Critical Medicine and Treatment

Most fractures result from falls or falls, but stress fractures may occur, especially when great efforts are made or, in the lower extremities when carrying out long marches. In this case, may break the bones of the foot.

In chest trauma fractures may occur one or more ribs. The ribs are broken as it usually does a green branch, or who fail to separate the fractured edges. If it has and the number is small and broken ribs on one side (1-5), the victim’s chest pain present at the fracture site, but you can not breathe while make a substantial effort. This pain is typically more pronounced the day after the accident. However, if the number of broken ribs is greater and, above all, if you have fractured on both sides of the chest can produce what is called “paradoxical breathing, in which the breast, the affected, rather to expand on inspiration, sinks, moving backward into expiration. It is then to a serious situation requiring immediate medical treatment, as if the edges of the broken ribs are separated from each other: then the danger exists that these edges, breathing movements, tearing the pleura and lung , resulting in a pneumothorax, a situation of extreme gravity of which the patient has great difficulty breathing.

In case of fractured skull, the accident can be conscious or unconscious. Either way, should be transferred immediately to a health center (see “Loss of sense”). It also requires hospital treatment that a person who has beaten his head and blood from the nose or ears, since you probably have seen a basilar skull fracture.

Provided that a severe trauma, such as a fall down a ravine, it is possible that there has been a fracture-dislocation in the spine. If the casualty is conscious, ask him to move all four extremities. If you are unable to do so, we suspect that this injury has occurred, in which case we move it all the time trying not to move your head relative to the trunk and the trunk is kept straight, like a table. Thus avoiding the dislocated vertebra cause further injury to the spinal cord. To carry out this operation takes several people (minimum 5), which should act all at once and always follow clear and precise instructions from any person who directs the maneuver. The same precautions we take in the event that the person does not have regained consciousness.

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