MC TIU

Nu c nh ngha, phn loi, cc du hiu lm sng gi c mu t trong hp s Theo di c BN sau khi b chn thng s no ( CTSN) Chun b c BN trc m v chm sc c BN sau m

NH NGHA
Lc p vo hp s xut hin mu t chn p nhu m no tc ng ln trung khu TK (thn no) hn m t vong

GII PHU

PHN LOI
Chn thng s no kn Khng rch mng cng
(khoang di nhn khng thng vi mi trng bn ngoi)

Chn thng s no h Rch mng cng

(thng khoang di nhn vi mi trng bn ngoi)

CC TH LOI CTSN
Gip no Ln s kn

Chn ng no
Ph no

Nt sng s trc
Nt sng s gia

CC TH LOI CTSN
Mu t ngoi mng cng

Mu t di mng cng

Mu t trong no

Mu t di mng cng

Mu t trong no

Mu t ngoi mng cng

THEO DI TRC M

THEO DI GHI NHN

Tri gic (Thang im Glassgow) Du hiu sinh tn

Mc au u, nn
Theo di ng t, so snh 2 bn Theo di du thn kinh khu tr

GLASGOW

Glasgow 12 13: hn m I Glasgow 9 11: hn m II Glasgow 5 8: hn m III Glasgow 3 4: hn m IV

THEO DI CAN THIP

Tnh trng da u C vt rch da u, vt nt xng s, v s hay lm s. Bm hay gip mt, du hiu Battles (du hiu mt knh). C mt c ng khng cn xng.

THEO DI CAN THIP

Cn ghi nhn Glassgow mi 15 pht (bnh nng), 30 60 pht (bnh nh) Gn monitor theo di sinh hiu

Ly mu XN (CTM, Nhm mu, TQ, TCK,)

Lp ng truyn ln qua TM ln (TM cnh ngoi, TM

i nng)
Thng tiu vi cc BN hn m

THEO DI CAN THIP

NG TH Rng gi tho Tng tit m nht ht m

Rt li vo hu Mayor
Nu khng x l tt, thiu oxi no ph no, SHH H tr Oxi 3-6 lt/pht Khc: chy mu hu hng mi ?????

THEO DI CAN THIP

TUN HON Sinh hiu: mch nhanh, HA tt Da nim nht, th nhanh Bi hon dch qua ng truyn TM

D tr mu

THEO DI CAN THIP

DIN TIN KHI MU T Ri lon DHST Glassgow gim dn ng t dn bn tn thng

Yu lit chi i din vi bn no b tn thng

CHUN B BNH NHN

Co trc ton b tc trn u Gi, lau vi x phng hay dung dch x phng st khun KHNG THC HiN
Rt b d vt Ra dd Oxi gi, Betadine, Cn vo vt thng Loi b cc m vng vt thng khi cha bit r

Bng p qu cht

Nm u cao 15-30o

THEO DI SAU M

THEO DI GHI NHN

DO BN CN HN M LU DI, CN THEO DI Glassgow (din tin bnh) Du hiu sinh tn Thng kh? (T th, h tr Oxi) Tnh trng vt m Lng nc XUT NHP

THEO DI CAN THIP

NG TH Hn m th my (ci thng s) Nu BN t th, thng kh cha tt Ht m, H tr Oxi qua NKQ Nu BN t th, thng kh tt Rt NKQ M kh qun khi bnh tnh, cn cai my th

THEO DI CAN THIP

NH GI H THN KINH Du hiu ph no Du hiu tt no

Du hiu vim mng no: Kernig (loi tr tn thng ct sng

c trc )

Du thn kinh khu tr Thn nhit

THEO DI CAN THIP

VT M - NG DN LU Bng vt m sch, khng thm dch-mu ODL: mu sc, lng dch. Chm sc thay v khun chng vim mng no

THEO DI CAN THIP

NGA KHC Chng lot xoay tr BN mi 2 gi hoc nm nm nc, hi

Chng vim phi Xoay tr, v lng, VLTL h hp

Chng hm cc vng np: bi methylen np c, nch,

bn. Gi da lun kh thong

THEO DI CAN THIP

VS cc l t nhin:
Ming: VS rng ming L mi: que gn tm NaCl L tai: ra tai nu c chy dch hoc mu Mi: Thoa vaseline chng kh nt Mt: ra NaCl, thoa pommade tera bng kn

THEO DI CAN THIP

Chng teo c cng khp Chng suy dinh dng
Nui n qua sonde, hn m ko di

BIN CHNG SAU M

Tng p lc ni s th pht (mch gim, HA tng, St, Nn) Vim mng no, vim no, p xe no D dch no ty: chy dch mi, chy dch tai

ng kinh
Yu lit chi

Gim hoc mt chc nng c quan tng ng tn thng

NT vt m