Emergency-a nunna chhanhimtu doctor-te: Trauma Surgeon chu tu nge ni?

Kan zingah hian accident hi kan duh lo a ni lawm ni? Mahse beisei loh hun laia accident a thlen chuan kan nunna chhanhim tura specialist doctor pawl an awm a. Chu chu trauma surgeon kan tih te chu an ni . He thuziakah hian heng Doctor te hi tute nge an nih te, eng nge an tih te, kan nun atana an pawimawh zia te kan sawi dawn a ni.

Trauma Surgeon chu tu nge ni?

A awlsam zawngin sawi ila, `(Trauma Surgeon)` hi doctor thiam tak a ni a, hliam na tak leh nunna atana hlauhawm thei damdawi emergency surgery a ti thin. Ngaihtuah teh, accident lian tak i tawk a, hliam na tak i tuar a nih chuan he `(Trauma Surgeon)` hi i enkawltu medical team hruaitu a ni. He team-ah hian ``Critical Care`` unit-a thawktute, surgical specialist dangte, etc. te pawh an tel thei a, operation hnua i dam leh dan enfiah leh i chhungkaw doctor (`Primary Care Physician`) nena inremna siam hi an mawhphurhna a ni bawk. A chang chuan heng doctor te hi ``Acute Care Surgeon`` emaw ``Critical Care Surgeon`` emaw an ti bawk.

Heng specialist-te hian hliam leh natna an enkawl berte chu engte nge ni?

Kum tin khawvel hmun hrang hrangah mi maktaduai tam takin accident-ah hliam an tuar a, damdawi in emergency department-ah an tawp thin tih i hria em? Hetiang dinhmun hi Sri Lanka-ah pawh a danglam bik lo. Heng ``Trauma Surgeon`` te hi hliam chi hrang hrang enkawl tura zirtir ni mahse, an tawn tam ber leh enkawl tam ber natna tlemte a awm a:

Blunt Force Trauma tihna a ni

Hengte hi thil pakhatin na taka a rawn deng che (`Blunt Force Trauma`) a hliam a ni. Car accident emaw, hmun sang atanga tlu emaw, i taksa chunga thil rit tak tla emaw ang chi thilte hi ngaihtuah la. Heng hun lai hian emergency surgery a ngai fo thin. A chhan chu a chhung lam a chhiatna chu pawn lam atanga a lan aiin a na zawk thei a ni.

Trauma luhchilh thei

Hei hi thil nalh tak tak vun chhunga lut a, taksa chhunga lut (`Penetrating Trauma`) avanga hliam a ni. Entirnan, silai kah hliam, chemte emaw, ralthuam dang emaw hmanga hliam emaw, thil hrual emaw hmanga tlan luh emaw te hi a ni. Chutiang hliamah chuan thisen chhuah chu tihtawp thuai a, chhungril taksa peng hrang hrang a chhiat leh chhiat loh enfiah a pawimawh hle.

Kangmei Hliam

Heng doctor-te hian kangmei, tui lum, leh steam (`thermal burns`) avanga kang na tak chu an enkawl thin. Tin, chemical hmanga kang (`chemical burns`), meikhu rimchhia inhnim avanga lung chhiatna, leh khawsik lutuk vanga vun leh tissue thihna `frostbite` te pawh an enkawl bawk.

Emergency General Surgery leh Critical Care te a awm bawk

Mi tam tak `(Trauma Surgeon)` leh midangEmergency surgery-ah pawh an inhmang nasa hle. Entirnan, nunna atana hlauhawm tak tak, bowel obstruction ang chi te tan surgery an ti thei a ni. Damdawi ina i awm tawh laia natna khirh tak tak lo awm, sepsis (thisen rimchhia avanga natna khirh tak), thawkna lama harsatna, emaw, taksa peng hrang hrang lama harsatna te enkawlnaah pawh an pui thei bawk.

Heng doctor-te hian emergency treatment leh surgery an tih tam berte chu engte nge ni?

Accident a thlen chuan ``Trauma Surgeon`` chuan nunna chhanhimna tur enkawlna leh surgery hrang hrang a ti thin a, amah chauhin emaw, specialist dangte nen thawhhona tha tak neiin emaw a ti thin. Chung zinga ṭhenkhat chu:

• Emergency Thoracostomy: He procedure (`Emergency Thoracostomy`) hi i rilru chhung (lungs vel) thisen a khat emaw, lung pakhat a tlakchhiat thut (`Lung Collapse`) emaw a nih chuan tih theih a ni. Hei hian rilru vunah te tak te siam a, ``Chest Tube``, tube dah a, chuta tang chuan thisen emaw boruak emaw lakchhuahna a ni.
• Emergency Thoracotomy: Hei hi surgery lian tak a ni. Chhung hliam na tak, nunna atana hlauhawm tak tan emaw, rilru hliam dang tan emergency procedure atan emaw tih a ni. A rilru a hawng a, a taksa peng chhia te chu siamthat a ni.
• Emergency Laparotomy: Hei hian i pum lai tak chu vertical cut down (`Emergency Laparotomy`) a ni. Hei hi pum hliam na tak enkawlna atan te, chhungril thisen chhuah tihtawp nan te, emergency appendectomy tihnaah te pawh tih theih a ni.
• Thisen chhuah tam lutuk leh hliam control: Silai kah hliam, hliam tuar emaw, thil hrual emaw ang chi thil avanga vun chhunga lut leh thisen chhuak tam lutuk hian heng doctor-te hna ber pakhat chu thisen chhuahna control a, hliam tihfai, a tul chuan stitch hi a ni
• Neurosurgery thawhhona: Trauma surgeon te hian neurosurgeon te nen thawhhona tha tak an nei fo thin a, a bik takin lu hliam, subdural hematomas leh traumatic brain injuries te enkawl nan an thawk dun fo thin.

