Director of Department of Thoracic Surgery, The Sixth Hospital Affiliated to Sun Yat-sen University Zhao Jinming Director of Emergency Department Wu Guichang
Director of Dermatology Wu Liangcai, Deputy Chief Physician of Orthopedics Liu Xingmo
The injured shot in the action movie made the story ups and downs. But the first-aid lens that followed it was not right? The experts from the Sixth Hospital of Sun Yat-sen University commented on the plot in the two most recent movies.
Into the foreign object, should I pull it out? The Red Sea Action is the hottest film during the Spring Festival this year, which once again ignited the patriotic enthusiasm of the Chinese. A soldier was completely penetrated by a metal sharp device after the explosion. Chest insertion, shoulder and back piercing, his comrades unbridledly pull out foreign objects, the wounded were rescued on the spot. From a medical point of view, is this really feasible? Zhao Jinming, director of thoracic surgery at Zhongshan Sixth Hospital, said that existing at home and abroad In prehospital first aid practice, large foreign bodies are usually not pulled out of the patient's body on the spot. This may cause serious, uncontrolled bleeding or open wounds (open pneumothorax). In life, even if it is a small foreign body After the injury is removed, it is also necessary to go to the hospital for correct anti-infection and anti-tetanus treatment. When the long and sharp foreign body is deeply injured, especially when penetrating, it is not recommended to remove itself. , We must let the injured quiet and not tamper with, and immediately sent to hospital for treatment.
Lishui rescue, direct chest compressions? In "Red Sea Action", a soldier drowned and was rescued directly after chest compressions. Wu Guichang, director of the emergency department of Zhongshan Sixth Hospital, said that this is wrong. The correct method is: 1 If the drowning person has a clear consciousness, a breathing pulse, and does not need to give a rescue, he can hit 120. 2. If the drowning person is unconscious, but has a breathing pulse, dial 120, and immediately remove any mud, water, or grass in the mouth of the drowning person. Take sideways position and check whether the airway is open and whether there is heartbeat; if there is no heartbeat, should be on the premise of keeping the airway unblocked, let it lie supine, head back, raise the chin, cycle 2-5 times artificial respiration 30 chest compressions.
Whether the blisters have been smashed or not? At the end of last year's popular movie, Fanghua, a comrade on the way to the next company team had blisters on the soles of his feet. Her teammates used the needles to pick one by one to help them squeeze the water. Come out. In this regard, Wu Liangcai, director of the Department of Dermatology at Zhongshan Sixth Hospital, said that even if you do not do special treatment, the small blisters that you can walk away will disappear. It is best not to pick them up to prevent infection. If the blisters are large, they are uncomfortable. There is no pus in the blister, you can pick it up, but you must first sterilize the needle, then poke a hole or two to squeeze out the 'water' just fine. Do not torn the foam skin to avoid infection.
Arm arterial trauma has to be amputated. In the war scene of Fanghua, Liu Feng suffered an amputation of the arm arteries, resulting in an amputation. However, in real life, if the arm is injured, the amputation will not occur as long as the timely treatment is properly handled. Situation. Liu Xingmo, deputy director of orthopedics at Zhongshan Sixth Hospital, pointed out that most of the causes of the arm arteries are sharp object stab wounds. Excluding injuries, the sharp thorns (margins) of the fractures can also cause damage to adjacent arteries. Do the following: 1. Check vital signs such as consciousness, circulation (ie heartbeat), breathing, pupils, etc. 2. Use acupressure or tourniquet for rapid and effective hemostasis, ie press or bandage the proximal artery, To avoid limb necrosis, the tourniquet should be loosened every 1 hour for 1 to 2 minutes. 3. Bandaging and fixation, when the trauma causes the limb to fracture, it must be fixed with a splint, pay attention to its length and width to adapt to the injured limb; if the site does not have splints It can also be replaced by branches or wood, and it is even possible to fix the injured limb on another healthy limb.
