Contusión pulmonar en politraumatizados

<br /> <div class="MsoNormal" style="clear: left; float: left; line-height: 150%; margin-bottom: 1em; margin-right: 1em; margin-top: 5pt; text-align: justify;"> <img height="288" src="http://apps.elsevier.es/ficheros/publicaciones/02105691/0000003200000003/v2_201210311239/S0210569108709240/v2_201210311239/es/main.assets/gr1.jpeg" width="320" /></div> <br /> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <b><span style="font-family: Arial, Helvetica, sans-serif;">DEFINICIÓN</span></b></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">A la mayoría de los segmentos inestables existen una contusión pulmonar-pulmón que ha sido traumatizado al grado que presenta sangrado intersticial y alveolar. Una contusión pulmonar produce un compromiso significativo de la oxigenación, los pacientes con contusión pulmonar no toleran bien la sobrecarga de líquido</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 5.0pt; text-align: justify; text-indent: -36.0pt;"> <b><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">1</span></b><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> </span><b><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">ACTIVIDADES DE ENFERMERÍA</span></b><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Asegure la escena y confirme que no haya nada que arriesgue su vida</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Asegure la vía aérea.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Tomar signos vitales.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Oxígeno 100%.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Monitorizar.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">La administración de líquidos endovenosos debe ser restringidos solo en pacientes hipotensos o taquicárdicos no hay restricción.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Transporte de inmediata.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Informe al CRU ó su central.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Si el paciente tiene alteración de la conciencia o otras lesiones mayores pida apoyo medicalizado y se debe iniciar ventilación BVM, si se requiere intubación endo traqueal.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Registrar, hacer historias clínicas.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Entregar al paciente al centro asistencial. Sobre el evento, tiempo que transcurrió, como ocurrió.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Entregar paciente al médico de la institución o personal encargado.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Acomodar el paciente.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Hacer firmar registros de historia clínica.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <br /> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Arreglar y equipar nuevamente con elementos</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></div>

Contusión pulmonar en politraumatizados

DEFINICIÓN A la mayoría de los segmentos inestables existen una contusión pulmonar-pulmón que ha sido traumatizado al grado que prese...

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Tórax inestable

<br /> <div style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"> <span style="font-family: Verdana, sans-serif;"><img height="134" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjasAp059PsPPeH9Re74VXcxQDOOCkGVSRjwPGTVjMmV7T9tIBO3N3eKKccl0I6hrPuy4ClgNB8R_7NOOrEm_RxYBYjgxB5BHnWjbVJVFEtZHtaZK2uMghWJinetMCC4wEZ8hhQPyVqCQy5/s200/tx+1.jpg" width="200" /></span></div> <br /> <div class="MsoNormal" style="clear: left; float: left; line-height: 150%; margin-bottom: 1em; margin-right: 1em; margin-top: 5pt; text-align: justify;"> </div> <span style="font-family: Verdana, sans-serif;"><b style="line-height: 150%; text-align: justify; text-indent: -36pt;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">1</span></b><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> </span><b style="line-height: 150%; text-align: justify; text-indent: -36pt;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">SIGNOS Y SÍNTOMAS</span></b></span><br /> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">cuando tres o más costillas se fracturan en dos o más sitios, los segmentos fracturados pierden su soporte óseo y después de que el espasmo muscular cede, se moverán paradójicamente sin sincronización con el resto de la pared torácica. La hipersensibilidad dolorosa y o crepitación ósea percibidas por la palpación, son cuatro las consecuencias del tórax inestable primero un decremento en la capacidad vital que es proporcional a las dimensiones del segmento inestable; segundo un incremento en el esfuerzo de la respiración; tercero el dolor producto por las costillas fracturadas, lo cual limita la expansión de la caja torácica y cuartota contusión pulmonar subyacente al segmento inestable.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <b><span lang="ES-MX" style="font-family: Verdana, sans-serif; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">2 ACTIVIDADES DE ENFERMERÍA</span></b></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Asegure la escena y confirme que no haya nada que arriesgue su vida</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Asegure la vía aérea.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Oxígeno 100%.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Asista la ventilación o intube si se requiere.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Traslade de inmediato.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Pida apoyo especializado.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Establezca LEV.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Estabilice el segmento con presión manual</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Monitorice el corazón.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Informe al CRU o su central.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Ferular el segmento inestable hacia adentro con una simple presión de la mano, o bien con un apósito abultado o una toalla pegada con tela adhesiva a la pared torácica.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Registrar, hacer historias clínicas.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Entregar al paciente al centro asistencial. Sobre el evento, tiempo que transcurrio, como ocurrió.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Entregar paciente al médico de la institución o personal encargado.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Acomodar el paciente.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Hacer firmar registros de historia clínica.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Arreglar y equipar nuevamente con elementos</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Hacer firmar registros de historia clínica.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <span style="font-family: Verdana, sans-serif;"><br /></span> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Arreglar y equipar nuevamente con elementos</span></span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></div>

Tórax inestable

1 SIGNOS Y SÍNTOMAS cuando tres o más costillas se fracturan en dos o más sitios, los segmentos fracturados pierden su soporte óseo...

