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INJURY MANAGEMENT There is consensus on managing Type I injuries. The limb should be immobilised in an above-elbow backsiab with the elbow flexed at 90° , or in a collar and cuff if pain allows . Patients are followed up as outpatients. Definitive management of Type I I and III injuries, which need surgical intervention, are not within the remit of ENP practice. Various studies extol the virtues of different types of fixation and immobilisation,but the chosen method is the decision of the individual surgeon. Emergency nurse practitioners must know enough about the possible complications of these fractures to refer appropriately and offer enough information so surgeons can ascertain the extent of injury and deal with it correctly. |
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yinjuanchen
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Mally89(金币+1): 鼓励新虫！~ 2011-04-28 10:15:04
sltmac(金币+2): 欢迎常来~~~ 2011-04-28 10:38:40
ywj001(金币+20, 翻译EPI+1): 2011-04-28 17:23:34
Mally89(金币+1): 鼓励新虫！~ 2011-04-28 10:15:04
sltmac(金币+2): 欢迎常来~~~ 2011-04-28 10:38:40
ywj001(金币+20, 翻译EPI+1): 2011-04-28 17:23:34
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INJURY MANAGEMENTThere is consensus on managing Type I injuries. The limb should be immobilised in an above-elbow backsiab with the elbow flexed at 90° , or in a collar and cuff if pain allows . Patients are followed up as outpatients.Definitive management of Type I I and III injuries, which need surgical intervention, are not within the remit of ENP practice. Various studies extol the virtues of different types of fixation and immobilisation,but the chosen method is the decision of the individual surgeon.Emergency nurse practitioners must know enough about the possible complications of these fractures to refer appropriately and offer enough information so surgeons can ascertain the extent of injury and deal with it correctly. 伤势处理及治疗 对于Ⅰ类伤者，肘部弯曲成90°，肘部以上部位应固定，如果病人可以忍受疼痛，也可以固定至袖口或领口。这是一种普遍的处理方法，病人无需住院。 Ⅱ、Ⅲ类伤者，需要外科医生治疗，而不再是实习急诊护士的职责。很多研究都极力赞扬对肘部伤势进行不同固定方法的优点，而实际上只有医生才能决定病人适合的肘部固定方法。实习急症护士应该对这些不同肘伤所引起的并发症有充分了解，并与医生交流，提供足够伤势信息，以保证医生最终决定伤势的严重性，正确治疗。 |
2楼2011-04-28 08:42:28