Dɔktɔ dɛm wae de sev layf pan imejensi: Udat na Trauma Surgeon?

Nɔn pan wi nɔ lɛk aksidɛnt, nɔto so? Bɔt if aksidɛnt apin di tɛm we wi nɔ bin de tink, wan grup de we gɛt spɛshal dɔktɔ dɛn we de de fɔ sev wi layf. Na dɛn wan dɛn de wi kin kɔl trauma surgeons . Insay dis atikul, wi go tɔk bɔt udat na dɛn dɔktɔ ya, wetin dɛn de du, ɛn aw dɛn impɔtant to wi layf.

Udat na Trauma Surgeon?

Fɔ tɔk am simpul wan, `(Trauma Surgeon)` na dɔktɔ we gɛt bɔku sɛns ɛn we de du imejensi ɔpreshɔn fɔ siriɔs injuri ɛn imejensi mɛdikal kɔndishɔn we kin mek pɔsin in layf de pan denja. Imajin, if yu gɛt big aksidɛnt ɛn yu gɛt siriɔs injuri, dis `(Trauma Surgeon)` na di lida fɔ di mɛdikal tim we de tek kia ɔf yu. Dis tim kin inklud di wokman dɛm na di ``Kritikal Keya`` yunit, ɔda ɔspitul spɛshal pipul dɛm, ɛn ɔda tin dɛm.Na dɛn wok bak fɔ chɛk aw yu wɛl afta dɛn dɔn du yu ɔpreshɔn ɛn kɔdinɛt wit yu famili dɔktɔ (`Praymari Keya Dɔktɔ`). Sɔntɛnde dɛn kin kɔl dɛn dɔktɔ ya bak ``Acute Care Surgeon`` ɔ ``Critical Care Surgeon``.

Wetin na di men injury ɛn sik dɛm wae dɛn spɛshal pipul ya kin trit?

Yu no se ɛvri ia, bɔku bɔku pipul dɛn ɔlsay na di wɔl kin wund we aksidɛnt apin ɛn dɛn kin dɔn na ɔspitul imejensi dipatmɛnt dɛn? Dis tin we de apin nɔ difrɛn na Sri Lanka. Pan ɔl we dɛn tren dɛn ``Trauma Surgeons`` ya fɔ trit bɔku difrɛn injury dɛm, sɔm kɔndishɔn dɛn de we dɛn kin mit ɛn trit mɔ:

Blunt Fos Trauma we yu de yuz

Dis na injuri wae kin apin we sɔmtin hit yu bad bad wan (`Blunt Force Trauma`). Tink bɔt tin dɛn lɛk motoka aksidɛnt, fɔdɔm frɔm ayt, ɔ ebi ebi tin we fɔdɔm na yu bɔdi. Dis na di tɛm dɛn we dɛn kin nid fɔ du ɔpreshɔn kwik kwik wan. Na bikɔs di damej we de insay kin rili siriɔs pas aw i tan na do.

Trauma we de go insay pɔsin in bɔdi

dis na injuri we de kכz fכ sכmtin we shap we de go insay di skin εn go insay di bכdi (`Penetrating Trauma`). Sɔm ɛgzampul dɛn na fɔ wund gɔn, wund we pɔsin chuk wit nɛf ɔ ɔda shap wɛpɔn, ɔ we pɔsin rɔn go insay wit sɔntin we shap. Insay dɛn kayn injury ya, i rili impɔtant fɔ stɔp di blɔd kwik kwik wan ɛn chɛk fɔ si if di ɔgan dɛn we de insay di bɔdi dɔn pwɛl.

Bɔn Injuri dɛn

Dɛn dɔktɔ ya kin trit bad bad bɔn we faya, ɔt wata, ɛn stim (`thermal burns`) kin kam wit. Dɛn kin trit bak bɔn we kemikal kin mek (`kɛmikal bɔn`), di lɔng we kin pwɛl we pɔsin inhal pɔyzin fum, ɛn `frɔstbayt`, we na di day we di skin ɛn tisu kin day bikɔs ɔf kol pasmak.

Imejɛnsi Jɛnɛral Sɔjri ɛn Kritikal Keya

Bɔku `(Trauma Surgeon)` ɛn ɔda wan dɛnDɛn kin involv bak fɔ du ɔpreshɔn we dɛn kin du kwik kwik wan. Fɔ ɛgzampul, dɛn kin du ɔpreshɔn fɔ tin dɛn we kin mek dɛn layf de pan denja lɛk we dɛn bɔdi kin stɔp. Dɛn kin ɛp bak fɔ trit siriɔs sik dɛn we kin kam we yu dɔn ɔlrɛdi de na ɔspitul, lɛk sepsis (siriɔs infɛkshɔn we kin kam wit blɔd pɔyzin), we yu nɔ ebul fɔ blo fayn, ɔ we yu ɔgan dɛn nɔ de wok fayn.

