Management Of Injury
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Management of the Injured Patient Hepatobiliary and Vascular Department Shouye Zhao
Contents
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
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
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!
Contents
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
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
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!
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