自杀性上吊情景中的护理点超声检查--病例报告

Rajiv Ratan Singh, Varnika Agrawal, R. Rupani, Pradeep kumar Yadav, Richa Choudhary
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引用次数: 0

摘要

在急诊科,对有上吊自杀史的患者进行迅速而全面的处理至关重要,因为这可能会危及生命。患者到达急诊室时表现出昏迷和喘息的迹象,这表明患者严重缺氧并即将出现呼吸衰竭。必须立即进行评估,以处理与上吊相关的损伤和可能增加的颅内压 (ICP)。最初的重点包括固定气道、确保氧合和提供循环支持。护理点超声(POCUS)是快速识别脑结构异常的重要工具,有助于评估升高的 ICP。解决 ICP 升高的问题需要根据 POCUS 的检查结果采取综合治疗干预措施,包括减轻脑水肿、优化灌注和预防继发性脑损伤的措施。POCUS 的便携性和即时性可与急诊复苏完美结合,为定制治疗策略提供宝贵的见解。强调快速和多学科的方法对于患者获得最佳治疗效果至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Point of Care Ultrasound in Suicidal Hanging Scenario- A Case Report
In the emergency department, swift and comprehensive management is crucial for a patient with a history of suicidal hanging due to the potential life-threatening consequences. Upon arrival exhibiting signs of unconsciousness and gasping respirations, the individual indicates severe hypoxia and impending respiratory failure. Immediate assessment is essential to address hanging-related injuries and potential increased intracranial pressure (ICP). The initial focus includes securing the airway, ensuring oxygenation, and providing circulatory support. Point-of-care ultrasound (POCUS) emerges as a vital tool for rapid identification of structural brain abnormalities, aiding in the assessment of raised ICP. Addressing raised ICP involves integrating therapeutic interventions guided by POCUS findings, including measures to reduce cerebral edema, optimize perfusion, and prevent secondary brain injury. POCUS's portability and immediacy seamlessly integrate into emergency resuscitation, providing valuable insights for tailored therapeutic strategies. Emphasizing a rapid and multidisciplinary approach is essential for optimal patient outcomes.
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