【正文】 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 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)。 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 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 Communicating Interaction strategies使用適齡的語(yǔ)言 Appropriate language for developmental level適宜的語(yǔ)言 Speak simply, slowly, clearly說(shuō)話要慢及簡(jiǎn)溸 Be gentle and firm必需肯定 Avoid “no〞 questions防止說(shuō)〞不〞 Get a favorite belonging 利用其喜愛的玩具 /隨身物品 Get on child’s level 降下身段至與傷者視線平衡 Explain SMR necessity 解釋脊椎固定之需要 Allow caregiver to acpany child 讓照顧者與傷者同行 8 Trauma in Children 第八頁(yè)，共三十五頁(yè)。 2024 Pearson Education, Inc., Upper Saddle River, NJ Mechanisms of Injury Burns燒傷 Airway obstruction氣道受阻 – Foreign body異物 Child abuse虐待兒童 ? Suspect if history does not match injury 受傷經(jīng)過與傷勢(shì)不吻合 ? Story keeps changing經(jīng)常改變說(shuō)法 12 Trauma in Children 第十二頁(yè)，共三十五頁(yè)。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Pediatric Trauma Center Mechanism that predicts severe injury預(yù)期嚴(yán)重傷勢(shì) ? Fall from height 10 feet高處墮下 ? Motorvehicle collision ? MVC with fatalities車禍中有人死亡 ? Ejection from an automobile in a MVC 車禍中彈離車廂 ? In MVC, significant intrusion into partment 車禍中受困于車廂中 ? Hit by a car as a pedestrian or bicyclist行人被撞 ? Fractures in more than one extremity多邊一條肢體骨抑 ? Significant injury to more than one an system 多過一個(gè)器官受傷 23 Trauma in Children 第二十三頁(yè)，共三十五頁(yè)。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 內(nèi)容總結(jié) Chapter 17。