Transport immobilization

of the forearm, hand and foot. 2eneer tires are made most often in When fractures and considerable soft the form of a splint tissue damage before shipment to (chute). .onvenient for immobilization create the damaged part to the rest of of the forearm and lower leg. the body, reduce pain, prevention of distraction tires. 3f this group, the further tissue damage (bone most widespread tire tire 4iterikhs. 1t fragments) as well as for the consists of four parts: the plantar (, prevention of traumatic shock applied the outer (large) , % and the inner to immobilization. The following types rod)twist with drawstring 5 (!ig. +6). 1t of transport immobilization: is used in in$uries of the lower limb and hip. 7pon application of transport tires ) primitive immobilization when using need to follow some rules. 1n addition healthy parts of the body of the to the damaged area, the bus must fi" patient. !or e"ample, damaged her two ad$acent $oint. When legs pribintovyvayut to the other, immobilization should be made rough healthy leg. #ribintovyvayut in$ured manipulation. .lothing with the victim arm to the body, not shoot, and a bandage is applied %) immobilization of materials at only to the damaged area. The tire is hand. &s these tools, you can use a covered with special cotton)gauze stick, a piece of board, a bunch of pads. 1mposing ladder tires. #re)bus twigs or straw, etc.' model according to that part of the () immobilization of transport buses, body to which it will be applied. 8o, at pre)cooked by the factory. the turn of the humerus bus must Transportation tires are divided into start from the inside edge of the blade two groups ) the fi"ation and on the unaffected side, walk along the distraction. outer surface of the half)bent at the !i"ation tires. With the help of these elbow and hand end here, speaking tires is created fi"ation (immobility), for a few tips of the fingers (!ig. ++). 1f the damaged area of the body. There the damage forearm upper level of the are several types of fi"ation tires. tire is the middle third of the shoulder, *ramer tire or ladder, made of soft lower ) the ends of the fingers. &t wire (!ig. +,). !ig. +,. -us .ramer. damage of the neck of the ladder are made of tires kind of helmet, one bent in the frontal plane of the contour of the head and both shoulder girdle, the other ) in the sagittal plane of the contour of the head, neck and -us can be given any shape necessary back. -us link between them, cover for the immobilization of a body part. the cotton)gauze pads and fi"ed to the /esh -us or -us !ilberga, is a grid head and both shoulder girdle (!ig. made of soft wire. 0asily rolled up. 1t is +9). 1f the damage is better to fi" the used primarily for the immobilization tibia from three sides: one tire model

on the back of the leg and foot from the toes to the middle third of the thigh, the other two are fi"ed on the sides of the tibia (inner and outer), and plantar fle" their part in the form of a stirrup for a stronger fi"ation the ankle $oint (!ig. 9:). 8plinting 4iterikhs. The plantar part of the tire is fi"ed with a bandage to the plantar surface of the foot. The outer (e"ternal crutch) over the long part of pushing and secured in such a way that it started from the armpit and inserted into a metal spring in the bottom part, advocated for her +) : cm inside of the tire (inner crutch) prepared in this way so that it rested against the groin and passed through a metal eyelet bottom part, speaking for her to see the final +) : (pivot) the part is bent at an angle of 9: ; and inserted into a special slot end of the outer part of the tire. 3n a limb splint bandage fi" circular strokes. &t the top of the outside of the tire is fi"ed with two straps. 7sing the wand, twist e"ercise for stretching the plantar part of the tire (ris.9 ).Transportation victims. usually arranges transportation of the nursing staff. When transporting the patient should be careful in a damaged area of the body. &ll the work is done <uickly, clearly, but without too much haste./edics must un<uestioningly follow the instructions of nurses. 8everal types of transportation of the victim./ovement with the support of the patient is carried out if the state allows it. =and of the victim>s neck helps fill up and are holding the brush (!ig. 9%). .arrying on his hands. The victim is taking on his hands with one hand covering the

