1.观察环境,表明身份,做好自我防护。
a.观察并报告环境安全。【评估环境,1.2.3.4】
b.带手套或口述已做好自我防护。【周围环境安全,我已做好自我防护。(注意手势)】
c.表明身份。【我是红十字救护员,我可以帮助您吗?(注意姿势与站位)】
2.安慰伤员,将伤员置于适当体位。
a.不要紧张,我帮您处理伤口。【不要紧张,我帮您处理伤口。】
b.寻求周围人员拨打急救电话。【这位先生,这里有人受伤了,请您拨打一下120急救电话,有会救护的请与我一起施救】
3.检查受伤部位
检查伤员左前臂,报告疑似骨折,无伤口。【我帮您检查一下受伤部位,这里疼吗?这里疼吗?不要紧张。——(举手)报告,经检伤,伤员左前臂疑似骨折,无伤口。】
4.固定伤肢+悬吊伤肢
a.将伤肢屈曲置于胸前,检查伤肢末端运动、感觉、循环,用现场可利用物品固定,固定物超过肘、腕关节。【我看下您的血液循环情况,这里有感觉吗?可以动一下吗,很好。来,用手托出这里,我马上帮您固定。】
b.用两条适度宽带分别固定骨折上段、下段(腕关节),结打在固定物与伤肢之间。【这么包扎松紧可以吧,可能有点紧,您不要紧张,一会就好了】
c.用三角巾做大悬带悬吊伤肢,结打在颈后右侧方,伤肢末端略抬高。【好,您放松就可以了。】
5.观察伤肢及伤员
检查伤肢血液循环、运动及感觉,做好人文关怀。报告操作完毕。【我再看下您的血液循环情况,这里有感觉吗?可以动一下吗,很好,我已经帮你做好了初步包扎处理,您不要紧张,120急救车很快就会到,我会在这里一直陪着你。(举手)报告,伤员末端血液循环正常,运动与感觉正常。(起立)报告,操作完毕。】
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