[적십자아카데미_위기상황에서의 응급처치] 30 상처 및 골절처치, Handling of Wounds and Fractures


Handling of Wounds and Fractures Bleeding and the Handling of Wounds: Bleeding means when there is damage done to the blood vessel and the blood seeps out It is divided into artery bleeding, vein bleeding, and capillary bleeding In the cases of vein bleeding and capillary bleeding, if light pressure is being applied during a short time the bleeding may be arrested, but that is not easy with artery bleeding First Aid in Case of Heavy Bleeding: If bleeding is heavy the bleeding must be arrested immediately and the patient should be laid down to rest with the bleeding area held above the heart If arresting the bleeding gets delayed, apply direct pressure along with vessel pressure(indirect pressure) Direct Pressure: Place a thick wet gauze or a clean cloth on the wound, press down on it directly and tie it around with a bandage If you don’t have a cloth, try to look for something to replace it, simply sterilize the area that will make contact with the wound and apply pressure directly Blood Vessel Pressure: This is a method that can stop the bleeding through slowing down the blood flow by applying pressure to the artery flowing near the bone between the wound and the heart. Such an area is called a pressure point Blood vessel pressure is applied simultaneously with direct pressure First Aid when the Bleeding is Not Heavy: Block germs and prevent infection Do not touch the wound with your hands or an unclean cloth and do not forcefully wipe away clotted blood Wash the wound with clean water when there is dirt or a dirty substance Dress the wound with a sterilized gauze Get treated by a doctor Fractures The Basics of Fractures – RICE Rest Icing Compression Elevation In the Cases of Bones Breaking or Spraining If the patient has had their neck or head damaged, if the area thought to be a fracture has ripped to show bones or if the skin below the damaged area has turned blue, it is an emergency so handle it immediately Ask for help right awat, hold fast the painful area with a nearby hard object (ramen box or wooden board), and quickly transport the patient to a medical organization If there is bleeding, hold up the bleeding area higher than the heart, apply pressure and arrest the bleeding Use nearby objects such as scarves, ropes, backpacks, hiking attire, wood, newspapers, magazines, blankets and pillows to their fullest, use bigger and wider ones than the fractured bone Shock: A shock is the state in which all the functions of our bodies slow down due to the sudden weakening of blood circulation Drink: If surgery is needed due to heavy bleeding or fractures, do not offer water even if the patient says they are thirsty Retaining Heat: If a shock happens the body temperature may drop easily so retain body heat by covering the patient with a blanket If there is no head wound, hold the lower body 20~30cm higher in order to increase the blood flow rate going to the brain If the patient can breathe on their own, or if their breathing has come back to normal, let them get into a recovery position A recovery position is to lay the patient down sideways with the body forming 90 degrees This position blocks the vomit from getting into the lungs Provide some drink for the patient, and keep the body heat warm Korean National Red Cross / Ministry of Education / Ministry of Public Safety and Security

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