Properly handled when there is a disaster that causes a loss

A broken part of the limb should be wrapped in a clean, wet towel or a damp cloth, put in a sealed plastic bag and kept in a cold ice bucket.

Injury leading to a part of the body is an accident that can be encountered in labor, transportation, living, natural disasters, war. The broken part is usually the finger, toes, part of the upper extremity or lower limb, which can be successfully resumed by microsurgery under a microscope. However, to successfully connect, when an accident occurs, it is necessary to know first aid, preserve and take care of those parts properly. In fact, most of the people are very embarrassed in their management, leading to the removal of the part of the victim who should be able to reconnect.

Good storage of severed body parts

In the case of broken parts such as arms and legs, care must be taken to preserve and preserve them carefully, to ensure that no parts are left or forgotten. Collect enough parts to be cut off and need to be taken immediately into a cool, shady place. Absolutely not let that part of the limb in the light, places too hot over 42 degrees C will promote the process of decay and increase the risk of infection.

Package the part that can be cut off in a wet towel or a clean damp cloth, put in a plastic bag or plastic bag and seal. Then put plastic bags in ice cold water. It is best to put in a closed ice box that is not exposed to the sun and the amount of ice must be enough for the distance from the accident site to the emergency.

If only cold water is used, it is not enough to preserve this part of the limb, so it must have cold stone covered in the outside of the plastic bag. Absolutely do not put the limb directly in ice without using plastic bags wrapped outside. Do not contact directly with ice, dry ice because it will cause frostbite, cold burns necrosis of tissue, adversely affects tissue recovery after resumption.

After completing the steps, hand over the disconnected part to the on-site medical force or transport to the nearest specialized treatment facility to reconnect it to the victim. Properly preserved and cooled part of the limb can be used for joint surgery within about 18 hours; If not preserved and cooled, it can only be used for 4 to 6 hours.

In principle in any injury accident situation, the most important thing to note is the vital signs of the victims, then the limbs and broken parts. The first aid includes the following steps:

Respiratory test

First, check the victim's airway, breathing. Promptly remove objects that obstruct airways such as soil, mud, and phlegm to ensure victims can breathe naturally.

Cyclic

The next step is to check your breathing and circulation. If the victim is no longer able to breathe, the cardiopulmonary resuscitation measures such as cardiopulmonary resection and artificial respiration should be immediately implemented. Keep your hand between the victim's chest, hold it with the palm of your hand, and press your heart repeatedly for about 100 times a minute, constantly not stopping until they breathe again. While pressing the heart, it is necessary to combine breath inhalation of about 7-8 times per minute, ie, on average 30 times, the heart breaths 2 breaths. Such perseverance until the victim shows signs of breathing again.

Note that when the heart is pressed and the breath blows, the victim must be placed in a well-ventilated place, on a hard surface. If the victim is lying on a spring bed or where there is a settlement, the heart attack will not work.

Steps to blow breath and squeeze the heart out of the chest.(Photo: suckhoedoisong).

Hemostasis

After ensuring a stable respiratory and circulatory status, stop bleeding by creating direct pressure on the wound while improving the lesion area. This will prevent continuous blood loss leading to shock.

If the blood still does not hold, check again to find the right place to start bleeding and then continue using the tighter force. If there is a lot of bleeding, pressure or pressure on the bandage is difficult to stop, there is a risk of life threatening, then applying a tight bandage method will help stop bleeding. The principle of putting a tourniquet is to block the blood vessel's pathway to the wound.

Tape should be placed above the wound 2-3cm. Wrap one round right, round 2 tighter, round 3 tightest, round 4 widen to insert the remaining tape head.

Note: Set the tourniquet no more than 6 hours, each time extend to one time, each time not more than one minute. In the field, if there is no bandage, use 2-3 washcloths or cloth instead.

Warm up

In the first aid process, attention must be paid to shock. If there is no problem in the airway, place the victim on a flat surface, warm it with a blanket or cloth. The footrest is about 30cm high to prioritize vital organs.

Note that when moving patients, there must be 2 people. Especially for cases of suspected traumatic brain injury, spine, when moving, be careful, gentle, properly if not, will leave serious sequelae later. After good control the hemostasis examines other signs of bone or soft tissue damage. Need to remove stains, foreign objects can contaminate wounds such as soil and stone by washing with clean water.