Transport of a patient with damage to the thoracic spine.

Not many can boast of good posture, most hunch over, inadvertently. But this does not mean that we should leave everything as it is. You need to make an effort, as it will not be possible to correct your posture quickly, for example, in a week. Ways to achieve the result:

  • Muscle-strengthening bands or corsets  that support the back and pull the shoulders back, preventing slouching. It is worn under clothing, it is pleasant to the body, the only observation is that you should not wear it for too long, as the muscles will get used to the external support, they will relax and will not be able to independently perform the necessary functions.
  • Massage  . The doctor prescribes the number of procedures or, if finances allow, you can walk for pleasure.
  • Get a saddle for your back. The principle of the saddle in horses is in such a position that it is impossible not to hold the back correctly, while reducing the pressure on the back.
  • Back exercises  . The most effective method, since when performed regularly, the effect will be the longest compared to other methods.

Why do we stoop and what does it lead to?

Before we find out if the slouch can be fixed in 30, let’s find out why this problem occurs. Rounded shoulders appear as a result of poor posture.

Flexible

Lack of physical activity causes muscle problems in adulthood. There is a weakening of the scapular muscle and a contraction of the chest muscles. It also leads to the humpback. Correct posture can help solve spinal problems.

Bent over in a child most often occurs after 6-7 years, when the thoracic spine is fully formed. If this is not paid attention to, it can all end in thoracic kyphosis and scoliosis.

At this age, you can fix everything quickly. Sometimes bones form faster than muscles, so the child may be sent swimming or interested in other sports.

Guard test

10/31/2009

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1. In which organs (parts of the body) is it allowed to hit with a rubber stick? 1). In the head 2). By limbs3). On the neck 4). By genitals

2. From what distance can a shot from a gas pistol at a person be dangerous to their health? 1). Up to 2 meters2). Up to 3 meters3). Up to 1 meter4). 1.5 meter

3. How to provide first aid for thigh soft tissue bruises? 1). Place a tight bandage and an ice pack on the injury site for 15 to 20 minutes. two). Give the limbs a raised position, rest3). Firmly bandage the entire limb (from bottom to top), apply a splint, as in a fracture. Inside with 1/2 teaspoon of baking soda, drink plenty of water4). Lay your leg on a soft bundle of clothing, apply ice to the damaged, cold lotions

4. How to give first aid in case of pelvic bone fracture? 1). Apply a tight bandage to the injury site, give the victim a semi-sitting position2). Lay victim on their back on a hard surface, apply a heated heating pad to the damaged area3). Lay the victim down on a firm, even, and rigid surface and place a roller under the knee joints bent and apart.

5. How to transport a victim with blunt abdominal trauma? 1). In a supine position on the side or back with a heating pad at the injury site2). In supine position with cold at the site of injury (ice, lotion) 3). In supine position, half sitting, the knees are as close to the body as possible.

6. What first aid should be given in the event of a clavicle fracture in a victim? 1). Apply a cold compress to the fracture site, bandage well2). Put a splint on the armpit and bandage the arm stretched up to the torso3). Place a cotton roll or bandage on the armpit and bandage the arm bent at the elbow to the body.

7. How to transport a victim with a thoracic spine injury? 1). Lying on his back on a hard shield2). Lying on your back on a soft pad3). Lying on my side on a hard shield

8. What type of transportation should be used to transport a victim with a moderate head injury? 1). Passing the car 2). Passing truck3). Only by ambulance

9. What material is most suitable to use as an immobilizing splint for bone fractures? 1). Bandage2). Fabric3). Piece of board

10. What is the 5% iodine solution included in the kit for? 1). To treat the skin around the wound2). To lubricate the entire wound surface in case of severe wound contamination3). To lubricate the skin with first degree chemical burns

11. How to perform chest compressions and artificial respiration, if the revitalization is performed by 2 people at the same time? 1). Press once on the chest, once to blow air, etc. two). Blow out air once, then press the heart area 5 times, etc. 3). After 2-3 times of blowing air 15 times, press the chest

12. In what sequence is it necessary to give first aid to the victim in case of cessation of cardiac and respiratory activity? 1). Perform cardiac massage, release the airways, administer artificial respiration2). Provide artificial respiration, external heart massage, release the airways3). Clear the airways, administer artificial respiration and external heart massage

13. How to transport a victim with a penetrating chest wound? 1). Lying on the injured side or half sitting2). Lying on your healthy side or sitting3). Lying on your back or stomach

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14. How to choose the correct location for the limb hemostatic tourniquet in case of arterial bleeding? 1). Below the wound by 10-15 cm2). Above the wound 10 to 15 cm3). Straight to the wound

15. How to place a transport splint in case of a bone fracture in the lower third of the thigh? 1). Tighten the splint firmly at the fracture site, positioning it from the hip to the knee2). Apply two splints to the inside and outside of the leg. One from the end of the foot to the axillary fossa, the other from the end of the foot to the groin3). Apply two splints to both sides of the leg from the bottom of the foot to the upper third of the thigh (15-20 cm above the fracture site).

16. How long can a hemostatic tourniquet be applied to the lower leg in winter? 1). No more than 2 hours2). No more than 3 hours3). No more than 1 hour

17. How to place a transport splint or an object to replace it in case of fracture of the medial tibial bone? 1). Firmly glue the tire or its substitute to the fracture site2). Apply a splint on both sides along the entire length of the lower leg, from the foot to the knee joint3). Apply two splints to the inside and outside of the leg from the bottom of the foot to the middle of the thigh. Immobilize the fracture site, knee joints, and ankle.