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Fracturas Costales

<br /> <div class="MsoNormal" style="clear: left; float: left; line-height: 150%; margin-bottom: 1em; margin-right: 1em; margin-top: 5pt; text-align: justify;"> <img height="320" src="http://tim-sa.net/imagenes/prod_img_04.jpg" width="315" /></div> <span style="line-height: 150%; text-align: justify;"><span style="font-family: Tahoma, sans-serif;"><b>DEFINICIÓN</b></span></span><br /> <span style="font-family: Tahoma, sans-serif; line-height: 150%; text-align: justify;">Los segmentos laterales de las costillas 3-8 son las más frecuentemente fracturadas.</span><b style="font-family: Tahoma, sans-serif; line-height: 150%; text-align: justify;"> </b><span style="font-family: Tahoma, sans-serif; line-height: 150%; text-align: justify;">Estas costillas son largas, delgadas y pobremente protegidas.</span><br /> <div class="MsoNormal" style="margin: 5pt 0cm; text-align: justify;"> <b style="line-height: 150%;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">1 SIGNOS Y </span></b><span style="font-family: Tahoma, sans-serif;"><span style="line-height: 24px;"><b>SÍNTOMAS</b></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">en adultos las fractura simples rara vez ponen en peligro la vida. Los síntomas y los signos son: dolor con el movimiento, dolor a la palpación y quizá la crepitación ósea.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></div> <div class="MsoNormal" style="margin: 5pt 0cm; text-align: justify;"> <b style="line-height: 150%;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">2 ACTIVIDADES DE </span></b><span style="font-family: Tahoma, sans-serif;"><span style="line-height: 24px;"><b>ENFERMERÍA</b></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Asegure la escena y confirme que no haya nada que arriesgue su vida</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">La ferulación utilizando los brazos del paciente y un cabestrillo.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></div> <div style="text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">El manejo debe incluir pensar anticipadamente en la presentación de posibles problemas como neumotórax se debe manejar la asistencia ventilatoria con Oxigeno.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></div>

Fracturas Costales

DEFINICIÓN Los segmentos laterales de las costillas 3-8 son las más frecuentemente fracturadas. Estas costillas son largas, delgadas y ...

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Manejo de trauma Torácico

<br /> <div style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"> <span style="font-family: Verdana, sans-serif;"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-GHzWED-7fSLZ9enBDbHXsSwgkq_Ke4pG4ynvSVcGC7TsLN1Hb38YyGJ3SUyv6kRcpJUp_Hg1axzZ6Y82JznuarbLJTU-vV8W560ZSzNuLishdmRiF5hB84ILwfvyMjsMZPVts3NPxU2w/s200/Imagen1.jpg" width="175" /></span></div> <br /> <div class="MsoNormal" style="clear: left; float: left; line-height: 150%; margin-bottom: 1em; margin-right: 1em; margin-top: 5pt;"> </div> <span style="font-family: Verdana, sans-serif;"><br /></span> <div class="MsoNormal" style="margin: 5pt 0cm; text-align: justify;"> <span style="font-family: Verdana, sans-serif;"><b style="line-height: 150%;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">1 </span></b><span style="line-height: 24px;"><b>DEFINICIÓN</b></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Las lesiones torácicas traumáticas pueden ser causadas por una variedad de accidentes vehiculares traumáticos, caídas, lesiones deportivas, lesiones por aplastamiento, puñaladas y heridas por arma de fuego<b>.</b></span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></span></div> <div class="MsoNormal" style="margin: 5pt 0cm; text-align: justify;"> <span style="font-family: Verdana, sans-serif;"><b style="line-height: 150%;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">2 </span></b><span style="line-height: 24px;"><b>FISIOPATOLÓGICA</b></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Las lesiones torácicas pueden ser penetrantes o cerradas. Las lesiones penetrantes son causadas por fuerzas atribuidas sobre una pequeña área, como en heridas por arma de fuego, arma cortopunzantes o caídas sobre objetos puntiagudos. En las lesiones de trauma penetrante cualquier estructura u órgano de la cavidad puede ser lesionada.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">En el trauma cerrado, las fuerzas se distribuyen sobre un área más grande y ocurren muchas lesiones por desaceleración, entallamiento y cizallamiento, en trauma cerrado o cuando el mecanismo de lesión involucra una rápida desaceleración se deben sospechar condiciones tales como neumotórax, taponamiento cardíaco y rupturas aórticas.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <span style="font-family: Verdana, sans-serif;"><b><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">3 EVALUACIÓN</span></b><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Los síntomas<b> </b>del trauma torácico son falta de aire y dolor torácico, el dolor es usualmente pleurítico; esto es, dolor con la respiración. El dolor pude ocurrir con el movimiento y puede ser descrito como la sensación de compresión o incomodidad sobre el tórax. Los pacientes, a causa del dolor, comúnmente ferulizan el tórax tratando de limitar el movimiento durante la inspiración.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt; text-align: justify;"> <span style="font-family: Verdana, sans-serif;"><b><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Signos: </span></b><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">dado que los órganos de la respiración y de la circulación se encuentran en el tórax, las lesiones torácicas mayores pueden producir alteración fisiológica de la ventilación y circulación que pone en peligro la vida. El examen del tórax sigue clásicamente la siguiente secuencia:</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">Observación.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">palpación</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"> <o:p></o:p></span></span></div> <span style="font-family: Verdana, sans-serif;"><br /></span> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: 0cm;"> <!--[if !supportLists]--><span style="font-family: Verdana, sans-serif;"><span lang="ES-MX" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: ES-MX;">·<span style="line-height: normal;">                </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;">auscultación.</span></span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-MX;"><o:p></o:p></span></div>

