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Консультант врача

Электронная медицинская библиотека

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Case Studies

1. A man aged 44, a construction worker, comes to a drug store — working on the construction site, he got wounded in his chest with 5 cm nail; he could not extract the nail by himself. Examination identifies the nail head in the skin located in the front left part of the chest with no bleeding.

What first aid measures should be taken? Is the nail to be removed from the wound?

2. Cutting the timber a man got wounded with the axe. The frontal ankle surface shows a wound 10×1 cm with visible bone on the bottom, the edge of the wound emits dark-red blood; bleeding is moderate.

Identify the wound and bleeding type. Point out necessary first aid measures. What method of bleeding control seems to be the best possible in this situation?

3. A woman twisted her leg and fell down in the street. She complains of pain in the right ankle joint on movement.

Point out the necessary extent of first aid.

4. Your neighbor asked for help. He was hanging a New Year illumination and fell down from the stepladder hitting his chest against the door knob. Laterally to the chest cage in the right pit cavity there is a wound of about 3 cm in size surrounded with abrasions; breathing is accompanied with whistling sound.

Identify the wound. Which first aid measures are necessary in this situation?

5. A young man fell down from a motorcycle and hit his ankle against the curb. The injured area manifests strong pain and approximately 5 cm swelling which is quickly growing in diameter.

What fist aid measures are necessary to be taken in this situation?

6. A boy fell down from the bicycle and hit his firearm. His attempts to move arm cause strong pain. The middle third of the forearm manifests deformation.

What fist aid measures are necessary to be taken in this situation?

7. A man was bitten on his ankle and arm by a stray dog in the street. The injured area shows multiple torn wounds and tooth marks. Bleeding is moderate.

What first aid procedures are urgently required?

8. A woman cut her finger with the knife. A wound 2 cm length, not deep, with moderate bleeding; finger movement produces a thin throbbing rivulet of bright-red blood.

Identify the wound and bleeding types. Choose the most suitable method of temporary bleeding control.

9. The victim has a blood-controlling tourniquet applied 45 minutes ago. The extremity is pale, cool, the wound is not bleeding.

Indicate the first-aider’s further activities.

10. A suffered from the traffic accident man received first aid. In 15 minutes after splinting his hand went pale, cool and pain in the extremity increased.

What is this condition caused by? Indicate the first-aider’s further activities

11. A woman aged 65 slipped on the ice and fell down on her back. She lays unconscious, respiratory rate is 20 breaths per minute, pulse rate 80 bpm.

What fist aid measures are necessary to be taken?

12. The victim has been evacuated from a burning house. He is unconscious, his face is burned; his breathing is rasping and rates 16 breaths per minute.

Describe algorithm of first aid.

13. Swimming in the river man aged 50 suddenly began to drawn, and was taken from the water. He is unconscious, his skin covers are pale; he is breathless, demonstrating no pulse on arteries.

Indicate the most obvious cause of the accident, point out further first aid procedures.

14. A man aged 24 is taken from the water after his jumping off the pier. The victim is unconscious, complains of headache and numbness in the upper limbs. The hairy part of his head shows a shallow 5 cm wound with moderate bleeding.

Indicate necessary first aid measures.

15. A man aged 24 was evacuated from the burning building. He is conscious, demonstrates burns of the head, chest and right upper limb with multiple bubbles.

Indicated approximate area of the burn surface. Point out the algorithm of first aid.

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