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5. 院前管理。

5. Prehospital management.

作者信息

Čretnik Andrej, Pfeifer Roman

机构信息

Department of Traumatology, University Clinical Center Maribor, Maribor, Slovenia.

Department for Traumatology, University Hospital Zurich, Zurich, Switzerland.

出版信息

Eur J Trauma Emerg Surg. 2025 May 6;51(1):198. doi: 10.1007/s00068-025-02825-7.

Abstract

This chapter outlines the essential requirements for emergency responses to severe injuries. It emphasises the critical steps healthcare professionals must take in urgent situations, including: Rapid assessment and triage to prioritise treatment; Techniques for controlling massive external haemorrhages to prevent life-threatening blood loss; Maintaining a clear airway, ventilation, and neck stabilisation to support breathing and minimise spinal injury risks; Intravenous fluid replacement and medication administration to stabilise patients' conditions; Proper immobilisation of injuries to prevent further harm during transportation; Facilitating rapid and effective transfers to specialised medical centres, with clear communication ensuring seamless continuity of care. By adhering to these protocols, healthcare providers can efficiently navigate emergency situations, saving lives and minimising the long-term impact of critical injuries and illnesses.

摘要

本章概述了对重伤进行应急响应的基本要求。它强调了医疗保健专业人员在紧急情况下必须采取的关键步骤,包括:快速评估和分类以确定治疗的优先级;控制大量外部出血以防止危及生命的失血的技术;保持气道通畅、通气和颈部稳定以支持呼吸并将脊椎损伤风险降至最低;通过静脉输液和给药来稳定患者状况;对受伤部位进行适当固定以防止在转运过程中造成进一步伤害;促进迅速有效地转至专业医疗中心,并通过清晰的沟通确保护理的无缝连续性。通过遵守这些规程,医疗保健提供者可以有效地应对紧急情况,挽救生命并将重伤和疾病的长期影响降至最低。

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本文引用的文献

2
Emerging Therapies for Prehospital Control of Hemorrhage.院前出血控制的新兴疗法。
J Surg Res. 2020 Apr;248:182-190. doi: 10.1016/j.jss.2019.09.070. Epub 2019 Nov 8.
4
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