First kōkua (PMP) i loko o fractures: uhi ia Turo mea kaua hemostat, transporting ka luahi

E kiʻi i loko o ka pōpilikia e hiki ai ke kēlā me kēia kanaka. A ma keia hihia, ike i na rula o ka mua kōkua ke hoola ola. Na ka papa kuhikuhiE mea - e malama i ka mōakaaka o ka manao, a me ka ole ho'āʻo i ka manipulate, i pono kūikawā aʻo.

CPR PMP

Ka hana o ka ke kanaka, ka mea mua kōkua - hanaʻoi aku ka heluna kānaka ma mua o ka mea, i kēia manawa. Ka mea, e hooluolu aku au i kaʻeha a me ka hoʻolako hoomaha i ka poino wahi. 'O kēia ka papa kuhikuhi hana o iniiaiie ola mālama (PHC) i loko o fractures.

Ke anu u mua mea e Loiloi i ka oolea o ka luahi ka ana, a, e huai ae i ka poino. A laila, inā he pono, e hooki i ka kahe ana ke koko. Ma mua o ka hōʻeaʻana mai o ka 'oihana kōkua ua i waiho e hoʻoneʻe i ke kanaka, o ka oi aku ina oia i kekahi fracture o ka spine a maloko nā palapū. Ma kekahi pilikia ke piʻoloke, mai ka weliweli ka nui. Ma keia hihia, e hoʻohana i kaʻoʻoleʻa stretcher a me nā pale kaua.

Kaʻawale eha pono he iki okoa kokoke loa i kahi. He mea pono e immobilize i ka hoʻohuli ai i nā lala oeia, e haawi ana ia i ka oi physiologic kūlana. Mai poina e koho i ka hui mua, a ma hope o ka fracture. Inā loaʻa nāʻaʻohe'ē aʻe hoopii, ka luahi ua kaʻi aku i ka haukapila.

Open a paʻa fracture?

PMP ma fractures hilinaʻi nui ma luna o ke kinona, 'ano a me ka oolea o ke poho. Ma ka hookolokolo ana o ka luahi mea pono e hooholo i ke 'ano o ka fracture, me ke kaumaha ma muli mea kökua mua e lilo ana i kekahi mau mea okoa. Hoʻomanaʻo i kekahiʻike, ma muli o kekahi mau ana hoʻohālike. Ma ka hihia o ka fracture nei pili, a piha na hoailona e hoike ana i ke alo o ka hewa.

Pili nāʻikepili:

1. Pain. I ka 'enehana hou, ho'āʻo e hoʻololi i ke kulana o ka mea iki i ka lala discomfort aicieeaao.
2. Haanou ana. Hūnā iā fracture kumu, o kekahi hapa o ka hoʻoʻino pane i ka poino, compresses kaʻaeʻae'aʻaʻa, a hiki hoʻoneʻe i ka iwi hakina.
3. Hematoma. Ua Hōʻike i ka pono o ka vasculature i Nyos ma ke kahua o ka hewa.
4. Hoʻopōʻino kuleana pili i. Eia kahi mea akaka, e kali i ka ka hoʻoneʻe 'ole ka hikiʻole, e pale aku i ka mau haawe ana.

Loa nāʻikepili:

1. Malihini, ku pono iwi kulana, kona deformation.
2. Ke alo aku o ka hoʻoneʻe, kahi ia aole ola.
3. Ke alo aku o ka crepitation (ea Oe) ma lalo o kaʻili.
4. Me ka hamama fracture me ka poe kapa ole maka hiki ili lesions a me ka iwi koena ai.

A pehea ke alo a me ka 'ano o ka fracture hiki e hooponoponoia ia mea, me ka hoʻohana' ana o ka luna 'lako a pan.

