ABSTRACT
Objective To discuss the recent clinical efficacy of percataneous pedicle screw internal fixation for thoracolumbar fractures without neurological deficit in the new field comprehensive operation rescue shelter at the war or disaster treatment place.Methods Retrospectively analyzed the clinical data of 29 patients with thoracolumbar fractures who were rescued by our hospital.Those patients included 18 males and 11 females,with the average age of (31.54±2.86) years old.All these patients underwent percutaneous pedicle screw internal fixation in the new field comprehensive operation rescue shelter.Clinical and surgical evaluation including surgery time,blood loses,exercise time after operation and complications.Functional outcomes of pre-operation and post-operation were evaluated by visual analog scale (VAS) and Oswestry disability index (ODI).Cobb's angle and fracture vertebral body front height were compared before and after operation as well.Results All these patients were all successfully completed operation in the field comprehensive operation rescue shelter,and the general post-operation condition was well.The operation time was (86.55±16.15)min,the blood loss was (42.35±6.55)mL,the exercise time after operation was (1.20±0.61) days.There was no complications after operation, and pain of thoracolumbar after operation was obviously alleviated.There was statistical differences in terms of Cobb's angle,fracture vertebral body front height,VAS score and ODI score between pre-operation and post-operation (P<0.05).Conclusion The percataneous pedicle screw internal fixation in the new field comprehensive operation rescue shelter is a quite effective method for thoracolumbar fractures without neurological deficit, and this method is worthy of promoting at the scene when war or disaster urgency treatment.
ABSTRACT
Objective To develop a limb support suitable for timely treatment of a large number of patients in wartime or public emergencies.Methods There were two kinds of limb supports including a ground-based rollator and a table-mounted limb bracket,which were both composed of three components for bracing,supporting and regulating.The bracing component was responsible for load bearing,the supporting one contacted the limb,and the remained one was to regulate the support.The limb support could be driven electrically,pneumatically or manually.Results The limb support had its height,angle and width regulated easily to avail itself to the patients,and had no need for extra assistance.Conclusion The limb support gains advantages in practicability,safety,comfort and portability,and thus is worthy promoting in levels of medical facilities especially the first-line medical units in emergency conditions.
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Objective:This paper makes analysis of problems of emergency equipment existing in clinical application and their causes and puts forward corresponding measure. Methods:Analysis of emergency medical equipment characteristic and the difference between conventional equipment. Find the first aid equipment management problems and reasons existing in the use, and risk assessment. Results:Hospital first aid equipment has the characteristics of more free time, emergency and risks, widely distributed in each department. By the personnel management, periodic inspection, cleaning and disinfection. Risk assessment shall be conducted by experts, the risk value high priority arrangement first aid equipment maintenance, to expect to minimize risk. Conclusion:First aid equipment management is a systematic and important work, to need department, maintenance personnel, equipment manufacturers and so on various aspects to cooperate with each other, to ensure the normal use of equipment.
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Objective:To discuss the safety capability and defending technologies for military First-aid equipments of the army under complex electromagnetic environment.Methods:This paper analyzed the current status researching of the defending technologies for military First-aid medical equipments of the army,expatiated on the effect mechanism of the high power electromagnetic radiation on the medical equipment,and discussed the defending and reinforcing technologies.Results:The current military First-aid medical equipments of the army are of a sort defending capability,and it will have important significance to strengthen the study on the anti-electromagnetic interference technologies.Conclusion:The defending and reinforcing technologies discussed in this paper could enhance the subsistence capability of the military First-aid equipments under complex electromagnetic environments.
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Objective To discuss how to improve the management and using efficiency of first-aid equipment.Methods The scientific management of hospital first-aid equipment was discussed in such aspects as administrator,duty,equipment,metrology and personnel.Results The management level and using efficiency of hospital first-aid equipment were greatly improved.Conclusion The method improves the first-aid and synthesis capability.
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This paper introduces the Vest-style First-aid Kit which are newly developed for PLA.Adopting a vest structure the Vest-style First-aid Kit has the advantages of fully freeing both hands,and being fit for the ship confined space.Basic performance experiments,ergonomics tests and army tryout were performed and the results showed that the vest-style first-aid kit was scientifically designed,and easy to use,suiting the body,obviously saving physical energy.It has a reasonably designed interior medicine layout and can fulfill the requirements of first-aid operations in naval ships.
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The multifunctional infusion kit for wartime and peacetime use contains conventional drugs for first-aid and infusion. With this kit, such performances can be fulfilled as infusion, anti-shock, hemospasia, emergency sputum aspiration and early administration for CPR.
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As a kind of standard medical equipment for peacetime round and wartime first aid,the first-aid kit is composed of a special kit and the unitized medicines and equipments in it.The situations and advances of such information of the kit are introduced in this paper as its classification,functions,quality,structure and the articles equipped with it.