Category Archives: Trauma emergency

Shock first aid

Shock first aid

Fire shock due to serious wounds, Burns, electric shock, fractures, severe pain and haemorrhage caused by a life-threatening wounded, extremely dangerous and serious syndrome. Although some of the wounds that don’t directly kill, but if treatment time, which often caused severe shock can be fatal to people. Symptoms of shock are the lips and pale, Coolness of extremities, pulse weak, rapid breathing, sweating, apathy, thirsty, severe cases may appear unresponsive, or even not conscious or unconscious, and lip cyanosis of the extremities, limbs were cold, hazy as the pulse, blood pressure decreased, anuria. Main method is to prevent shock and shock:
1. On the fire as soon as possible to find and rescue the injured, properly wound, bleeding, pollution and pain reduction. Especially for fractures, joint injuries, and chunks of soft tissue injuries, to be well fixed in a timely manner. Everything external to a timely and effective manner to stop bleeding. Determine internal bleeding of the wounded and rushed to hospital for medical treatment.
2. The emergency medical evacuation of the wounded, to be placed in a safe and secure place, let the casualty supine rest and warm comfort and care, to remove the wounded mind of worries. After treating the injured people getting short rest, hospital treatment as soon as possible.
3. For wounded with severe pain and pain medication. Or ear pain, the injury the applicable parts of point selection and matching door God, pillow, adrenal gland, cortex inferior points.
4. Not unconscious or visceral injury-free the wounded, several times with a few drinks, such as soup, rice soup, hot tea or salt water and so on. In addition, to keep warm in winter, should pay attention to heatstroke in summer, conditions to replace wet clothing, the casualty supine, keep breathing smooth, if necessary, should also be done. Unconscious wounded acupuncture, Shi Xuan, clearance, Yongquan point to first aid.

Emergency treatment of febrile convulsion in children

Emergency treatment of febrile convulsion in children
Febrile convulsion is a common emergency in pediatric clinic. More than 6 months to 3 years of age, children often occur in the upper respiratory tract infection, the sudden rise in body temperature, the general performance of generalized convulsions, the duration is short, the recovery is fast, the majority of the prognosis is good, the general to school age is no longer, but about 40% of children will relapse. Children with recurrent seizures of the brain will be damaged, so the parents and kindergarten teachers should learn to master some of this knowledge, to prevent the occurrence of seizures and brain damage, reduce sequelae. Once the child in the home of high fever convulsions, do not panic, but in the following steps:
1, keep quiet and let children prostrate immediately
Face to the right, unlock the buttoned to facilitate breathing, timely removal of mucus in the nose, to prevent inhalation of vomit or other secretions and suffocate.
2, to prevent the child bitten tongue
Put your chopsticks around the cloth pad between the upper and lower molars, if trismus is not necessary to interpolation. Immediately with a finger down people, hegu.
3, physical cooling
Unlock the child’s collar, belt, wipe the head and neck, armpit and thigh with warm water or alcohol, can also be used to apply to large amount of cold water towel head cooling, but must not wet the chest and abdomen.
4, send medical examination
After the child to stop the seizure, and then sent to the hospital after the smooth breathing. If more than 5 minutes of the seizure can not be relieved, or repeated attacks in a short period of time, a serious illness, must be rushed to the hospital. In transit, pay attention to the nose and mouth exposed, straighten the neck to maintain airway patency. To closely observe the child’s complexion is pale, pale, shortness of breath is difficult, or even suspended. It should be noted that some parents lack of medical knowledge, a child will be at a loss what to do with the clothing ventilation, hurriedly wrapped the child to the hospital, but also a very tight package, very easy to cause the child nose by blocking the respiratory tract obstruction, suffocation and even death.