Wetin na di imejensi tritmɛnt ɛn ɔpreshɔn dɛn we dɛn dɔktɔ ya kin du?

If aksidɛnt apin, ``Trauma Surgeon`` kin du difrɛn tritmɛnt ɛn ɔpreshɔn dɛn we de sev layf, i kin du in wan ɔ i kin wok wit ɔda spɛshal pipul dɛn. Sɔm pan dɛn na:

• Imejɛnsi Tɔrɔkostomi: Dɛn kin du dis prɔsidyu (`Imejɛnsi Tɔrakostomi`) if yu chɛst kaviti (arawnd di lכng) ful-ɔp wit blɔd ɔ if wan lכng fɔdɔm wantɛm wantɛm (`Lung Kɔlaps`). dis involv fכ mek sכm sכm pat na di skin na di chεst εn put wan ``Chεst Tiub``, we na tכb, we dεn de kכmכt blכd כ briz tru.
• Imejɛnsi Thoracotomy: Dis na big ɔpreshɔn. Dɛn kin du am fɔ siriɔs, layf-threating chɛst injury ɔ as imejensi prosidur fɔ ɔda chɛst injury. Dɛn kin opin di chɛst ɛn dɛn kin mek di ɔgan dɛn we dɔn pwɛl.
• Imejɛnsi Laparotomy: dis involv fɔ mek wan vertikal kɔt dɔŋ di midul pan yu bɛlɛ (`Emergency Laparotomy`). Dɛn kin du dis fɔ trit pɔsin we gɛt siriɔs injuri na in bɛlɛ, fɔ stɔp di blɔd we de kɔmɔt insay di bɔdi, ɔ fɔ mek dɛn pul di apɛndiks kwik kwik wan.
• Blɔd we de kɔmɔt pasmak ɛn kɔntrol wund: We di skin go insay ɛn blɔd bɔku bikɔs ɔf tin dɛn lɛk wund we dɛn shot am, wund we dɛn chuk am, ɔ sɔntin we shap, wan pan di men wok dɛn we dɛn dɔktɔ ya kin du na fɔ kɔntrol di blɔd, klin di wund, ɛn stich am if nid de .
• Nyurosɔjri Kɔlabɔreshɔn: Bɔku tɛm, di dɔktɔ dɛn we de mɛn pipul dɛn we gɛt trauma kin wok togɛda wit di dɔktɔ dɛn we de mɛn pipul dɛn we gɛt sik, mɔ fɔ trit di wan dɛn we gɛt ed injury, lɛk di sabdural hematomas ɛn di wan dɛn we gɛt traumatik na di bren.

Aw pɔsin kin bi Trauma Surgeon?

Fɔ bi spɛshal pɔsin lɛk dis nɔ kin izi. I nid fɔ wok tranga wan, fɔ gi in layf to Jiova, ɛn fɔ lan buk fɔ lɔng tɛm. Fɔ ɛgzampul, na kɔntri lɛk Amɛrika, fɔ bi ``Trauma Surgeon'' kin tek lɛk 13 to 15 ia fɔ lan buk. Dis inklud:

• Wan besik sayɛns digri fɔ 4 ia.
• Wan 4 ia mɛdikal skul ɛdyukeshɔn (mɛdikal digri).
• Wan program fɔ fayv ia fɔ de na di kɔntri. Insay dis tɛm, dɛn kin gɛt bɔku pan dɛn trenin fɔ du jenɛral ɔpreshɔn.
• Dis kin fala wan ɔ tu ia spɛshal trenin program (`Fellowship Program`). Dis na di say we yu kin gɛt ɛkspɛriɛns ɛn trenin pan `Kritikal Keya` ɛn `Trauma`.
• Sɔntɛnde, insay dis rɛzidɛns trenin tɛm, yu kin gɛt fɔ du mɛdikal risach bak fɔ wan to tri ia.

Nɔto dat nɔmɔ, dɛn fɔ pas di mɛdikal laysens ɛgzam dɛn na di kɔntri we gɛt fɔ du wit am (lɛk di `US Mɛdikal Laysens Ɛgzam`). Dɛn fɔ gɛt bak jenɛral ɔspitul sɛtifiket ɛn sabspɛshal sɛtifiket insay `Sɔj Kritikal Keya` frɔm spɛshal mɛdikal bɔd dɛn (lɛk di `American Board of Surgery`).

