The initial trauma check is the fastest possible detection of life-threatening injuries, which are for further treatment and transport of patients is important. In principle, all possible regions of body to be examined; the scope of investigation is necessarily adapted to situation. It will be manually examined for signs of traumatic impact head, shoulder girdle, arms, hands, chest, abdomen, pelvis, legs and feet (gastric sleeve surgery in Mexico).
Paying special attention to pain and pain-related reactions (eg guarding of abdomen), abnormal joint or bone position or motility or other abnormal findings is placed. In pre-hospital emergency medicine is the rather short study on the four most threatening B, chest - abdomen - pelvis - legs (thighs) fail, however, be more detailed in emergency room at the hospital.
Revival had, as it was in Middle Ages of religious and legal requirements out the status of a witches work as rebellion against God's will. Only with the Renaissance should change that. Andreas Vesalius in 1543 managed a groundbreaking experiment in which he demonstrated the importance of respiratory function: with mechanical ventilation. In countries without notation aided rescue system, the emergency physicians (engl. Emergency Physician) basically work in emergency department of a hospital. You are responsible for the care of acute cases. They specialize in advanced life support, treatment of injuries such as fractures and soft tissue damage and other life-threatening situations.
Using ECG monitoring, the continuous representation of cardiac actions on a screen, a further differentiation, for example, chest pain in acute situation, the continuous monitoring of a patient including diagnosis emergency medical significant cardiac arrhythmias and by 12-lead ECG recording is possible. Pulse oximeter to measure the arterial blood oxygen saturation. Measuring the oxygen content in blood, the pulse oximetry is widely used as a further parameter for patient monitoring during transport or artificial respiration, wherein cardiopulmonary resuscitation for verification of sufficiency of measures and after administration of drug for detecting hypoxic conditions.
Depending on the size and scope of retracted from the ambulance service medical facilities is there an emergency room as an interface (timely existing suitable space, suitable personnel, appropriate equipment) available to as quickly as possible to supply the with the measures of pre-hospital emergency medicine patients receiving initial treatment of secondary medical care.
The goal of emergency medical therapy are the permanent restore vital body functions and minimizing permanent impairment of emergency patients. The first step in treatment is, therefore, the introduction of life-saving emergency measures. When cardiac arrest occurs immediately the cardio-pulmonary resuscitation, if necessary (for ventricular fibrillation, flutter or pulseless ventricular tachycardia) including defibrillation.
Typically manifest or impending shock states of different causes by suitable combinations of measures (puncture and catheterization techniques including conditioning central venous access) and drugs are treated (shock therapy). To ensure breathing are freeing the airway (foreign body removal - manually or by suction), the (endotracheal or supraglottic) intubation, cricothyroidotomy or tracheotomy as well as the manual and mechanical ventilation and possibly the chest tube necessary.
By emergency service, although the first medical care is guaranteed, but will be in disaster or major incidents also help local doctors, regardless of their field of study, used for assistance. In general, but the doctor can not refuse the treatment, provided he is competent. Are not enough doctors available, first aid and treatment of minor injury patterns are transferred to members emergency services and aid organizations, but also on health care professionals and volunteers.
Paying special attention to pain and pain-related reactions (eg guarding of abdomen), abnormal joint or bone position or motility or other abnormal findings is placed. In pre-hospital emergency medicine is the rather short study on the four most threatening B, chest - abdomen - pelvis - legs (thighs) fail, however, be more detailed in emergency room at the hospital.
Revival had, as it was in Middle Ages of religious and legal requirements out the status of a witches work as rebellion against God's will. Only with the Renaissance should change that. Andreas Vesalius in 1543 managed a groundbreaking experiment in which he demonstrated the importance of respiratory function: with mechanical ventilation. In countries without notation aided rescue system, the emergency physicians (engl. Emergency Physician) basically work in emergency department of a hospital. You are responsible for the care of acute cases. They specialize in advanced life support, treatment of injuries such as fractures and soft tissue damage and other life-threatening situations.
Using ECG monitoring, the continuous representation of cardiac actions on a screen, a further differentiation, for example, chest pain in acute situation, the continuous monitoring of a patient including diagnosis emergency medical significant cardiac arrhythmias and by 12-lead ECG recording is possible. Pulse oximeter to measure the arterial blood oxygen saturation. Measuring the oxygen content in blood, the pulse oximetry is widely used as a further parameter for patient monitoring during transport or artificial respiration, wherein cardiopulmonary resuscitation for verification of sufficiency of measures and after administration of drug for detecting hypoxic conditions.
Depending on the size and scope of retracted from the ambulance service medical facilities is there an emergency room as an interface (timely existing suitable space, suitable personnel, appropriate equipment) available to as quickly as possible to supply the with the measures of pre-hospital emergency medicine patients receiving initial treatment of secondary medical care.
The goal of emergency medical therapy are the permanent restore vital body functions and minimizing permanent impairment of emergency patients. The first step in treatment is, therefore, the introduction of life-saving emergency measures. When cardiac arrest occurs immediately the cardio-pulmonary resuscitation, if necessary (for ventricular fibrillation, flutter or pulseless ventricular tachycardia) including defibrillation.
Typically manifest or impending shock states of different causes by suitable combinations of measures (puncture and catheterization techniques including conditioning central venous access) and drugs are treated (shock therapy). To ensure breathing are freeing the airway (foreign body removal - manually or by suction), the (endotracheal or supraglottic) intubation, cricothyroidotomy or tracheotomy as well as the manual and mechanical ventilation and possibly the chest tube necessary.
By emergency service, although the first medical care is guaranteed, but will be in disaster or major incidents also help local doctors, regardless of their field of study, used for assistance. In general, but the doctor can not refuse the treatment, provided he is competent. Are not enough doctors available, first aid and treatment of minor injury patterns are transferred to members emergency services and aid organizations, but also on health care professionals and volunteers.
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