First aid in case of damage of the abdomen and abdominal organs

August 12, 2017 17:50 | First Aid

Damage abdomen and abdominal organs are among the life-threatening and in many cases require emergency surgery.The delay in operation due to the delay in the recognition of the damage, or any other causes dramatically worsens the prognosis.

Contusion of abdominal wall. arises as a result of direct trauma.Can detect abrasions abdominal wall hematoma.The pain is worse with a change in body position, while lifting the head.Symptoms of peritoneal irritation are absent.Nevertheless, you should always keep in mind the possibility of damage to internal organs.

victim should be in a supine position to deliver in a surgical hospital for follow-up.Painkillers and antispasmodics are not introduced, the heat is also contraindicated in the stomach.

abdominal injuries, accompanied by internal bleeding. resulting from severe blows to the abdomen with injuries, various accidents.The source of bleeding is the liver breaks, spleen, bowel mesentery.Usually, the victim is in critical condition.There are signs of hemorr

hagic shock: paleness, cold sweats, decrease in blood pressure, sometimes to critical values.The victim sparing the stomach while breathing because of the pain, it is moderately swollen, painful on palpation evenly, but great tenderness found in the application site traumatic force.Due to the accumulation of blood in the abdominal percussion dullness define sound in sloping parts of the abdomen.Positive symptom Shchetkina.Peristalsis weakened, and with an increase of peritonitis may be absent.

Emergency care. maximum fast delivery of the victim to a surgical hospital with symptoms of shock III degree - bypassing the emergency department.Infusion solutions polyglucin, reopoliglyukina with hormones, like in shock, required the cold on his stomach.Contraindicated administration of epinephrine, mezatona, ephedrine, which although slightly raise blood pressure, but will increase bleeding and further complicate medical treatment of shock.Transportation of lying, most gentle.

Closed abdominal injury accompanied by rupture of a hollow organ. damage mechanism is the same as in injuries with bleeding, especially since the gap of the hollow body - stomach, intestines, bladder - often accompanied by bleeding, shock.Output contents of hollow organs in the abdominal cavity, peritoneal irritation while give a very strong pain.Every hour of the peritoneum inflammation process intensifies, spreads, growing phenomenon of peritonitis, initially local, then diffuse (less than two floors of the abdominal cavity), and then poured (over two floors).The victim is pale, moaning in pain, trying to lie still.Dry tongue.Abdomen sharply tense and painful in all departments, positive symptom Shchetkina-Blumberg, in the first 1-2 hours - at the site of injury, and further, but with the spread of peritonitis - around the abdomen.At a percussion of the abdomen may be absent hepatic dullness due to the release of air in the abdominal cavity and its accumulation over the liver.

diagnosis in typical cases are not difficult, more difficult to define abdominal trauma the victim is unconscious, in severe intoxication.In these cases, a presumptive diagnosis is based on the tension of the abdominal muscles, a common debilitating condition with unstable hemodynamics.

Hospitalization in surgical hospital, lying.In the fall of blood pressure - polyglukin, reopoligljukin hormones.

stomach wound. are divided into non-penetrating, when the peritoneum is intact, and penetrating (with damage).Absolute signs of penetrating trauma are:

• falling into the wound bowel loops, omentum;

• expiration of urine, bile.

All other signs - the relative, and the final diagnosis is made only in a hospital.

wounds of the abdomen may be chipped, sliced, stab, gunshot.Clinical presentation depends on whether the bleeding is predominant in the peritoneal cavity, or hollow organ is damaged.

Emergency care .On the wound impose a sterile bandage, it strengthens plaster.It is impossible to reduce a fallen bodies in the wound, as this may cause them to rupture and bleeding.They should be closed with cotton napkins (with furatsilina solutions novocaine, isotonic sodium chloride solution).If there are absolute signs of penetrating trauma, drugs should be introduced if these symptoms do not have, from their introduction is better to abstain.If necessary, a anti shock therapy.In all the above cases, in any case does not give the victim a drink.

Hospitalization in surgical department, lying.

injury, or damage to, called the anatomical and functional disturbances of tissues and organs, resulting from exposure to environmental factors.Impacts can be mechanical (impact, compression, tension), physical (heat, cold, electricity), chemicals (acids, alkalis, poisons), mental (fright, fear).The severity of damage depends on the strength and time of exposure to these factors.

most common cause damage to the immediate action of the mechanical force (impact, compression, tension) on body tissues.Mechanical damage can be closed and open.

closed injuries considered those in which there is no violation of the integrity of the skin and mucous membranes.These include bruises, sprains, fractures subcutaneous organs and soft tissues (muscles, tendons, blood vessels, nerves).

Open injury (trauma) are accompanied by a mandatory breach of integrity of the skin or mucous membranes (wounds, open fractures).

Damage resulting from simultaneous, sudden, dramatic effect on body tissues, called acute injury.Damage arising from the constant and repeated impacts small force, unable to cause injury in single action, called a chronic injury (occupational diseases).Every injury, in addition to local tissue disorders causing those or other general changes in the body: the violation of the cardiovascular system, respiratory, metabolic and other

totality of injuries in certain population groups, resulting in a limited period of time, called the injury..

There are industrial injuries, home, sports, kids, road and military.Tackling injuries is one of the main objectives of public health and safety.