COMMITTEE ON ACCIDENT PREVENTION

The Committee on Accident Prevention of the American Academy of Pediatrics, in co-operation with the Surgical Section of the same organization, has prepared the following statements to cover the emergency management of childhood skeletal trauma and burns. Both of these statements are endorsed by the Committee on Trauma of the American College of Surgeons and have been approved by the Federal Civil Defense Administration. EMERGENCY CARE OF CHILDHOOD SKELETAL TRAUMA 1. Evaluate and splint where they lie before moving. Do not attempt reduction. 2. Move cervical injuries face up on a rigid support with manual traction applied gently by cupping chin at the time of moving. Sand bags on either side of neck to prevent turning, if possible. 3. Spine injuries should not be flexed in transportation. 4. Lower leg injuries, transport in pillow strapped with belt. 5. Upper leg injuries, transport with both legs and trunk bound to board without circulatory interference. 6. Lower arm injuries, transport with splint such as rolled newspaper, gentle compression wrapping and sling. 7. Upper arm can be bound to chest with lower arm supporting in sling. 8. Open injuries or open wounds, cover with sterile dressing, do not dust with antibiotic, but systemic antibiotic is useful. Do not attempt to retract bone back under skin. Get to surgical care promptly. 9. Do not cover distal tips of extremities if it can be avoided thus allowing a circulation check to be made from time to time. EMERGENCY CARE OF BURNS 1. Burns are due to thermal agents (scalds or fire); chemical agents (battery acid or lye); radiation (sunburn or nuclear); and electrical energy.

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Development of management of emergency surgical care for patients with acute traumatic and nontraumatic spinal pathologies in conditions of megapolis

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2017-176-4-39-43 ◽

2017 ◽

Vol 176 (4) ◽

pp. 39-43 ◽

Cited By ~ 6

Author(s):

A. K. Dulaev ◽

V. A. Manukovskiy ◽

D. I. Kutyanov ◽

Yu. Yu. Bulakhtin ◽

S. L. Brizhan’ ◽

...

Keyword(s):

Emergency Care ◽

Emergency Surgery ◽

Management Strategy ◽

Surgical Care ◽

Effective Management ◽

Practical Application ◽

Decentralized System ◽

Comparative Statistical Analysis ◽

Centralized System ◽

Made In

OBJECTIVE. The authors developed the management strategy of emergency care for patients with acute spinal surgical pathology in conditions of megapolis. MATERIAL AND METHODS. A comparative statistical analysis was made in 2627 patients. The patients (n =777) underwent treatment in multicenter hospitals of emergency care of the spine (decentralized system). The other patients (n = 1850) were treated in Municipal Center of Emergency Surgery of the Spine (centralized system). RESULTS. It is appropriate to establish departments of emergency surgery of the spine on the base of separate multicenter hospitals in megapolis. These hospitals should be properly equipped and they should have specially trained doctors and nurses, stable financing, effective management on admission to hospital. CONCLUSIONS. The efficacy of proposed measures allowed authors to recommend them to wide practical application.

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Treatment: limbs and back

10.1093/med/9780199688418.003.0014 ◽

2015 ◽

Author(s):

Jon Dallimore ◽

Jules Blackham ◽

Jon Dallimore ◽

Carey M. McClellan ◽

Harvey Pynn ◽

...

Keyword(s):

Spinal Injury ◽

Knee Injuries ◽

Lower Leg ◽

Ankle Injuries ◽

Low Back ◽

Wrist Injuries ◽

Leg Injuries ◽

Limb Injuries ◽

Arm Injuries ◽

Foot Fractures

Limb injuries - Fractures - Dislocations - Shoulder and upper arm injuries - Elbow and forearm injuries - Wrist injuries - Hand injuries - Finger injuries - Nail injuries - Pelvic and hip injuries - Knee injuries - Lower leg injuries - Achilles tendon disorders - Ankle injuries - Foot fractures and dislocations - Spinal injury - Low back pain - Physiotherapy

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Characteristics associated with residential aged care, respite and transitional aged care placement for older people following an injury-related hospitalisation in Australia

International Journal for Population Data Science ◽

10.23889/ijpds.v1i1.146 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Rebecca Mitchell ◽

Lara Harvey ◽

Brian Draper ◽

Henry Brodaty ◽

Jacqui Close

Keyword(s):

