The medicine is the branch medicine that deals with the detection and treatment of medical emergencies. It technically covers the entire chain of survival and is an interdisciplinary field medicine, especially in anesthesiology, internal medicine, procedure and neurology have been included (gastric sleeve surgery in Mexico).
Paying special attention to pain and pain-related reactions (eg guarding of abdomen), abnormal joint or bone position or motility or other abnormal findings is placed. In pre-hospital emergency medicine is the rather short study on the four most threatening B, chest - abdomen - pelvis - legs (thighs) fail, however, be more detailed in emergency room at the hospital.
The NeuroCheck is used to test the functioning of nervous system of a physically disabled person. This sensitivity can be (pain sensation), motor skills, strength and blood flow studied. Particular importance to this investigation for suspected spinal injury or non-oriented patients. The investigation includes: pupil (light sensitivity, etc.), sensitivity (eg pain response in extremities by pinching in both hands / legs.) (Hands and legs move), motor skills, muscle strength (handshake should be the same on both hands), blood flow (pressure on finger nail). For emergency medical diagnostics usually are instrumental possibilities available. However, the equipment may vary in individual cases from site to site.
Using ECG monitoring, the continuous representation of cardiac actions on a screen, a further differentiation, for example, chest pain in acute situation, the continuous monitoring of a patient including diagnosis emergency medical significant cardiac arrhythmias and by 12-lead ECG recording is possible. Pulse oximeter to measure the arterial blood oxygen saturation. Measuring the oxygen content in blood, the pulse oximetry is widely used as a further parameter for patient monitoring during transport or artificial respiration, wherein cardiopulmonary resuscitation for verification of sufficiency of measures and after administration of drug for detecting hypoxic conditions.
Capnometry, the continuous measurement of CO2 in exhaled air is used to optimize the ventilation in ventilation and also for the estimation of body metabolism in resuscitation treatment. Find Semi-quantitative measurement method, typically a test for blood sugar to detect hypo- or hyperglycaemia, troponin to detect cardiac involvement (z. B. Myocardial infarction, severe angina pectoris), and optionally on toxic active substances (as in cases of suspected drug, barbiturate poisoning) also use.
With disaster medicine all measures are summarized, which are necessary in a mass attack of hurting or sick persons. It is in such a case, the link between emergency services and disaster protection and is based in respective rescue service or civil protection law of Federal States. Under such conditions, individual medical aspects can be taken into account only partially, so that basically has to take place the so-called triage the victims.
Typically manifest or impending shock states of different causes by suitable combinations of measures (puncture and catheterization techniques including conditioning central venous access) and drugs are treated (shock therapy). To ensure breathing are freeing the airway (foreign body removal - manually or by suction), the (endotracheal or supraglottic) intubation, cricothyroidotomy or tracheotomy as well as the manual and mechanical ventilation and possibly the chest tube necessary.
By emergency service, although the first medical care is guaranteed, but will be in disaster or major incidents also help local doctors, regardless of their field of study, used for assistance. In general, but the doctor can not refuse the treatment, provided he is competent. Are not enough doctors available, first aid and treatment of minor injury patterns are transferred to members emergency services and aid organizations, but also on health care professionals and volunteers.
Paying special attention to pain and pain-related reactions (eg guarding of abdomen), abnormal joint or bone position or motility or other abnormal findings is placed. In pre-hospital emergency medicine is the rather short study on the four most threatening B, chest - abdomen - pelvis - legs (thighs) fail, however, be more detailed in emergency room at the hospital.
The NeuroCheck is used to test the functioning of nervous system of a physically disabled person. This sensitivity can be (pain sensation), motor skills, strength and blood flow studied. Particular importance to this investigation for suspected spinal injury or non-oriented patients. The investigation includes: pupil (light sensitivity, etc.), sensitivity (eg pain response in extremities by pinching in both hands / legs.) (Hands and legs move), motor skills, muscle strength (handshake should be the same on both hands), blood flow (pressure on finger nail). For emergency medical diagnostics usually are instrumental possibilities available. However, the equipment may vary in individual cases from site to site.
Using ECG monitoring, the continuous representation of cardiac actions on a screen, a further differentiation, for example, chest pain in acute situation, the continuous monitoring of a patient including diagnosis emergency medical significant cardiac arrhythmias and by 12-lead ECG recording is possible. Pulse oximeter to measure the arterial blood oxygen saturation. Measuring the oxygen content in blood, the pulse oximetry is widely used as a further parameter for patient monitoring during transport or artificial respiration, wherein cardiopulmonary resuscitation for verification of sufficiency of measures and after administration of drug for detecting hypoxic conditions.
Capnometry, the continuous measurement of CO2 in exhaled air is used to optimize the ventilation in ventilation and also for the estimation of body metabolism in resuscitation treatment. Find Semi-quantitative measurement method, typically a test for blood sugar to detect hypo- or hyperglycaemia, troponin to detect cardiac involvement (z. B. Myocardial infarction, severe angina pectoris), and optionally on toxic active substances (as in cases of suspected drug, barbiturate poisoning) also use.
With disaster medicine all measures are summarized, which are necessary in a mass attack of hurting or sick persons. It is in such a case, the link between emergency services and disaster protection and is based in respective rescue service or civil protection law of Federal States. Under such conditions, individual medical aspects can be taken into account only partially, so that basically has to take place the so-called triage the victims.
Typically manifest or impending shock states of different causes by suitable combinations of measures (puncture and catheterization techniques including conditioning central venous access) and drugs are treated (shock therapy). To ensure breathing are freeing the airway (foreign body removal - manually or by suction), the (endotracheal or supraglottic) intubation, cricothyroidotomy or tracheotomy as well as the manual and mechanical ventilation and possibly the chest tube necessary.
By emergency service, although the first medical care is guaranteed, but will be in disaster or major incidents also help local doctors, regardless of their field of study, used for assistance. In general, but the doctor can not refuse the treatment, provided he is competent. Are not enough doctors available, first aid and treatment of minor injury patterns are transferred to members emergency services and aid organizations, but also on health care professionals and volunteers.
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