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Emergency management of a patient following a road traffic accident

机译：道路交通事故后患者的应急管理

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摘要

Patients presenting following a road traffic accident (RTA) is a common emergency in small animal practice. As with all emergencies, the immediate concern should be on identifying any life threatening'morbidities affecting the respiratory, cardiovascular/ circulatory and neurological systems. Often, patients present in shock following trauma, and identification and correction of this via aggressive fluid therapy is often warranted unless abdominal haemorrhage or evidence of increased intracranial pressure are identified, in which case more judicious fluid therapy may be warranted. Complications specifically related to the respiratory system following the RTA can include pulmonary contusions, pneumothorax and diaphragmatic herniation, which should bedealt with promptly using stabilisation methods such as oxygen supplementation, analgesia and thoracic drainage. Once the patient is stabilised the clinician should progress onto a more thorough physical examination including contrast studies of the urinary system.
机译：在小动物实践中，道路交通事故（RTA）之后出现的患者是常见的紧急情况。与所有紧急情况一样，当务之急应该是确定影响呼吸系统，心血管系统/循环系统和神经系统的任​​何危及生命的疾病。通常，创伤后出现休克的患者通常需要通过积极的液体疗法对其进行识别和纠正，除非发现腹部出血或颅内压升高的证据，在这种情况下，可能需要更明智的液体疗法。 RTA后与呼吸系统特别相关的并发症可能包括肺挫伤，气胸和diaphragm肌突出症，应及时使用补充氧气，镇痛和胸腔引流等稳定方法进行治疗。一旦患者稳定下来，临床医生就应进行更彻底的身体检查，包括泌尿系统对比研究。

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