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Pre-hospital diagnosis of multiple trauma and treatment

Key words trauma with modern social and industrial, transport, construction of the rapid development of the accident led to the gradual increase in the incidence of trauma, trauma in the number of deaths in China each year about ten million people, amounting to millions of people hurt as much, trauma has become the heart disease, cancer, cerebrovascular disease after the fourth cause of death. One of the wounded is the biggest life-threatening multiple injuries, multiple trauma injuries account for about 1% to 1.8% [1]. Therefore, how to improve the treatment of multiple injuries and trauma emergency medicine has become an important topic in medicine. Chinese papers League finishing. 1 the definition of multiple injuries multiple trauma is caused by the same factor of two or more injured anatomic site and organ damage, and at least one injury is life-threatening. Combined injury is two or more injury-induced trauma; multiple injuries is the same anatomic site and the trauma of two or more organs. 2 characteristics of the condition with multiple injuries (1) re-injury, the condition changes quickly, severe stress and high mortality. (2) the parts have different performance and injury risk, injury complex, deal with difficult and easy of missed diagnosis and misdiagnosis. (3) the high incidence of shock. (4) more with severe hypoxemia. (5) the high incidence of complications and infection. 3 multiple injury diagnosis multiple injury diagnosis should be simple, fast, comprehensive, flexible, can be used side edge diagnostic treatment, if necessary,[link widoczny dla zalogowanych], after the first diagnosis, treatment should not delay the time. 3.1 to quickly determine whether the injured signs of life-threatening emergency, should pay attention can be rapidly fatal and 3 serious condition can be reversed [1] ( 1) ventilation barrier to the most common respiratory tract obstruction. Not be resolved before breathing disorders, any rescue measures will not help. (2) cycle disorders, including low blood volume, cardiac arrest and heart pump failure. (3) does not control the bleeding. 3.2 fatal injuries for further examination in the preliminary signs of control, you must further examination, including history taking and physical examination. 3.2.1 conscious history taking the injured person may ask himself, disturbance of consciousness may ask witnesses to understand the time of injury, injury way, impact area, floor location, with or without coma history and so on. 3.2.2 without missing important for the comprehensive physical examination of the injury, is to use more domestic and foreign advocates (Respiration), said the chest and respiratory function, A (Abdomen) that abdominal organ injury, S (Spine), said spine and spinal cord injury, H ( Head), said traumatic brain injury, P (Pelvis), said pelvic injury, L (Limbs) said limb injury, A (Aterlies) that arterial injury, N (Nerves) that nerve injury. Ordered by check on the program, almost all can identify with multiple injuries.