Back again to our case example from the article in the RESCUE 04/09:
We have achieved some suggestions on how to proceed with the case in the above example. Basically, all the time as a supply of the key points identified and incorporated into its proposal. The standard of care by Stifneck, oxygen, spine board or vacuum mattress, monitoring and access was almost the same in all proposals and can only be endorsed. is
Based on the descriptions in the example to be expected with internal bleeding and the frequency can include at least a compensated shock state, a modest volume replacement would be recommended for blood pressure control, as the source of bleeding can be localized or treated. The attenuated breath sounds may be indicative of a pneumothorax; Spannunszeichen were not described and therefore a relief not therapeutically necessary.
In the foreground, creating the fastest possible transfer to the definitive diagnostic and therapeutic care. A Nachalarmierung the emergency physician during the initial treatment is advised because it can still be the massive deterioration of the patient and thus to further necessary measures (chest tube, intubation) get. If the condition does not worsen and last longer than the directions of the NA, the initial treatment of patients who would We advise a trip to the nearby hospital without further delay the arrival of the NA.
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