Medical aid plan: Introduction
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14.MEDICAL AID
Danger for the surrounding people:
- those who need special sanitary treatment; - those who are liable to temporary isolation; Medical signs: - the degree of need of medical help; - the degree of priority and place of its rendering; - Requiring the urgent medical help; - The help may be postponed (there is no need in urgent medical help); - those in need of symptomatic aid (terminal states, traumas incompatible with life); Evacuation signs: - the necessity and degree of priority of evacuation; - the type of transport and way of evacuation (laying, sitting); - the kind of medical establishment, where the evacuation is necessary. For acceleration of assortment and rendering of the medical help there are many ways. For example, there is a simple method of outcome evaluation in casualties with mechanic trauma at mass admission of victims. The method is based on evaluation of prognostic index in numbers: visible injuries: head - 2, chest (spine) - 3, abdomen (pelvis) - 4, fracture of the femur-5, fracture of the calf, upper arm, forearm - 3 each. The state of consciousness: loss- 5 Approximate (biological) age, elder than: 50 years - 2, 60 years - 5, 70 years – 7, 80 years - 10 Blood pressure is not taken, the severity of shock is not taken into account, as at a shock of the 3rd degree there is loss of (which is estimated by 5 marks). Calculation of prognosis: at summation of the marks you will get prognostic index according to which the casualties are divided into three groups:
Prognostic index of more than 20 indicates almost hopeless state, particularly in conditions of mass admission of casualties. If besides a mechanic trauma the victim has a thermal trauma, then every 10 % of the body surface affected by burn (is defined by Wallace’s method of “nines”), are added as 3 marks to the prognostic index obtained in evaluation of a mechanic trauma. Download 27.15 Kb. Do'stlaringiz bilan baham: |
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