After a car accident, the 120 emergency phone number should be immediately dialed to report the location of the Qianshibang, the injured person, and the severity of the injury. At the same time, on-site first aid should be provided to the injured person according to the specific situation.
The on-site rescue of the injured includes:
1. For patients with cardiac and respiratory arrest, on-site cardiopulmonary resuscitation should be performed;
2. For unconscious individuals, it is advisable to remove foreign objects, secretions, and vomit from the mouth and nose, and then place the injured person in a lateral position to prevent suffocation;
3. For wounds with excessive bleeding, pressure bandages should be applied. If there is pulsatile or spurting arterial bleeding, finger pressure can be temporarily used to stop the bleeding; Or tie a tourniquet at the proximal end of the bleeding limb wound, and the person wearing the tourniquet should have a mark indicating the time, and relax every 20 minutes to prevent ischemic necrosis of the limb;
4. Fix the fractured limb with locally sourced materials to prevent further damage from the fracture;
5. In the case of open craniocerebral or open abdominal injury, where brain tissue or abdominal viscera protrude, contaminated tissue should not be stuffed in. A clean bowl can be used to cover and then bandaged; Avoid eating, drinking water, or using painkillers, and promptly seek medical attention.
6. When a wooden stake or other object is inserted into the body cavity or limb, it should not be pulled out. It is advisable to cut off the external part of the inserted object (keep a section near the body surface), and wait until it reaches the hospital to prepare for surgery before pulling it out. Sometimes, the inserted object just punctures the blood vessel and temporarily has a hemostatic effect. Once removed on site, it may cause massive bleeding and be difficult to rescue;
7. If there is chest wall floating, it should be immediately filled with clothing, cotton pads, etc., and then appropriately compressed and wrapped to limit the floating. If it is not possible to fill and wrap, the injured person should lie on the floating wall, which can also limit abnormal breathing;
If there is an open chest injury, immediately take a semi recumbent position and tightly seal and bandage the chest wall wound. Change open pneumothorax to closed pneumothorax and promptly seek medical attention. If it is possible to determine tension pneumothorax among rescue personnel, it is feasible to puncture and exhaust or place a drainage tube in the upper chest when conditions permit.
