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兒童創(chuàng)傷急救-wenkub

2024-10-01 16 本頁面
 

【正文】 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。 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。 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。 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。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Breathing in Children兒童呼吸 Work of breathing呼吸方法 ? Retractions, flaring, grunting 肋間收縮、 鼻翼擴張、咕嚕聲 ? Persistent grunting requires ventilatio n持續(xù)助呼吸 Respiratory rate呼吸次數(shù) ? Fast, then periods of apnea or very slow 先后短暫停止或轉(zhuǎn)慢 Minor blunt neck trauma can be critical. 輕微頭部挫傷可引起嚴重傷勢 15 Trauma in Children 第十五頁,共三十五頁。 2024 Pearson Education, Inc., Upper Saddle River, NJ Breathing Management呼吸處理 17 Effective BVM ventilation— 有效 BVM換氣 intubation is Trauma in Children 第十七頁,共三十五頁。 2024 Pearson Education, Inc., Upper Saddle River, NJ Circulation in Children兒童血循環(huán) 19 Persistent tachycardia is most reliable indicator of shock. 最有效顯示傷者休克的征狀為持續(xù)的脈搏過快 Trauma in Children 第十九頁,共三十五頁。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 older child: 90 mmHg ? 幼兒 : 80 mmHg,小童 : 90 mmHg ? Be prepared to prevent aspiration ? 預(yù)防氣道吸入異物 26 Trauma in Children 第二十六頁,共三十五頁。 2024 Pearson Education, Inc., Upper Saddle River, NJ LifeThreatening Injuries Abdominal injury腹部創(chuàng)創(chuàng) Liver and/or spleen rupture肝、脾撕裂 Second leading cause of traumatic death 傷第二致死傷勢 Bleeding often contained within an 出血通常局限于
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