Senin, 08 Februari 2010

MEDICAL EMERGENCIES

Medical emergency is anything that affects a person without a history of forced Ruda.
Note the symptoms and signs, and complaints by interviewing the patient or family information / witness.

Common symptoms:
 Fever
 Pain
 Nausea, vomiting
 urinating excessively or not at all
 Dizziness, fainting, would doom
 tightness / difficulty breathing, excessive hunger, mouth feel strange

General signs:
 mental status change
 Change the rhythm jantun
 Respiratory Changes
 Change the skin condition
 Changes in blood pressure
 Changes pupil
 anomalous muscle activity
Gastrointestinal disorders


Heart Disorder
Risk factors:
Can not be changed
Hereditary :
 Gender (male> female)
 Ethnic
 Age (30 yr <) Be changed  Smoking  High blood pressure  High cholesterol  Lack of physical activity Factors Penyulit  Obesity  Diabetes  Stress Symptoms  unpleasant feeling, pain, heavy feeling chest.  The patient holds his chest and slightly bent  Pain develops suddenly  No response, stopped breathing and heart Signs  Nadi anomalous  Palpitation  Widening p. back  Swelling  Nausea, vomiting  Head light  Weakness suddenly  cyanosis  Excessive Perspiration  Feeling Hour HELP  Calm patient  Do not leave the patient alone  Position the patient in a comfortable position reply  Ensure an open airway  Give oxygen if there is  Do not give food / drink  Relax binding clothing  If the patient does not consciously do the action BHD  Refer to the references soon. Respiratory disorders Example:  ISPA & ISBA  Acute Pulmonary Edema  chronic obstructive pulmonary disease  Spontaneous Pneumothorax  Asthma / allergy Airway obstruction   Pulmonary Emboli  hyperventilation Symptoms and Signs  It is difficult to talk and breathe  There are additional breathing sound  Tanpak aids breathing muscles work  The position of the tripod  The rhythm and quality of abnormal breathing  Changes in color of skin  mental status change  At the sound of wheezing is asthma  fast Nadi  Fever  Coughing blood HELP  Calm patient  Keep the airway open  Value of respiratory patients  Place the patient in a comfortable position  Give breathing assistance if necessary  Give oxygen if there is appropriate provision  Take the patient immediately place the reference Mental Status Changes Cause:  Hipoksemia (lack of oxygen in the blood)  Hypoglycemia (levels of blood sugars low dlm)  hyperglycemia (levels of blood sugars higher dlm)  brain apoplexy (stroke)  general Seizures  Fever, infectious  Poisoning (drug & alcohol)  Head injuries  mental disorders HELP  Values and monitor respiratory and airway patient  Lay the patient on their side if no firm suspicions head injury, a broken collarbone and back  Give oxygen if there is appropriate provision  Monitor vital signs and level of response  Take the patient immediately place the reference Blood sugar levels (hyperglycemia) His breath smelled of acetone   skin redness, dry  Hungry / thirsty  Nadi fast & weak  Changes to the mental status did not realize  Like the drunk, unsteady, his speech fuck  Frequent urination Hypoglycemia  As giddy drunk, disruptive speech  Acting weird  Aggressive, restless  fast Nadi  cold skin, wrinkles  Hungry  Headache  seizure HELP  Conduct early assessment and try to get the history of the disease  Supervise and monitor the airway and breathing  Give sugary drinks if the person is conscious  Take the patient immediately place the reference STROKE Signs & Symptoms:  Pain head  Loss of consciousness  The response rate  Tingling / paralysis in the face or tool motion  It is difficult to talk  Blurred vision  Seizures Manik  right & left eye is not the same  Loss of urinary control & release  age factor HELP  Calm patient  Do not leave the patient alone  Lay the patient  Ensure an open airway  Provide oxygen if there is  Relax the binding of the patient's body  If there is no response give BHD action  Take the patient immediately place the reference  Be careful if there are parts of the body paralyzed patients yg EPILEPSY Signs & Symptoms:  blank look, feel hear or see something  strangled cry  Fall suddenly, lying stiffly for a moment, his back arched  face and neck bluish and swollen  Movement of muscle spasms  No response  mouth foaming, sometimes bloody  Probably bitten tongue  Probably lost control urinary and digestive  The patient returned to consciousness in the not-long  After the seizure, the patient fatigue and sleep HELP  Protect the patient from injury  Do not resist or fight back spasms  Protect the patient's tongue from being bitten  Position the stable soon  Treat injuries from seizures  Keep the airway so as not to clog  Let the rest  Avoid tension daari patients and shame around Hysteria Signs & Symptoms:  lost consciousness for a moment with an impression made - for  It may roll - roll on the ground  fast Breath  Unable to move or walk, for no apparent reason HELP  Calm patient  Do not expose the patient from the masses  Bring the patient calm place  Facilitate and supervise the patient continues  Encourage the doctor, after calmly Fainting Signs & Symptoms:  Feeling giddy  view berkunang - bugs and ringing in the ears  Weakness, cold sweat  Evaporate  Can be adaa no response, which usually occurs within minutes  slow pulse HELP  Lay the patient with the leg elevated  Loosen clothing  Keep the patient breathe fresh air  Check for other injuries  Give blankets, to warm the body  When you recover, try to rest a while  If not restored, then: - Check for breathing and pulse - Position the stable - Bring to hospitals / doctors / health center Seizures, and HEAT Signs & Symptoms:  Muscle spasms are accompanied by pain à legs and stomach muscles  Fatigue  Nausea  Maybe fainting HELP:  Move a shady place / cool  Give drink  Refer to health facility Fatigue HEAT Signs & Symptoms:  Breathing fast and shallow  Nadi weak  palpable cold skin, wrinkles, moist and pale mucous membranes  Pale, excessive sweating  Weak  Dizziness, sometimes decrease response  dry tongue and thirst HELP  Lay the patient in the shade  Kendorkan binding clothing  Elevate legs sufferers around 20 - 30 cm  Provide oxygen if there  Give drink if the person is conscious  Refer to health facility Heat stroke Signs & Symptoms:  Breathing rapidly and in  vein followed by rapid and strong fast but weak pulse  skin felt dry, sometimes hot pink Manik's eyes widened   Loss of consciousness  general spasms or trembling in muscles HELP:  Reduce the patient's body temperature as quickly as possible  Put the bag of ice on the armpits, groin, behind the knees and around ankles and on the side of the neck  If possible, put the patient into a tub of cold water and add ice to it  Refer to health facility Hypothermia Medium Signs & Symptoms:  Shivering  There was floated  Breathing fast, slow pulse  Disturbance of vision  slow eye reaction  Shaking Hypothermia Weight Signs & Symptoms:  Respiratory very slow  very slow pulse  No response Manik  eyes widened and not react  Tool rigid motion  No shivering HELP:  Assessment and examination of the patient early  Move the patient from a cold  Keep the airway and provide oxygen if there is  Replace wet clothes, covered the patient, try to stay dry  If the patient can be aware of the hot drink slowly - slowly  Monitor vital signs regularly  Refer to health facility Sink Guidelines Help:  Security daan location helper  Condition patient  Water Conditions  existing resources Principle:  Achieve  Throw  Paddle  Pool HELP  Move the patient as quickly as possible from the water with the safest way  Consider spinal boards in the water  Open the airway patient  Until early assessment on land and do CPR if necessary  Provide oxygen  Keep the patient's body kehangata  Perform physical examination  Immediately brought to health facilities

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