• First aid to the rescue when in case of emergency

    December 11, 2016

    First Aid Wound gunShot

    Gunshot wound occurs when someone gets shot by a bullet or other projectile types of firearms; during a confrontation criminal or terrorist incidents (including a shot by law enforcement officers), attempted suicide, or fire "accident" undesirable - either civilian or armed forces.

    Despite widespread media coverage is now preaching the armed murder, armed crime in Indonesia is not widespread and the majority of doctors will rarely face injuries from firearms. If this happens, victims of gunshot wounds or surgical services will be included in a regional trauma center to receive further treatment.

    However, there is a lesson to be learned here. You never really know for sure what you will face in the future. The tips below will help you to know what steps to take when facing cases of gunshot wounds.
    The mechanism of gunshot wounds

    There are different types of bullets, but the bullets commonly used are those that have lead core coated by bebapa type of casing. At an average speed when fired, the projectile could be sped up to 1,500 meters per second, depending on the core ammunition and the type of weapons used.

    There are three main factors to determine the severity of gunshot wounds, namely:

    • Location shooting and an exit-entry bullet
    • the size of the projectile
    • projectile velocity

    All three will have an impact on gunshot wounds, but change the speed of the bullet makes a big difference to the fatality caused by the fire. In short, the larger weapons, the greater the resulting shot wounds.
    Steps to help victims of gunshot wounds

    1. Stay safe. If you are not a victim of a gunshot wound, remains always prioritize general awareness. Any situation involving a firearm is potentially dangerous. If you get hurt, you can not give a lot of relief to the victims.

    2. Call the police (110) or emergency services (119/112), as soon as you know for sure that there is involvement of a firearm. Survived the gunshot wound is very dependent on how quickly the victim was rushed to the hospital. Ideally, victims of gunshot wounds should be immediately rushed to the nearest emergency department within 10 minutes after being shot.

    3. Do not move the victim if her safety is threatened.

    4. Open the clothes or pants, and a thorough check to look for gunshot wounds. You can not just rely on finding the entrance-exit bullet, that all the bullet will automatically seep out on the same track where the entry intact. Sometimes, the bullet could hit bone, broken into small pieces, and turn anywhere in the body. Some types of bullets can cause multiple injuries.

    Head and upper body (chest and abdomen) are the two most critical areas of the body, with the possibility of major complications of nervous system disorders or severe organ damage and bleeding.

    5. Stop the bleeding

    Apply direct pressure. As far as possible, apply pressure to the wound. If you have gauze, use it. Gauze bandage will help hold the blood and blood components to stick together in the wound, in order to encourage the process of blood clotting. If you do not have gauze, tear the victim's shirt or towel will also work well. If the blood penetrates gauze, add layers and never lifted the cloth. Peeling gauze on the wound to stop the blood clotting process so the bleeding will continue.

    Raise the injured limb higher than the heart. Position the wound is higher than the heart. By doing so, you will slow down the blood flow and make it easier to stop the bleeding. Remember: still apply pressure over the wound.

    Hold the wound. Pressure points are areas of the body where the blood vessels visible on the surface of the skin. By pressing the veins in this location, the blood flow will be slower, which allows direct pressure to stop the bleeding. Make sure you hit a blood vessel in a location closer to the heart, rather than around the wound. Pressing the blood vessel away from the heart will not have any impact on cessation of bleeding.

    6. Treat shock. Shock treatment should be done from the beginning, and together with the treatment of bleeding, and continued until medical help arrived. Here's how:

    Make sure the victim was still breathing.
    If you do not see any neck injury, make sure the victim in a state of supine and elevate legs above the heart. Do not lift the foot to treat shock if the gunshot wound is above the waist, except for a gunshot wound in the arm.

    If the victim vomits, turn his head. If lying down, opened his mouth, and remove the contents of vomit.

        Keep the victim warm. Deaths due to hypothermia are real risks.

    7. If the victim is unconscious, but still breathing, make sure to keep the airway open and unobstructed. If the victim is not breathing, perform artificial respiration (CPR). Note the victim's vital signs.

    That happened after recovering from gunshot woundsShot by firearms is a traumatic experience. You may feel shaken, feel your safety is threatened, depression, or anger as a result. All of this is a normal reaction for someone who has just suffered a traumatic experience and not a sign of weakness. You also may see other symptoms, such as:

    • Anxiety
    • Nightmares or trouble sleeping
    • Remembered the traumatic event over time
    • crotchety
    • Lethargic and energyDogged by sadness

    If you continue to experience the above symptoms and feel overwhelmed by negative feelings more than three weeks, call your doctor. Gunshot victims need to get not only the physical care of the wound tembaknya, but also emotionally treatment to overcome the above symptoms that might develop into stress disorder after a traumatic event (Post Traumatic Stress Disorder / PTSD).

    No comments:

    Post a Comment