Forum pracy nad projektem wskrzeszenia The Forge

[yoylqnqvwb]

With severe trauma care


161 cases successfully, 8 patients died. 95% success rate. 2 2.1 The development of severe trauma with the rescue plan we have developed a serious injury one of the rescue plan planing, once received the patients. Rational division of labor, race against time, busy but not chaotic. 2.2 reasonable conditions placed position to stabilize and reduce further damage, the average patient supine, unconscious patients head to one side, chest trauma desirable semi supine, supine abdominal injury knees bit. Shock take supine or head and lower extremity elevation 15. . Suspected spinal injury patients move less, lying hard Banchuang, cervical spine injury in patients with sandbags fixed side of the head or upper neck collar. 2.3 suffocation by keeping the airway should be promptly removed the mouth, nose and trachea of ​​the foreign body, blood clots and exudates. After the fall when the tongue out of the tongue with the tongue clamp. Those of respiratory arrest, the establishment of artificial airway,[link widoczny dla zalogowanych], with artificial respiration, if necessary, with a doctor to do tracheal intubation and tracheotomy. Who provide timely and effective on hypoxic oxygen inhalation. Improve patient hypoxia. 2.4 The establishment of effective venous access in a timely manner to establish an effective intravenous access, maintain effective circulating blood volume and to ensure timely drugs into the human body. Intravenous infusion is best to use intravenous catheter. Ensure rapid and smooth to input fluid and drugs, to rescue the bleeding trauma, shock, blood volume expansion in critically ill patients is extremely beneficial in the short period of time,[link widoczny dla zalogowanych], and the Author: First Hospital of Xingtai City, Hebei Province 054001 / J ~ JL scalp vein puncture Some Experience Zhao Jingxian a psychological quality nursing staff should have a good stable manners, polite language and gentle conversation, have a strong self-control to overcome the depressed mood, maintain strong effort should be overcome interference ,[link widoczny dla zalogowanych], not afraid of setbacks capacity. Is to improve the quality of these fine needle technology base. 2, the choice of operating environment to environment, spacious, bright, well lit, preferably in natural light or fluorescent puncture. Author: 055,350 pediatric hospital in Hebei Longyao extravascular prolapse or puncture easily broken blood vessels. Of critically ill patients 2 or 3 can be established intravenous access, difficult puncture was feasible for the subclavian vein catheterization in order to ensure rapid infusion, blood transfusion and enter treatment. 2.5 maintain the circulatory system function of the heart to stop by. Chest cardiac massage immediately line, ECG monitoring and drug treatment. 2.6 Treatment of trauma for a variety of injuries. Should be targeted to stop the bleeding, bandaging, a fixed measure. In case of bleeding wounds are there. First, immediately refers to the pressure, tourniquet, drugs and other methods to stop bleeding, and then sterilized dressing. 2.7 maintain the central nervous system of the suspected patients with traumatic brain injury or coma, should immediately be given rapid intravenous infusion of mannitol solution 2O%. To reduce intracranial pressure. 2.8 Strengthening monitoring, control shock every 15 ~ 3o minutes once a vital signs monitor and record. Under the catheter retention, observed urine, prevention and aggressive treatment of shock. 2.9 Rapid preoperative preparation to do well as a variety of preoperative skin preparation, blood tests blood, the blood clotting function, blood biochemistry. Need to do cross matching blood transfusion tests, ECG, X-ray film and so on. Prepare for the surgery as soon as possible. 2.1O do three investigations of the seven rescue oral medical order issued by the doctor to repeat it again and correct the rear of the executable, rescue medication on an empty ampoule to be retained to prepare the rescue after the checking. 2.11 strengthen the psychological care of patients suddenly encountered a surprise. Not only severe physical trauma, but also suffered an unbearable psychological blow. Patients often show stress, fear, anxiety, loneliness, grief psychology, we should talk more with patients, do ideological and enlighten. Encourage patients to face up to reality, actively cooperate with the medical staff the ambulance, while nurses should remain calm. Busy but not chaotic, intense but orderly rescue of patients will have a psychological comfort and trust,[link widoczny dla zalogowanych], for the patient's family should be an objective description of the disease. Families to obtain cooperation and understanding, so that rescue work to be carried out smoothly. Severe trauma patients, re-injury, disease complex, changing fast. Has caused great difficulty to the rescue. We make every minute counts. Careful observation, to determine accurately, pro-active and close cooperation intensive care, good psychological care, to reduce injury and save lives of patients gained time to improve the success rate. 3 children to the parents before the parents do a good job with the interpretation of needle work and made parents trust and cooperation. Since most children of the vein of fear unwilling to meet the operational requirements of the parents of nurses is relatively high, hoping to sharply. This gives nurses a certain amount of psychological pressure. This requires not only a skilled nursing staff. Should also have good psychological quality, patience to persuade the parents with the operation of the nurses. 4 Select the appropriate needle puncture needle should be carefully examined before it smooth, sharp, and the infusion of convergence is close,[link widoczny dla zalogowanych], whether the leak. Otherwise, replace the needle, so as not to affect the puncture success. General election