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Principles of trauma management




A large number of patients with bleeding should first take hemostatic methods; to cut, stab and other small wound, if out of a small amount of blood but can discharge the bacteria and dirt; the wound should use clean water to wash, to thoroughly clean the wound, to cover the surface with a clean cloth, can not be directly covered with cotton paper and health.

 Cut

Shallow wound with warm boiling water or saline rinse dry, with iodine tincture and alcohol disinfection, hemostasis, or “ good fast spray wound, then dressing, usually can heal faster. The small wound external &ldquo can aid. A deeper wound, should immediately stop the bleeding, should go to the hospital for debridement, as the injury and suture repair. Incised wound can not smear ointment and the like, in order to facilitate wound healing.

  Stab

The appropriate to disinfect the wound clean, with a needle and forceps after sterilized, remove foreign bodies, and then disinfect the wound after. Foreign body in vivo of purulent infection, small wound, less bleeding, the wound should be squeezed out of some blood is better, the nail stab is not easy to deal with, the first nail scissors into a V shape, will pull out or go to the hospital for treatment. If the needle, metal and other stab wounds left in the body, should be taken to the hospital in X light. Deep wounds may have deep tissue damage, often associated with infection, and may be treated with anti-inflammatory drugs. To prevent the occurrence of the wound to prevent tetanus, should be to the hospital muscle injection Tetanus Antitoxin.

  contusion

The skin and subcutaneous soft tissue injury caused by blunt force against the skin, no cracks, wound, subcutaneous bleeding, bruising, swelling, tenderness. The light available Shangshizhitong plaster stuck outside the injured area. In the thoracic and abdominal trauma and head injury, we should consider whether there is no deep hematoma or visceral injury bleeding, should be to the hospital for observation and diagnosis.

 sprain

Often occurs in the ankle, waist, neck and wrists. The general treatment principle is to make the emotional stability of patients, was injured in a fixed position, covered with cold wet. Hand, foot and ankle injury can be raised to the affected part, the neck, waist strain in the handling of non moving parts. Often accompanied by a joint dislocation or fracture, should go to the hospital for treatment. In addition, sprain, regardless of severity, can not be immediately bathing, massage, to observe the week after the circumstances. The treatment methods are commonly used in partial closure sprain, 0.250.5% procaine medicine orally and physiotherapy.

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