儿童创伤急救课件.pptVIP

InternationalTraumaLifeSupportforPrehospitalCareProvidersSixthEditionPatriciaM.Hicks,MS,NREMTPRoyAlson,PhD,MD,FACEPDonnaHastings,EMT-PJohnEmoryCampbell,MD,FACEPandAlabamaChapter,AmericanCollegeofEmergencyPhysiciansChapter17TraumainChildren

Overview

TraumainChildren?Differentpatternsofinjuries不同式?Differentresponsestothoseinjuries不同反?Specialequipmentrequired需要特器材–Assessmentequipmentandtreatmentequipment及冶用的器材?Difficulttoassessandcommunicate估及沟通?Comewithcaregiversandotherfamilymembers?与家人或照者同行

Communicating沟通?Caregivernotalwaysparent.照者未必是父母?Involvecaregiversasmuchaspossibleincare.尽量照者参与?Giveexplanationsandcarefulinstructions.必需加解及指示?Inclusionandrespectwillimprovestabilization.包容及尊重可定者?Keepcaregiversinphysicalandverbalcontact.与照者保持接触Demon

AssessingMentalStatus精状?Mostsensitiveindicatorofadequateperfusion能准确反映灌注是?Caregiversbestatdetectingsubtlechanges照者会易分出者微小改

AssessingMentalStatus?Preschoolchild:sleepingvs.unconscious幼儿:疲倦vs人事不醒

CommunicatingAppropriatelanguagefordevelopmentallevel合适的言?Speaksimply,slowly,clearly及?Avoid“no”questions避免”不”?Getafavoritebelonging利用其喜的玩/随身物品?Getonchild’slevel降下身段至与者衡?ExplainSMRnecessity解脊椎固定之需要?Allowcaregivertoaccompanychild者与者同行

CaregiverConsent照者”同意”?Consentnotavailable未能取得”同意”?Consentdenied不同意

PediatricEquipment儿科器材?Weightestimate大体重?Fluidandmedicationdosesprecalculated液及物量?Commonequipmentsizeestimates常用器材尺PhotocourtesyofKyeeHan,MD

MechanismsofInjury受机理?Usuallylandonhead通常先着地?Seriousheadinjuryunusualfrom27inches重部受并不常于身27吋?Protectivegear保装?Seat-beltsyndrome安全症

MechanismsofInjury?Foreignbody异物?Suspectifhistorydoesnotmatchinjury受与合?Storykeepschanging常改

AirwayinChildren儿童气道?Apnea无呼吸?Stridor吸气有喘声?“Gurgling”respiration有声的呼吸CourtesyofBobPage,NREMT-P因?Hyperextension度?Hyperflexion度屈曲

AirwayinChildren?Tongueislarge;tissuesoft舌大,–