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.
The physician-based rescue system has a special position in a global comparison. In many other countries (for example, in Anglo-American) preclinical care of emergency patients is purely by specially trained non-medical personnel - called paramedics - performed. These undergone extensive training, which is in contrast to training of paramedics or emergency paramedics and EMTs designed to perform all patient care alone and without medical help. They rely, in contrast, called on Standing Orders, that conduct will, by which they may differ in any way and must sometimes make a telephonic consultation with a physician for certain measures.
Therefore, the primary emergency medical care takes place in all rule out an appropriate medical facility. So the core tasks of emergency medicine are also the professional rescue and storage of patients, preparing and maintaining the portability and the care and treatment of emergency patients under the transport conditions in, at least for primary therapy appropriate, the hospital (or other suitable location); there are, especially in rural regions, transport times of several hours possible. In United States limited the preclinical intervention of emergency physicians on air ambulance and mobile intensive care units.
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.
With disaster medicine all measures are summarized, which are necessary in a mass attack of hurting or sick persons. It is in such a case, the link between emergency services and disaster protection and is based in respective rescue service or civil protection law of Federal States. Under such conditions, individual medical aspects can be taken into account only partially, so that basically has to take place the so-called triage the victims.
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.
In case of injury, among other things, a proper immobilization and reduction of joint and bone injuries or the containment of blood loss by applying a pressure bandage to vascular surgical procedures are performed. Existing or foreseeable intolerable pain conditions require appropriate - and sedation (anesthesia).
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.
The physician-based rescue system has a special position in a global comparison. In many other countries (for example, in Anglo-American) preclinical care of emergency patients is purely by specially trained non-medical personnel - called paramedics - performed. These undergone extensive training, which is in contrast to training of paramedics or emergency paramedics and EMTs designed to perform all patient care alone and without medical help. They rely, in contrast, called on Standing Orders, that conduct will, by which they may differ in any way and must sometimes make a telephonic consultation with a physician for certain measures.
Therefore, the primary emergency medical care takes place in all rule out an appropriate medical facility. So the core tasks of emergency medicine are also the professional rescue and storage of patients, preparing and maintaining the portability and the care and treatment of emergency patients under the transport conditions in, at least for primary therapy appropriate, the hospital (or other suitable location); there are, especially in rural regions, transport times of several hours possible. In United States limited the preclinical intervention of emergency physicians on air ambulance and mobile intensive care units.
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.
With disaster medicine all measures are summarized, which are necessary in a mass attack of hurting or sick persons. It is in such a case, the link between emergency services and disaster protection and is based in respective rescue service or civil protection law of Federal States. Under such conditions, individual medical aspects can be taken into account only partially, so that basically has to take place the so-called triage the victims.
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.
In case of injury, among other things, a proper immobilization and reduction of joint and bone injuries or the containment of blood loss by applying a pressure bandage to vascular surgical procedures are performed. Existing or foreseeable intolerable pain conditions require appropriate - and sedation (anesthesia).
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