Imajin se yu de waka na rod ɛn wantɛm wantɛm big aksidɛnt apin... Panik de ɔlsay... Pipul dɛn de ala... Na da tɛm de, wan ambulans kam ɛn kɛr yu go kwik kwik wan na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU). Na de, wan tim de we gɛt dɔktɔ dɛn we de fɛt fɔ sev yu layf, sɛkɔn bay sɛkɔn. Di lida fɔ da tim de, dat na di pɔsin we de mek di impɔtant disizhɔn dɛn bɔt yu layf da tɛm de, na di ‘Trauma Surgeon’ we wi go tɔk bɔt.
Fɔ tɔk am simpul wan, udat na dis Trauma Surgeon?
Fɔ tɔk am simpul wan, Trauma Surgeon na spɛshal pɔsin we kin du imejensi ɔpreshɔn fɔ trit siriɔs injury dɛn we kin mek pɔsin in layf de pan denja afta aksidɛnt.
If yu gɛt siriɔs aksidɛnt, dis dɔktɔ go lid di wan ol mɛdikal tim we go trit yu na ɔspitul. Dis tim kin gɛt di wan dɛn we de kia fɔ di wan dɛn we sik bad bad wan, ɔda pipul dɛn we sabi bɔt ɔpreshɔn, ɛn di nɔs dɛn. Di dɔktɔ we de mɛn yu trauma na di wan we de kɔdinɛt yu ɔl di kia we yu de kia fɔ afta yu dɔn ɔpreshɔn, ɛn mek shɔ se ɔltin de go fayn. Sɔntɛnde dɛn kin kɔl dɛn dɔktɔ ya bak ‘acute care surgeons’ ɔ ‘critical care surgeons’. Dɛn ɔl min di sem tin.
Wetin na di men injury dɛm wae Trauma Surgeon kin trit?
Aksidɛnt nɔto di tin dɛn we wi kin tink bɔt. Ɛvri ia, bɔku bɔku pipul dɛn kin wund ɛn dɛn kin dɔn na ɔspitul. Wan Trauma Surgeon gɛt bɔku ɛkspiriɛns wit bɔku bɔku injury dɛn. Lɛ wi tek wan luk pan de kayn injury wae dɛn kin trit pasmak.
| Tayp fɔ Injuri | Wetin dat jɔs min? | Ɛgzampul dɛn frɔm wi layf |
|---|---|---|
| Blunt Fos Trauma we yu de yuz | Ivin if di skin nɔ brok, if pɔsin blo am bad bad wan, i kin mek di ɔgan dɛn we de insay di bɔdi (lɛk di liva, di splin, di lɔng dɛn) pwɛl bad bad wan. | - Trak aksidɛnt (bayk, tri-wil, motoka aksidɛnt) - Fɔdɔm frɔm ayt (tri, bildin) . - Wan had bamp ɔ blo. |
| Trauma we de go insay pɔsin in bɔdi | Shap tin we de kɔt di skin ɛn go insay di bɔdi, we de pwɛl di ɔgan dɛn we de insay. | - Wan wund we dɛn chuk am wit chukchuk - Wan gɔn shot - Stab sɔntin lɛk shap ayɛn stik - Fɔdɔm pan sɔntin we shap. |
| Bɔn Injuri dɛn | Siriɔs damej pan di skin ɛn di tisu dɛn we de ɔnda am bikɔs ɔf faya, ɔt pasmak, ɔ kemikal. | - Bɔn frɔm faya, ɔt wata ɔ ɔyl - We yu de pan kεmikכl lεk asid - Fɔ mek yu gɛt kol pasmak (frɔstbayt) . |
| Ɔda Imejɛnsi Ɔpreshɔn (Imejɛnsi Jɛnɛral Ɔpreshɔn) . | Ɔda mɛrɛsin dɛn we kin mek pɔsin in layf de pan denja we kin apin we nɔ gɛt ɛni denja, bɔt we kin apin wantɛm wantɛm. | - Di bɔdi we de ambɔg di bɔdi - Sivεr infεkshכn we de spre כlsay na di bכdi (Sepsis) . - Di we aw pɔsin de blo fayn - Ɔgan we nɔ de wok we yu de na ɔspitul |
Wetin na di kɔmɔn ɔpreshɔn ɛn prɔsidyu dɛn we dɛn dɔktɔ ya kin du?
Trauma Surgeon nɔ de wok in wan. Bɔku tɛm dɛn kin wok wit ɔda spɛshal pipul dɛn fɔ sev pipul dɛn layf. Na sɔm pan di tin dɛn we dɛn kin du:
- Imejɛnsi Thoracostomy: Dis kin min fɔ put wan tiub insay di chɛst. Imajin se yu chɛst dɔn ful-ɔp wit blɔd ɔ yu lɔng dɔn fɔdɔm bikɔs ɔf aksidɛnt. Yu nɔ ebul fɔ blo, ɛn yu layf de pan denja. Dɛn kin put dis tiub fɔ mek di blɔd ɔ di briz kɔmɔt.
