SHOCK AND UNCONSCIOUSNESS


SHOCK AND UNCONSCIOUSNESS

What is shock                Indian Mining Legislation new Home Mining Consultant

It is the acute weakness following depression in function of vital orgns of body like heart, lungs, kidney brain etc. In case of shock, blood pressure invariably drops leading to fainting.

What is unconsciousness

It is loss of senses due to interruption in functions of brain

Types of shock 

1                    Nerve shock: Brain and nerve affected without physical injurry, leading to sudden fall of blood pressure. This may be due to some bad news e.g. death in the family, or exposure to fright etc.

2                    Established shock : External or internal physical injury leading to sudden fall of blood pressure.

Types of Unconsciousness

1.                  Partial unconsciousness: In this case, the patient reacts to stimulus e.g. grimaces when pinched, pupils react to light.

2.                  Total unconsciousness : In this case, the patient does not react at all to any stimulus,

Signs of symptoms

1.      Giddiness and fainting

2.      Cold and clammy skin

3.      Pallor

4.      Rapid and weak pulse. But initially it is low

5.      Nausea

6.      Unconsciousness

Treatment

1.      Remove foreign body, if any, from inside the mouth

2.        Get fresh air: give artificial respiration, if respiration falls.

3.        Reassure victim

4.        Keep victim lying down, unless there is injury in the head, chest or abdomen, keep his head down.

5.        Loosen clothing

6.        Cover with blanket

7.        If the victim is conscious, give him tea or water. 

 BURNS & SCAIDS

What s burn

It is an injury due to dry heat e.g. fire, hot machine-parts, electric spark, flame of explosion in mines.

What is an injury due to moist heat e.g. hot water, steam, hot oil etc.

Extent of burn

The total surface area affected, determines the extent of burn. Greater the extent of burn more the fluid loss and consequent degree of shock.

Extent fo burn should therefore be ascertained to judge the severity of injury. For this purpose, it is best to use the Rule of Nine e.g.

 

Head & Neck            = 9

Each Arm                = 9

Each Leg                 = 9

Front of Trunk                   = 9 X 9 = 18

Back of Trunk          = 9 X 9 = 18 

This the severity of injury of a person with burnt back is twice that of a person with a burnt arm.

Treatment

1.        Do not disturb the burn injury; do not prick the blisters : do not remove burnt clothing

2.        Adopt strict asepsis.  Clean and wash your hands put burn dressing over the burnt part of the body and bandage.

3.        Combat shock

If the extent of burn is large take the victim to the doctor on a stretcher; do not make him walk in any case.    


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