Emergency Department treatment of multiple trauma of the integration.docVIP

 PAGE \* MERGEFORMAT 7 Emergency Department treatment of multiple trauma of the integration Of: Min Xiang Hui, Wang Yu, Qu Min, Chung-lun, Guo Rui Chao [Abstract] of 112 patients with multiple injuries in the emergency department implementation of integrated treatment, effectively improve the success rate. The focus of emergency treatment integration: the establishment of the rescue team to carry out emergency surgery and damage control surgery, comprehensive care and treatment. [Keywords:] multiple trauma, integration, damage control; surgery Multiple trauma effects are not all parts of the wounds of a simple sum [1]. The traditional multi-disciplinary consultation system is often delayed rescue, multiple injuries has its own characteristics, multiple trauma treatment need further study, our hospital emergency department in 2005 1 months to December 2008 112 patients with multiple injuries to the integration of emergency medical treatment, reported as follows. Clinical data 1 General Information The group of 112 cases, 82 cases were male, 30 females, aged 12 to 90 years, mean 33 years old. The causes of injury: 68 cases of road traffic injury, fall injury in 26 cases, 10 cases weight crushing injury, wounds 5 cases, 3 cases of blunt injury. ISS score ofgt; 16 points, an average of 25.5 points,gt; 25 points in 58 cases. injury site and type: 51 cases of head injury based, mainly limb injuries, 30 cases mainly the chest injury 22 cases, 9 cases of pelvic spine injury based. and three of them three or more organs or anatomical parts of 86 cases of injury. with shock 75 cases, 67%, hypoxemia, respiratory failure in 39 cases, 34.8 %. 2 treatment (1 emergency department: first aid in accordance with the principles of multiple injuries and methods of rescue, as soon as possible in an infusion path, the line of ECG, respiration, oxygen and other monitoring. According to the line bedside X-ray injury in 16 cases, bedside ultrasound B 18 patie