Joss G
Br J Theatre Nurs. 1991 Jun;1(3):9-10.
Looking back through old copies of 'NATNews' of twenty years ago we found an article by W. D. Mackennan, then Consultant Dental Surgeon at the Royal Infirmary, Edinburgh. Its title was 'Severe Facial Injuries--Emergency Hospital Care'--NATNews Summer 1970. Principles of care were based on the four Cs: Control of the airway. Control of the haemorrhage. Control of the shock. Control of the fractured fragments. Emergency care included clearing the airway, responses to air or blood in the chest, oedema of the neck and so on. Positioning was regarded as vital and use of trachaeostomy was discussed--'elective trachaeostomy is always preferable to that carried out in an emergency'. The discussion of haemorrhage control ranged over pressure bandaging, digital pressure and use of the recently introduced product, Surgicel.
回顾二十年前的旧版《NAT新闻》，我们发现了一篇由W. D. 麦肯南撰写的文章，他当时是爱丁堡皇家医院的顾问牙医。文章标题为《严重面部损伤——医院急诊护理》——《NAT新闻》1970年夏季刊。护理原则基于四个“C”：气道控制、出血控制、休克控制、骨折碎片控制。急诊护理包括清理气道、应对胸部积气或积血、颈部水肿等情况。体位摆放被视为至关重要，并讨论了气管切开术的使用——“择期气管切开术总是优于急诊气管切开术”。关于出血控制的讨论涉及加压包扎、指压止血以及使用当时新推出的产品 Surgicel。
