创伤急救包扎课件.ppt

*,*,单击此处编辑母版标题样式,*,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,Trauma and,Emergency Medical Treatment,Miao,Jie,Dep.Orthopaedics,The Third,Xiangya,Hospital,1,2,Trauma is the fourth death factor followed by heart disease,malignant tumors and,cerebrovascular,disease.,It is very important to take emergence treatment as quick as possible!,3,Field first aid,Rescue in hospital and further treatment,4,Resuscitation,Ventilation,Hemostasis,Bandaging,Fixation,Transport,5,1,.Resuscitation （cardiopulmonary resuscitation,CPR,）,A:Airway,B:Breathing,C:Circulation,D:Defibrillation,6,30:2,7,2.,Ventilation,dig,out from mouth,hit the back,Heimlich Maneuver,pull the tongue while lift the mandible,cricothyroid membrane puncture,or Cricothyrotomy,Tracheal intubation or Tracheotomy,8,9,press with finger,bind up with,pressure,tourniquet,stuff in the wound,3.Hemostasis,10,11,superficial temporal arteryfacial arterycephalic artery,in front of the,external acoustic,meatus,beneath the,gonial,angle,beside the,musculi,sternocleidomastoideus,12,subclavian,artery,over the middle of the,collarbone,13,brachial artery,in the middle part of the upper arm,14,ulnar,artery&radial artery,15,arteria,femoralis,beneath the middle of the,inguinal ligament,16,popliteal,artery,in the popliteal space,17,dorsal artery of foot,between the base of the first and the second metatasal bones on the foot,18,bind up with,pressure,19,tourniquet,lift the limb for 35 mins and drive the blood to the body before exert,locate at 1/,3,of the upper arm or thigh;the forearm and the shank are not suit,able for this way,should not use too high pressure lest the avascular necrosis in the distal limb,20,the pressure should not over 40kPa(300mmHg)in arms and 66.7kPa(500mmHg)in legs,loosen it for 35 mins each hour,mark the date and the time obviously,21,22,23,24,4.Bandaging,bandage,pectoral girdle,bellyband,triangular binder,25,Notice:,foreign matter should not be taken away by force before bind up,exserted tissue should not be sent back,use clean cloth on the hand,sterilized is better,the dressing should cover the wound 510 cms wide,should not bind too tight,check the blood circulation at the distal limb periodical,ly,26,bind the limbs from distal part to proximal part,compress the limb evenly,the end of the limb should not be bind up,basic principles,27,A.,ring form bind,B.,spiral bind,28,C.,loose spiral,D.,spiral fold back,29,30,31,s shape method,32,33,34,35,36,37,38,5.Fixation,correct the deformity with traction before fixation,put the joint,in the functional position,both the proximal and the distal joint around the wound should be fixed,39,hand,40,forearm,41,fracture,around elbow,42,upper arm,43,collarbone,44,fractures in leg,45,around knee,46,shank,47,cervical vertebra,48,spine fracture,49,stretcher,6.Transport,50,51,52,53,54,incorrect way,55,56,57,