slideshowslideshowslideshowslideshow

Buy Suhagra online

Buy Suhagra online

First aid :
first aid measures depend on the speed of release of the victim of an electric current and its condition : the patient is laid on his back on a hard surface , check for breathing , pulse on the carotid arteries or radiotherapy ( anterolateral aspect of the neck) . If the victim regains consciousness , it is necessary to lay in a comfortable position and to ensure the arrival of the doctor complete rest, continuously watching the pulse, thus should not be allowed to move. If the victim is unconscious but breathing and pulse are stable , it is necessary to lay , freed from constricting clothing , provide fresh air to smell ammonia, sprinkle your face with cold water. When signs of respiratory failure - a rare , convulsive , begin artificial respiration and closed chest cardiac massage .
Crush syndrome
When collapses , earthquakes body parts (mostly limbs) can be squashed a long time heavy bone fragments , which leads to the development of crush syndrome . The clinical picture develops after removing the victim from the wreckage . When this bone can not be damaged, the integrity of the skin is not broken. Patients frequently die of acute renal failure. Main periods :
I ( early)
- The development of hemodynamic disorders in 2-3 days , marked collapse, shock , local phenomena in the affected parts of the body ;
II ( intermediate )
- Clinical manifestations of acute renal failure ( 3-12 days );
III ( late)
- Prevailing local changes ( from 10-14 to 60-80 days) - sequestration , contractures , gangrene .
Keeping victims.
The sequence of events required :
1) subcutaneously administered morphine solution 1% 1-1.5 ml ;
2 ) give the alcohol ( 50-75 ml of brandy );
3) injected vazotoniki - kordiamin 2.1 ml subcutaneously mezaton - 1 ml of a 1 % solution subcutaneously noradrenaline - 2.1 ml of a 0.1 % solution in 500 ml of 5% glucose solution, intravenous drip ;
4) the use of cardiac means - strofantina 0.5 ml of 0.05 % solution intravenously 10 ml of 40% glucose solution ;
5 ) cooling of the affected limb ;
6) drink plenty of hot strong coffee, tea ;
7) exchange transfusion 500-800 ml;
8) introduction of liquids antishock , plasma , blood, intravenously, aminophylline - 10 ml 2.4 % solution intravenously ;
9) regional procaine blockade 0.25 % solution of novocaine ( for AV Vishnevsky on NNBurdenko );
10) parenterally administering to 500-800 ml of 5% glucose solution , 500-1000 mL of normal saline , 200-300 ml of 3.4 % solution of sodium bicarbonate ;
11) diathermy kidneys.
Patients urgently hospitalized in the surgical department . In a hospital may conduct peritoneal dialysis connection to the machine "artificial kidney" , according to testimony - amputation .
drowning
Drowning occurs short breath-holding , which arise after inspiratory dyspnea and loss of consciousness . Paralysis of the respiratory center occurs in 4-5 minutes . Cardiac activity is maintained for 15 minutes. A man can be brought back to life by means of artificial respiration . Before this you need to release it from the clothes, clean the mouth and nose with a handkerchief from silt , put the victim on his stomach on the knee so that the head dangled down much pressure on the back to remove the water from the stomach. Then, the victim must be laid on a flat surface and start rescue breathing .
Basics resuscitation and terminal conditions
aeremia
Menerovsky symptom
- Severe headaches , dizziness, noise and ringing in the ears, accompanied by nausea , vomiting, nystagmus , loss of balance .
Occurs at a rapid transition from a medium with a high pressure environment , where the pressure is normal, as a result of the blood and body tissues are saturated gas - oxygen , nitrogen, carbon dioxide. Accumulation of gases may lead to blockage of blood vessels and their rupture. After the latent period (not more than 1 hour after decompression ) appear itchy limbs , sometimes the entire body , burning , crawling , marbling of the skin with a tendency to migrate , sometimes small hemorrhagic rash. Pain in the joints ( knee and shoulder more ) , muscle and bone (usually the hip ) , often intermittent nature , aggravated by palpation movements. When viewed or heard crunching crepitus , swelling often occurs periarticular tissues . Developing asthmatic condition , as well as pulmonary edema or heart attack. Retrosternal pain can occur as a manifestation of coronary heart disease , deafness tones , arrhythmia . Appear flatulence, abdominal pain , nausea, bloody vomiting . Develops may appear paresis and paralysis , aphasia , mental disorders , in severe cases - unconsciousness.
Often develops ear barotrauma with hemorrhage in the eardrum , or even its perforations.
Keeping victims.
A special medical gateway held recompression (bringing pressure to the point at which there was a loss of containment ) . The pressure was slowly and gradually decreases ( at 0.1 atm for 10 minutes) to reach normal . When the pressure drops below the therapeutic gateway 2 atm oxygen inhalation use . Upon leaving the gateway recommended:
1) strict bed rest for 1-2 days ;
2) excessive drinking ;
3) into a solution of sodium bromide 1% 1 tbsp. liter. 3 times per day ;
4) warm baths ;
5) 20-40 ml by intravenous infusion of a 40% glucose solution ;
6 ) Appointment of cardiotonic ( if necessary);
7) intravenously 10 ml of 2.4 % solution of aminophylline ( if necessary);
8) subcutaneously 1 ml of a 0.1 % solution of atropine ( if necessary).
apparent death
apparent death
- The period of life between life and death when there are no visible signs of life , but the body still ongoing life processes that enable recovery.
The length of time is 5-6 minutes. After that leads to irreversible changes in the tissues of the body .
Need for early cardiopulmonary resuscitation , including three stages and nine steps !
I
first
(performed by the doctor) .
second
third
Stage - basic life support . stage - the restoration of the airway : is necessary to make a triple reception on Airway - tilt the head of the victim, push the lower jaw forward and open your mouth . For extension of the lower jaw to capture II-V fingers of both hands the ascending branch of the mandible near the ear and pull it out with the power forward and upward , shifting so that the lower teeth were in front of the upper teeth . When airway obstruction by a foreign body of the victim must be laid on its side and in the interscapular region produce 3-5 sharp blows the bottom of his hand , finger clear oropharynx , then try to make artificial respiration. If no effect exercise pressure on the stomach. Palm of one hand it is necessary to apply to the abdomen in the midline between the navel and the xiphoid process , and put his other hand on top of the first and put pressure on your stomach fast movements up the midline. In the absence of airway management resorted to tracheal intubation or tracheostomy konikotomii stage ( extra ventilation and oxygenation ) - injection of air or oxygen-enriched mixture into the lungs should take 1-2 seconds , abruptly and held up until the chest does not begin to rise noticeably . Exhalation occurs passively , but should be complete. Respiratory rate should be 12-16 strokes per minute . Adequacy of artificial respiration measured at periodic expand the chest and passive exhalation of air . With inadequate passive breathing should be performed auxiliary ventilation. To do this in sync with the breath made ‚Äč‚Äčadditional air injection after 1-3 breaths .