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Artūras Zubrickas, an orthopedic-traumatologist with a short experience in the Emergency Department of the Vilnius University Republican Hospital (RVUL), says there are several reasons that influence the increase in the number of injuries. However, most patients are always expected when the weather warms up.
“Only the weather improves, the flows increase in geometric progression,” says the doctor. And if a sunny weekend is long, the doctors barely manage to turn.
On a Saturday in June, 150 people with different injuries came to the Emergency Department. Of these, 18 were hospitalized. The orthopedist says that working with a patient takes 10 minutes to an hour, sometimes even one and a half. Therefore, rest is never.
In the first half of June, 4,669 patients had already requested the RVUL emergency service, including 1991 for injuries. There were slightly fewer patients in May.
A knife, an angle grinder, and a lawn mower are the doctor’s greatest “enemies”.
More injuries are expected this year.
During the summer, injuries increase due to human activity. The streets are full of bicycles, scooters, motorcycles, and the allowed speed increases. Therefore, arm and leg fractures, ankle ligaments, sprains or tears of knee ligaments, contusions predominate.
The doctor says that people are often injured while working in the field. “A knife, an angle grinder, and a lawn mower,” he calls out people’s biggest “enemies”.
“During the quarantine, people also began to deal with culinary matters, buying sharper tools, grinders and knives,” says the orthopedist. – Such domestic life. It even damages the lids, the tears open and the cuts on the finger. ”
Although there were up to a third fewer patients during the quarantine, they now need to be “returned with a battery,” says the doctor. You don’t expect the load to decrease, it can only increase. The whole summer is intense and you can only relax in the fall.
“There will definitely be a lot this year, because some people went abroad all the time to go on vacation.” This year, there will be fewer opportunities to travel and take all kinds of leisure trips. Beneath the traffic jams you can see that there are people left in the city. According to the population, that percentage of injuries will be somewhat higher, “thinks A. Zubrickas.
He notes that it is during the holiday season, especially if alcohol is consumed, that the risk of injury increases significantly.
Queues are inevitable, but people are more aware
When asked if patients should wait in lines, the doctor says he falls, but everyone receives help without exception.
Patients who arrive for emergency care are first registered and then assigned to the emergency care category, says A. Zubrick. If it is an accident, without assistance within 48 hours, the patient may remain disabled.
Therefore, even after their shift, some wounded have to wait longer for a patient who came later but suffered more severe trauma.
One couple, three year wait time was up to 7 hours. This is not the case now.
If a large number of patients arrive at the same time, and most of them are injured, there is a lack of orthopedists, resources, premises and support personnel. However, efforts are still being made to ensure that the incoming patient does not wait more than one hour.
“The waiting time for a couple, three years, was up to 7 hours. This is not the case now. We try to keep up to date, because the administration’s requirement is really strict: “You must do what you want, but you must follow the order of the minister.”
I agree with that, there is an order, you have to obey it, but there are situations in which a large number of patients cannot do anything, ”says A. Zubrick about the daily routine of emergency care.
However, the 15-year-old doctor in the room is glad that residents are more aware. He says that after waiting a few hours before, people were in a hurry to write complaints, looking for the head of the department, the administration. But now they are less common.
He believes that people trust, he knows that fate will not be left. “In any case, even those who are not receiving the help they need are still being consulted, explaining what to do. They are not thrown out the door, ”he says.
Quarantine echoes: increased internal conflicts
Talking about the quarantine period, the doctor emphasizes two essential things: the increase in domestic conflicts and the exacerbation of chronic diseases.
“Conflicts have increased. Domestic alcoholism worsened, there were more drunk patients. Violence has increased by approximately 10 percent. No one goes anywhere, lives together, is confused,” the doctor opens the quarantine wounds.
Conflicts have increased. Domestic alcoholism worsened, there were more drunk patients.
However, he also noted that people were afraid to call an ambulance, often thinking that the department was not working during the quarantine. As a result, residents now turn to the emergency department, even for chronic illnesses, because access to their doctors is not always possible and the pain is excruciating.
He says remote quarantine counseling, which was conducted primarily by family doctors, is welcome. However, there are also cases in which the disease or injury is not detected remotely, which has long-term consequences.
“The young man turned his leg, played sports, called the phone and finally took a photo of his member and treated him remotely for a week, two or three. The situation has worsened, the orthopedist shares the specific case.” Finally, When it was applied, he had a ruptured Achilles tendon and now he will need reconstruction surgery. “
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