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Modern emergency escort has gradually formed a branch called escort under medical supervision. In other words, as a means of delivery vehicles, boats, aircraft, not just transportation equipment, but also the rescue and transport the patient places; patient escort personnel, not just relatives of friends, but the medical emergency personnel, or having some first aid knowledge of "first responders." So, strictly speaking, true medical transport can be called "flow in critically ill ICU." Of course, in real life, so health care means confined to the professional operation of the emergency system. However, in a large number of daily emergency transport, we thought the conceptual and practical actions must be clear, "escort", need to have some basic rescue facilities, need to have some knowledge of basic rescue skills of people escort.
The main task of escorting the way has the following three aspects:

1. Close observation of current situation

Because the need to transport patients to the hospital much more critical situation, so on-site handling process, will affect the varying degrees of injury illness, sometimes even elicited by the re-emergence of certain symptoms (such as convulsions, vomiting, etc.). Therefore, in transit to closely observe the wound condition.
The way the disease is mainly observed injuries attention to the following four.

(1) breathing. Observing the patient's chest and downs, or try testing the nose with your fingers, or stick a tiny thing next to its nose, to see if it flowing with the breath. If necessary, stop and check.

(2) the heartbeat. Touch the pulse, listen to heart sounds with a stethoscope.

(3) the pupil. Observing whether the change in the pupil.

(4) close observation of the main parts of the patient's injuries.

2. Process life-threatening situations

In general, the transit conditions are no longer dealing with trauma patients. Because after the scene initially, after the necessary disposal, the condition more can get some relief, then sent to the hospital as soon as possible, to be more comprehensive treatment. However, critically ill patients are often treacherous, some patients after initial treatment because of transportation and other reasons may lead to changes in condition. So when there is a life-threatening situation, it should immediately rescue process. If breathing, heartbeat sudden crisis or sudden stop, they should not hesitate in ambulances environment, cardiopulmonary resuscitation, so come to naught.

3. Changes in disease specific injury

In the way of transporting patients, if the patient's injury there is a clear change in the condition, also need to be urgently addressed in the ambulance: limb bandage too tight, resulting in limb ischemia leaving the fingers, toes, cool purple, then should immediately adjust the bandage; when long distance transport the wounded, tourniquet need to regularly relax; patients frequently violent convulsions and vomiting, the need for appropriate treatment immediately.


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