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LOCAL ELECTRIC SHOCK. ELECTRIC SHOULDERS

There are the following types of local lesions in electric trauma:

The clinic of electric burns has significant differences from thermal ones. The main feature is extensive damage to deeply located tissues with a relatively limited surface lesion. Vessels, as the main current conductors, are primarily affected by current. Spasm and subsequent thrombosis leads to progressive necrosis. External manifestations of electric burns are called "signs of current", which have the appearance of a) a scab - its color can be from whitish gray to black (at the current input point); b.) cut or chopped wound, abrasion (at the place of current output).
At high voltages, the signs of the current at the "outlet" can be similar to a gunshot wound.

In connection with the great depth of the lesion, the rejection of the necrotic tissues is prolonged to 5-7 weeks. Therefore, the treatment of electric burns is a complex problem and usually requires, as the demarcation line is formed, to perform a series of necroctomies followed by plastic closure of the formed defect.
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LOCAL ELECTRIC SHOCK. ELECTRIC SHOULDERS

  1. EMERGENCY FIRST AID
    First aid in case of electric shock should be provided immediately, at the scene. First of all, it is necessary to release the victim from the action of electric current, because because of loss of consciousness or convulsive contraction of muscles, he often can not independently tear himself away from the wire. At the same time, it is important to remember the danger of electric shock to the lifesaver. It is necessary, if this
  2. First medical aid in electric trauma
    Damage caused by the action of electric current or lightning (the discharge of atmospheric electricity) is called electric trauma. Electrotrauma causes local and general disorders in the body. Local changes are manifested by tissue burns at the entrance and exit points of the electric current, often very deep, of the 3rd to 4th degree of gravity. Common phenomena - convulsive muscle contractions, loss of consciousness, oppression
  3. Percutaneous coronary interventions in the presence of bends in the coronary artery bed, lesions of the mouth, calcified lesions, long lesions
    Percutaneous coronary interventions in the presence of bends in the coronary artery bed, lesions of the mouth, calcified lesions, long
  4. Percutaneous coronary interventions for single discrete lesions of the coronary arteries, diffuse stenoses, multivessel lesions in coronary artery disease
    Percutaneous coronary interventions for single discrete lesions of the coronary arteries, diffuse stenoses, multivessel lesions with
  5. RENDERING OF FIRST MEDICAL ASSISTANCE IN ELECTROTRAMS, RECOVERY, HEAT AND SOLAR SHOCK
    When exposed to an electric current, there are local and general changes in the body. Local changes are characterized by the appearance of so-called electromotor - burns in the form of yellowish-brown or whitish spots. General changes are associated with the depressing effect of electric current on the central nervous, cardiovascular and respiratory systems. In this case, loss of consciousness, convulsions,
  6. Emergency and intensive care for electrical trauma, drowning and mechanical asphyxiation
    1. The severity and outcome of an electric shock depends on internal and external factors: 1) Fatigue 2) Alcoholic intoxication 3) Chronic diseases 4) Hyperproduction of the thyroid gland 5) Overheating and increased sweating Answer: a) correctly 2,3,5; b) it is correct 1,2,4; c) correctly 3,4,5; d) everything is correct. 2. The severity and outcome of an electric shock depends on the loop of its passage. Most
  7. Local anesthesia according to AV Vishnevsky in the operation of cesarean section
    Until 1970, in our country, a local anesthesia for AVVishnevsky was widely used in the operation of cesarean section, but with the improvement of general and spinal anesthesia this method was unjustifiably forgotten, although there are sometimes situations in which other methods of anesthesia are contraindicated. The advantage of local anesthesia is safety for the mother and harmless for
  8. Variants of local and general reactions to infections
    In contrast to the extensive molecular biological and biochemical diversity of infectious agents, the number of variants of tissue reactions to these agents is very small. Many pathogenic viruses, microbes and larger parasites cause identical microscopic changes in tissues, and only a few processes bear the features of etiological specificity. Purulent inflammation. It is characterized by
  9. Percutaneous coronary interventions for multivessel lesions in CHD
    One of the debatable problems of modern interventional cardiology is the issue of multivessel angioplasty in patients with advanced coronary atherosclerosis. Solving this issue requires an analysis of many factors: the definition of multivessel lesion, the possibility and feasibility of complete and incomplete revascularization of the myocardium, the analysis of long-term results
  10. Percutaneous coronary interventions for single-vessel lesions in IHD and single discrete stenoses
    Since the first coronary angioplasty, the main coronarographic indications for this intervention have been determined. The lesions suitable for balloon angioplasty include single proximal hemodynamically significant discrete uncalcified stenoses in patients with preserved LV function. Similar lesions, according to modern research, and
  11. Therapeutic tactics in case of electric shock
    If an electric shock occurs, local and general disturbances may occur. Local varies from minor pain points to specific burns (up to grade IV). Common violations are the violation of the central nervous system, respiratory and circulatory system. Possible shock, cardiac arrest and respiratory depression. Emergency Care In the event of a clinical death, resuscitation
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