[First aid and initial medical care in injuries of the large blood vessels]

Nowhere as in emergency medicine results of a well done first aid can be more obvious as in the cases of big blood vessels injuries. Properly done first aid and first medical aid at big blood vessels injuries save the life of the patient. The following example is the case of MM patient The patient was received in the Emergency ward after an explosive injury of the big artery vessels and badly done first aid and be was without any signs of life. The patient was treated with: Adrenalin hydrochloride 1 ml intracardial Hydrocortisone amp a 1000 mg i.v. Sol Haemaccel 3 x 500, o ml i.v. Sol Hartman 3 x 500 ml i.v. Na-bicarbonate amp a 40 mg i.v. (2 x 20 mg) 9 bottles of fresh blood (300 ml each) After the intensive cardiopulmonal reanimation the patient after 3 hours he was in a stable general condition and sent to the operation theatre. For proper first aid the methods and activities are very simple but they should be known and implemented. In the opposite case a patient can lose all the blood and die in a hemorrhagic state.