Early emergency care of traumatic shock


Cases of pneumothorax and diaphragmatic injury in 2 cases, rib injury in 4 cases, limb fracture in 5 cases, gastric injury in 2 cases of colon injury in 3 cases. 1.2 impact injury accident causes injury, 26 cases of falls injury in 5 cases, electrical injury in 1 case,ugg botas, weapon injury in 3 cases. 1.3 Damage type open injury,abercrombie and fitch ireland, blunt trauma. 1.4 Results After emergency treatment,ugg españa, 35 cases were hospital revenue. Line of conservative treatment in 6 cases, surgical treatment in 29 cases, cured 34 cases, 1 died. 2 2.1 Early emergency care to make a preliminary observation of the rapid estimation of the injury, inform your doctor as soon as possible. Note whether the fatal crash injured abdominal viscera injuries, traumatic brain injury patients pay attention to whether the occurrence of hernia, pelvic fracture with or without the kidney, bladder and urethra injury. Dynamic observation of vital signs, in order to correctly anticipate changes in condition. 2.2 keep the airway clear and timely clear the mouth, nasal secretions, respiratory arrest underwent artificial respiration, central stimulants applied, with a doctor endotracheal intubation, ventilatory support, and high concentrations of oxygen. 2.3 The establishment of effective circulation in patients with decompensated circulation is still a good degree of vascular filling, as soon as possible to establish two intravenous access, rapid expansion. Preferably at the same time for measuring vital signs, for in the first hours to avoid death. Attention to the selection of effective infusion site, the liver injury, retroperitoneal bleeding or pelvic fracture injuries, should be avoided from the venous blood transfusion, to use upper extremity vein. Intravenous vasopressors, avoid liquid leaking blood vessels, if there is leakage and to make timely replacement of vein closure (25% of the procaine injection). 2.4 bandage to stop bleeding caused by severe trauma shock due to bleeding, should be verified as soon as possible causes of bleeding and early control of bleeding, pressure bandage dressings used immediately to prepare emergency surgery to stop bleeding or bleeding; the appropriate application of analgesic injections to relieve pain, prevent pain, shock the occurrence of (unexplained abdominal trauma were hanged). Author: 528300 Shunde District, Foshan City, Guangdong Province, the First People's Hospital 2.5 hemopneumothorax in time to open pneumothorax into a closed pneumothorax, deep breath at the end of the patient immediately closed the wound with sterile gauze big. Tension pneumothorax were immediately in the middle of the second intercostal clavicle with sterile 12-gauge needle piercing the emergency exhaust pleural cavity; abdominal injury, visceral prolapse bowl covered with a sterile dressing to protect bandage is prohibited also satisfied, to prevent infection. Herniation in patients with rapid intravenous infusion of 20% mannitol 250ml, intravenous Flumethasone 40-60rag, if necessary, intravenous furosemide 40mg and so reduce the intracranial pressure, cerebral edema, herniation of the slow progress, to gain time for the surgery. 2.6 Handling of falls in patients with injured, according to the first landing site and mechanism of injury, choose transportation methods, such as waist, pelvic fracture, when moving checkups bed on the hard pan, to light and sound action. There are those who should be doing warm chills the body to reduce oxygen consumption. Cerebrospinal fluid otorrhea or rhinorrhea should be covered with sterile cotton balls or dressing, avoid congestion, and timely replacement to keep the nose, ear canal clean and prevent infection. 2.7 pairs of emergency nurses in the emergency requirements of the course, nurses should take the initiative and prepare for prompt treatment work,abercrombie and fitch france, and not passively wait for the doctor's advice, especially when on duty alone, requires the use of co-ordination method in a short time to prepare plans to complete a lot of rescue work,nike free run, distinguish between acute and slow, so snap judgments, correct assessment, decisive handling, win rescue time. 3 Discussion traumatic hemorrhagic shock patients with active bleeding quickly handle the wound is an important means of early first-aid; severely injured patients have to keep the airway open and maintain unobstructed vein, in order to ensure timely maintenance of effective circulating blood volume transfusion to prevent the low blood pressure cause of cerebral hypoxia, cardiac arrest and renal dysfunction, the occurrence of a vicious cycle. The process of taking sides in the emergency diagnosis of edge treatment, diagnosis and then re-treatment, follow the More traumatic shock due to bleeding, shock and death within minutes to hours for the first two peaks, but also save the Shock therapy, and to conduct monitoring of vital signs, first aid during the whole central part of l2J. Nurses in the rescue process can be found in the early injury, accurately determine the condition requires a high degree of responsibility and expertise and skilled professional skills, to predictable development of the disease. Early detection and timely correction of shock is key to successful treatment. Ability to cope with combined capacity of emergency nurses should have the condition.