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!Emergeortho procedures
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Published by Georgios Mandelas
about ortho procedures
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Patients with ankle fractures typically present to the ER with complaints of pai
n, swelling and di?culty with weightbearing activ-ities following a rotational t
ype mechanism of injury (Fig. 2.2). Tey may have gross deformity present which s
hould alert the evaluating physician to the possibility of a fracture dislocatio
n. Some patients may be capable of weightbearing with discomfort despite the pre
s-ence of bony injury while others may be unable to bear any weight at all on th
e injured lower extremity.Te initial evaluation includes an inspection of the in
jured ankle, noting the presence of deformity and the condition of the surroundi
ng soft tissue, looking for evidence of an open injury or the presence of bliste
ring. A careful neurovascular examination should be performed and documented in
the patient s chart. Next, the entire length of the ?bula should be palpated for
tenderness and the presence of a bony step-o?, indicative of a displaced fractur
e. Palpation of the ankle should
Fig. 2.2
Patient who presented to the emergency room with a left ankle fracture. Note the
ecchymosis and swelling present about the lateral aspect of the ankle in the re
gion of the lateral malleolus
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The Evaluation and Management of Ankle Fractures13
be continued medially, looking for tenderness over the medial malle-olus and the
deltoid ligament complex. A squeeze test can then be performed by squeezing 5 cm
proximal to the intermalleolar line to identify a possible injury to the syndesm
osis.
RADIOGRAPHIC EVALUATION
A three-view series of the ankle is typically utilized for the diagnosis of ank
le fractures in the ER. Tis series is composed of an anteroposte-rior (AP) view,
a lateral view and a mortise view (Figs 2.3A-C).
Figs 2.3A-C An ankle trauma X-ray series of the right ankle showing evidence of
displaced bimalleolar ankle fracture (A) Anteroposterior; (B) Mortise; (C) Later
al
A BC
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Practical Procedures in Orthopaedic Trauma Surgery
Master Techniques in Orthopaedic Surgery Soft Tissue Surgery
Master Techniques in Orthopaedic Surgery
Office Orthopaedics
Master Techniques in Orthopaedic Surgery - Relevant Surgical Exposures
Surgical Exposures in Orthopaedics the Anatomic Approach, 4th 2009 Pg
Operative Orthopaedics Stanmore Guide 2010
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Basic Surgical Skills Manual
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Published by Valerie Gonzaga
learning about surgery
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BASIC SURGICAL SKILLS MANUAL
Principles and Applications
2nd Edition
Electronic Version
PHILIPPINE COLLEGE OF SURGEONS
Committee on Surgical Training
Cenon R. Alfonso
, MD - Committee Chairman
Miguel C. Mendoza
, MD - Editor-in-Chief
Shirard L.C. Adiviso
, MD,
Jose Joey H. Bienvenida
, MD,and
Renato Cirilo A. Ocampo
, MD
Armando C. Crisostomo
, MD - Regent-in-Charge.
PCS S
CIENTIFIC
P
UBLICATION
N
O
. 12
Foreword
2nd Edition . . .
Cenon R. Alfonso
, MD, FPCS, ChairmanCommittee on Surgical Training, Philippine College of Surgeo
ns2003
Foreword
1st Edition . . .
Gabriel L. Martinez
, MD, FPCS, Chairman,Committee on Surgical Training, Philippine College of Surge
ons1999
Message from the 2003 PCS President
Fernando A. Lopez
, MD, FPCS
Preface
2nd Edition . . .
Armando C. Crisostomo
, MD, FPCS,Regent-In-Charge (2003), Committee on Surgical Training,Philippine Co
llege of Surgeons
Preface
1st Edition . . .
Jose Y. Cueto
, MD, FPCS, Regent-In-Charge(1999), Committee on Surgical Training, Philippine C
ollege ofSurgeons
?
Chapter I
Learning & Assessing Psychomotor Skills inSurgery
Jose Y. Cueto, Jr.
, MD, MHPEd, FPCS (1st edition) Self-Assessment Questions
?
Chapter II
The Use of Simulation in Surgical Training
Shirard L.C. Adiviso
, MD, MHPEd, FPCS Self-assessment Questions
?
Chapter III
Suture Materials
Jose Antonio M. Salud
, MD, FPCS and
Jerome G. Baldonado
, MD, FPCS (1st edition)
Joey H. Bienvenida
, MD, FPCS (2nd edition) Self-assessment Questions
?
Chapter IV
Surgical Needles
Cenon R. Alfonso
, MD, FPCS and
Nilo C. de los Santos
, MD, FPCS (1st edition)
Renato A. Ocampo
, MD, FPCS (2nd edition) Self-assessment Questions
Table of Contents
?