Fracture o mauka lala

PMP ma fractures o ka forearm mea, e haawi aku i ka hope pololei oihana, a koho ia i ke kino. E hana i kēia, lena i ka lima ma ke kuʻekuʻe aku no laila, i ka mea i hana i ka huina akau, a kaomi i kona mau lima i kona umauma o ka nāna. E koho i splinting mea i mea hou ma mua o ka luna lima pu me ka palaki. Ua Ua loaa i ka lala ma ka kahaki ii ka kulana, alaila, o ka lima ua kau ma luna o ka ua kahikoia a nani, i mea i ka apana o ka lole hou pili i ke komo lima, a kiola ia ma ka'ā'ī, e ole e hiki haawe ana.

Poʻohiwi Fracture pono he iki okoa nā kaʻa mokulele. Ke kulana o ka lala ua pili i ka huina o kanaiwa degere, akā, hoʻokō i nā pāpale hainakā ma:

• waho poʻohiwi no laila, ia ia e haule iho ma lalo o ka kuʻekuʻe aku;
• ka pahale ili o na lima mai o ka axilla a hiki i ke kuʻekuʻe aku.

Papale hainaka pribintovyvayut mua kaawale, a laila, loaa pu. Lima pono e kaulia pū ma luna o ke kāʻei, scarf a me kekahi apana o ka mea e mea ma ka lima. E lawe aku i ka luahi a hiki i ka haukapila wale nō mea e pono ai e noho.

Fracture o lalo lala

I mea e hoomaopopo i ka SRL ka wā fractures wāwae pono e kokua ai i ka nui helu o ka loa a me ka laula papale hainaka (papa shtaketin a me ka m. P.). Lala immobilizing he fractured femur, o ka mua na hoewaa pono e hele mawaho, i ka peʻa'ākau abutting ku ei ka fossa armpit, a me ka mea 'ē aʻe - ma mua e holo ai i ka noae. Ka lua o kaʻa 'ohua holo, mai ka perineum a hiki i ka wawae, kekahi olelo ana no ia. Kēlā me kēia no ia pribintovyvayut kaawale, a laila pu.

Inā loaʻa nāʻaʻohe mea no ka papale hainaka, alaila, o ka papa oe ke wili i ka luahi a hiki i ka uninjured wāwae.

Fracture o tibia pono ka ia laka me hip-fracture. Ma ka haukapila ka luahi ua hoopakele wale nō e moe ana.

Iwiaoao fractures a me ka iwi

Mai ka fracture kihi, e koho ia i kekahi mea, a laila i ka pahu, hoopuniia ae kau mai ai pilipaa lole wili. Ka luahi ua pono e hanu me ke kōkua o nāʻiʻo abdominal meʻolu umauma wale. Inā i ka lole wili mea,ʻaʻole lawa ka, e hiki ke hana na apana o ka lole a me scarves. He nui ua kanaka ma kekahi hihia, aole ia e moe ana, e like me kaʻoi kihi o na hakina ke hanaʻino i ka maʻiʻaʻai, naau, diaphragm punctured.

A i haki iwia - loa pinepine i ka hopena o ka hakakā a me ka hāʻuleʻana. Nolaila, ia mea kupono e lawe nei i ke alo o ka luahi he concussion. First kōkua ma keia hihia mea e uhi i ka waha o ke kanaka, e haawi aku ia ia analgesic a me ka laka iwi lole wili, hoʻopaʻa pipi 'na welau ma luna. Na ka papa kuhikuhiE mea - e kanaka hoʻoponopono i ke kahua o ka 'ōlelo, no laila ka mea,' aʻole i 'ano i ka ÷ naehana hanu'āpana. Inā ka luahi mea unconscious, e mea pono e kau ia ma konaʻaoʻao a maka ilalo. pono e amo immobilization no fractures o ka poo i loko o ka papamoe moku'āina. Kēia, e pale aku i ka haawe ana ma luna o ka iwi poino a me ka pale suffocation.

