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20xx年醫(yī)學(xué)專(zhuān)題—兒童創(chuàng)傷急救-資料下載頁(yè)

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【正文】 架胸、主動(dòng)脈撕裂、心胞膜填塞,27,Trauma in Children ,第二十七頁(yè),共三十五頁(yè)。,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(shì) Bleeding often contained within organ 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(shì)可只有輕微征狀 Suspect with any abnormal abdominal assessment 若有任何異常腹部征狀當(dāng)作(dānɡ zu242。)嚴(yán)重傷勢(shì)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(yè),共三十五頁(yè)。,LifeThreatening Injuries,Spinal injury脊椎創(chuàng)傷 Uncommon before adolescence青少年以下(yǐxi224。)較少發(fā)生 9 years usually lower cervicalspine injuries頭椎下受傷 Higher incidence of SCIWORA spinalcord injury without radiographic abnormality 可無(wú)X光片異常,29,Trauma in Children ,第二十九頁(yè),共三十五頁(yè)。,LifeThreatening Injuries,SMR脊椎固定 Pad under torsofor neutral position 于天然屈曲位下放置(f224。ngzh236。)較墊 May have to secure without cervical collar 可不使用頸圈固定頸椎 Do not restrict chest movement 切勿緊束胸部,30,Trauma in Children ,第三十頁(yè),共三十五頁(yè)。,Child Restraint Seats兒童(233。r t243。ng)汽車(chē)安全椅,31,Trauma in Children ,Child in car seat Serious injury嚴(yán)重受傷 Remove from car seat 移離安全椅 Apply SMR脊椎固定(g249。d236。ng) No apparent injury無(wú)明顯嚴(yán)重受傷 Secure and transport in car seat穩(wěn)固后原椅運(yùn)走,第三十一頁(yè),共三十五頁(yè)。,Child Neglect and Abuse 疏忽(shū hu)照顧及虐待,A leading cause of death in U.S. Be alert to signs注意征狀 Transport if suspected 如有懷疑,送院冶理 Know local laws 行使(x237。ngshǐ)法例,32,Trauma in Children ,第三十二頁(yè),共三十五頁(yè)。,Summary總結(jié)(zǒngji233。),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(shí)不同年齡的生命表征正常讀數(shù) Reference chart Be familiar with common injuries in children熟悉常見(jiàn)(ch225。nɡ ji224。n)兒童創(chuàng)傷傷勢(shì) Be active in prevention programs積極參與預(yù)防意外計(jì)劃,33,Trauma in Children ,第三十三頁(yè),共三十五頁(yè)。,Discussion,34,Trauma in Children ,第三十四頁(yè),共三十五頁(yè)。,內(nèi)容(n232。ir243。ng)總結(jié),Chapter 17。Avoid “no” questions避免說(shuō)”不”。Caregiver Consent照顧者”同意”。如 1歲, 15次/分鐘。最有效顯示傷者休克的征狀為持續(xù)(ch237。x249。)的脈搏過(guò)快。車(chē)禍中受困于車(chē)廂中。33,第三十五頁(yè),共三十五頁(yè)。,
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