Chapter V
Knot Tying
Jose Antonio M. Salud
, MD, FPCS (1st edition)
Miguel C. Mendoza
, MD, FPCS (2nd edition) Self-assessment Questions
?
Chapter VI
Suturing Techniques
Cenon R. Alfonso
, MD, FPCS,
Shirard L.C. Adiviso
, MD, MHPEd, FPCS,
Jose Joey H. Bienvenida
, MD, FPCS,
Miguel C. Mendoza
, MD, FPCS, and
Renato Cirilo A. Ocampo
, MD, FPCS (2nd edition) Self-assessment Questions
?
Chapter VII
Clinical Applications
Cenon R. Alfonso
, MD, FPCS,
Jerome G. Baldonado
, MD, FPCS,
Alejandro C. Dizon
, MD, FPCS,
Rene C. Encarnacion
, MD, FPCS,
Eduardo S. Eseque
, MD, FPCS,
Gabriel L. Martinez
, MD, FPCS,
Paul Jesus S. Montemayor
, MD, FPCS,
Jose Antonio M. Salud
, MD, FPCS, and
Jose A. Solomon
, MD, FPCS. Plastic Closure of Skin Lacerations Skin Closure with Skin Adhesives Abdom
inal Wall Closure Inguinal Herniorrhaphy/ Repair of the InguinalFloor Appendectomy Ch
olecystectomy & Surgery of the Bile Ducts Liver Trauma Bowel Anastomosis Vascular Anas
tomosis & Repair Application of Retention Sutures Self-assessment Questions
Appendix A
(Glossary of terms)
Appendix B
(Answers to self-assessment questions)
2003 PCS Board of Regents2003 Committee on Surgical TrainingAcknowledgement
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Diagnostic Anatomy Radiographic
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46
THE WHO MANUAL OF DIAGNOSTIC IMAGING
Radiocapitellar line
a line drawn along the centre of the shaft of the proximal radius should pass thr
ough the capitellum(?g 4.32). if the line does not pass through the capitellum the
n either the radial head or the capitellum isdisplaced (?g 4.33).
Figure 4.30
Anterior humeral line. Thenormal line bisects thecapitellum at the junctionof th
e anterior and middlethirds.(modi?ed from Lee Rogers
Radiology of Skeletal Trauma
2nd Ed, ChurchillLivingstone 1992)(a)(b)
Figure 4.31
Supracondylar fractures in children. (a) minimal displacement; (b) markeddisplac
ement. Note that the anterior humeral line is abnormal in both cases.
Figure 4.32
Normal radiocapitellar line on the AP and lateral views.(from Raby, Berman & de
Lacey,
Accident & Emergency Radiology: a survival guide
, Saunders, London, 1995,with permission)
Figure 4.33
There is a fracture of the proximal third of the ulna associatedwith dislocation
of the proximal radius. The radiocapitellarline is disrupted (Monteggia fractur
e).
TRAUMA
47
Supracondylar fractures
the commonest fracture of the elbow in children. transverse fracture of the distal
humeral metaphysis. Approximately 50% are greenstick fractures(?g 4.34). posterior
displacement of the distal fragment with the anterior humeral line passing thro
ugh theanterior third or completely anterior to the capitellum (?g 4.31) severely
displaced fractures may be associated with brachial artery compression.
Condylar and epicondylar fractures
there is a spectrum of avulsion injuries of the humeral condyles and epicondyles
ranging fromthose with only minor displacement to those with major displacement
(?gs 4.35 and 4.36).
Figure 4.34
Greenstick supracondylar fracture. Note that the anteriorhumeral line is normal.
Figure 4.35
Avulsion of the lateral epicondyle in a child with minordisplacement.
48
THE WHO MANUAL OF DIAGNOSTIC IMAGING
avulsion of the medial epicondyle may be displaced into the joint mimicking the t
rochlea ossi?cationcentre.
Capitellar fractures
commonest purely intra-articular fracture of the elbow. fracture usually identi?ed
on lateral projection with fragment rotating anteriorly (?g 4.37). AP ?lm may appe
ar normal or show increased density due to the capitellar fragment overlying the
lateral epicondyle.
(a)(b)
Figure 4.36
(a) avulsion of the lateral epicondyle in a child withmarked displacement.(b) th
e lateral projection shows the radiocapitellar lineis disrupted indicating that
there is a dislocation of thehead of radius as well as the avulsion fracture.
Figure 4.37
Fracture of the capitellum. The capitellumhas rotated 90 degrees anteriorly.
