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Blast injury of the early batches of Emergency Nursing
Of: Hu Li Ge, Zhang Yushu, Yang Xinlei
[Abstract] bulk explosive through the early implementation of the rescue injured patients receive timely medical treatment, bulk first aid blast injury early implementation of effective measures to improve the success rate. Batches of blast injury successful treatment of all patients are recovering.
[Keywords:] bulk blast injury; first aid; Care
Blast injury is a burn-blast combined injury, not only causes skin damage, and often complicated by brain, chest and abdomen, physical shock injuries to inhalation injury and poisoning, particularly prevalent in patients with severe burns. Due to sudden, large number of patients and critical high degree of complexity of injuries, early prone to shock and rational organization, and intensive care treatment is to ensure that an important part of successful treatment [1], now admitted to our hospital 10 patients with a nursing care are described below.
1 Clinical data
The group of 10 patients, 8 males and 2 females; aged 19 to 63 years, mean 45 years; burn area 88% of the maximum, minimum 30% TBSA, an average of 48% .10 patients have different levels on admission respiratory inhalation injury, with varying degrees of traumatic shock. 18h which 2 burn patients transferred to and from the outside the hospital admission, severe shock, 2 patients with high blood pressure, pneumonia and other underlying diseases; 2 patients tracheal cut open, 1 patient using a ventilator.
2 emergency treatment measures
2.1 The history of the disease observed asked, hearing the voice, understand the causes of injury and the injured environment, pre-hospital treatment and fluid situation, make a preliminary diagnosis of the disease; observation of the wounded state of mind, whether unconsciousness or coma, monitoring heart rate, respiration, blood pressure and other vital signs, except for injury cover inspe
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