Service Use ◽

Transitional Care ◽

Care Service ◽

Aged Care ◽

Personal Hygiene ◽

Residential Aged Care ◽

Older Individuals ◽

Leg Injuries ◽

Arm Injuries ◽

Related Hospitalisation

Objective: This study examines characteristics associated with permanent residential aged care (RAC), respite RAC and transitional care (TC) placement for older individuals following an injury-related hospitalisation. Method: A retrospective analysis of individuals aged ≥65 years who had an injury-related hospitalisation and who had a linked record in RAC, TC or activities of daily living (ADL) data between 1 July 2008 and 30 June 2013 in New South Wales, Australia. Comorbidities were identified using diagnosis classifications and a 1-year lookback period. All hospital episodes of care related to the injury were linked to form a period of care. Both new and existing admissions to RAC were examined. Multinominal logistic regression was used to examine the factors associated with new admissions to permanent RAC, respite RAC and TC compared to return to the community. Results: Of 191,301 injury-related hospitalisations, 41,085 (21.5%) individuals either returned or were new admissions to permanent (87.2%) or respite (12.8%) RAC and 3,218 (1.7%) individuals were admitted to TC. There were 3,864, 4,314 and 2,630 new admissions to permanent RAC, respite RAC and TC, respectively. Of the injury hospitalisations, 70,796 (37.0%) individuals had an ADL assessment. Compared to individuals who returned to the community, individuals newly admitted to permanent RAC were four times as likely to have dementia (OR: 4.36; 95%CI 4.15-4.57), those admitted to respite RAC were twice as likely to have dementia (OR: 2.37; 95%CI 2.21-2.54) and people admitted to TC people were less likely to have dementia (OR: 0.60; 95%CI 0.53-0.68). Individuals with shoulder and upper arm injuries were twice as likely (OR: 2.31; 95%CI 1.98-2.68) and individuals with knee and lower leg injuries were one and a half times as likely (OR: 1.87; 95%CI 1.60-2.18) to be admitted to TC. Overall, individuals who were admitted to permanent or respite RAC had a higher likelihood of experiencing limitations associated with their physical, cognitive or social abilities, with individuals admitted to TC having a higher likelihood of having limitations maintaining personal hygiene and mobility compared to individuals returning to the community. Conclusion: An understanding of the profile of which older individuals are using RAC (permanent or respite) or TC services can usefully inform current and future aged care service use.

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Treatment: limbs and back

10.1093/med/9780199688418.003.0014_update_001 ◽

2018 ◽

Author(s):

Jon Dallimore ◽

Jules Blackham ◽

Jon Dallimore ◽

Carey M. McClellan ◽

Harvey Pynn ◽

...

Keyword(s):

Spinal Injury ◽

Knee Injuries ◽

Lower Leg ◽

Ankle Injuries ◽

Low Back ◽

Wrist Injuries ◽

Leg Injuries ◽

Limb Injuries ◽

Arm Injuries ◽

Foot Fractures

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Emergency care and outcomes

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363511x577370 ◽

2011 ◽

Vol 93 (6) ◽

pp. 194-195

Author(s):

Richard Collins ◽

John Stanley

Keyword(s):

Emergency Care ◽

Surgical Care

Many fellows and members have expressed concern that emergency surgical care has long failed to be given the level of attention and priority it deserves in the NHS. This is something the College sought to highlight in February through the publication of new standards to be used by commissioners, providers and other interested parties.

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Organization of Surgical Care for Patients with Abdominal Injuries in Peacetime Emergences

Kazan medical journal ◽

10.17816/kazmj71903 ◽

2001 ◽

Vol 82 (3) ◽

pp. 203-207

Author(s):

A. Yu. Anisimov

Keyword(s):

Medical Care ◽

Emergency Care ◽

Medical Service ◽

Action Plan ◽

Surgical Care ◽

Road Accidents ◽

Abdominal Injuries ◽

Medical Aspect ◽

Main Thing ◽

Early Preparation

The tragic events of recent years have shown the need to radically rethink the approach to providing medical care to the population affected by peacetime emergencies. The very concept of catastrophe has acquired a very definite medical and organizational meaning today [33]. In the medical aspect, it is understood as a sudden, extremely dangerous event for the health and life of people, which caused a discrepancy between the acute need for medical care and the capabilities of the available forces and means of the medical service to provide it [36]. In this context, it is appropriate to note that the main thing in a disaster is not its size, but the available resources of survival [15]. That is why the early preparation for a meeting with the elements, allowing to resist the situation of confusion and chaos, is rightly called the cornerstone in the system of measures for the successful elimination of its consequences [26]. Even in small peacetime disasters (road accidents), due to low organization, lack of a clear action plan, and insufficient training of practitioners in extreme medicine, only about 50% of those in need receive emergency care [11]. It is obvious that the emergency requires a restructuring of the doctor's thinking from optimal individual to optimal collective medicine.

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The Role of the Republican Children's Clinical Hospital in Improving Surgical Care for the Rural Population

Kazan medical journal ◽

10.17816/kazmj63839 ◽

1998 ◽

Vol 79 (2) ◽

pp. 138-140

Author(s):

R. Sh. Khasanov

Keyword(s):

Emergency Care ◽

Rural Population ◽

District Hospital ◽

Surgical Care ◽

Clinical Hospital ◽

Central District ◽

General Surgeons ◽

The Republic

Emergency surgical care for the children's population in 5 cities of Bashkortostan, where children's surgical departments are located, is provided around the clock only by children's surgeons. In 38 (64.8%) districts of the Central District Hospital and 15 (75%) cities of the republic, emergency care by pediatric surgeons is provided only during the daytime, at night - by both pediatric and general surgeons, and in 19 (35.1%) - only by general surgeons.

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