Manejo de trauma Torácico

1  DEFINICIÓN Las lesiones torácicas traumáticas pueden ser causadas por una variedad de accidentes vehiculares traumáticos, caída...

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Paro Cardiorespiratorio por trauma

<br /> <div class="MsoNormal" style="clear: left; float: left; line-height: 24px; margin-bottom: 1em; margin-right: 1em; margin-top: 5pt;"> <img src="http://i41.servimg.com/u/f41/12/21/04/91/rcp_ni10.jpg" /></div> <br /> <div class="MsoNormal" style="margin: 5pt 0cm; text-align: justify;"> <b><span lang="ES-MX"><span style="font-family: Tahoma, sans-serif;"><span style="line-height: 24px;"> DEFINICIÓN </span></span></span></b><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 5pt 0cm; text-align: justify;"> <span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Cese de actividades cardíacas y respiratorias</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 5pt 0cm; text-align: justify;"> <span lang="ES-MX" style="font-family: Tahoma, sans-serif;">El manejo médico integral del paciente traumatizado implica asegurar que cada célula del organismo sea prefundida con la cantidad adecuada de oxigeno a fin de prevenir el metabolismo anaeróbico y mantener el metabolismo aeróbico.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div> <div class="MsoNormal" style="margin: 5pt 0cm; text-align: justify;"> <b><span lang="ES-MX"><span style="font-family: Tahoma, sans-serif;"><span style="line-height: 24px;">INTERVENCIONES  DE ENFERMERÍA DE URGENCIAS EN EL TRASLADO  </span></span></span></b><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Asegure la escena y confirme que no haya nada que arriesgue su vida.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Manejo de la vía aérea e inmovilización cervical en menos de 90 segundos.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Examen y manejo en ruta hacia el hospital de tercer nivel-</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Pida apoyo medicalizado e informe al CRU ó su central.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Informe rápido al hospital del tercer nivel.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Realizar traslado al centro asistencial más adecuado.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Registrar, hacer historias clínicas.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Entregar al paciente al centro asistencial. Sobre el evento, tiempo que transcurrio, como ocurrió.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Entregar paciente al médico de la institución o personal encargado.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Acomodar el paciente.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Hacer firmar registros de historia clínica.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Arreglar y equipar nuevamente con elementos.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 5pt 0cm; text-align: justify;"> <span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Esto lleva a la activación del grupo de trauma.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div> <div class="MsoListParagraph" style="margin: 5pt 0cm 5pt 36pt; text-align: justify; text-indent: -18pt;"> <span lang="ES-MX" style="font-family: Wingdings; font-size: 12pt; line-height: 24px;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><b><span lang="ES-MX"><span style="font-family: Tahoma, sans-serif;"><span style="line-height: 24px;">SOPORTE VITAL BÁSICO EN TRAUMA</span></span></span></b><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 5pt 0cm; text-align: justify;"> <span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Utilice el manejo inicial para identificar el paro:</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">vía aérea permeable.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 24px; margin: 5pt 0cm 5pt 36pt; text-align: justify; text-indent: -18pt;"> <span lang="ES-MX" style="font-family: Wingdings; font-size: 12pt;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><b><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">CAUSAS DE PCR POR TRAUMA</span></b><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Vía área comprometida.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Respiración y ventilación.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Circulación.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 5pt 0cm; text-align: justify;"> <b><span lang="ES-MX" style="font-family: Tahoma, sans-serif; font-size: 12pt;">DIFICULTADES POR TRAUMA A NIVEL RESPIRATORIO</span></b><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Neumotórax a tensión.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Tórax abierto.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Tórax inestable.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Trauma raquimedular alto.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Depresión del SNC.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">TCE</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="margin: 5pt 0cm 5pt 36pt; text-align: justify; text-indent: -36pt;"> <span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 7pt; line-height: 14px;"> </span><b style="line-height: 24px;"><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">DIFICULTADES EN LA </span></b><span style="font-family: Tahoma, sans-serif;"><span style="line-height: 24px;"><b>CIRCULACIÓN</b></span></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Shock hemorrágico.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Neumotórax a tensión.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Taponamiento cardíaco.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Contusión miocárdica.