TRAUMA
49
Radial head fractures
account for approximately one third of all elbow fractures. commonest in young adul
ts. spectrum of injury from minimally displaced to comminuted with displacement (?
g 4.38). in children tend to appear as a greenstick fracture of the radial neck ra
ther than a fracture of theradial head (?g 4.39).
Figure 4.38
Fracture of the radial head with minordisplacement.
Figure 4.39
Greenstick fracture of the neck of radius in a child.
Olecranon fractures
result from either a direct blow to the tip of the elbow or avulsion by contracti
on of the tricepsmuscle against a ?xed ?exed elbow. the action of the triceps freq
uently causes marked displacement of the olecranon at the fracturesite (?g 4.40)
.
Figure 4.40
Displaced fracture of the olecranon.
50
THE WHO MANUAL OF DIAGNOSTIC IMAGING
Elbow dislocation
third commonest site of dislocation in the adult after shoulder and ?ngers. commone
st site of dislocation in children under 10 years of age. 85% posterior or postero
lateral in direction (?g 4.41). 50% associated with fractures (?g 4.42).
Figure 4.41
Posterior dislocation of the elbow. (a) AP (b) lateral view.(a)(b)(a)(b)
Figure 4.42
Posterior dislocation of the elbow with a displaced fracture of the radial head.
Note that because of the severe trauma it is notalways possible to obtain ideal
AP (a) and lateral projections (b).
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General Surgical Instruments
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DERMAL INSTRUMENTS
47
SCHAMBERG COMEDONE EXTRACTOR
KM 29-580KM 29-5823
3
/
4
?
(95mm) 3
3
/
4
?
(95mm)standardextra finecrimped loopscrimped loops
SCHAMBERG COMEDONE EXTRACTOR
KM 29-5843
3
/
4
?
(95mm)square loops
UNNA COMEDONE EXTRACTOR
KM 29-5925
3
/
4
?
(146mm)fenestrated spoon ends
KMEDIC COMEDONE EXTRACTOR
KM 29-6046
1
/
4
?
(159mm) one fenestrated cupand curved lancet with cap
GREG COMEDONE EXTRACTOR
KM 29-6065
?
(127mm) one fenestrated cupand lancet blade with cap
SAALFELD COMEDONE EXTRACTOR
KM 29-5664
1
/
2
?
(114mm) with lancetand one fenestrated cup
1
/
11
/
11
/
11
/
11
/
11
/
1
DERMAL INSTRUMENTS
48
KEYES PUNCH
4
?
(102mm)KM 29-5112mmKM 29-5145mmKM 29-5123mmKM 29-5156mmKM 29-5134mmKM 29-5178mm
FOX CURETTE
5
1
/
2
?
(140mm)roundKM 29-4951mmKM 29-4984mmKM 29-4962mmKM 29-4995mmKM 29-4973mmKM 29-50
06mm
PIFFARD CURETTE
5
1
/
2
?
(140mm)ovalKM 29-503#1 smallKM 29-505#2 mediumKM 29-507#3 large
BIRO DERMAL NAEVUS SCISSORS
KM 35-5154
?
(102mm) angled on flatsharp outside edges
NAIL SPLITTER
Note: For a sure grip, our splitters have grooved handles.
2mm3mm4mm5mm6mm8mm1mm2mm3mm4mm5mm6mm
1
/
11
/
1
KM 29-505
1
/
1
KM 29-507
1
/
1
KM 29-503
1
/
1
KM 69-320KM 69-322KM 69-3264
?
(102mm)4
1
/
2
?
(114mm)5
?
(127mm)heavy jawKM 69-327KM 69-3405
?
(127mm) 6
?
(152mm)narrow jaw
1
/
1
DERMAL INSTRUMENTS
49
TISSUE NIPPERNAIL NIPPER
heavy
NAIL NIPPER
KM 69-410KM 69-4124
1
/
2
?
(114mm) concave5
1
/
2
?
(140mm) concavechromechromebarrel springbarrel spring
INGROWN NAIL FORCEPS
KM 69-3485
?
(127mm) anvil patternnarrow blade
FINGER RING CUTTER
KM 29-430KM 29-4346
1
/
2
?
(165mm) chromesaw blade onlywith saw blade
KM 69-2924
1
/
2
?
(114mm),11mmcutting edgeKM 69-2945
?
(127mm),14mmcutting edge
1
/
11
/
11
/
11
/
11
/
1
KM 69-4305
1
/
2
?
(140mm)concaveKM 69-4325
1
/
2
?
(140mm)straight
EYE INSTRUMENTS
50
BARRAQUER EYE SPECULUM
1
3
/
4
?
(44mm)KM 54-108KM 54-110small bladeslarge blades10mm wide15mm wide
GRAEFE EYE SPECULUM
KM 54-0803
1
/
2
?
