So, we simulate conditions. Extreme situation. There is a qualified medical assistance somewhere, but the devil knows where. It is a battle between the mountains and the mountains. He is found, he is still alive, and there is no doubt about the presence of large-scale internal injuries. The skin is pale. Cold sweat Help wait for nowhere. To get a friend out of traumatic shock? Not. Not in such conditions.
Another situation. The same people, the same mountains. It is a rockfall, it falls on the foot. A man yells, frantically rushing, waving his arms, even gets a knife. Damn it knows – to cut yourself or others. Well, the weapon was taken away, the calmed down, the bleeding was blocked. The pulse is weak, the pulse is cold. Traumatic shock? Traumatic shock. Life is dangerous? No longer. You can drag the victim to a safe area.
We can describe the situation in the simplest possible terms. In general, any traumatic shock – this is a complex n **** c. It is no longer a problem. The patient is in the bloodstream. What is the word? Life conditions threatened in terms of physiology.
What does it mean? Centralization of blood circulation. Therefore, weak pulse, and pallor, and lethargy. Tries to concentrate on all levels of survival. And here is the brain fades a little into the background. Limbs, by the way, on the third. That leaves at least some hope of survival.
Actually, therapeutic measures are targeted at this state. Transfusion of plasma, saline, whole blood and other liquids. Here it all depends on traumatic shock caused.
Everything is fine. It’s a good outcome. Shut off blood circulation, ampoutate the arm (for crushed tissues will enter the bloodstream, restore the blood loss). Everything. You need to wait for qualified medical assistance.
If this patient has been crushed his chest, chest or something else, then this is bad. To reduce blood loss. It will be up to each other. Can this be done outside the operating room? Well, try it.
If the patient has received an extensive burn, everything is bad. It will be in the form of exudate. It is extremely dangerous for the kidneys and liver. And in any case – except that direct hemodialysis saves.
At any traumatic shock blood coagulability functions are also activated. And everywhere. And this is fraught with thrombosis of small vessels. What follows from this? Numerous heart attacks of where they can only be formed. Therefore, in addition to pouring liquids, it is also necessary to fight with thrombosis. Yeah, that’s why you need a huge amount of blood for transfusion. You pour it, and it flows back. It’s impossible to keep the situation.
The consequences of the shock consequences. Although as remote is a few days, approximately.
What conclusion can be made? If your arm is torn off Of course, if everything is done quickly. You are not in any way. If you have any need for bleeding, you will die without assistance. If a large-scale burn is similar. Pain and shock. You can’t get out of all dangerous situations. The real art of survival is to prevent them.