20xx年醫(yī)學專題—兒童創(chuàng)傷急救-閱讀頁
2024-11-04 23:05本頁面
【正文】 hildren ,第二十一頁，共三十五頁。r t243。n n225。,Pediatric Trauma Center,Mechanism that predicts severe injury預期嚴重傷勢(shāngsh236。,Pediatric Trauma Center,Recommended建議送院 Burns燒傷(shāoshāng) Neardrowning遇溺 Head injuries with loss of consciousness 人事不醒的頭部受傷 Notify hospital as early as possible. 盡早知會醫(yī)院,24,Trauma in Children ,第二十四頁，共三十五頁。i)生命傷勢,Head injury頭部受傷 Most common cause of death最常見死亡原因 Level of consciousness change best indicator 清醒程度(ch233。)之改變?yōu)樽钣行У恼鳡?Pupil assessment important檢查瞳孔,25,Trauma in Children ,第二十五頁，共三十五頁。n)腦疝征狀 Fluid administration titrated to systolic BP 控制輸液速度至可維持基本收縮壓 Preschool child: 80 mmHg。,LifeThreatening Injuries,Chest injury胸部創(chuàng)傷 Respiratory distress common最常見的征狀為呼吸困難 Pneumothorax or tension pneumothorax氣胸或張力性氣胸 Difficult to assess較難分別 Needle thoracostomy can be lifesaving剌胸膜腔穿刺 Pulmonary contusion胸部挫傷 Rare injuries較少發(fā)生(fāshēng)傷勢 Rib fractures, flail chest, aortic rupture, pericardial tamponade 肋骨折、槤架胸、主動脈撕裂、心胞膜填塞,27,Trauma in Children ,第二十七頁，共三十五頁。)嚴重傷勢處理 Be prepared to prevent aspiration. 預防氣道吸入異物,28,Trauma in Children ,第二十八頁，共三十五頁。)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X光片異常,29,Trauma in Children ,第二十九頁，共三十五頁。ngzh236。,Child Restraint Seats兒童(233。ng)汽車安全椅,31,Trauma in Children ,Child in car seat Serious injury嚴重受傷 Remove from car seat 移離安全椅 Apply SMR脊椎固定(g249。ng) No apparent injury無明顯嚴重受傷 Secure and transport in car seat穩(wěn)固后原椅運走,第三十一頁，共三十五頁。ngshǐ)法例,32,Trauma in Children ,第三十二頁，共三十五頁。),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認識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(ch225。n)兒童創(chuàng)傷傷勢 Be active in prevention programs積極參與預防意外計劃,33,Trauma in Children ,第三十三頁，共三十五頁。,內(nèi)容(n232。ng)總結(jié),Chapter 17。Caregiver Consent照顧者”同意”。最有效顯示傷者休克的征狀為持續(xù)(ch237。)的脈搏過快。33,第三十五頁，共三十五頁
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