Multiple trauma in the emergency care.doc

 PAGE \* MERGEFORMAT 3 Multiple trauma in the emergency care Introduction of multiple trauma in the emergency department is more common, timely and effective treatment is essential. I Hospital 1997201 / 2001201 to rescue 136 patients with multiple trauma, emergency nursing experience will now be summarized as follows. 1 The clinical data of 136 (male 94, female 42) patients, aged 6 to 76 years. Trauma causes traffic accident injuries for the 51 cases, 36 cases of sharp injuries, fall injuries in 26 cases, 12 cases of blunt injuries, crush injuries in 11 cases; injured parts, organs 2 were 48 cases, three were 59 cases, four more than 29 cases; clinical manifestations of 68 cases of sub-consciousness disturbance, shock times 99 cases, respiratory failure, 13 cases times, 87 cases of fracture times, organ 78 cases of bleeding times. 2 nursing interventions and the results immediately asked about the history, the rapid assessment and accurate records of injuries and to take appropriate (fluids, oxygen, etc.) first aid measures in order to maintain their vital signs. 136 cases injured by the rescue, the success of 119 cases, 17 deaths cases, success rate of resuscitation 87.5%. 3 nursing experience 3.1 the establishment of venous access for the shock and the rapid establishment of two patients with venous access as soon as possible the restoration of effective circulating blood volume on the venous puncture those in bold intravenous catheter or infusion catheter incision to correct shock. 3.2 oxygen sufficient oxygen to maintain airway patency [1], on the head and chest trauma is extremely important, because these patients often fall because of tongue, blood, sputum obstruction cause breathing difficulties and even suffocation, and should therefore be timely clear respiratory secretions, blood clots, mouth vomit, after the fall of the tongue with the tongue in patients with pliers to pull the tongue. if necessary, endotracheal intubation or tracheostomy. 3.3