What to wave after fight?


  • Signs of injury
  • Ears are different
  • «Combat» signs
  • Fairy tale lies, yes in it hint...
  • Lie and no nails!
  • Memo it turned out next

  • Our specialists in the field of neurosurgery and maxillofacial surgery on
    international conferences, to put it mildly, «Surprise» Foreign colleagues
    statistics on injuries received by Russians as a result of the most severe
    Drak. The patients «Overseas» Doctors are mostly sacrifice
    Production and Road Cases. Why is so high
    aggression from us and what a man threatens «innocent» concussion of the brain,
    obtained when clarifying relationships or for any other reason? What
    need to know and what to do if the head injury still happened?

    About this and how dangerous injuries are told
    Association of the Department of Traumatology of the Russian Medical Academy
    Postgraduate Education Nikolai Nikitich Ships and Evgeny Sergeevich

    Signs of injury

    A feature of modern injuries is absolutely high
    Mortality at young age. Even among patients surgical
    Profile The share of traumatological patients accounts for over 50%.

    Among the cranial and brain injury (CMT) allocate:

    • Concussion brain without indication.
    • Three degrees brain injury (light, medium, heavy).
    • Traumatic intracranial hemorrhages.

    Combined damage to the skull and brain:

    • bruises and injuries of soft tissues of the skull with a trauma of the brain, its shells and vessels;
    • closed fractures of the bones of the skull with damage to the brain (injury, concussion), with damage to its shells and vessels;
    • Fracture of bones of the base of the skull with damage to the brain, shells, vessels and cranial brain nerves.

    Damage to the brain barrel without a manifestation of the clinic.

    Ears are different

    Among frequent injuries can be called brain bruises,
    which are distinguished by gravity (light, medium, heavy),
    location and depth of damage. Foci of lesions of cerebral tissue
    may be in the hemispheres of the brain, on their surface,
    base, in cerebellum and stem department. Of course, the diagnosis is the case
    doctor, but for what signs you can determine what kind of damage
    in humans, especially if he refuses or is in no hurry to seek

    What to wave after fight?Ears of the surface layer of gray cerebral hemispheres (bark) relate
    to the ears of easy degree. Loss of consciousness in such patients continues
    up to three hours, then a few days there is a stunning. Pupils
    a person is evenly narrowed, photoreacts for the light of living. Victim
    Periodically nauseous, marks vomiting.

    Middle Degree Brain Ears accompanied by damage
    Brain fabric deeper layers located under the crust. In that
    Case loss of consciousness can last 2-3 days. Reaction of pupils for light
    Sloggy. Quite often arise cramps.

    Ears of severe degree accompanied by extensive
    hemorrhages. In this case, the unconscious state continues
    up to two weeks. Photoreacts for light bad, convulsive seizures are frequent and
    Long. There are gross respiratory disorders, swallowing,
    cardiovascular activity, involuntary urination and
    Beaching Cala. Gross violations of the consciousness of patients with head bruises
    Middle and severe brain are associated with brain lesions.

    Special place occupies Summifying the head, which is observed
    with earthquakes, destruction of houses, industrial buildings, falling with
    Heights on the head, traffic accidents (air, railway,
    car). Kinetic energy literally can split the head,
    like nut! Soft tissue heads are injured, bones break.

    With another common injury - concussion brain -
    There is a short-term loss of consciousness, retrograde amnesia
    (memory loss), light fast reversible general-selling symptoms.



    Injuries most often leave explicit traces, and it is very important to pay for
    These are attention. Diagnosis of brain and skull damage is built
    Based on availability, evaluation «combat» Injury signs. These include:
    Eugene, wounds of the scalp, earliest areas, bruises of soft
    fabrics and, naturally, hematoma (bruises), their location and increase.
    Evaluation is important «Tracks» bleeding from the nose, from the ears and time
    appearance. No matter how violations should be taken into account
    Consciousness (clear consciousness, stunning, coma of different degrees).

    For example, the so-called «Symptom glasses» (under the eyes are formed
    bruises in the form of glasses) indicates a fracture of the base of the skull in
    Front cranial jam. But doctors should show «Hematomic
    alertness». Brightly demonstration, immediately appeared «symptom
    Points» may exist without a fracture, but to become the result
    descending hematoma from the frontal area.

    Fairy tale lies, yes in it hint...

    Alexander Sergeevich Pushkin in 1830 wrote an excellent fairy tale «O
    Pop and worker his bald». If you remember only small
    a fragment where the final of the calculation between the Pop and Bald, then here
    We obviously, we can observe all the seriousness of the injury,
    brain and its consequences.