(89mm)
DESMARRES LID RETRACTOR
5
1
/
2
?
(140mm)KM 54-358#111mmKM 54-360#213mmKM 54-362#315mmKM 54-364#417mm
MEYHOEFFER CURETTE
5
?
(127mm)KM 54-307#2/01.0mmKM 54-309#01.5mmKM 54-311#11.7mmKM 54-313#22.0mm
GRAEFE STRABISMUS HOOK
5
1
/
2
?
(140mm)KM 54-330smallKM 54-332mediumKM 54-334large
BOWMAN LACRIMAL PROBES
5
?
(127mm) sterling
NEEDLE
KM 54-2805
?
(127mm)2 x 5mm blade
DAVIS
KM 54-2824
3
/
4
?
(121mm)0.8mm blade
ELLIS
KM 54-2844
1
/
2
?
(114mm) curved1.2mm bladeKM 53-058KM 53-062
1
/
11
/
11
/
1
EYE INSTRUMENTS
52
BISHOP HARMAN FORCEPS
3
3
/
8
?
(86mm)KM 53-426extra delicate serrated 0.7mmKM 53-428delicate serrated 1.0mmKM 5
3-440delicate 1x2 teeth 1.0mm
TROUTMAN-BARRAQUER FORCEPS
KM 53-4603
?
(76mm) 1x2 teeth0.12mm with tying platform
DOUGLAS CILIA FORCEPS
KM 53-5603
1
/
2
?
(89mm) fine serrations
LITTAUER CILIA FORCEPS
KM 53-5643
1
/
2
?
(89mm) fine serrations
BERGH CILIA FORCEPS
KM 53-5683
1
/
2
?
(89mm) fine serrations
BARRAQUER CILIA & SUTURE FORCEPS
KM 53-5804
1
/
2
?
(114mm) smooth platform
1
/
11
/
11
/
11
/
1
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Atlas of Emergency Trauma
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ail sternal segment; Note themidsternal depression (right).
80 Thoracic Injury
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normal chest wall motion, and the patient may bein respiratory distress. All pat
ients with ?ail chestshould have a thoracostomy tube inserted and bemonitored in
an ICU setting with serial blood gasesand continuous pulse oximetry. Analgesia
by meansof PCA or epidural anesthesia should always beused. Mechanical ventilati
on is necessary forrespiratory failure or imminent failure. Internal,operative f
racture ?xation may be useful in selectedcases without underlying lung contusion
and inpatients having dif?culty weaning off mechanicalventilation.
4.3 Hemo-Pneumothorax
Pneumothorax
A pneumothorax may be due to blunt or penetra-ting trauma. Small pneumothoraces
are usuallyasymptomatic and can safely be managed withouta chest drain, provided
the patient does not needmechanical ventilation or air transportation. Inthese
cases, any size pneumothorax should betreated with a thoracostomy tube to avoid
thecreation of tension pneumothorax. Large pneu-mothoraces may cause respiratory
distress, andtension pneumothoraces can cause cardiorespira-tory failure. The d
iagnosis of simple pneumo-thorax is usually made by plain chest ?lm orCT scan. A
n erect chest x-ray in deep expirationis the most suitable ?lm to identify small
pneumothoraces.
Tension Pneumothorax
In tension pneumothorax, air leaks into the pleuralcavity with no escape route o
n account of a one-way valve effect. It is a life-threatening conditionbecause o
f the severe cardiorespiratory failure thatensues. The patient is panicky and ha
s dyspnea,cyanosis, shock, and distended neck veins. Thetrachea is shifted to th
e opposite side, there are
C
Figure 4.5 (
cont
.)
4.3 Hemo-Pneumothorax 81
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no breath sounds and there is hyperresonance onpercussion in the affected hemith
orax. Immediatelife-saving therapy is needle decompression of the chest, followe
d by formal thoracostomy tubeinsertion. The mere suspicion of a tension pneumo-t
horax is an absolute indication for a needledecompression whenever a thoracostom
y tubecannot be inserted immediately (prehospital stage,
ABC
Figure 4.7 Tension pneumothorax. (A) Illustrationshowing mechanism of tension pn
eumothorax.Extrapulmonary air under tension collapses the lung,depresses the dia
phragm, and pushes the heart towardthe opposite side. The normal lung is compres
sed in thecontralateral pleural cavity. These changes causecardiorespiratory fai
lure. (B) Chest x-rays showing a largetension pneumothorax on the left side, med
iastinal shiftto the opposite side, and downward displacement of theleft hemidia
phragm. Arrows point to tensionpneumothorax. (C) Tension pneumothorax on the CTs
can (arrow). Note the deviation of the heart to the right.