Sɔm trauma sajin dɛn kin gɛt ɔda trenin bak fɔ trit mas casualty incidents , dat na, we bɔku pipul dɛn kin wund pan wan insidɛnt (e.g., bɔm bɔm, bad bad natura disasta, big motoka aksidɛnt).

Wetin na di difrɛns bitwin Jɛnɛral Sɔjɔn ɛn Trauma Sɔjɔn?

Dis na kwɛstyɔn bak we bɔku pipul dɛn kin aks. Ɛvri `(Trauma Surgeon)` na fɔs ɛn fɔs wan jenɛral sajin. Dat min se dɛn dɔn gɛt di bɛsis trenin fɔ du jenɛral ɔpreshɔn. Bɔt di men difrɛns na dat `(Trauma Surgeon)` dɔn gɛt spɛshal trenin (`Fellowship`) bak pan kritikal kia ɛn trauma, ɛn i dɔn gɛt `Surgical Critical Care Certification` fɔ dat. So, dɛn gɛt spɛshal abiliti fɔ trit imejensi, layf de pan denja injury.

Wetin na di difrɛns bitwin trauma sɛnta ɛn ɔspitul ɔltɛm?

`(Trauma Center)`, dat na, spɛshal tritmɛnt sɛnta fɔ imejensi, na ples we difrɛn smɔl frɔm ɔspitul we dɛn kin yuz ɔltɛm. Di men tin na dat wan `(Trauma Center)` gɛt spɛshal tren mɛdikal staf, inklud wan spɛshal `(Trauma Surgeon), we dɛn kin kɔl 24 awa insay di de, 7 dez insay di wik. Dɔn bak, dɛn sɛnta ya gɛt ɔl wetin pɔsin we dɔn sɔfa wit aksidɛnt nid, lɛk `state-of-the-art` ikwipmɛnt, blɔd bank fasiliti, imejensi ɔpreshɔn rum, ɛn ɔda tin dɛn Na Sri Lanka, imejensi yunit dɛn na big ɔspitul dɛn lɛk dis de wok bak na wan rili ay levul.

Dɛn dɔktɔ ya kin ɔpreshɔn ɛni wund? Na dɛn wan de wok?

Di dɔktɔ dɛn we de mɛn pipul dɛn we gɛt trauma na impɔtant pat pan wan big tim we de mɛn pipul dɛn.Bɔku tɛm dɛn kin wok klos wit nyurosɔjɔn ɛn ɔtpidik ɔpreshɔn, bikɔs if siriɔs aksidɛnt apin, di bren, di spayna, ɔ di bon dɛn kin pwɛl. If na so i bi, di sɔpɔt we di spɛshal pipul dɛn we gɛt fɔ du wit di prɔblɛm de gi impɔtant. Dɛn kin wok bak wit dɔktɔ, nɔs, ɛn ɔda wɛlbɔdi wokman dɛn na di imejensi rum fɔ trit pipul dɛn we gɛt siriɔs injury. Dis min se na tim ɛfɔt.

Fɔ dɔn, di tin we impɔtant pas ɔl we wi fɔ mɛmba

Nɔn pan wi nɔ de tink se wi go gɛt aksidɛnt ɔ nid fɔ gɛt tritmɛnt kwik kwik wan fɔ sik we go mek wi day. Bɔt, we dɛn nɔ bin de ɛkspɛkt, bɔku bɔku pipul dɛn kin gɛt dɛn tin ya ɛvri ia, we kin nid fɔ gɛt `Kritikal Keya` kwik kwik wan.

Na tɛm lɛk dis, insay fɛt bitwin layf ɛn day, na dɛn ``Trauma Surgeons'' ya de na di fɔs layn fɔ fɛt fɔ sev layf.

Dɛn gɛt spɛshal trenin ɛn dɛn gɛt valyu ɛkspiriɛns. Dɛn kin no kwik kwik wan difrɛn kayn tin dɛn we kin mek dɛn layf de pan denja ɛn du di tritmɛnt ɛn ɔpreshɔn we dɛn nid. If yu ɔ pɔsin we yu sabi ɛva nid ɔpreshɔn kwik kwik wan, yu trauma sajin, wit ɔda dɔktɔ dɛn, go bi di tim we go kia fɔ yu te yu wɛl. Na dat mek di wok we dɛn dɔktɔ ya de du rili valyu. Dɛn tan lɛk di hiro dɛn we dɛn nɔ siŋ na wi sosayti.

` Aksidɛnt, Sɔjɔn, Trauma Sɔjɔn, Imejɛnsi Tritmɛnt, Injuri, Ɔpreshɔn, Layfgaad