On multiple trauma emergency care.docVIP

On multiple trauma emergency care Sun Xiuying [Keywords] multiple trauma emergency care Multiple trauma is a factor in the role of the same injury, the body simultaneously or in succession two or more tissues or organs by severe trauma, even if these wounds alone, but also potentially life-threatening communicable disease injury changes quickly, high mortality [1]. With the rapid urban construction and transportation development and the dramatic increase in the number of cars, traffic accidents linear upward trend, China’s annual number of deaths due to accidents at least 10 million people, most of them died of multiple trauma due to multiple trauma oncoming danger, rapid progression of the disease, high mortality and emergency work become a problem, in March 2005 - March 2006, multiple trauma were treated in our department, 126 cases are summarized below. 1 Clinical data 1.1 General Information The group of 126 patients, male 84 cases, 42 female, aged over 20 to 50 years old, injury and treatment time is about 20 ~ 120min. Injury factors: 101 cases of traffic accidents, fall injuries in 11 cases, knife chopped in 12 cases, collapse injuries in 2 cases. injuries: The 74 cases of head injury based, mainly chest and abdominal injuries in 38 cases, mainly the limbs in 14 cases of pelvic injury. 1.2 treatment measures laparotomy in 31 cases, endotracheal intubation in 8 cases, cardiopulmonary resuscitation in 15 cases, craniotomy in 52 cases, thoracic drainage in 6 cases, open reduction and internal fixation in 14 cases. 1.3 Results The successful rescue of 95 cases, death in 31 cases. 2 first aid and nursing 2.1 Rapid assessment of injuries to nurses in emergency pre-meet the wounded, should strive to quickly assess the first time the injury [2] and then asking the same time, untied (or cut) the patient’s underwear, according to ABBCS method for detecting [3]: A (airway airway) without clogging, B (breathe breathe) amplitu