对儿科创伤患者的一般护理考虑
Hannah C Cockrell1, Sarah L M Greenberg1
1Division of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, 4800 Sand Point Way Northeast, Seattle, WA 98105, USA; Department of Surgery, University of Washington, Box 356410, 1959 NE Pacific Street, Seattle, WA 98195, USA.
Oral and maxillofacial surgery clinics of North America
|August 25, 2023
概括
美国儿童创伤护理面临不平等. 先进的创伤生命支持 (ATLS) 原则对于立即在医院治疗受伤儿童至关重要,考虑到他们的独特生理学.
科学领域:
- 儿科急诊医学 儿科急诊医学
- 创伤外科手术是什么
- 公共卫生 公共卫生
背景情况:
- 创伤在美国显著影响儿童发病率和死亡率.
- 在儿童创伤护理的获取,伤害负担和结果方面存在不平等.
- 与成年人相比,儿童具有不同的解剖和生理特征,影响受伤模式和治疗.
研究的目的:
- 为突出儿童患者专业创伤护理的急需.
- 强调解决儿科创伤结果差异的重要性.
- 倡导在儿科环境中应用已建立的创伤护理原则.
主要方法:
- 对儿科创伤现有文献的综述.
- 对儿童受伤的流行病学数据的分析.
- 检查儿科和成人创伤患者之间的生理差异.
主要成果:
- 创伤仍然是美国儿童死亡和残疾的主要原因.
- 在创伤护理和结果方面存在显著的差异.
- 针对儿童的具体考虑对于有效的创伤管理至关重要.
结论:
- 高级创伤生命支持 (ATLS) 的原则对于受伤儿童的立即医院管理至关重要.
- 高资源环境中的临床医生应遵守儿童创伤的ATLS指南.
- 解决不平等问题和根据儿科生理学量身定制治疗对于改善结果至关重要.
相关概念视频
Fractures: Bone Repair
3.3K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K
Flail Chest-II
202
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
202
Cardiomyopathy VII: Pre and Post Operative Nursing Management
16
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16
Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14
Tracheostomy Care I: Pre-procedural Steps
236
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
236