AB
Figure 4.6 Pneumothorax. (A) Large right pneumothorax on chest x-ray. Arrow poin
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EVENIMENT
GALERIE FOTO Trei raniti, printre care si un copil, la spital dupa ce un sofer n
u a acordat prioritate
Trei raniti, printre care si un copil, la spital dupa ce un sofer nu a acordat p
rioritate
Accident de circula?ie, duminica dupa-amiaza, n centrul localita?ii timi?ene Chi?
oda. Trei persoane, printre care ?i un copil, au ajuns la spital dupa ce ma?inil
e n care se aflau s-au ciocnit violent din cauza unui ?ofer care nu a acordat pri
oritate.
Trei raniti, printre care si un copil, la spital dupa ce un sofer nu a acordat p
rioritate
ROMNIA
STIRE DE ULTIMA ORA Dacian Ciolos si-a ales guvernul
Dacian Ciolos si-a ales guvernul
Premierul desemnat, Dacian Ciolo?, ?i-a prezentat duminica dupa-amiaza, la Parla
ment, guvernul. Luni ?i mar?i ar urma audierile mini?trilor propu?i n comisiile d
e specialitate din Parlament, apoi votul de investitura n plenul reunit al Camere
i Deputa?ilor ?i Senatului. Lista mini?trilor.
ADMINISTRATIE
GALERIE FOTO Sensul giratoriu de la stadion e gata, dar nu poate fi folosit. Pro
bleme pe santierul Podeanu
Sensul giratoriu de la stadion e gata, dar nu poate fi folosit. Probleme pe sant
ierul Podeanu
Sunt probleme pe nca un ?antier din Timi?oara. De?i ar fi trebuit sa fie gata nca
din luna septembrie, strada Podeanu nu va fi deschisa circula?iei prea curnd. Nou
l sens giratoriu de la stadion, inclus n proiect, este amenajat, dar nu va putea
fi folosit pna cnd nu va fi nchis ?antierul de pe Podeanu. 2
Probleme pe santierul de pe PodeanuProbleme pe santierul de pe Podeanu II
LOCAL
Societatea lui Titu Bojin a vandut catre Dedeman un teren pentru 1,2 milioane de
euro
Societatea lui Titu Bojin a vandut catre Dedeman un teren pentru 1,2 milioane de
euro
Compania Dedeman, specializata n domeniul magazinelor de bricolaj, pare sa fie ex
trem de multumita de cum merg afacerile n Banat. Societatea a anuntat ca a batut
palma cu cei de la Lugomet, pentru a prelua o parte din terenul fabricii, pentru
a deschide o unitate ?i la Lugoj. Marele beneficiar al tranzactiei de 1,2 milio
ane de euro ar urma sa fie Titu Bojin, seful Consiliului Judetean Timis, princip
alul actionar al companiei lugojene. O alta parte din teren va ajunge la produca
torul de ncaltaminte Rieker. 1
INVATAMANT
Rezidentiat 2015: viitorii medici, in examen la Timisoara
Rezidentiat 2015: viitorii medici, in examen la Timisoara
Emotii pentru viitoarea genera?ie de medici la Timisoara. Duminica, acestia s-au
aflat n fata unuia dintre cele mai importante examene din viata lor: Rezidentiat
ul. Candidatii au trebuit sa raspunda unui test grila cu 200 de ntrebari.
ANUNTURIOpel Astra
Opel Astra
Vw Golf
Vw Golf
Opel Vectra
Opel Vectra
MAPAMOND
Atacurile teroriste de la Paris: sase complici au fost arestati in Franta
Atacurile teroriste de la Paris: sase complici au fost arestati in Franta
a locul impactului. 1
Accident mortal aproape de Moravita
TURISM
Cele mai vechi locuri din lume: top 10 destinatii antice care au marcat omenirea
Cele mai vechi locuri din lume: top 10 destinatii antice care au marcat omenirea
Cei fascina?i de istorie nu ar trebui sa rateze o excursie ntr-una dintre aceste
locuri incredibile, care debordeaza de istorie ?i legende. Nimic nu se compara c
u o plimbare printre ruinele locurilor unde au luat na?tere primele civilizatii
ale lumii.
PARTY
GALERIE FOTO Timisoara, alaturi de victimele din Colectiv! #ImpreunaRezistam a s
trans zeci de mii de lei
Timisoara, alaturi de victimele din Colectiv! #ImpreunaRezistam a strans zeci de
mii de lei
#mpreunaRezistam! Acesta a fost mesajul transmis de 16 trupe timi?orene, care au
urcat pe scena pentru a sus?ine victimele tragicului accident din Colectiv. De?i
vremea nu a fost tocmai prietenoasa, cteva sute de timi?oreni au ie?it din case
?i au donat sume substan?iale pentru cei care au fost afecta?i de incendiul din
clubul bucure?tean.
