The initial trauma check is the fastest possible detection of life-threatening injuries, which are for further treatment and transport of patients is important. In principle, all possible regions of body to be examined; the scope of investigation is necessarily adapted to situation. It will be manually examined for signs of traumatic impact head, shoulder girdle, arms, hands, chest, abdomen, pelvis, legs and feet (gastric sleeve surgery in Mexico).
Paying special attention to pain and pain-related reactions (eg guarding of abdomen), abnormal joint or bone position or motility or other abnormal findings is placed. In pre-hospital emergency medicine is the rather short study on the four most threatening B, chest - abdomen - pelvis - legs (thighs) fail, however, be more detailed in emergency room at the hospital.
The physician-based rescue system has a special position in a global comparison. In many other countries (for example, in Anglo-American) preclinical care of emergency patients is purely by specially trained non-medical personnel - called paramedics - performed. These undergone extensive training, which is in contrast to training of paramedics or emergency paramedics and EMTs designed to perform all patient care alone and without medical help. They rely, in contrast, called on Standing Orders, that conduct will, by which they may differ in any way and must sometimes make a telephonic consultation with a physician for certain measures.
Using ECG monitoring, the continuous representation of cardiac actions on a screen, a further differentiation, for example, chest pain in acute situation, the continuous monitoring of a patient including diagnosis emergency medical significant cardiac arrhythmias and by 12-lead ECG recording is possible. Pulse oximeter to measure the arterial blood oxygen saturation. Measuring the oxygen content in blood, the pulse oximetry is widely used as a further parameter for patient monitoring during transport or artificial respiration, wherein cardiopulmonary resuscitation for verification of sufficiency of measures and after administration of drug for detecting hypoxic conditions.
The Royal Humane Society recommended in 1774 the word-of-mouth and a bellows ventilator, because they are "many profitable and anyone pity". In 1788, in addition to ventilation called the English physician Charles Kite an electrical stimulation of heart. The Mainzer doctor Jacob Fidelis Ackermann 1804 recognized the fundamental importance of oxygen in medicine and concluded that lack of oxygen, from any cause, leads to death.
1908 was designated in Frankfurt on the first International Congress for emergency services medicine as a special science to appropriate training of doctors is required. In 1947 reported Beck et al. First reported the successful defibrillation of a 14-year-old boy. In second half of 50s began in Germany in many places, the concrete construction of a notation centered Rescue System and 1970, the ADAC is by far the first, occupied with emergency medical and paramedic EMS helicopter .
Typically manifest or impending shock states of different causes by suitable combinations of measures (puncture and catheterization techniques including conditioning central venous access) and drugs are treated (shock therapy). To ensure breathing are freeing the airway (foreign body removal - manually or by suction), the (endotracheal or supraglottic) intubation, cricothyroidotomy or tracheotomy as well as the manual and mechanical ventilation and possibly the chest tube necessary.
The reliable detection of acute, of life-threatening disorders is the foundation of a successful emergency medical treatment. Main features of this exploratory measures first contact with the emergency patients are known from the first-aid training as a diagnostic block a large part of population. Due to shortness of time available to handle devices are usually quick and straightforward to use. In addition, abbreviated study courses have been developed to keep a loss of time in initiating acute necessary measures, or the assessment of morbidity / injury pattern, as low as possible for medicine.
Paying special attention to pain and pain-related reactions (eg guarding of abdomen), abnormal joint or bone position or motility or other abnormal findings is placed. In pre-hospital emergency medicine is the rather short study on the four most threatening B, chest - abdomen - pelvis - legs (thighs) fail, however, be more detailed in emergency room at the hospital.
The physician-based rescue system has a special position in a global comparison. In many other countries (for example, in Anglo-American) preclinical care of emergency patients is purely by specially trained non-medical personnel - called paramedics - performed. These undergone extensive training, which is in contrast to training of paramedics or emergency paramedics and EMTs designed to perform all patient care alone and without medical help. They rely, in contrast, called on Standing Orders, that conduct will, by which they may differ in any way and must sometimes make a telephonic consultation with a physician for certain measures.
Using ECG monitoring, the continuous representation of cardiac actions on a screen, a further differentiation, for example, chest pain in acute situation, the continuous monitoring of a patient including diagnosis emergency medical significant cardiac arrhythmias and by 12-lead ECG recording is possible. Pulse oximeter to measure the arterial blood oxygen saturation. Measuring the oxygen content in blood, the pulse oximetry is widely used as a further parameter for patient monitoring during transport or artificial respiration, wherein cardiopulmonary resuscitation for verification of sufficiency of measures and after administration of drug for detecting hypoxic conditions.
The Royal Humane Society recommended in 1774 the word-of-mouth and a bellows ventilator, because they are "many profitable and anyone pity". In 1788, in addition to ventilation called the English physician Charles Kite an electrical stimulation of heart. The Mainzer doctor Jacob Fidelis Ackermann 1804 recognized the fundamental importance of oxygen in medicine and concluded that lack of oxygen, from any cause, leads to death.
1908 was designated in Frankfurt on the first International Congress for emergency services medicine as a special science to appropriate training of doctors is required. In 1947 reported Beck et al. First reported the successful defibrillation of a 14-year-old boy. In second half of 50s began in Germany in many places, the concrete construction of a notation centered Rescue System and 1970, the ADAC is by far the first, occupied with emergency medical and paramedic EMS helicopter .
Typically manifest or impending shock states of different causes by suitable combinations of measures (puncture and catheterization techniques including conditioning central venous access) and drugs are treated (shock therapy). To ensure breathing are freeing the airway (foreign body removal - manually or by suction), the (endotracheal or supraglottic) intubation, cricothyroidotomy or tracheotomy as well as the manual and mechanical ventilation and possibly the chest tube necessary.
The reliable detection of acute, of life-threatening disorders is the foundation of a successful emergency medical treatment. Main features of this exploratory measures first contact with the emergency patients are known from the first-aid training as a diagnostic block a large part of population. Due to shortness of time available to handle devices are usually quick and straightforward to use. In addition, abbreviated study courses have been developed to keep a loss of time in initiating acute necessary measures, or the assessment of morbidity / injury pattern, as low as possible for medicine.
No comments:
Post a Comment