兒童創(chuàng)傷急救(已修改)
2025-09-26 16:40 本頁面
【正文】 International Trauma Life Support for Prehospital Care Providers Sixth Edition Patricia M. Hicks, MS, NREMTP Roy Alson, PhD, MD, FACEP Donna Hastings, EMTP John Emory Campbell, MD, FACEP and Alabama Chapter, American College of Emergency Physicians Campbell, International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Chapter 17 Trauma in Children 第一頁，共三十五頁。 Campbell, International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Trauma in Children Trauma in Children 兒童創(chuàng)傷 第二頁，共三十五頁。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Overview Effective techniques to gain confidence有效增加信心的技巧 Injuries based on mechanisms of injury受傷機理 ITLS Primary and Secondary Surveys初步及進一步檢查 Consent and the need for immediate transport家長同意及需實時運送 Pediatric equipment needs適合兒童之器材 Various methods of SMR on child兒童脊椎固定方法 EMS involvement in prevention programs參與預(yù)防意外方案 3 Trauma in Children 第三頁，共三十五頁。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Trauma in Children Different from adults與成人不同 Different patterns of injuries不同傷勢模式 Different responses to those injuries不同反響 Special equipment required需要特別器材 Assessment equipment and treatment equipment檢查及冶療用的器材 Difficult to assess and municate 較難評估及溝通 Come with caregivers and other family members 與家人或照顧者同行 4 Trauma in Children 第四頁，共三十五頁。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Communicating溝通 Familycentered care is – Caregiver not always – Involve caregivers as much as possible in – Give explanations and careful – Inclusion and respect will improve 者 – Keep caregivers in physical and verbal Demonstrate petence and passion. 5 Trauma in Children 第五頁，共三十五頁。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Assessing Mental Status 撿查精神狀態(tài) Consoled or distracted可按撫或轉(zhuǎn)注意力 ? Most sensitive indicator of adequate perfusion 能準確反映組織灌注是否足夠 ? Caregivers best at detecting subtle changes 照顧者會較易分辯出傷者微小改變 6 Trauma in Children 第六頁，共三十五頁。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Assessing Mental Status Initial level of consciousness最初清醒程度 Preschool child : sleeping vs. unconscious 幼兒 :疲倦 vs人事不醒 Most will not sleep through arrival of ambulance大部份沿途不會睡覺 Ask caregivers to wake child著照顧者弄醒傷者 Suspect hypoxia, shock, head trauma, seizure 疑心缺氧、休克、頭部受傷、癲癇 7 Trauma in Children 第七頁，共三十五頁。 Campbell,International Trauma Life Support, 6th Ed.
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