How to compress

How to compress
Hot compress can make muscle relaxation, dilation of blood vessels, promote blood circulation, therefore, it has antiphlogistic, detumescence, relieving pain, reduce deep tissue congestion and maintain body temperature, it has anti-inflammatory effect.
Hot compress method
Hot compress method has two kinds: one is the dry heat therapy, with a hot water bag for hot compress, water temperature of 60 to 70 Eve joy, C, to the back of the hand test temperature not too hot is appropriate. Coma or local sensory paralysis patients and the elderly, children, when hot temperature should be withered to 50 Eve joy, C, will be hot water irrigation to the hot water bag 1 / 2 or 1 / 3 can discharge air in the bag, tighten the screw cap, put into the cloth sleeve or with a towel wrapped Hsueh, on the diseased parts. For the elderly and children, hot water bag can not be in direct contact with the skin, salt, rice or sand fried hot into a bag, instead of hot water bottle. Usually hot compress 20 ~ 30 minutes, every 3 to 4 times. Another hot compress is heat therapy, namely the towel soaked in hot water, wring to the Banzai after folding, compress temperature measured by hand, to hot for the degree, apply on the diseased part, outside the hot towel can then cover a layer of towels or cotton pad, to retain more heat. Generally every 3 to 5 minutes to replace a towel, preferably with two towel used. Each hot compress time is 15 to 20 minutes; the number of 3 to 4 times a day. After winter wet compress, the patient should go out more than half an hour later, in order to prevent a cold.
Note
1. No matter what kind of hot compress method should prevent burns, especially children, coma patients and the elderly, and blood circulation of the paralysis, diabetes and nephritis not 26 or feel insensitive patients. Use hot compress, should always check the changes of local skin, such as red scar, should immediately stop.
2. Hot compress as therapy combined with application to early cloth swollen, sty, arthritis, dysmenorrhea, cold induced abdominal pain and low back and leg pain. However, when the abdomen of undiagnosed, such as acute appendicitis, the face or mouth purulent infection, various visceral hemorrhage, early joint sprain, soft tissue contusion of early (within 48 hours of) edema, disable the hot compress. The hot compress is contraindicated in patients with shock.

First aid supplies

First aid supplies
Is often in time and place in the people is difficult to surprise attack acute disease, is common to the family first aid box, it is impossible to carry it to the attack of the accident site. The following introduction of the use of several emergency supplies, we can come in handy in the emergency disposal.
1, can be used for emergency disposal in stockings bandage or with tourniquet.
2 tie can fracture fixation splint bandage or with tourniquet.
3 new towels can be used as a handkerchief, bleeding bleeding, but also can be used for cold wet packing.
Handkerchief boil for 15 minutes or 4 irons full after ironing can be used for disinfection with gauze.
As the spatula 5 chopsticks, spoon emetic.
Magazine, 6, ruler, thick paper, umbrella stick, it can make a splint in fracture.
How to carry the wounded
When someone was hurt or suffering from acute severe, in addition to take the corresponding emergency measures in the field, but also as soon as the injury the patient is transported to the hospital for treatment. Take the correct way of handling of the patient, is one of the important measures to save the patient ‘s, not the right way to move, give patients bring serious results.
Handling patient preparation
The patient do the necessary emergency disposal 1 before moving.
2 for stretchers and blankets and other supplies.
3 thought the most reasonable handling of the position of the patient.
4 to relax the patient’s clothes, but to keep warm.
5 to transfer patient’s assistant.
6, way resolution handling patient.
Handling patient way
1. Take the disease to help lower extremity injury patients, will the patient’s finger in the rescue personnel shoulder fracture patients can not use this way to carrying).
. holding handling this method commonly used in short interval ambulance, applicable to lighter weight babies or patients (patients with spinal cord injury or fracture is not applicable to this method handling).
3 bear handling for longer interval handling (not for loss of consciousness and fracture patients)
. with a blanket or sheet handling spread their blankets and sheets under the patient body. Tuochuang walked single file, or the patient wrapped and handling.
5 arm X arm with handling, let the patient sit up.
6 stretcher stretcher handling is the most commonly used tool for transporting the sick and wounded. Simple stretcher can be temporarily manufactured, commonly used door plank, wood, bamboo bed, clothes, chairs, etc..
Will ordinary sick and wounded onto the stretcher, one with a hand cradling the sick and wounded of the head and shoulders, another on the other one hand to hold the waist buttocks of a hand cradling the sick and wounded, the other hand cradling the wounded knee, two people also will hurt patient move, gently on the stretcher. When walking, the stretcher step to harmony and action should be consistent, in front of people step left foot, behind the people step the right foot, smooth moving.
Suspected with thoracic and lumbar fractures of the sick and wounded, stop hold in, a person moving double move carry, due to such handling easy aggravating spinal cord injury, and by the 3 with lifting, a boosting the scapular and help live service ministry and hip, other people help the extension and and rope of the two lower limbs, 3 people act at the same time the wounded quietly inserts. To the late plate stretcher. When the supine position, to the foot of the foot service with a high of about 10 cm of small pillow pad pad.
Of cervical spine injuries of the sick and wounded to special care, handling a don’t be careful have may lead to the formation of the risk, to a stretcher handling, 3-4 people should move together, the one jurisdictional head traction fixed, the head and trunk line position has always insisted, maintain the neck does not move. Another 2 people occupy the trunk, a stall of lower limb, with a harmonic motion will hurt patient straight lift onto the stretcher, and in the neck delegated a small pillow, head around on both sides of the cushion or a sandbag fixed.