Accident, has become social nuisance for the city one of the causes of death in four.
Accident damage can be divided into deceleration injury, trauma, contusion grinding, crushing injuries and other injuries or flutter, in which deceleration injury, impact injury to many. Deceleration injury is due to the deceleration of vehicles due to a sudden and powerful damage, such as head injury, cervical injury, aortic rupture, cardiac and pericardial injury, and the "steering wheel chest," and so on. Impact injury caused by more than direct hit by a vehicle. Contusion and crushing injuries crushed by the vehicle rolled multiple contusions, or deformation of cars, body and cab compression injury also occurred in one. Thus, weight injuries, change fast, high mortality.
First Aid:
(1) Field Organization: aid group temporary organization, unified command, to avoid confusion, they should immediately fire fighting the fire or exclude all the incentives, such as the engine off, turn off the power, to move away the flammable items, and sent to the emergency center for help. Assigned staff to protect the accident scene to maintain order. To carry out self-help and mutual aid, do triage for the timely rescue.
(2) According to the classification, in order of priority for the ambulance, on cardiac arrest patients and those dying immediately cardiac massage and mouth to mouth resuscitation. Of consciousness where forfeiture is appropriate to handkerchiefs, fingers, nose and mouth clear the wounded in the soil, vomitus, dentures, etc., and then let the injured side or prone position. Bandage on the bleeding stop the bleeding immediately. Open pneumothorax is found, the tightly closed dressing. Tension pneumothorax with respiratory difficulties, conditions permit, ribs and collarbone in the second puncture exhaust crossing the center line or placed drainage tube. To fix the fracture. Of dyspnea, hypoxia and a chest injury, chest wall, floating (abnormal breathing exercise) shall immediately with clothing, pad and other filling, and the appropriate compression bandage to limit fluctuations.
(3) the correct handling: whatever the circumstances, rescue personnel, especially to prevent cervical dislocation, spinal cord injury, should be noted:
① Where a move from the vehicle seriously injured, out of the former, the first cervical collar should be placed in the grass, or a fixed line and neck to prevent cervical dislocation, spinal cord injury, the occurrence of paraplegia. Time without neck collar, available cardboard, hard rubber, thick canvas, modeled neck collar, cut into two pieces before and after, with a cloth bandage fixed.
② collapsed in the chair of the wounded, placed neck collar, it can be fixed in the neck and torso back together, and then remove the seats, along with the wounded out.
③ stripped the seat of the critically ill, unconscious casualties, should the original ground neck collar, dressing wounds, and then by several others by the principle of handling the injured spinal injury. Action should be gentle, waist hip lift up, were forced to carry the same neat, flat on the board or stretcher.
After first aid the injured according to priorities by the ambulance transport. Do not live Blocking transport critically ill patients, or the lack of special rescue equipment, other vehicles, injured most of the incorrect use of semi-sitting, half lying, crooked aggravated the injury such as lateral position, and even died en route.
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