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).
Scoop stretcher to rescue; the two halves can be inserted independently of one another as two blades with the person to be rescued, and then reconnected to form a unit. Despite the usually limited medical capabilities of helicopters is a preferred mode of transport especially in rough terrain.
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.
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.
Capnometry, the continuous measurement of CO2 in exhaled air is used to optimize the ventilation in ventilation and also for the estimation of body metabolism in resuscitation treatment. Find Semi-quantitative measurement method, typically a test for blood sugar to detect hypo- or hyperglycaemia, troponin to detect cardiac involvement (z. B. Myocardial infarction, severe angina pectoris), and optionally on toxic active substances (as in cases of suspected drug, barbiturate poisoning) also use.
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.
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.
Scoop stretcher to rescue; the two halves can be inserted independently of one another as two blades with the person to be rescued, and then reconnected to form a unit. Despite the usually limited medical capabilities of helicopters is a preferred mode of transport especially in rough terrain.
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.
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.
Capnometry, the continuous measurement of CO2 in exhaled air is used to optimize the ventilation in ventilation and also for the estimation of body metabolism in resuscitation treatment. Find Semi-quantitative measurement method, typically a test for blood sugar to detect hypo- or hyperglycaemia, troponin to detect cardiac involvement (z. B. Myocardial infarction, severe angina pectoris), and optionally on toxic active substances (as in cases of suspected drug, barbiturate poisoning) also use.
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.
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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