMT’s refresher exam in Romania -Targu-Mures -Telemedicine: The Role of Telemedicine System in Emergency Departments in Region 7 Centru “Romania- Targu-Mures; The Role of Prehospital Telemedicine System in Mures County-Romania- Targu-Mures -Toxicology: Clinical Correlations for the Patients with Ethnobotanics Plants in the Emergengy Department in North- Eastern Romania - Iasi -Trauma: Spinal vertebral trauma- Timisoara: -Other: Romanian national triage protocol. One year experience-Targu Mures Ultima zi de prezentari stiintifice a fost deschisa de Conf. Dr. Diana Cimpoesu cu lucrarea “The AH1N1 influenza Medical answer from Emergency Medicine in Romania”.A fost prezentata problema cu care Romania, si in special zona de nord-est s-a confruntat, intr-o sectiune care a reunite prezentari pe tema urgentelor infectioase din Spania, Franta, Grecia si Japonia. Si in cadrul sectiunii Education and Training am fost prezenti prin “ National first responder instructor . Refreshing exam in Romania” lucrare prezentata de unul din membrii echipei nationale de evaluare a instructorilor din cadrul IGSU - Hajnal Vass- Targu Mures.

Source: http://smucr.ro/images/participare_romaneasca.pdf

Department of family medicine

Department of Family Medicine George Provincial Hospital January 2009 Guidelines for patients needing Urology services in the Eden – Karoo districts It is important to take note that there is no state Urologist in the Southern Cape – Karoo districts. Family Medicine serves as a buffer for this service, but patients needing surgical procedures beyond the 10 minor Urology proce

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“Not being able to go home after • Postpoliosyndrome , after polio-infection 1945, weakness left • Mammacarcinoma 1988: mamma-amputation and post-• Medication: carbaspirin calcium, metformin, simvastatin, • Mobility: did walk with rollator outdoors for longer distances • Personal care: independent; shopping with neighbor/children; • Relations/occupancy: divorced in 1988, two

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