torso, the other slid under the knees, the patient covers the neck helping hand (!ig. 9(). .arrying on the back.The victim is on his back and helping hands holding on to the shoulder girdle. & helping hand for its support for the lower third of the patient>s hip (!ig. 95). .arrying two persons with the power on ?lock.? !our hands are folded in the form of a ?lock? (!ig. 9@). 0ach of the nurses left hand grabs his right wrist and right ) left wrist of another nurse. The patient sits on a ?seat? and covers techs shoulders (!ig. 9,). .arrying the patient in a semi)sitting position. 3ne of the orderlies grabs the victim from behind at hand, and the other is between the legs of the patient and takes him by the arm thigh (!ig. 96). .arrying on a stretcher. 8tretchers are most convenient for carrying patient (!ig. 9+). They are available in the waiting room of a hospital, ambulance stations and ambulances. 1mprovised stretcher can be done independently. 4epending on the type of in$ury to the patient on a stretcher attached to the appropriate position. .The usual position of the patient ) on his back, with his head slightly elevated, elongated upper and lower limbs. When swoon patient>s head should not be raised on the lining. %. &t the head in$ury patient is placed on his back, but with a raised upper torso and head. 0nclose a blanket under his head, rolled into a trough (fi"ation of the head). (. When wound the front of the neck and upper respiratory tract ill give =alf)upright position with the head tilted forward, so that the chin in contact with the

breast. 5. When wound in the chest with a patient is transferred to a semi) sitting position or on the wounded side. @. When wound abdomen shows a supine position with the legs bent at the knees.With this purpose in the form of a folded blanket roller placed under the patient>s knees. ,. 1n the closed damaged spine and pelvis, the patient should be in a supine position, with open in$uries ) on the side or stomach. 6. &t damage of the upper limb patient is in the supine position with a certain slant on a healthy side. The forearm is placed on the chest or stomach. +. 1f the damage of the lower e"tremities the patient lies on his back with a raised pad on the in$ured limb. When transporting a patient on a stretcher one nurse is at the head, the other ) the foot end. /edics put on suspension straps on the shoulders, take up the pen and pick up litter at the same time with the patient. Wrap the patient should be carefully without shocks. With the rise and the descent from the ladder to save the horizontal position of the patient. 1n this regard, respectively, one of the orderlies end raises the stretcher, and the other ) down. Transportation can be affected by any transport, but at the ma"imum possible rest for the patient. -etter conditions for the transport of the victims are in a special ambulance cars, ambulances and helicopters. healing (consolidation) fractures. .onsolidation of fractures has a comple" pathogenesis. 1n the area of the fracture phenomena always occur aseptic (amicrobic) inflammation. 1n the area of the fracture appears serous impregnation

of soft tissue, the local temperature rise. 1n the early days there may be a common temperature reaction, sometimes it reaches (+ ; .. The reason is the rise in temperature absorption of blood and cell debris. 4epending on the location of the fracture in the first %)( weeks there is a primary callus. 1n the process of its formation are involved poured out the blood at the time of the fracture, the periosteum, the bone =aversian canals and endosteum cells. 4epending on where the predominantly formed callus, it distinguishes between the following types: ) endosteal ) from the cells of the endosteum, and %) interostalnuyu ) from the =aversian canals, and () periosteal ) from the periosteum, and 5) pa)raostalnuyu ) from the surrounding soft tissues. 1n the formation of callus is dynamically a number of design changes. !irst formed in the primary zone of fracture callus. 1t is <uite soft and is not detected radiographically. 1n the future, it is well differentiated bone and is the accumulation of salts of lime ) there is a secondary callus. Aast dense to the touch, firmly holding the bone fragments, the size of the damaged area is much more in the form of bones and bone fragments cuff surrounds. 8econdary bone spur is visible radiographically. 8ubse<uently, the e"cess callus is resorbed and fracture in general can not be detected.