Engtin nge mi pakhat chu Trauma Surgeon a nih theih ang?

Hetiang specialist nih hi thil awlsam a ni lo. Thawhrimna tam tak, inpekna leh hun rei tak zirna a mamawh a ni. Entirnan, America ang ramah chuan ``Trauma Surgeon'' nih hi kum 13 atanga kum 15 vel zirna a ngai tlangpui. Hei hian a huam tel a ni:

• Kum li chhung zet basic science degree a nei.
• Kum li chhung zet medical school zirna (medical degree) a ni.
• Kum nga chhung residency program a ni. Hemi chhung hian an training tam zawk chu general surgery-ah an dawng thin.
• Chumi hnuah kum khat emaw kum hnih emaw chhung special training program (`Fellowship Program`) neih a ni. Hei hi `Critical Care` leh `Trauma` lama thiamna leh training i neihna hmun a ni.
• A châng chuan he residency training hun chhung hian kum khat atanga kum thum chhung chu medical research-ah pawh i tel ve a ngai thin.

Chu mai ni lovin, a kaihhnawih ram medical licensing exam (`US Medical Licensing Examination` ang chi) te pawh an pass a ngai a ni. Tin, specialized medical board (`American Board of Surgery` ang chi) atanga `Surgical Critical Care` lama general surgical certificate leh subspecialty certificate an lak a ngai bawk.

Trauma surgeon thenkhat chuan mass casualty incidents , chu chu thil thleng pakhata mi tam takin hliam an tuar (e.g., bomb puak, natural disaster na tak, car accident lian tak) enkawlna kawngah training dang an dawng bawk.

General Surgeon leh Trauma Surgeon te hi eng nge an danglamna?

Hei pawh hi mi tam takin an zawh thin a ni. `(Trauma Surgeon)` zawng zawng hi a hmasa berah chuan general surgeon an ni. Chu chu general surgery lama basic training an dawng tawh tihna a ni. Mahse a danglamna ber chu `(Trauma Surgeon)` hian critical care leh trauma chungchangah special training (`Fellowship`) a dawng bawk a, chumi atan chuan `Surgical Critical Care Certification` a hmu bawk. Chuvangin, emergency, nunna atana hlauhawm hliam enkawlna kawngah theihna bik an nei a ni.

Trauma center leh hospital pangngai hi eng nge an danglamna?

`(Trauma Center)`, chu chu emergency-a specialized treatment center tihna a ni a, damdawi in pangngai nen chuan a danglam deuh hlek a ni. A bulpui ber chu `(Trauma Center)` pakhatah hian medical staff bik training nei a awm a, chutah chuan specialist `(Trauma Surgeon) pawh a tel a, chu chu nitin darkar 24 chhung, kar khatah ni 7 chhung koh theih a ni. Tin, heng center-ah hian accident tawk tawhin a mamawh zawng zawng an nei vek a, chu chu `state-of-the-art` hmanrua te, thisen dahna hmun te, emergency operation room te, etc. Sri Lanka ramah pawh hetiang damdawi in lianah hian emergency unit te pawh hi level sang takah an thawk bawk.

Heng doctor te hian hliam tinreng an zai em? Anmahni chauhin hna an thawk em?

Trauma surgeon te hi medical team lian takah chuan an pawimawh hle.Neurosurgeon leh orthopaedic surgeon te nen an thawk dun fo thin a, a chhan chu accident na tak a awm chuan thluak, ruhro emaw ruh emaw a chhe thei a ni. Chutiang hunah chuan a kaihhnawih specialist-te puihna a pawimawh hle. Emergency room-a doctor, nurse leh health worker dangte nen pawh hliam na tak tuar te enkawl turin an thawk ho bawk. Hei hian team effort a ni tihna a ni.

A tawp berah chuan hriat reng tur pawimawh ber

Kan zingah tumahin nunna atana hlauhawm natna avanga accident tawk emaw, emergency treatment mamawh emaw kan beisei lo. Mahse, beisei loh takin kum tin mi maktaduai tam takin heng thilte hi an tawk a, hmanhmawh taka `Critical Care` an mamawh a ni.

Hetiang hun lai hian nunna leh thihna indonaah hian heng ``Trauma Surgeon'' te hi nunna chhanhim tura hmatawngah an awm thin.

Training bik an nei a, tawnhriat hlu tak an nei bawk. Nunna atana hlauhawmna chi hrang hrang rang takin an hre thei a, a tul anga enkawlna leh zai an ti thei bawk. Nangmah emaw, i hriat mi emaw chuan emergency surgery a mamawh ngai a nih chuan, i trauma surgeon, doctor dangte nen, i dam leh hma loh chuan enkawltu tur team an ni ang. Chuvangin heng doctor-te rawngbawlna hi a hlu tak zet a ni. Kan khawtlang huapa pasalṭha hla phuah loh ang mai an ni.

` Accident, Surgeon, Trauma Surgeon, Emergency Treatment, Hliam, Surgery, Lifeguard te