#ImpreunaRezistam a strans zeci de mii de lei din donatii
MAPAMOND
Microbuz inmatriculat in Romania, rasturnat in Ungaria: soferul a murit si noua
pasageri, raniti
Microbuz inmatriculat in Romania, rasturnat in Ungaria: soferul a murit si noua
pasageri, raniti
Un microbuz nmatriculat n Romnia s-a rasturnat dupa ce a lovit un autoturism n sud-e
stul Ungariei. n urma impactului, ?oferul microbuzului, o femeie, a murit, iar n
oua pasageri au fost rani?i.
ANUNTURIProprietar, vand apartament 3 camere din 4, Dacia
Proprietar, vand apartament 3 camere din 4, Dacia
Casa cu garaj si teren 2000mp
Casa cu garaj si teren 2000mp
Vila deosebita
Vila deosebita
Fara apa si caldura, luni, pe doua strazi din Timisoara
UTILE
Fara apa si caldura, luni, pe doua strazi din Timisoara
Colterm ?i Aquatim i lasa pe timi?oreni fara apa ?i caldura, luni, pe doua strazi
importante din ora?. Societatea de termoficare opre?te ncalzirea din cauza unei
defec?iuni, iar cea de apa ?i canal din pricina unor lucrari.
LOCAL
GALERIE FOTO Mii de voluntari au plantat fapte bune. Aproape 38.000 de puieti sa
diti langa Timisoara
Mii de voluntari au plantat fapte bune. Aproape 38.000 de puieti saditi langa Ti
misoara
Timi?enii au profitat de vremea frumoasa de smbata ?i au ie?it sa planteze fapte b
une. S-a ntmplat la Utvin, unde ?i-au dat ntlnire aproximativ 3.000 de voluntari. Au
reu?it sa sadeasca aproape 38.000 de puie?i. 1
Aproape 38.000 de puieti saditi langa Timisoara
SPORT LOCAL
Ripensia Timisoara ajunge pe primul loc in campionat, dupa ce Masloc ia bataie l
a Ghiroda
Ripensia Timisoara ajunge pe primul loc in campionat, dupa ce Masloc ia bataie l
a Ghiroda
Ripensia Timisoara a beneficiat din plin de victoria Ghirodei mpotriva celor de l
a Masloc. Dupa ce a nvins la Snnicolau Mare, iar fostul lider a luat bataie de la
echipa lui Paul Codrea, Ripi a trecut n frunte. 1
SPORT LOCAL
Mai buni, dar nu suficient. Dinamo Bucuresti BC Timisoara: 88 - 78
34
Bilantul terorii de la Paris: cel putin 120 de morti in mai multe atacuri terori
ste
MAPAMOND
Cel putin cinci persoane au murit dupa ce un tren a deraiat in Franta
Cel putin cinci persoane au murit dupa ce un tren a deraiat in Franta
nca un incident ?ocant n Fran?a. Cel pu?in cinci persoane au murit, smbata dupa-ami
aza, dupa ce un tren a deraiat n nordul ora?ul francez Strasbourg.
LOCAL
GALERIE FOTO Mitropolitul Banatului si-a celebrat ziua de nastere cu nevoiasii,
la cantina din Iosefin
Mitropolitul Banatului si-a celebrat ziua de nastere cu nevoiasii, la cantina di
n Iosefin
Mitropolitul Banatului PSS Ioan si-a aniversat ziua de nastere alaturi de saracii
Timi?oarei, la cantina sociala din Parohia Iosefin, care a fost inaugurata smbat
a, dupa ce a trecut prin mai multe renovari. 2
Mitropolitul Banatului si-a celebrat ziua de nastere cu nevoiasii, la cantina di
n Iosefin
ADMINISTRATIE
Mii de timisoreni pusi pe drumuri pentru taxa de poluare. Robu: vina este a Dire
ctiei Fiscale
Mii de timisoreni pusi pe drumuri pentru taxa de poluare. Robu: vina este a Dire
ctiei Fiscale
Nu mai pu?in de 8.000 de timi?oreni au primit soma?ii de la Direc?ia Fiscala, fi
ind chema?i la sediul institu?iei sa achite taxa de poluare, de?i au firme cu ac
tivita?i care nu produc impact asupra mediului. Cum pot scapa de plata taxei? 8
Vrei sa iti scoti copilul minor din tara? Iti trebuie cazier judiciar
LOCAL
Vrei sa iti scoti copilul minor din tara? Iti trebuie cazier judiciar
Daca inten?iona?i sa pleca?i n vacan?a n strainatate alaturi de minori, Poli?ia Ro
mna anun?a ca pe lnga celelalte documente prevazute de lege, persoana care i nso?e?t
e pe copii trebuie sa aiba la ea certificatul de cazier judiciar. 3
LOCAL
Atentionare meteo: doua zile de vant puternic in Banat
Atentionare meteo: doua zile de vant puternic in Banat
Meteorologii au transmis, smbata, o aten?ionare de vnt puternic valabila pentru ac
est sfr?it de saptamna n mai multe regiuni ale ?arii, inclusiv Banat. Astfel, vntul
va atinge, la rafala, viteze de pna la 60 km/h.