- Emergency Thoracotomy: Dis na sɔntin we ivin big pas dat. Na big ɔpreshɔn we dɛn kin du bay we dɛn opin di chɛst as las-ditch ɛfɔt fɔ sev layf we di at de kam fɔ stɔp bikɔs ɔf injuri na in chɛst.
- Imejɛnsi Laparotomy: Dis na fɔ mek big say na di midul pat na di bɛlɛ fɔ chɛk ɛn mek ɛnitin we dɔn pwɛl pan di ɔgan dɛn we de insay di bɛlɛ (lɛk di insay, di liva, ɛn di bɛlɛ). Dis kin ivin bi pan kes dɛm lɛk imejensi ɔpreshɔn fɔ apɛndiks.
- Blɔd pasmak ɛn kɔntrol wund:Dɛn men wok na fɔ stɔp di blɔd we de kɔmɔt pasmak, klin di wund, ɛn mek di blɔd vesel ɛn tisu dɛn we dɔn pwɛl if dɛn chuk am ɔ shot am.
- Fɔ wok wit ɔda spɛshal pipul dɛn:
- If damej de na di bren ɔ spayna, dɛn kin wok wit nyurosɔjɔn dɛn.
- If bon dɛn brok, dɛn kin wok wit ɔtpidik ɔpreshɔn fɔ trit dɛn.
Nɔn pan wi nɔ de tink se aksidɛnt go apin. Bɔt if wan apin, insay dɛn impɔtant minit dɛn de bitwin layf ɛn day, di Trauma Surgeon na di lida we de fɛt fɔ sev yu layf.
Wetin na di difrɛns bitwin Trauma Surgeon ɛn General Surgeon?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Di ansa rili simpul.
Ɛvri Trauma Sɔjɔn na Jɛnɛral Sɔjɔn. Dat min se dɛn dɔn dɔn di bɛsis trenin fɔ jenɛral ɔpreshɔn, lɛk ɔpreshɔn fɔ bɛlɛ ɛn fɔ sutura wund.
Bɔt, wan Trauma Surgeon kin go fa fawe ɛn i kin gɛt ɔda wan ɔ tu ia spɛshal trenin (fellowship program) fɔ kia fɔ pipul dɛn we sik ɛn trauma . We dɛn de tren dɛn, dɛn kin lan aw fɔ disayd kwik kwik wan ɛn manej kɔmpleks injuri dɛn we dɛn kin gɛt na di sem tin dɛn we kin mek dɛn layf de pan denja, we dɛn kin gɛt prɛshɔn.
Jɔs lɛk aw jenɛral dɔktɔ kin bi dɔktɔ we de mɛn pikin dɛn, na so wan jenɛral dɔktɔ kin bi dɔktɔ we de mɛn pipul dɛn we gɛt trauma.
Wetin na di difrɛns bitwin Trauma Senta ɛn ɔspitul ɔltɛm?
Trauma sɛnta na ɔspitul ɔ spɛshal yunit na ɔspitul we gɛt spɛshal tin fɔ trit pasɛnt dɛn we dɔn gɛt siriɔs injury. Di men difrɛns ya frɔm ɔspitul we dɛn kin gɛt ɔltɛm na di we aw dɛn kin pripia .
Wan Trauma Senta gɛt wan tim fɔ spɛshal pipul dɛn we de kɔl 24 awa insay di de, 7 dez insay di wik , we rɛdi fɔ dil wit ɛni imejensi. Dis min se wan Trauma Surgeon, wan Anaesthetist, spɛshal tren nɔs dɛm, ɛn ɔl di ikwipmɛnt dɛm we nid (CT skan, blɔd bank, ɔpreshɔn rum) rɛdi fɔ yuz ɛni tɛm.
Insay Sri Lanka, big big ɔspitul dɛn lɛk di Nashɔnal Ospital na Kɔlɔmbɔ, Kandy, ɛn Karapitiya gɛt ay-lɛv trauma savis. If dɛn kɛr yu go na ples we gɛt dɛn kayn tin dɛn de if aksidɛnt apin, chans de fɔ mek yu gɛt di bɛst tritmɛnt we yu nid kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Trauma Surgeon na spɛshal dɔktɔ we de trit imejensi we kin mek pɔsin in layf de pan denja lɛk motoka aksidɛnt, fɔdɔm, wund we pɔsin chuk, ɛn bɔn.
- We dɛn kɛr yu go na di Imejɛnsi Tritmɛnt Yunit (ETU), di lida fɔ di mɛdikal tim we de trit yu kin bi Trauma Surgeon.
- Ɛvri Trauma Surgeon na fɔs Jɛnɛral Surgeon, ɛn afta dat dɛn kin gɛt spɛshal trenin fɔ imejensi ɛn intensiv kia.
- Dɛn kin wok klos wit ɔda spɛshal pipul dɛn fɔ trit dɛn bren, bon, ɔ ɔda patikyula injury dɛn.
- Trauma Senta na ɔspitul we spɛshal fɔ trit siriɔs injury 24 awa ɛvride, we go mek di chans fɔ sev yu layf bɔku.
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