First aid and treatment of long squeezing syndrome

The earlier the first medical assistance is provided to the victim, the more favorable the course of the SDS and the results of its treatment. At first, it is especially important to ensure the basic vital functions of the body, in particular the airway, to carry out artificial ventilation of the lungs, to stop external bleeding and to gently free the victim’s body or limbs from objects that cause squeezing. Immediately after release he is given narcotic analgesics (1 ml of a 1% solution of morphine, 1 ml of a 2% solution of omnopon or 1-2 ml of a 2% solution of promedol). A damaged limb or other part of the body should be tightly bandaged with an elastic or gauze bandage, a transport bus should be applied to the limb. During transportation, the victim must be given intravenous anti-shock drugs (polyglucin, reopoliglukin, 5-10% glucose solution, isotonic sodium chloride solution, etc.). To prevent cardiovascular failure, ephedrine and norepinephrine are administered. In the hospital, the victim immediately begins to conduct active anti-shock and detoxification therapy. Anti-shock blood substitutes, plasma, albumin, protein, sodium bicarbonate solution are administered intravenously. 3-4 liters of solutions of the mentioned drugs are poured over to the victim per day. At the same time, a circular novocaine (lidocaine) blockade of the damaged limb is performed and it is surrounded by ice bubbles. For the prevention of purulent-septic complications, broad-spectrum antibiotics are prescribed (for example, from the group of cephalosporins in combination with metronidazole).
In the second period of compression trauma, various detoxification methods are widely used today to eliminate renal failure. Of the conservative methods of detoxification, intestinal sorption is effective, i.e., enterosorption, endolymphatic therapy, ultrafiltration of blood, forced diuresis, hyperbaric oxygenation. More active methods of detoxification are also used, in particular hemosorption, hemodialysis, hemofiltration, plasmapheresis, etc.
In the third period of compression trauma, purulent wounds are treated and necrectomy is performed. In severe cases of traumatic toxicosis and the development of gangrene, amputations of the extremities are performed.

local_offerevent_note November 15, 2019

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