Release date: 2008-05-29
How does the role of medical devices in orthopedic trauma rescue? The Wenchuan earthquake has caused huge losses to the lives and property of local people. A large number of injured people urgently need medical assistance. What is the most needed in medical assistance? Kang Nan, deputy director of the Department of Orthopaedics, Beijing Chaoyang Hospital, told reporters that I am concerned about the situation in the disaster area every day. Most of the victims are bruised by hands and feet. What is needed most is the gauze and cotton pad required by orthopedic medical staff and orthopedic surgery. Orthopedic surgical consumables such as steel plates, internal plants and external parts, and related drugs need not be said to be urgently needed.
Kang Nan said that the most important trauma caused by the earthquake is orthopedic trauma. First, the most common limb damage, such as bruises on the hands and feet. The second is spinal injury. Bruising the spine, fracture or dislocation is easy to hurt the nerve. If the rescue is not timely, it will easily lead to spinal cord injury, which will cause paralysis, life can not take care of itself, even more painful than losing life. The third is pelvic injury. This is the most deadly injury in orthopedics, which can lead to massive internal bleeding to death.
However, due to the landslide after the earthquake, the road was blocked or damaged, which caused great difficulties in rescuing the wounded and transporting the medical equipment in time. Therefore, in front of the lack of relevant equipment and consumables, medical conditions are very poor, the medical staff should effectively use orthopedic instruments such as plaster, adding plates, bandages, gauze.
There are three treatment methods for fractures: First, the injured part should be reset in time. Secondly, on the basis of the reset, with some instruments, the correct and effective fixation is carried out to ensure that the injured part can heal as soon as possible and restore various functions. Again functional recovery. It is very necessary to perform functional rehabilitation exercises within the guidance of a doctor under the guidance of a doctor. This will reduce the quality of life in the future. Among them, on-site external fixation (requires small splint, plaster, bandage, traction) is a very important and meticulous part, which plays an important role in wound healing and functional recovery. According to past experience, Kangnan proposed that external fixed instruments can use wood, bamboo and plastic plates according to the site conditions. Small splints are suitable for closed tubular fractures of limbs, but they are not securely fixed. Gypsum is suitable for open fracture debridement and suture. After the open fracture is easy to be infected, the wound must be thoroughly debrided. At the same time, it is not recommended to use the plate screw to fix the debridement to avoid serious infection (the weather in the earthquake area is hot, the medical treatment environment is poor, and the wound is infected. ).
For the use of internal fixation in the treatment site, Kangnan and other orthopedic experts said that in the hospital or earthquake-stricken areas, the rescuers must advocate personalized treatment. He suggested: First, according to the environmental conditions at the time, if there is more smoke and dust, it is not advisable to prematurely fix it. Second, according to the location of the patient's injury, such as a large area of ​​the wound, the soft tissue is severely damaged, and the internal fixation is suspended; after careful observation of the wound changes, the internal fixation is used, otherwise the wound is not easy to heal. Third, the use of internal fixation should master the injured indications. There are three general indications for internal fixation, one is fracture with vascular nerve injury; the other is displaced intra-articular fracture; the third is fracture that is difficult to reset by hand (severe displaced avulsion fracture).
Relevant orthopedic experts especially emphasize that the internal fixation should be carried out under the premise of complete reduction of the fracture; the internal fixation should avoid infection, and the relevant parts must be clean and hygienic after the operation; the internal fixation must be firm and reliable; The doctor should remind the injured person to pay attention to functional rehabilitation exercise and avoid the second injury within the scope of orthopedics.
Compared with the previous stage, due to the fact that more medical devices have arrived in the earthquake-stricken areas, Kangnan and other orthopaedic experts have warned that the storage of medical devices should follow the principle of easy operation, and store them according to the name of the operation, such as the use of upper limb fractures. Such as steel plates, hooks, etc. are stored together, do not store in the category of equipment, to avoid mistakes in use. ——Shanghai Medical Device Industry Association
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