精品烧伤及烫伤课件

燒傷及燙傷 急救課程手冊修訂版 乾燒傷電流化學品 冷凍輻射線 燙傷 熱的液體造成的傷害 燒傷 燒傷的種類及成因 乾燒傷 - 火、熾熱金屬、摩擦 (如機器、繩索 ) 電燒傷 - 低壓電、高壓電、閃電 冷燒傷 - 乾冰、壓縮成液態的氣體 化學品燒傷 - 強酸、強鹼、腐蝕性液體 輻射線燒傷 - 日炙、太陽燈 燙傷 - 滾油、熱水、水蒸氣、柏油 評估 1. 燒傷的成因 2. 氣道是否暢通 3. 呼吸是否正常 4. 燒傷的深度 5. 燒傷的面積 皮膚的構造 汗腺 毛囊 神經線 血管 毛髮毛孔 脂肪 表皮 真皮 燒傷的深度 1.表面燒傷 範圍：皮膚外層 徵狀：紅、腫、痛 (觸痛) 2.中層燒傷 範圍：中層皮膚 徵狀：紅、出現水泡、痛 燒傷的深度 3.深層燒傷 範圍： 皮膚、神經、 脂肪層及肌肉 徵狀：燒焦、皮膚呈蒼白蠟色、 無觸痛 燒傷的深度 燒傷面積 頭及頸部 9 % 背及腰部 18 % 胸及腹部 18 % 每一上肢 9 % 每一下肢 18 % 生殖器部位 1 % 九分法 (成人通用) 燒傷面積 1 % 1 % 傷者一隻手掌的面積 約等於身體面積百分之一 手掌法 (成人及兒童適用) 嚴重情況 1. 成因 - 化學品或觸電 2. 受傷部位 - 頭部、手掌、腳掌及生殖器官 3. 燒傷深度 - 深層燒傷或燙傷 4. 燒傷面積 - 10%或以上的皮膚燒傷 5. 傷者狀況 -老人、年幼或長期病患者 急救目標 1. 除去病因 2. 降溫 3. 防止感染 4. 尋求醫療援助 處理方法 q將熱源與傷者隔離 q撲滅傷者身上的火焰 注意： 不可讓傷者在地上滾動 不可讓傷者走動 1. 除去病因 q冷卻燒傷部位 q以清水沖洗傷口10分鐘以上 2. 降溫 q用敷料及繃帶包紮傷處 其他：保鮮紙 清潔的床單 注意： 不可塗上燙火膏或油劑 不可刺穿水泡 3. 防止感染 其他應注意事項 q保持氣道暢通 q需要時處理休克或施行CPR q在傷口腫脹前除去手錶、介指等束縛物 q脫除燒過的衣服 (黏住傷口的衣物除外) q每十分鐘複檢ABC q召援 口腔、呼吸道及 面部燒傷或燙傷 急救目標 q保持氣道暢通 q盡快送院 處理方法 q召援 q解鬆頸部衣物 q清除口腔及呼吸道內分 泌物 q如傷者清醒，置半坐臥 姿勢 電流入口 電流出口 電流燒傷 q表面傷口： 電流出口及入口 q身體內部組織損傷 化學品燒傷 徵狀 q可能感到皮膚刺痛 q呈紅色 q出現水泡或脫皮 處理方法 q戴上保護手套 q盡量確認化學品 q清理身上的化學品 q脫下污染衣物 q用水徹底沖洗傷處 q包紮傷處 q送院 徵狀 q眼睛劇痛，不能張開 q眼睛周圍紅腫 q流出大量眼淚 處理方法 q用消毒眼罩或敷料覆蓋傷眼 q迅速送院 張開眼瞼， 用冷水由內眼角 流向外眼角沖洗 囑咐傷者不可揉眼睛 化學品燒傷眼睛 徵狀 q眼睛劇痛 q對光線敏感 q像有沙入眼 q眼睛變紅、流淚 處理方法 q用消毒眼罩或敷料覆蓋傷眼 q尋求醫療援助 閃光燒傷眼睛 處理方法 q置傷者於陰涼處 q用冷水輕拭皮膚 q置傷者於冷水中 q需要時處理中暑 q給清醒傷者啜飲冷水 q如屬輕微炙傷，可塗潤 膚膏或日光浴後護膚品 日炙 徵狀 q皮膚變紅、發癢、 觸痛 q嚴重時會出現水泡 q可能中暑 燒傷及燙傷 22/21 mVjRjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8H5D2A- 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