兒童創(chuàng)傷急救-全文預(yù)覽
【正文】 istent tachycardia持續(xù)的脈搏過(guò)快 ? Rate 130 usually shock in all ages except neonates脈搏 130多為休克 ,新生嬰兒除外 – Prolonged capillary refill and cool extremities冷 – Level of consciousness清醒程度 ? Circulation can be poor even if child is awake 血循環(huán)衰竭的兒童仍可完全清醒 – Low blood pressure is sign of late ? BP 80 mmHg in child。 2024 Pearson Education, Inc., Upper Saddle River, NJ Endotracheal Intubation 氣管內(nèi)導(dǎo)管 Oral endotracheal intubation從口腔插入 ? No blind nasotracheal intubation for 8 years 少于 8歲不可施行鼻入插喉法 Uncuffed tube無(wú)氣袋式喉管 – Lengthbased tape system身長(zhǎng)尺 – Same diameter as tip of child’s little finger與小童尾指頭直徑相同 – Frequently reassess placement需經(jīng)常撿查喉管位置 18 Trauma in Children 4 + age in years = size of tube (mm) 4 第十八頁(yè)，共三十五頁(yè)。 2024 Pearson Education, Inc., Upper Saddle River, NJ 20, 15, 10 Ventilation Rate換氣次數(shù) 16 Trauma in Children 10 per minute for adolescent 如為中童 , 10次 /分鐘 20 per minue for 1 year 如 1歲 , 20次 /分鐘 15 per minute for 1 year 如 1歲 , 15次 /分鐘 第十六頁(yè)，共三十五頁(yè)。 tissue soft舌大 ,組織軟 ? Jawthrust下頷上提法 ? Oropharyngeal airway口咽氣道 ? Nasopharyngeal airways鼻咽氣道 – Too small to work predictably 因鼻孔太少未必有效 ? Neonate obligate nose breather 新生嬰兒用鼻孔呼吸 ? Clear nose with bulb syringe用球狀泵吸走分泌 14 Trauma in Children 第十四頁(yè)，共三十五頁(yè)。 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。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 Trauma in Children Trauma in Children 兒童創(chuàng)傷 第二頁(yè)，共三十五頁(yè)。 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(shì)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(píng)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(yè)，共三十五頁(yè)。 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(zhǔn)確反映組織灌注是否足夠 ? Caregivers best at detecting subtle changes 照顧者會(huì)較易分辯出傷者微小改變 6 Trauma in Children 第六頁(yè)，共三十五頁(yè)。 2024 Pearso
環(huán)評(píng)公示相關(guān)推薦
鄂ICP備17016276號(hào)-1