https://journal.astes.org.al/index.php/AJTES/issue/feed Albanian Journal of Trauma and Emergency Surgery 2021-01-17T18:27:26+00:00 Agron Dogjani ajtes.editor@gmail.com Open Journal Systems <p><em><strong>Albanian</strong><strong> Journal of Trauma and Emergency Surgery</strong></em>&nbsp;<strong><em>(AJTES)</em></strong> is the official publication of the Albanian Society for Trauma and Emergency Surgery (ASTES) that comes out two times a year. <em>AJTES</em>&nbsp;is open access, peer-reviewed journal that aims to promote interest, knowledge, and quality of care in emergency and trauma surgery. Under the editorship of <em>Asc.&nbsp;Prof. Dr. Agron Dogjani,&nbsp;MD, Ph.D., FACS, FISS.<strong>&nbsp;</strong></em><em>AJTES</em><em>&nbsp;</em>provides an in-depth, national, and international forum for the most authoritative information on major clinical problems in the fields of trauma and emergency surgery, surgical education, and not only...&nbsp; Contributions are reviewed and selected by a group of distinguished surgeons from across Albania and worldwide as well who make up the Editorial Board.&nbsp;</p> <p><strong><em>ISSN:</em></strong> 2616-4922 <em><strong>(Online)</strong></em>; <em><strong>ISSN:</strong></em> 2521-8778 <em><strong>(Print)</strong></em></p> <p><a href="https://journal.astes.org.al/"><strong>https://journal.astes.org.al/</strong></a></p> <p><strong>Impact Factor - 0.847</strong></p> <p><strong>International License.</strong> CC BY-NC 4.0</p> https://journal.astes.org.al/index.php/AJTES/article/view/175 Politrauma, Challenges in Management 2021-01-17T18:27:26+00:00 Agron Dogjani agrondogjani@yahoo.com Arben Gjata arbengjata@msn.com Kastriot Haxhirexha dr.kastriot@gmail.com Sindi Shandro shandrosindi@gmail.com Seimir Laqja laqjaseimir@gmail.com <p><strong><em>Introduction;</em></strong> The University Hospital of Trauma, Tirana, Albania, is the only National</p> <p>referent center for trauma in Albania. As the primary care center for trauma, often operating over capacity of trauma patient, limiting access to Emergency surgical care for</p> <p>non-trauma patients. For non-traumatic surgical emergencies are instructions to inform the patient selection for transfer to another institution such as a University</p> <p>Hospital Center “Mother Theresa” in Tirana, Albania. Such decisions can be particularly</p> <p>difficult for severely ill patients when transferring benefits are uncertain.</p> <p><strong><em>Material and Methods:</em></strong> To point out the role of surgeons in different hospital levels, for transfer, we took a qualitative analysis of cases that are transferred from a regional or</p> <p>municipal hospital to the University Hospital of Trauma...</p> <p><strong><em>Results:</em></strong> Surgeons in the regional or municipal hospitals require transfer when the ability to care for the traumatized patient is limited by the lack of necessary staff or equipment, and when the needs of surgical treatment of patients or comorbid conditions are not available at the level local. Surgeons (non-primary centers) sometimes transfer patients who can be selected at home (second or third level hospitals ...) or with fatal safety progress, in order to try all treatment options or to satisfy families by thus reducing the possibility of benefiting from the treatment of other patients.</p> <p><strong><em>Conclusion:</em></strong> Decisions on the transfer of surgical patients are complex and require</p> <p>good recognition of traumatized patient assessment protocols, knowledge and capacity</p> <p>coordination both local and central as well as in logistics, personnel, and scientific and</p> <p>professional levels.</p> 2020-12-19T00:00:00+00:00 ##submission.copyrightStatement## https://journal.astes.org.al/index.php/AJTES/article/view/171 Advanced Trauma Life Support training. How useful it is? 2020-12-26T11:09:45+00:00 Agron Dogjani agrondogjani@yahoo.com Arben Gjata arbengjata@msn.com Kastriot Haxhirexha dr.kastriot@gmail.com Sindi Shandro shandrosindi@gmail.com Seimir Laqja laqjaseimir@gmail.com <p>For more than 20 years, following the changes that took place in Albania in 1992, we receive information from trauma patients in the media about the delivery of trauma services. Police records are worthy of a war balance report. Trauma is estimated to be the cause of deaths in 13.7% / 100,000 people. Every two days three Albanian Citizens die because of Automobile Accidents…</p> <p>Changes have already taken place, but the question arises, who cares about the trauma and its management?</p> <p>Formerly and now the state ... ok ... but? Is this enough?</p> <p>The Ministry of Health should have a <em>“Trauma Committee” </em>if yes… is it active?</p> <p>Already of the three years at the heart of these medical emergency management networks is a National Center of Medical Emergency (NCME).</p> <p>The trauma service delivery is now evolving along the lines of a central and spoken model with a concentration of expertise and specialization in the center surrounded by smaller units that feed on the center.</p> <p>The study showed a 19% increase in the chances of survival since the introduction of these changes. Another 1,600 trauma victims are alive today due to developments in the administration of trauma patients in England over the past six years.</p> <p>In this system or mode of organizing what is today the NCME or organizing the transport of traumatized from the scene to the University Hospital of Trauma... by medical staff who have done a substantial part of the PhTLS<sup>®</sup> course ... How is the educational status of personal in other regions far from Capital? ATLS<sup>®</sup> student courses in our country have been implemented by few and individually… ASTES, by default rules, has acquired the right to organize ATLS<sup>®</sup> in Albania…</p> 2020-12-26T00:00:00+00:00 ##submission.copyrightStatement##