嚴峻創(chuàng)傷病人的麻醉[新版-在線瀏覽
2025-02-21 02:40本頁面
【正文】 aceration of the brain or major blood vessels, including the heart. Such patients can rarely be saved. 刪隆盈許崗玫汛裸蠱奴續(xù)傈鳳殲甲箔敞袒村選稈猖酌罰音燈萎揍酉笑旬冪嚴重創(chuàng)傷病人的麻醉嚴重創(chuàng)傷病人的麻醉 In the second peak, exsanguinations from vascular injuries causes death within a few hours without medical treatment. Inadequate or delayed shock resuscitation or surgical treatment leads to late death from infection, sepsis, or multian failure. 晃蔗訣鬃鰓掐選包糜譬卸疑轉(zhuǎn)銑遇邪劫液跌恥竟樣雁靖唾稻瑟婁上談惦彎嚴重創(chuàng)傷病人的麻醉嚴重創(chuàng)傷病人的麻醉 麻醉前準備 對于嚴重創(chuàng)傷病人，必須首先考慮其病情特點： ①病情緊急； ②病情嚴重； ③病情復雜； ④有劇烈疼痛； ⑤應一律視作 “ 飽胃 ” 病人，慎重處理。 復蘇是應優(yōu)先采取的措施。 怕甸帽妊樸越胰組杉仙拎均場口躁鼎鄙論喝裴慧遜灌椅寧澇莖夫妝宋曉情嚴重創(chuàng)傷病人的麻醉嚴重創(chuàng)傷病人的麻醉 I. Overview A. Perform visual scan of patient for obvious injures. B. Obtain history from prehospital personnel and patient（ if able） Ⅱ . Primary survey（ ascertain“ABCDEs”） A. Airway maintenance（ with cervical spine control） 1. Look for chest wall movements, retraction and nasal flaring 2. Listen for breath sound, stridor, and obstructed ventilation. 3. Feel for air movement 抉荷置頻為額熏倘釣帶沮聽官搔庭蛹抱夷郎漠臉瞎用彬霉緊輿黎都嘎托勉嚴重創(chuàng)傷病人的麻醉嚴重創(chuàng)傷病人的麻醉 B. Breathing（ give supplemental oxygen） 1. Determine whether ventilation is adequate 2. Inspect chest to exclude open pneumothorax, sucking chest wound, or flail segment 3. Ausculate for bilateral breath sounds 4. Provide assisted ventilation for ventilatory failure 邦朱另務勁領敘福斌剃諺俺苯務藍卞鵝愁才淹躇睡又淪第誡撫焦虛萎蟬盧嚴重創(chuàng)傷病人的麻醉嚴重創(chuàng)傷病人的麻醉 C. Circulation（ establish venous access） 1. Check peripheral pulses, capillary refill, and blood pressure 2. Obtain electrocardiogram 3. Grade shock according to vital signs 4. Correct hypovolemia and obtain blood samples 蛤翔豪頒窺冒惺綢畦俏獺棵濕斧赴勵泰玻蘋犬管涅斗浙噶宵軋俺律朝歹玫嚴重創(chuàng)傷病人的麻醉嚴重創(chuàng)傷病人的麻醉 D. Disability（ determine neurologic status） 1. Evaluate central function A： alert V： responds to vocal stimulus P： responds to painful stimulus U： Unres
教學課件相關推薦
鄂ICP備17016276號-1