保安服务中儿童溺水的现场急救 - 常见问题

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保安服务中儿童溺水的现场急救

来源:http://www.dzzhongtebao.com  点击次数:    发布时间:2018-06-01
儿童溺水的后果包括死亡和神经系统严重损害所导致的残疾。溺水后尽早开始基础生命支持,恢复有效呼吸循环是成功复苏、降低死亡率和严重神经系统后遗症的有效方法。 急救者的现场抢救方法为:
The consequences of drowning in children include disability caused by death and severe neurological damage. The early start of basic life support after drowning and the recovery of effective respiratory cycle are the most effective ways to succeed in resuscitation, reduce mortality and severe neurological sequelae. The methods of rescuing the first aid were:
1、水中救援:尝试救援一名溺水儿童时,救援者应尽可能快速接近溺水儿童,好采用交通工具(船、救生筏、冲浪板或漂浮物)。救援者应时刻牢记自身安全。
1, water rescue: when trying to rescue a drowning child, the rescuer should be as fast as possible to the drowning child, preferably with a vehicle (a ship, a raft, a surfboard or a floating material). Rescuers should always keep in mind their own safety.
2、心肺复苏:溺水者初和重要的治疗是立即给予通气,迅速开始人工呼吸能增加患儿生存的几率。通常对于意识不清的患者要在浅水或岸上开始人工呼吸。如果救援者在水中难以捏住患儿的鼻子,支撑头部并打开气道,口对鼻通气可代替口对口通气。大多数溺水者仅呛入少量的水,并很快吸入中心循环,并不会在气管内形成阻塞,有些患儿无任何吸入物,却出现气道阻塞,这是因为发生喉痉挛或屏气所致,因此,不需要清除气道中呛入的水。
2. Cardiopulmonary resuscitation: the first and most important treatment for drowning is to give immediate ventilation, and the rapid start of artificial respiration can increase the chance of survival. Usually, patients with unclear consciousness need to start breathing in shallow water or on shore. If the rescuer can not pinch the nose of the child in the water, support the head and open the airway, the nasal ventilation can replace the mouth to mouth ventilation. Most drowning people choke only a small amount of water and quickly breathe in the central circulation, and do not form a blockage in the trachea. Some children have no inhalation, but airway obstruction is caused by laryngospasm or breath holding. Therefore, no choking in the airway needs to be cleared.
3、在抢救的同时,溺水者可能会呕吐,2/3接受人工呼吸的溺水者和86% 需要胸部按压和通气的溺水者都会发生呕吐。如果发生呕吐,将患儿的头偏向一侧,用手指或布除去呕吐物。还要对病儿做好保暖护理。每个溺水儿童,即使在苏醒前仅需要简单的复苏,也需要在监护下转送至医院作进一步评估,遵循儿科高级生命支持指南处理。
德州保安服务
3, at the same time, drowning may vomit, 2/3 drowning people who receive artificial respiration, and 86% drowning people who need chest compressions and ventilation will vomit. If vomiting occurs, remove the child's head to one side and remove vomit with fingers or cloth. It is also necessary to keep warm care for the sick children. Every drowning child needs to be transferred to the hospital for further assessment even if it only needs a simple recovery before waking up, followed by a pediatric advanced life support guide.
4、现场初步心肺复苏的同时,应拨打120急救电话呼叫急救系统,做进一步救助及转运。
4. At the same time, the first emergency cardiopulmonary resuscitation should be made at the same time, the first aid system should be called by 120 emergency telephone to make further assistance and transfer.
现场治疗儿童道路交通事故现场交通事故,及时有效的院前急救可以挽救许多生命。如遇道路交通事故,请拨打120, 110和122。除非现场将危及儿童的生命,不要立即移动受伤的人;同时,关闭失事车辆发动机,收紧手制动或石头固定车轮,防止其他车辆卷入交通事故,检查儿童的受伤,确认。意识、呼吸、脉搏、出血以及救护人员从车上救出的过程应根据受伤情况不同。对于脊柱损伤,我们不应该使用拖拉、拉、抱等。我们应该使用脊柱固定板。为防止病情恶化,心脏和心脏立即复苏时,不能在头、颈、胸、背上进行心肺复苏。清醒患者采用对症治疗。要尽可能地保护现场。
Site treatment of traffic accidents in children's road traffic accidents, timely and effective pre hospital care can save many lives. In case of road traffic accidents, please dial 120, 110 and 122. Unless the scene will endanger the lives of children, do not immediately move the injured person; at the same time, close the wrecked vehicle engine, tighten hand brake or stone fixed wheel, prevent other vehicles from getting involved in traffic accidents, check the injury of children and confirm. Awareness, breathing, pulse, bleeding, and ambulance rescue from the vehicle should be based on different injuries. For spinal injuries, we should not use dragging, pulling, holding and so on. We should use the spinal fixed plate. Cardiopulmonary resuscitation should not be performed on the head, neck, chest and back to prevent deterioration of the heart and heart. The conscious patients were treated with symptomatic treatment. Protect the scene as much as possible.