Sample answer to task 12

Diagnosis: Acute oral poisoning of severe FOV

I MP in the focus:

– put on a gas mask

– administer the antidote atropine s.c.

– evacuate from the outbreak

I MP outside the focus:

– remove gas mask

– rinse the stomach with a solution of soda

– give an adsorbent (activated carbon)

– re-inject the antidote atropine s.c.

The affected person belongs to the 2nd sorting group (evacuation in the 1st queue for stage 1 of the EP)

Sample answer to problem 13

Diagnosis: Phosgene lesion with development of pulmonary edema.

Health care:

– make oxygen inhalations through defoamers (10% aqueous solution of colloidal silicone, 10% alcohol solution of antifomsilane)

– in / in to introduce a solution of glucose, calcium chloride

– introduce cordiamine, camphor solution, strophanthin

– put tourniquets on limbs

STANDARD ANSWER TO SITUATIONAL PROBLEM N 14

1. Diagnosis. Blunt trauma to the abdomen, rupture of a hollow organ. Diffuse peritonitis. This is evidenced by the anamnesis, signs of peritoneal irritation, tachycardia, hypotension, dullness in the sloping areas of the abdomen.

2. Does the victim require emergency assistance?

Yes, it needs. Emergency assistance consists in the transfusion of blood-substituting fluids, the introduction of antispasmodics, hemostatics, cardiovascular drugs, the application of cold on the stomach. It is necessary to evacuate the patient as soon as possible, because. there is a life-threatening condition. The patient without surgical treatment will die. Transportation by santrasport, accompanied by a paramedic, lying on a stretcher.

3. Does the patient need to be sent to the next stage for qualified and specialized care? The victim needs emergency transportation to the point of qualified surgical care for surgical treatment.

STANDARD ANSWER TO SITUATIONAL PROBLEM N 15

1. Diagnosis . Penetrating stab-cut (knife) wound of the left half of the chest in the VI intercostal space along the posterior axillary line, complicated by hemopneumothorax. Hemorrhagic shock of moderate severity. Subcutaneous emphysema in the area of the wound speaks of the penetrating nature of the injury with lung damage, and a box shade of percussion sound speaks of pneumothorax. Dullness of percussion sound in the lower parts of the left lung, tachycardia and hypotension (Algover index more than 1.0) indicate internal bleeding (hemothorax).

2. Does the affected person require emergency assistance? LDP with a delay in evacuation.

Yes, it needs. Emergency care in MP POGO consists of applying an aseptic bandage to the wound, administering painkillers (promedol from a syringe tube, analgin), sulfocamphocaine, oxygen, ensuring complete rest, intravenous administration of polyglucin, saline solutions. With a delay in evacuation, a pleural puncture is performed in the II and YII intercostal space to evacuate air and blood. Hemostatic, anti-shock therapy is carried out, broad-spectrum antibiotics are administered to prevent pleural empyema. As soon as possible, urgent evacuation to the hospital.

3. Does the patient need to be sent to the next stage for qualified and specialized care? The wounded needs emergency hospitalization in the surgical or intensive care unit of the hospital as a matter of priority. Transportation in the supine position, accompanied by medical personnel, with ongoing IV infusions and oxygen.

STANDARD ANSWER TO SITUATIONAL PROBLEM N 16

1. Diagnosis . Blunt trauma to the abdomen, rupture of a hollow organ. Diffuse peritonitis. This is evidenced by the anamnesis, signs of peritoneal irritation, tachycardia, hypotension, dullness in the sloping areas of the abdomen.

2. Does the victim require emergency assistance if evacuation is delayed?

Yes, it needs. Emergency assistance with a delay in evacuation consists in the transfusion of blood-substituting fluids, the introduction of antispasmodics, hemostatics, cardiovascular drugs, and the application of cold on the stomach. It is necessary to evacuate the victim as soon as possible, because. there is a life-threatening condition. The patient without surgical treatment will die. Transportation by santrasport, accompanied by a paramedic, lying on a stretcher.

3. Does the victim need to be sent to the next stage for qualified and specialized assistance? The victim needs emergency transportation to the point of qualified surgical care for surgical treatment.

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