【正文】 in Children 第五頁，共三十五頁。 2024 Pearson Education, Inc., Upper Saddle River, NJ Airway in Children兒童氣道 Signs of obstruction 呼吸受阻征狀 Apnea無呼吸 Stridor吸氣時有喘鳴聲 “Gurgling〞 respiration有雜聲的呼吸 Contribute to obstruction誘因 Hyperextension過度舒張 Hyperflexion過度屈曲 13 Trauma in Children Courtesy of Bob Page, NREMTP 第十三頁，共三十五頁。 70 mmHg in young infant 20 Trauma in Children 第二十頁，共三十五頁。 Campbell,International Trauma Life Support, 6th Ed. 169。 Caregiver Consent照顧者〞同意〞。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ LifeThreatening Injuries ? Highflow oxygen高濃度氧氣 ? Hyperventilate only with cerebral herniation syndrome ? 加快換氣只適用于出現(xiàn)腦疝征狀 ? Fluid administration titrated to systolic BP ? 控制輸液速度至可維持根本收縮壓 ? Preschool child: 80 mmHg。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson Education, Inc., Upper Saddle River, NJ Mechanisms of Injury受傷機(jī)理 Falls高處下墮 Usually land on head通常頭先著地 Serious head injury unusual from 27 inches嚴(yán)重頭部受傷并不常見于身長 27吋 Protective gear保護(hù)裝備 MVCs交通意外 Seatbelt syndrome平安帶綜合癥 Liver, spleen, intestines, lumbar spine 肝、脾、小腸、腰椎 Autopedestrian crashes路人被撞 11 Trauma in Children 第十一頁，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(jī)理 ITLS Primary and Secondary Surveys初步及進(jìn)一步檢查 Consent and the need for immediate transport家長同意及需實時運(yùn)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。 Campbell,International Trauma Life Support, 6th Ed. 169。 Campbell,International Trauma Life Support, 6th Ed. 169。 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 出血通常局限于器官之內(nèi) Difficult to diagnose難以診斷 Severe injury with minimal signs 嚴(yán)重傷勢可只有輕微征狀 Suspect with any abnormal abdominal assessment 假設(shè)有任何異常腹部征狀當(dāng)作嚴(yán)重傷勢處理 Be prepared to prevent aspiration. 預(yù)防氣道吸入異物 28 Trauma in Children 第二十八頁，共三十五頁。如 1歲 , 20次 /分鐘。 2024 Pearson Education, Inc., Upper Saddle River, NJ Summary總結(jié) Good trauma care for children有效兒童創(chuàng)傷處理 Proper equipment良好裝備 Interact with frightened caregivers與受驚照顧者溝通 Know normal vital signs for various ages認(rèn)識不同年齡的生命表征正常讀數(shù) Reference chart Be familiar with mon injuries in children熟悉常見兒童創(chuàng)傷傷勢 Be active in prevention programs積極參與預(yù)防意外方案 33 Trauma in Children 第三十三頁，共三十五頁。 Campbell,International Trauma Life Support, 6th Ed. 169。 2024 Pearson