18. How to properly remove a shirt or jacket from a victim in case of hand injury? 1). Begin to remove the clothes from the sore arm, then let go of the good arm2). Take off your clothes from both hands at the same time3). Remove clothing from a healthy hand, then release a sore hand

19. Where to start bandaging your chest in case of your extensive injury? 1). From the middle of the chest2). From the lower chest 3). From the armpits

20. How to put a shirt or jacket on an injured person if he has an injured hand? 1). Put clothes on a sore arm and then a good hand2). Wear clothes on both hands at the same time3). Dress first with a healthy person and then with a sick person.

21. In which cases is it necessary for a victim to perform artificial respiration? 1). Brain edema. 2). Spontaneous lack of breathing 3). Intermittent breathing

22. How to give first aid in case of contact with tears, irritant substances in the eyes? 1). Wash with water that does not contain more than 5% alcohol 2). Rinse with clean water 3). Ensure the weathering of the active substance by means of a forced air current.

23. How do you transport a victim who has received a penetrating injury to the eye from a gas weapon? 1). Lying on your back 2). In a state that excludes tear 3). Lying face down to allow the natural elimination of abundant tears.

Transport of a patient with damage to the thoracic spine.

24. How to transport a victim with head injury? 1). By car2). By truck3). By any means of transport, but accompanied by a medical worker.

25. What is the method of assisting a penetrating chest wound, when air enters the chest through the wound? 1). Give artificial respiration immediately and do not stop until an ambulance arrives. two). Do an indirect heart massage with alternating artificial respiration in the ratio of 5 impulses in the heart area – 2 breaths in the lungs by the mouth-to-mouth method 3).

26. The greatest effectiveness of assistance in bringing the victim out of fainting is achieved if 1). raise the victim’s legs above the level of their body lying down 2). the victim’s legs are at the level of his lying body 3). the victim’s legs are below the level of his lying body.

27. Is painful shock dangerous and should the person be brought out of shock? 1). Shock is not dangerous, because it is a natural reaction of the body to pain, when the sensation of pain is lost along with the loss of consciousness. two). With the impact, the vital functions of the body fade. This is dangerous.It is necessary to get the body out of this state as soon as possible 3). The crash is not dangerous and can continue indefinitely if the victim is monitored. 4). Shock is dangerous due to loss of sensation.

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28. The procedure for providing medical care for open fractures 1). Anesthetize, bandage the wound, apply a splint. 2). Apply a bandage to the wound, anesthetize, apply a splint. 3). Apply a splint, apply a bandage, anesthetize.

29. When applying a hemostatic tourniquet for a long time, it should be periodically loosened and then1). move over the previous place of overlap2). superimpose in the same place3). move below the previous place of overlap

30. Signs of arterial bleeding 1). The blood is scarlet, pulsing from the wound 2). Scarlet-colored blood passes passively from the wound 3). The blood is dark red, pulsing from the wound.

31. Ways to temporarily stop arterial bleeding. one). Ligation of a bleeding vessel 2). Tourniquet application, finger pressure 3). Novocaine blockade.

Is it possible to quickly get rid of the staircase?

Now let’s find out how to remove the back step at home. Most likely it will not work quickly. There are different methods to solve this problem.

And one of the most effective is gymnastics. With its help, you can align the retractable curve of the spine. Bent over massages, special furniture, and braces are used.

It is important to consult an orthopedic surgeon when bending over, who will determine the extent of the problem and prescribe effective treatment.

Special workouts allow you to:

  1. Strengthen the muscles in your middle back.
  2. Stretch your chest muscles.
  3. Eliminate circulatory disorders.
  4. Strengthen the muscles of the buttocks.

When choosing furniture to organize a workplace, a table, a special chair, a monitor and a mattress are selected.

General transport provisions

The rules and methods for moving victims may differ depending on the nature of the injury (blood loss, fractures, etc.), but there are several general principles:

  1. When transporting a person with a cervical spine injury, their head and neck are immobilized, that is, fixed to impede movement. In all other cases, the victim is transported with the head turned to the side. This is necessary to prevent the entry of vomit into the respiratory tract, as well as suffocation due to retraction of the tongue;
  2. A person with a lot of blood loss moves so that his legs are above his head. This position provides blood flow to the brain;
  3. When climbing the stairs, as well as when placing it in a vehicle, the victim is carried forward with the head, when descending and taking out of the transport, with the feet forward;
  4. The one who takes the victim to the front is designated the main one, his task is to closely monitor the path, notice obstacles and direct the movement, coordinating the actions of the rest of the rescuers (example of the command: «on the count of three we lift the stretcher – one two Three! “). In this case, rescuers are strictly forbidden to move “in step”;
  5. The one who carries the victim from behind monitors his condition and in case of deterioration warns others about the need to stop.

Transporting victims involves the work of specially trained medical personnel. However, in emergency situations, when an ambulance cannot reach the scene of the accident, rescuers must take the patient to the hospital independently.

Before transporting the victim, several important factors should be considered:

  • Determine how to move the patient;
  • Prepare the wounded and specialized devices for movement;
  • Choose the most convenient route;
  • Guarantee the safety of the victim;
  • To constantly monitor the functioning of the vital systems and organs of the patient;
  • Determine the method of loading the patient into the vehicle.

The motor transport of a patient to a medical center is only allowed in 2 cases:

  1. The place where the injury occurred represents a potential threat to the life of the victim and the rescuer;
  2. The ambulance cannot reach the scene of the accident.

Depending on the circumstances that caused the injury, the following types of transport are distinguished, the characteristics of which are presented in the table.

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