    What to wave after fight?
    «Poor pop substituted forehead: from the first tap jumped pop to the ceiling;
    From the second tick, the pop language lost, and the mind was bounced from the third cloth
    old man». Here in all its glory appears the clinical picture
    Injuries. There was the first direct contact, and as a result
    short-term, but overly applied forces man jumped from
    pain reaction. The second click caused a violation of speech («Loose language»),
    But the third blow «elder» - Amnesia has come, possibly -
    Heavy Coma.

    Violation of consciousness (stunning, stupor, coma) leads to violation
    Speech («Literary Okrochka», Matching or complete absence of speech). At
    Amnesia is a violation of memory (a person cannot memorize,
    save, reproduce). In different cases, the victim does not remember,
    What happened during the Time CMT does not remember what was after the exit from
    the state of disturbing consciousness does not remember that it was before injury
    Do not perceive information at all.

    As can be seen, head injury is always serious. Therefore, each
    Must know and be able to provide the first assistance to the victim. At all
    Caps of severe acceleracy injury need to do radiographs
    the cervical spine to eliminate additional and
    Perhaps concomitant injury (fractures, fracture-dislocations).

    Normalization of changes occurs in terms of 1-14 days, and
    Ultrastructural changes in the nervous system can be observed in
    limits of 1-4 months and be the source of post-traumatic syndromes
    Traumatic Brain Disease.

    Lie and no nails!

    Further treatment appoints a doctor. Need strict bed
    For up to 1 week. Strict bed mode is the basis of the foundation
    Treatment, «trunk», on which «hang out» Medical preparations.
    Shook around the chambers there and here, engage in nonsense, play cards and
    Domino with neighbors, no one should not talk at all.
    The victim should behave quietly, like a mouse. Excessive activity,
    Reading newspapers, magazines, TV show, especially sports
    (football, boxing) - only in harm. All loads are not shown, but
    contraindicated. Reception of drugs. After
    extracts recommended restriction of physical, mental loads in
    within a month.

    The minimum deadlines for inpatient treatment in the acute period and total duration are as follows:

    • when concussing the brain - at least 2 weeks, temporary disability is at least 4-5 weeks;
    • when the brain injury is an easy degree - 3-4 weeks and 1.5-2 months;
    • when injected with a severe brain duration up to 2-3 months and more.

    According to modern and generally accepted classification, concussion
    brain refers to gravity to mild chmt. but
    The question of the outcome of the concussion or injury of the brain is decided not earlier
    than 3 months after injury. This is due to the fact that
    The process is very dynamic and in the post-traumatic period one form
    can go to another, qualitatively heavier and serve
    The basis for determining the resistance of disobey. therefore
    attitude to «Easy» injury should be very serious.

    Memo it turned out next

    It is necessary to find out the circumstances of the injury in the patient (if he
    in consciousness) or eyewitnesses. It is necessary to act like this:

    • The patient needs to be put in a horizontal position, unbutton
      Collar, weaken the belt, evaluate the severity of the state, pulse, frequency
    • Free upper respiratory tract from blood, mucus, foreign
      bodies, broken teeth, prostheses using an index finger,
      wrapped with wet bandage marks.
    • Make artificial fluid «mouth to mouth» or «Nose from mouth». With massive bleeding from wound heads need
      stop bleeding by pressing a bleeding vessel on
      Double term of bleeding time (8-10 minutes), impose
      Soft bandage dressing, call the car «Ambulance» for
      Transportation to hospital.
    • When eye damage, a sterile bandage is superimposed (you can
      Take advantage of a cloth from clean and swallowed sheets, shirts).
      Wash damaged eye should not. Exception is made
      Chemical eye burns requiring abundant watering with water.
    • When bleeding from the ear, you need to lay a hole with a piece of cotton wool,
      Bandage or Marley (enter the tampon is deeply impossible due to danger
      infection). With a fracture of the nose bones of the patient laid with
      raised headboard, apply a bubble with ice or
      Slices of ice placed in cellophane package. Fractures of nose bones
      always accompanied by bleeding. In this case, strips are introduced into the nose
      gauze, bandage moistened with 3% hydrogen peroxide solution or
      impregnated with vaseline or any other oil. If the victim B
      consciousness, you need to ask him to spit blood, and not to climb, so
      How can Vomot possible.
    • Lower jaw fractures are almost always accompanied by gaps
      mucous. Rinsing the mouth with a weak solution of permanganate
      potassium (manganese). Any food is prohibited before entering the hospital.
    • Small abrasions, surface wounds are treated with alcohol
      iodine solution or diamond green solution (green). Can
      use sterile napkins of an individual dressing package and
    • The patient with a combined cranial injury should be
      transport on hard stretchers by fixing the head on the board and
      neck with a roller or inflatable circle. Head must
      be turned to the side to avoid the opportunity to choke.

    What can I do:
    Remove bone fragments, foreign bodies from wounds,
    to go out dislocations or fractures, deeply tampony,
    bad or insufficiently clean upper respiratory tract.

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