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In the medical section:a complex resuscitation measures in full (except for open cardiac massage); konikotomiya, tracheostomy, endotracheal intubation, ventilation apparatus, catheterized veins and others, hemostasis, intravenous transfusion, arterial injection, arteriovenous transfusion (restoring blood flow may have 85% of victims within 10 min), crystalloid, colloid, etc.
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Intensive treatment of the effects of terminal states begins immediately after the removal of the terminal states as a direct continuation of measures to revive the (initial elements of the treatment carried out at all stages of care). Held in the infirmary, with evacuation to hospital. Activities are carried out in accordance with the state of the victim, strictly on the testimony, taking into account the emergency room, the actual conditions and difficulties (lack of doctors, etc.). Working in accident and emergency on site and in the hospital, a health worker in the first place occurs with acute pathological conditions which developed against the background of diseases of the heart and blood vessels. The leading place is occupied here ischemic heart disease, cardiac syndrome of different origin, hypertension, etc. At the present stage, along with traditional methods - history taking, examination, palpation, percussion and auscultation - great diagnostic importance are instrumental methods of investigation of the heart and blood vessels, especially ECG We live in an era of relatively safe surgery and an extremely dangerous therapy. Used for emergency treatment drugs are highly toxic and can produce life-threatening side effects. Therefore, by intensive therapy, should always worry about the adequacy of measures and medications for the correction of impaired homeostasis. In this connection it is necessary to carry out continuous monitoring of heart function, pulse and blood pressure, a function of external and internal respiration, the activity of the liver and kidneys. Of great importance is the patient's psycho-emotional status. |
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