Management Of Injury

Management of the Injured Patient Hepatobiliary and Vascular Department Shouye Zhao

Contents  

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Introduction Diagnose of trauma

history, PE ,special test

Treatment of trauma pre-hostipal treatment (resuscitation 、 stop bleeding 、 packing 、 fixing 、 transportation) evaluation of trauma respiratory/circulation support anti-infeciton et al. Procedure of emergency

Introduciton  

Mortality rate Degree

Diagnose  

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History PE (diaphragmatic hernia/splenic rupture, echoscope) Special test lab. test puncture/catheter (abdominocentesis , incoagulable US or X-ray operation

blood )

Treatment

Treatment

Treatment 

Pre-hospital treatment resuscitation stop bleeding packing fixing transportation

Resuscitation 

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Cardio-pulmonary Resuscitation (CPR) Cardio-pulmonary Cerebral Resuscitation (CPCR)

Resuscitation

Resuscitation 

A

B

Resuscitation 

C

external chest

compression open chest compression

Resuscitation Eveidence  Pulseness, 触及大动脉 ( 颈、股动脉 ) 搏动，可测得 血压。  Cyanosis, 紫绀消失，皮肤、黏膜转红。  ETCO2 , 升高是自主循环恢复的第一个征象，可预测 心肺复苏成功。 

Pupil,

瞳孔变小是复苏有效的重要指征。

Resuscitation Defibrillat ion

The End Thank You!

Stop Bleeding

Stop Bleeding 肱动脉压迫点 上臂內侧肱 二头肌下

Packing

Packing

Fixing stretcher

Transportation

Transportation

The End Thank You!