InternationalTraumaLifeSupportInternationalTraumaLifeSupportforPrehospitalCareProvidersSixthEditionforPrehospitalCareProvidersSixthEditionPatriciaM.Hicks,MS,NREMTPRoyAlson,PhD,MD,FACEPDonnaHastings,EMT-PJohnEmoryCampbell,MD,FACEPandAlabamaChapter,AmericanCollegeofEmergencyPhysiciansPatriciaM.Hicks,MS,NREMTPRoyAlson,PhD,MD,FACEPDonnaHastings,EMT-PJohnEmoryCampbell,MD,FACEPandAlabamaChapter,AmericanCollegeofEmergencyPhysiciansCampbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJChapter19TraumainPregnancyChapter19TraumainPregnancy第一页,共三十一页。Campbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJTraumainPregnancy孕妇(yùnfù)创伤TraumainPregnancy孕妇(yùnfù)创伤第二页,共三十一页。Campbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJDualgoalsinmanagingpregnanttrauma需要处理两个或以上的病人Physiologicalchangesofpregnancy孕妇生理改变ResponsetohypovolemiaResponsetohypovolemia对血溶积减少对血溶积减少(jiǎnshǎo)(jiǎnshǎo)的反应的反应Typesofinjuriesmostcommonlyassociated常见伤势Initialassessmentandmanagement初步检查及处理Traumapreventioninpregnancy预防孕妇创伤3TraumainPregnancy-第三页,共三十一页。Campbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJeeaa4TraumainPregnancy-第四页,共三十一页。Campbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJLeadingcauseofmorbidityandmortality为孕妇(yùnfù)发病率及死亡率的主要原因•6–7%ofpregnanciesexperiencesometrauma6–7%ofpregnanciesexperiencesometrauma6-7%6-7%孕妇曾遇上创创孕妇曾遇上创创1in12injuredexperiencesignificanttrauma1-2%1in12injuredexperiencesignificanttrauma1-2%遭遇严重创伤遭遇严重创伤•MajorcausesMajorcauses主要原因主要原因Motor-vehiclecollisionsMotor-vehiclecollisions交通意外交通意外FallsFalls高处堕下高处堕下AbuseanddomesticviolenceAbuseanddomesticviolence虐待及家庭暴力虐待及家庭暴力PenetratinginjuriesPenetrating...