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Ways of a temporary stop of bleedings

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  7. Slaid 39 Ways of a temporary stop of bleedings

 

Ways of a temporary stop of bleeding can be applied separately and in a combination. The temporary stop of venous and capillary bleedings is carried out, giving extremities sublime situation and (or) applying the pressing bandage, or carry out a wound tamponada.

Manual pressing of an artery is applied to a nearby bone at bleedings on extremities, a neck, the head and carried out above a bleeding place in certain points. Pressing can be run fingers of one hand, the first fingers of both hands, a fist.

The humeral artery nestles 4 fingers on a humeral bone on an inner edge of a biceps. Control of efficiency of the made manipulation is exercised on disappearance of pulse on a forearm and to the termination of bleeding.

The Podkryltsovy artery prizhimaktsya by the first finger to a head of a humeral bone on a forward surface, on border of hair of an axillary pole, at the taken-away hand.

The subclavial artery nestles 1 finger on 1 edge, behind a clavicle, knaruzh from an attachment of a kivatelny muscle.

The carotid can be pressed by the first or four other fingers to popekrechny shoots of cervical vertebras - at the level of a hillock of a cross shoot of the VI cervical vertebra, on the middle of an extent of a kivatelny muscle. The femoral artery nestles the two first fingers on a horizontal branch of a pubic bone, on the middle of an extent of an inguinal sheaf, under it. It should be noted that manual pressing of arteries can't be applied to a temporary stop for a long time as there is a fast exhaustion of fingers of hands, and they are involuntarily unclenched.

Bleeding stop by the maximum bending of an extremity. Bleeding from arteries of a forearm is carried out by bending of a hand in an elbow joint to the full with its poslekduyushchy fixing in this situation. In an elbow pole thus the dense wadded and gauze roller is located. It is applied at arterial bleeding from a brush and the lower third of a forearm.

At arterial bleeding owing to injury of a subclavial, podkryltsovy, humeral artery it is recommended to take away both elbows with the bent forearms before their vozkmozhny contact back and to record in such situation by bandage.

The popliteal artery is squeezed at the maximum bending in a knee joint. In a popliteal pole thus it is necessary to lay densely rolled wadded and gauze roller. It Primeknyatsya at bleeding from an artery of foot and the lower third of a shin.

During operation the temporary stop of bleeding is carried out by imposing of a styptic clip. It can be used for a bleeding stop from traumatic wounds if in the last the bleeding vessel is visible. Large vessels are allocated, imposed previously two clips between which it is crossed. This reception allows to avoid blood loss.

In the absence of a standard plait it is possible to use make-shifts by means of which the zakrutka is carried out. For example, it is possible to use a scarf. For this purpose it freely ties round round an extremity above a bleeding place, and then into a loop insert any subject (a stick, a plate) and twist a scarf to a bleeding stop.

Temporary prosthetics of a vessel is carried out when the damaged vessel can't be switched off from the blood circulatory system, as a rule, it is a large main artery or a vein. In this situation the surgeon can insert a hlorvinilovy or glass tube into the damaged ends of a vessel and fix it two ligatures. In such condition of the patient it is possible to transport in specialized institution or to execute prosthetics of a vessel with involvement of the corresponding experts. Ways of a final stop of bleedings

Ways of a final stop of bleeding share on four groups:

 


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