With the development of economy and the increase of means of transportation, the first aid of road traffic accidents is generally based on escape, injury inspection, medical treatment,

Therefore, in modern life, frequent trauma has become a threat to human life.

A killer. According to statistics, among modern trauma patients, traffic injuries and falls are 3. 1. When the field headquarters was established, it should be roughly

Injuries, stab wounds and accidents are the main factors of urban trauma. In particular, understand the situation on the spot, and send medical personnel to the scene to deal with it according to relevant regulations.

It was a traffic accident, not an accident. The team leader who produced a large number of wounded people reported and informed the rest of the staff to be in place to establish on-site medical treatment.

The mortality and disability rate of injury accidents remain high. To this end, we have a rescue headquarters team, and at the same time do a good job of going to the scene to support and rescue in the hospital.

This paper makes a preliminary summary and discussion on the on-site first aid of injury accidents in order to make preparations. Upon arrival at the scene, the medical rescue headquarters should immediately understand.

Reduce the disability rate and mortality, and then improve the success rate of rescue. Report the situation to the hospital and relevant departments. In the rescue work

1 cooperate with relevant departments to ensure the normal rescue work while sending data.

All the cases in this group came from the emergency center of our hospital (120) 2 "X", which controlled the field situation and made the medical staff work in an orderly and tense way.

By June 5438+February, 2002, there were more than five emergency patients in our center, which could give the wounded and field personnel a sense of security.

Employee trauma accidents, ***47 batches of 500 cases. Among them, male is 28 1 case, and female is beneficial to the stability of the situation.

2 19 cases; 27 cases were under 6 years old, 7 cases were 14 years old, and 35 cases were 15-39 years old. They were the first to arrive at the scene of the accident according to the classification of injuries and on-site treatment.

280 cases, 40-59 years old, 105 cases, 53 cases over 60 years old; The first responders in the youngest two games get the wounded out of the injured environment first. This requires

Years old, the oldest is 70 years old. To organize on-site rescue personnel, under the guidance of medical personnel, according to the routine.

2. The characteristics of group injury accidents. The medical first aid method will send the wounded away from the injury site, so as not to cause 2.

2. 1 Most patients have group injuries, so there are as few as 5-6 patients with multiple injuries. In the process of handling, anyone with unknown injuries should be transferred as a serious injury.

There are dozens of people (there are at least five in this group, and the most is 3 1). Mode of transportation [2i. At the same time leave the wounded from the scene, according to the situation.

2.2 There are many diseases, many serious patients and different injuries. Due to the injury of the wounded, an advanced medical rescue area was established on the principle of proximity, safety and convenience.

There are different reasons and individual differences, which lead to more diseases (AMP). Set in AMP crowd

Sample, lead to the wounded injury severity. Be responsible for treating the wounded according to "Death, Heavy, Moderate and Light" in the "wounded classification area" of this group.

There were 62 cases of head injury, 54 cases of chest injury and 48 cases of abdominal injury. If the number of injured people is small, they can be treated by experienced doctors.

There were 75 cases of fracture, 39 cases of visceral and nerve injuries, 46 cases of severe multiple injuries, and the rest were arranged in the order of heavy, medium and light.

There were 74 cases of limb injury and soft tissue injury 102 cases. Dealing with the wounded caused by unexpected accidents; If there are many wounded people, send several medical staff according to the situation.

However, the wounded did not take preventive measures against this, and the personnel conducted separate inspections when they suffered various blows. Secondly, after the inspection, the site is always

It is easy to cause serious injury. The commander should report the situation to the hospital leaders so as to send reinforcements in time.

2.3 The site situation is complicated, and the time and land assistance are ignored in the occurrence of trauma accidents, so as to avoid wasting manpower, material resources and financial resources. In the process of rescue, treat diseases.

Point. It can happen anytime and anywhere, especially the condition and treatment of traffic people should be recorded in detail, and the changes of the condition should be closely observed.

Therefore, at the scene of the accident, due to the sudden accident, there are many wounded people, so as to deal with them in time. For those who have stopped heartbeat and breathing, if medical care is provided,

Many, causing people's psychological panic, leading to chaos at the scene. Sufficient supply, few casualties, can be dealt with immediately. If medical resources

There is almost no first aid at the scene, and more wounded people give priority to those who are dying but have the possibility of survival.

For the treatment of the wounded in group injury accidents, the purpose of treatment is to make a 3.3 referral, and after on-site first aid treatment, treat them according to their priorities.

It is possible to save more wounded people. Therefore, the wounded should be quickly transferred to a conditional hospital for further rescue according to certain procedures.

Governance. On the way to transfer, medical staff should be in the side of the guardianship, and closely observe the changes in the condition, ready for rescue at any time.

4 discussion

Time is very important in dealing with group injury accidents, especially traumatic accidents.

The occurrence of 1 hour is "gold 1 hour", which is before gold 1 hour.

10 minute is the decisive time, which is called "platinum 10 minute".

Clock "2" This requires the response time of the emergency center for trauma first aid.

It must be as short as possible. The so-called reaction time refers to the time from receiving a call for help to

The time required for an ambulance to arrive at the scene of the accident. In this group of cases, I

The response time of the center for traumatic accidents is 10-60 minutes, which is determined by

Due to the imperfect emergency network, traffic conditions, distance and other reasons

It's over. Therefore, we should constantly improve the emergency network and strive for the most

Treat the injured in a short time. I was most nervous after arriving at the scene of the accident.

The important task is unified management and unified command of on-site treatment.

Improper organization and coordination will not only lead to the waste of medical resources, but also

It will cause the injured to get worse and even die. In this group of cases, there are

All the accidents were caused by various reasons, and rescuers were at a loss at the scene.

Failed to coordinate and unify, and finally all the wounded were safely sent to the hospital.

But it wastes a lot of medical resources and delays time. Therefore, we

Call on the majority of medical staff to have a cooperative spirit and establish a patient-oriented concept.

The idea of putting the injured first. At the same time, the Ministry of health administration

We should organize simulation exercises regularly to familiarize medical workers with trauma.

The on-site organization and rescue of injury accidents can meet the actual requirements.

The treatment of the wounded at the scene of the accident should be based on saving lives, and the first treatment should be followed by treatment.

The principle of treating serious injuries first and then minor injuries is the most basic for trauma patients.

The most important measure is to keep the respiratory tract unobstructed and actively resist rest.

Cough and asthma 3], according to the present concept, pre-hospital first aid for trauma patients,

It is very important for first aid to reach the level of advanced life support at the scene.

The staff put forward higher requirements. Medical personnel are required to have a higher degree of specialization.

Industry skills, good medical ethics. Mutual cooperation should be silent.

Contract, first aid technology should be skilled, the use of various instruments and equipment should be

Familiar with, the diagnosis and treatment of patients should be correct and timely. You should not only be familiar with everyone.

The characteristics of traumatic diseases, in order to quickly, timely and correctly treat the wounded.

For disposal, you must also master the skills of primary life support.

Surgery, especially the four techniques of trauma first aid, is not only for medical staff.

Master, all emergency center staff should master, and

In order to facilitate on-site first aid work, it should be popularized.

Line, to help reduce the disability rate and mortality of traumatic accidents.

In a word, the first aid at the scene of group injury accidents can only be achieved by effective organization and coordination.

Appropriate medical measures can reduce the mortality and disability rate. Improve rights

The emergency handling ability and medical rescue level of traumatic accidents belong to group injuries.

The key to the success rate of accident pre-hospital rescue.

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