First kōkua no ka hamama fractures

PMP me ka hamama fracture E e hoʻolako 'ia' āwīwī i hiki. Ma keia kulana, no ka pilikia o nā complications e like me ola kŰia, 'opi, papakaukau kahe ana ke koko, piʻi pū me ka nui loa.

No laila, i ke kaʻina o nā hana, ua like penei:

1. Nānā i ka luahi, a no ka Loiloi i kona kulana.
2. E hāʻawi mai iā ia i anesthetic e ole traumatic kŰia.
3. Kaʻina ili a puni o ka eha a me ka pāʻoihana o ke peroxide, iodine, a me kekahi'ē aʻe antiseptic.
4. Sterile gauze mālie hoʻomaloʻo i ka lalo a me kihi o kaʻeha.
5. Pelupelu ia mau manawa e hoʻokō i kekahi sterile lole wili i ka eha, akā,ʻaʻole kaomi.
6. Mea kupu immobilization o ka loaʻa hana.
7. I ole pela, mai emi i ka hakina!
8. E kahea aku i ka ambulance.

PMP me ka paʻa fracture e i like me ke kapuai hookahi, koe wale no ka poe ikamu, a pili ia i ka lapaau ana i kaʻeha.

immobilization

Immobilization - keia immobilization o ka poino māhele o ke kino. Ua maopopo leʻa i no fractures o na iwi a me ka ami, fracture nā aʻalolo a me ka Muscle olona,'ā. No ka mea, o ka eha i ka hoʻomanawanui i e ulia neʻe i ke aggravate i ka poino.

Amo immobilization mea, e haawi aku i ka luahi immobile ana, a ia i lawe ai i ka haukapila. No ka mea ana e hoohauhee ana i kekahiʻoliva mea inevitable, he fixation maikai o ke hoʻomanawanui, e pakele worsening i ke kulana.

Aia nā lula ma lalo i ka luhi o uhi, e lawe i ka mea uuku eha no ka mea nāna.

1. Ka luhi o E e nui kupono e hoʻopio i ka hui ma luna a ma lalo o ka fracture paena. A ina poino ke ki kala immobilize a pau wāwae loa.
2. Hana i ke kaʻa'ōhua a ma ke ola o ka loli ana o ka lala, a me lakou iho,ʻaʻole e lawe hou he leo i ka hoʻomanawanui.
3. E uhi papale hainaka paka ma ka lole e paleʻeha maʻiʻaʻai.
4. E pale puʻe mai hehe ma ka wahi kokoke i ka wahi o ka iwi i kaʻili, ma lalo o ke kaʻa 'ohua, e kau i ka pahee mea.
5. ua i paa Bus me kaʻaoʻao ma ka haʻihaʻi i iwi protrudes no ka mea, ua pololei ole e ho'ēmi i ka mālama '-haukapila ana.

Ano o ka 'inikua luhi o

Lapaʻau o Turo hiki e mau ka hoʻololi 'ana ke kaumaha ma muli o ka manaʻo o kona hoʻohana. Aia i kaʻa 'ohua-prosthesis, a malama i ka hoʻohuli ai i nā wahi i loko o kekahi kulana, a puku i ke koa wiwoʻole iwi hapa.

ʻO kēia mau 'ano o ka immobilization papale hainaka.

• Turo Kramer - he papa manamana o ke olonā i kaula, i ua luna kapa komo iā ia me kekahi mau papa o ka pahee'aʻaʻa a lole wili. Ka haka ai hiki e haawiia kekahi kinona, i mea e pono i loko o ka ua hihia, ka mea,ʻo ia ka mea paʻa.
• Turo Dieterichs - ho mau laau papa me kaʻepekema lua malaila ma i kaula i hohola paha'aʻaʻa. ʻO ka mea i loaʻa o ka meaʻuʻuku i lalo lole, a ua hookomoia iloko o ka puka, hoʻopunipuni i ka luhi o ma ka akauʻilikai.
• Ke pneumatic Turo Lapaʻau o - he sila keena loko i ka mea iki i ka lala ua kau. A laila, ma waena o kona mau pā puhi lewa, a me kekahi hapa o ke kino ua reliably paa.
• Bus Schantz - i ka pūliki koa-laka, a ua hoʻohana 'ia i loko o nā maʻi o ka spine, i pono like no ka Kāohiʻana o cervical dislocation i ka manawa o ka hoʻi nā palapū.

