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Dołączył: 13 Gru 2010
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Wysłany: Pon 14:59, 14 Mar 2011 Temat postu: FireWire 113 cases _4604 burn |
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FireWire 113 cases of burns
19 cases, 14 cases of ADM significantly celebration. 13 cases of a gentamicin penicillin, tetracycline, 6 cases of other 9 cases. 2 2.1 site to discuss self-help, mutual help in order to save themselves the main fire site. In the process of self-help and mutual aid should note the following: (1) before leaving the fire source, application masks, cotton or clothing covering the nose and mouth. To prevent the rapid absorption of human nature to leave the fire damage, immediate self-help, mutual help fire fighting should be flexible, they can roll over fire,[link widoczny dla zalogowanych], or covered with clothing, water fire, fire, etc., or jumped into the water. (2) within half an hour after injury or bath with water, reduce heat injury, Wells has a good effect of pain and reduce swelling. Chemical burns should be washed with water as soon as possible, time should be long enough. (3) Do not burn or blisters Yuba removed. (4) burn wounds can be triangle,[link widoczny dla zalogowanych], clothing,[link widoczny dla zalogowanych], dressings bandage, to avoid adding to injury (5), and severe smoke damage in human nature before fluid resuscitation. Hoarse voice is often not obvious, but often change the tone, should give priority to the nearest evacuation, timely oxygen, tracheotomy and so on. (6) bleeding associated with soft tissue injury by compression method can be used to stop bleeding, bone fracture can be bamboo, sticks and other objects of fixed technique should not increase the damage. (7) Self-stabilizing emotions and avoid impatient, blind ran at a loss. Actively prepare for the evacuation of war collapsed. 2.2 The collapse or withdrawal of combat evacuation (1) withdrawal means the group of minor burns 81.4 (burn surface area 80 for the extraordinarily severe. Absorption of human nature combined injury,[link widoczny dla zalogowanych], blast lung injury, complicated by shock or trauma associated with other significant persons, the injury was improved level. (3) the timing and manner of evacuation: usually burn casualty evacuation, our scholars to make the following observations: Burn area 80 or so who served within the 4h. Or more of the 21 patients with moderate burns late arrival time was significantly biased, especially in 9 cases complicated by shock, the average burn area was 59.1, injury beyond the mission,[link widoczny dla zalogowanych], the division aid station for medical treatment capability. With severe, complicated by shock, severe burn, in principle, in situ recovery, after the evacuation to be basically stable {injury without treatment conditions, evacuation should be given priority, while evacuation of the recovery side, well try to use transport speed and smooth operation transport. Group of casualty evacuation instructions from the successful experience of the way is the direction of the nearest evacuation and the evacuation of more than the combination of gradual evacuation evacuation combined with the leapfrog. Therefore, the required group, teacher aid station personnel familiar with the injury to determine health service, classification, protection of designated evacuation of seriously wounded, as soon as possible to reach specialist treatment units. Helicopter evacuation speed, can reduce the evacuation level, shorten evacuation time, smooth and comfortable, the wounded and well tolerated, is the best tool for the wounded in wartime transport. 2.3 evacuation step of the way of treatment without serious complications, the complications were minor burns to reach groups, teachers aid station, it should be simple debridement and dressing, to reduce wound contamination or infection. Debridement should be carried out from simple to remove obvious contaminants; debridement can choose 1% o solution benzalkonium bromide, 2 ‰ chlorhexidine or saline. First aid on the seriously wounded to be treated well evacuation preparations. Of moderate to severe injury or Ta difficulty breathing human who tracheotomy or cricothyroid membrane puncture, protect the airway, the body cut to reduce tension ring eschar, fractures provide proper fixation. Burn treatment of burn shock resuscitation is an important part of the success or failure, the
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