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">IAM.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Arritmias por secuelas a shock eléctrico ó golpe por rayo.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="margin: 5pt 0cm; text-align: justify;"> <b style="line-height: 24px;"><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">INTERVENCIONES DE </span></b><span style="font-family: Tahoma, sans-serif;"><span style="line-height: 24px;"><b>ENFERMERÍA</b></span></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Atienda indicaciones del triage</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Elementos de bioseguridad</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Evalué y Asegure la escena Utilice el soporte vital básico en trauma para identificar el PCR.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Asegure la vía aérea y la inmovilización de la columna cervical.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">intubación ó acceso quirúrgico de la vía aérea.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">oxígeno al 100 %.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Soporte ventilatorio.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Monitoreo cardíaco.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Desfibrilación en caso de fibrilación ventricular.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Realizar traslado al centro asistencial más adecuado.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Registrar, hacer historias clínicas.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Entregar al paciente al centro asistencial. Sobre el evento, tiempo que transcurrió, como ocurrió.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Entregar paciente al médico de la institución o personal encargado.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Acomodar el paciente.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Hacer firmar registros de historia clínica.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Arreglar y equipar nuevamente con elementos</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt;"> <b><span lang="ES-MX" style="font-family: Tahoma, sans-serif;"> MANEJO COMPROMISO CIRCULATORIO</span></b><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Valore estado de las venas del cuello e igualmente el tórax.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Identifique el neumotórax a tensión.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">necesitará descompresión si está presente.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Establezca un buen acceso venoso:</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Solución salina en infusión rápida (2000cc) en el paciente hiipovolémico.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Informe al CRU ó su central.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Transporte rápido a tercer nivel ó centro de trauma.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 5pt 0cm; text-align: justify;"> <b><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">PUNTOS CLAVES E IMPORTANTES</span></b><span lang="ES-MX" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Paciente atrapado que presente trauma y/o PCR califica para estricación urgente y rápida.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Durante el transporte idealmente en ambulancia se necesitaran como mínimo tres reanimadores para:</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Ventilar.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Protocolizar RCP.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Identificar y tratar la causa del PCR.<b> NUNCA RETRASE EL TRANSPORTE DEL PACIENTE CON PCR POR TRAUMA</b></span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Asegure la escena y confirme que no haya nada que arriesgue su vida</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Todo el manejo debe hacerse después de estabilizar la vía aérea y durante el traslado a tercer nivel.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">No realice maniobras de rcp. solo solo.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Identifique rápida y correctamente las probables causas.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Registrar, hacer historias clínicas.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Entregar al paciente al centro asistencial. Sobre el evento, tiempo que transcurrio, como ocurrió.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Entregar paciente al médico de la institución o personal encargado.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Acomodar el paciente.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Hacer firmar registros de historia clínica.</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Arreglar y equipar nuevamente con elementos</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 7.9pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Hacer firmar registros de historia clínica</span><span lang="ES-MX" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div> <br /> <div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 8.05pt; text-align: justify; text-indent: 0cm;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 10pt; line-height: 20px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">                </span></span><span lang="ES-MX" style="font-family: Tahoma, sans-serif;">Arreglar y equipar nuevamente con elementos<b>.</b></span></div>

Paro Cardiorespiratorio por trauma

 DEFINICIÓN  Cese de actividades cardíacas y respiratorias El manejo médico integral del paciente traumatizado implica asegurar que...

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