PMP me kahe ana ke koko

Kahe ana ke koko - heʻilihune o ka pono o ka moku pa 'aʻe. Ua hiki e mawaho a maloko, arterial, venous paha capillary. Ke hiki i ka pau ana i ke koko mea pono no kanaka ola.

PMP me ka kahe ana ke koko hoʻohuʻu ana i kona akua o kekahi mau rula.

1. Holoi i ke kahe ana ke kokoʻeha mea e pono ai wale nō i loko o ka hanana i ka mea, he caustic pahaʻawahia waiwai. Ma ka hihia o nā impurities (one, mea hiki ke hooheheeia, honua) holoi wai hiki ole e poino wahi.
2. I ole hihia e ole lubricate i kaʻeha. Kēia 'ano ua ālai ho'ōla.
3. I ka ili a puni o kaʻeha ua mechanically ua holoiʻia, a kamaʻilio me ka antiseptic pāʻoihana.
4. Mai hoopa aku i kou mau lima a hiki i ka hamama eha a wehe i ke koko clots me kēia mau clots inhibit kahe ana ke koko.
5. Wehe i haole kino mai kaʻeha hiki wale nō ia i ke kauka!
6. Ma hope o tourniquet lakou e ike koke i kapa aku ai i ka ambulance.

bandaging

Ka ua kahikoia a nani ua hoopili pololei i kaʻeha. E hana i kēia, e hoʻohana i ka sterile lole wili a maemae lole. Inā 'oe i loko o kanalua e pili ana i ka sterility o ka mea, e mea pono e drip iodine ma luna o ia, no laila, i ka wahi i huli ma kaʻeha. Ma luna o ka lole moe lole wili lole wili a me ka pulupulu, a me ka hulu hipa i pilipaa ia pribintovyvayut. Me ka kupono bandaging ke kahe ana ke koko pani, a iʻole,ʻaʻole e pulu.

• 'Ōlelo Aʻo: Me ka hamama fracture a me ka iwi nei iluna pilipaa lole wili, a hoonoho iwi pāpā! Lawa ia e ka lole wili!

Tourniquet ole Ke Kai

Hemostatic tourniquet ke lilo me he kōkua i loko o ke kaua kahe ana ke koko, a me ka hoomahuahua i ka oolea o ka luahi moku'āina. Kēia manipulation ua io ia wale nō ma ka hihia o ka loa kaumaha loa kahe ana ke koko i hiki ole ke pani ma nā ki ina hana like.

Inā ka lima mea,ʻaʻole he 'inikua laholio koa, alaila, pono i kaʻike mau lahilahi kaukini loloa. I mea ole, e E'ō'ū i ka ili, ka mea i hiki keʻauhau iā lākou i ka Kai ma kapa (lima a me ka wāwae), a kau aku i ka apana o kekahi paa'aʻaʻa. Ke finiteness o ka tourniquet ua wahiia kekahi mau manawa, no laila, i ka coils e i hahau i kekahi i kekahi, akā, i nā wahi i wāhiʻia ma waena o ia i ua. Ka mua - ka nawaliwali, a ma luna o kēlā mahope pono e tighten hou. hiki ke hoʻopaʻa Hemostatic tourniquet ka wā i ke koko i pau ka moni ana. Mai poina e palapala i ka manawa o ka hoomoe ana i ka mea kaua, a hoopaa ia ia ma ka koʻikoʻi wahi. Ma kai mehana o mahina, e hiki ke mālama i ia, elua no hora, a ma ka anu - wale i ka hora.