LOCAL
Mitropolitul Banatului despre atentatele de la Paris: Inima Frantei a sangerat
Mitropolitul Banatului despre atentatele de la Paris: Inima Frantei a sangerat
ntreaga lume a fost socata n urma tragediei petrecute n capitala Frantei, vineri se
ara. Cel pu?in 120 de persoane au murit ?i alte cteva sute au fost ranite, dintre
care 99 sunt n stare grava, n urma atentatelor. Mitropolitul Banatului PS Ioan a u
rmarit evenimentele petrecute n capitala Frantei si a ramas nmarmurit n fata aceste
i tragedii. 3
LOCAL
Timisoara intra in #Colectiv la concertul #ImpreunaRezistam
Timisoara intra in #Colectiv la concertul #ImpreunaRezistam
Smbata, ntreaga Romnie va comemora, prin muzica, victimele tragicului accident din
Colectiv. Concertul #mpreunaRezistam va avea loc, simultan, n diferite ora?e din ?
ara. Desigur, Timi?oara se numara printre ele, iar to?i banii ob?inu?i de pe urm
a evenimentului vor ajunge la victimele incendiului din capitala. Publicul va pu
tea sa faca ?i dona?ii. 1
ADMINISTRATIE
GALERIE FOTO Inaugurare marca primarie: Robu merge cu troleibuzul la Dumbravita,
calatorii inca nu
Inaugurare marca primarie: Robu merge cu troleibuzul la Dumbravita, calatorii in
ca nu
A fost nchis n sfr?it ?antierul de pe Calea Lipovei. De?i troleibuzul 14 ar fi treb
uit sa circule pna la Dumbravi?a nca de la nceputul saptamnii, acest lucru nu se va n
tmpla prea curnd. RATT nu a terminat de implementat proiectul pe fonduri europene.
27
Robu merge cu troleibuzul la Dumbravita, calatorii inca nu
ROMNIA
Doi cetateni romani au murit la Paris in urma atacurilor teroriste
Doi cetateni romani au murit la Paris in urma atacurilor teroriste
Ministerul Afacerilor Externe anun?a ca doi ceta?eni romni ?i-au pierdut via?a n u
rma atacurilor de vineri de la Paris.
Bilantul terorii de la ParisExplozii si atacuri la Paris
SPORT LOCAL
ASU Politehnica Timisoara isi consolideaza prima pozitie in clasamentul Ligii 3
ASU Politehnica Timisoara isi consolideaza prima pozitie in clasamentul Ligii 3
Alb-violetii de la ASU Politehnica Timisoara si-au consolidat prima pozitie din
clasamentul seriei a patra a Ligii 3, dupa ce au nvins n deplasare echipa celor de
la Cetate Deva.
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Cum va fi vremea, duminica, 15. noiembrie 2015: 13 C (Timisoara)
13C
lun 16
Cum va fi vremea, luni, 16. noiembrie 2015: 17 C (Timisoara)
17C
mar 17
Cum va fi vremea, mar?i, 17. noiembrie 2015: 18 C (Timisoara)
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Bilantul terorii de la Paris: cel putin 120 de morti in mai multe atacuri teror
iste 34
Inaugurare marca Primaria Timisoara: Robu merge cu troleibuzul la Dumbravita, c
alatorii inca nu 27
Vaporase ca in Amsterdam, la Timisoara. Stim cand vine prima ambarcatiune 17
ULTIMELE STIRI
14:55 Trei raniti, printre care si un copil, la ...
13:51 Rezidentiat 2015: viitorii medici, in examen ...
12:59 Numarul ungurilor din Timis e in scadere. ...
12:44 Fara apa si caldura, luni, pe doua strazi din ...
12:28 Sensul giratoriu de la stadion e aproape ...
