In the field operation experience of the car OK Orthopedic Surgery.docVIP

 PAGE \* MERGEFORMAT 8 In the field operation experience of the car OK Orthopedic Surgery [Keywords:] field operation vehicle; orthopedics; earthquake disaster Field operation vehicle is a new army dispensed important medical equipment, since the equipment has not been battle-tested. In the Wenchuan earthquake during the field operation vehicle played a significant role. We are in the car were 84 cases of orthopedic surgery, all get good results, showing the field operation of emergency vehicles in the treatment of sick and wounded, and the important role of early surgery. A clinical data 1.1 General Information 84 cases of sick and wounded, the male 64, female 20, the youngest 4 years old, maximum 96-year-old. There are 40 cases of bacterial surgery, 44 cases of aseptic surgery. 4 cases of general anesthesia, epidural anesthesia in 12 cases, brachial plexus block anesthesia in 16 cases, the remainder being local anesthesia. 1.2 Ways and means of work (1) interior disinfection method: Before 1 h 0.5% peracetic acid spray, 1.0% peracetic acid cleaning and UV irradiation. Between the two operations by 0.5% peracetic acid disinfectant spray 0.5 h, after thoroughly cleaning the operating room, once again spraying of 0.5% peracetic acid, 1.0% peracetic acid cleaning and UV-irradiation 1 h. (2) surgical instruments requirements: high-temperature sterilization surgical instruments are sterilized with 3 M tape and card instructions for monitoring disinfection effect of high temperature and humidity due to the disaster areas, disinfection of surgical instruments after the four-pack cloth, use a period of 3 d. (3) The operation sequence of arrangements: the arrangements according to a hierarchy of surgical incision, according to the first aseptic surgery, bacteria after surgery, after the first light of principles. Incision with the grade and Taiwan can be carried out. (4) surgical personnel requirements: to minimize the surgical staff in preparation for tent conv