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TionTV: Tanar ucis de un elev la cativa pasi de o scoala din Timisoara
TionTV: Tanar ucis de un elev la cativa pasi de o scoala din Timisoara
TionTV: Criminalii din Complexul Studentesc, dusi la reconstituire
TionTV: Criminalii din Complexul Studentesc, dusi la reconstituire
TionTV: Detalii socante in dosarul crimei din Complexul Studentesc
TionTV: Detalii socante in dosarul crimei din Complexul Studentesc
Protest in Piata Operei din Timisoara: mii de timisoreni, alaturi de manifestant
ii din Bucuresti
Protest in Piata Operei din Timisoara: mii de timisoreni, alaturi de manifestant
ii din Bucuresti
TionTV: Circulatia tramvaielor, blocata de un bizon care a trecut pe rosu
TionTV: Circulatia tramvaielor, blocata de un bizon care a trecut pe rosu
TionTV: Incendiu in trafic, la Timisoara
TionTV: Incendiu in trafic, la Timisoara
Party in Timis
Timisoara, alaturi de victimele de la Colectiv! #ImpreunaRezistam a strans zeci
de mii de lei din donatii
Hotii de biciclete din Timisoara nu se lasa. Chiar si n aceste zile ploioase, cnd
nu-ti vine sa scoti afara niciun cine, hotii actioneaza si dau iama n bicicletele lo
cuitorilor urbei de pe Bega. Nici campania Ti s-a furat bicicleta, TION te ajuta
sa o gasesti! nu se lasa! Continua!
LOCAL
Inca o bicicleta furata in zona Lunei
O alta bicicleta a fost furata din Timisoara. De data aceasta, hotii au actionat
n zona Lunei, pe nserat. Campania Ti s-a furat bicicleta, TION te ajuta sa o gases
ti! continua.
LOCAL
Bicicleta furata din centrul Timisoarei. Se ofera recompensa!
O alta bicicleta a fost furata zilele trecute chiar din centrul Timisoarei. Camp
ania `Ti s-a furat bicicleta, TION te ajuta sa o gasesti! continua!
LOCAL
O alta bicicleta furata din Timisoara, chiar din rastel
Furtul de biciclete n Timisoara continua, pe masura ce oamenii pleaca n concediu,
iar hotii deja s-au saturat de soare. Continua si campania Ti s-a furat bicicleta
, TION te ajuta sa o gasesti .
LOCAL
Hotii de biciclete nu-si iau concediu! Doua biciclete furate in ultimele zile di
n Timisoara!
Hotii de biciclete nu si-au luat concediu la Timisoara. Continua sa actioneze si
sa fure bicicletele de peste tot. Nici campania
Ti s-a furat bicicleta, TION te a
juta sa o gasesti! nu intra n concediu! Continua!
LOCAL
Ajutati-l pe Ciprian sa isi recupereze bicicleta furata
Aproape ca nu e zi n care sa nu fie furata o bicicleta, la Timisoara. Desi multe
dintre ele sunt scoase la vnzare de hoti, foarte putine sunt recuperate de propri
etare. De aceea, tion.ro continua campania Ti s-a furat bicicleta? Tion te ajuta
sa o recuperezi . Astazi va rugam sa ne ajutati sa recuperam bicicleta lui Ciprian
.
LOCAL
Bicicleta furata, prezentata in cadrul campaniei Tion, recuperata de proprietar
Dupa ce n ultimele doua zile v-am prezentat cazul lui Lucian, tnarul care si-a rec
uperat bicicleta furata din zona Punctelor Cardinale din Timisoara datorita vigi
lentei unui timisorean, iata ca suntem n masura sa va prezentam un nou caz cu fin
al fericit. O bicicleta furata n urma cu aproape un an, prezentata n cadrul campan
iei Ti s-a furat bicicleta? Tion te ajuta sa o recuperezi! a ajuns napoi la proprie
tar.
LOCAL
Bicicleta furata, recuperata de un timisorean cu un excelent simt al observatiei
O excelenta poveste ne-a fost trimisa, marti seara, pe adresa redactiei de un ci
titor tion.ro care a reusit, printr-un simt al observatiei si o prezenta de spir
it excelente, sa recupereze o minunata bicicleta alba, la cteva momente dupa ce a
fost furata, n zona Punctele Cardinale din Timisoara. Cum oamenii legii nu i-au
lasat prea multe optiuni, omul a apelat la ajutorul nostru pentru a-l gasi pe ad
evaratul proprietar, care, cu siguranta, la ora aceasta i duce dorul.
LOCAL
Bicicleta furata de la mall-ul din Timisoara
n ultimul timp, hotii actioneaza din ce n ce mai des. Ace?tia au reu?it sa fure o
alta bicicleta, la Timisoara. Campania Ti s-a furat bicicleta, TION te ajuta sa o
gasesti! continua.
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