24 2012.10.25 13:00 15 00 5 2
10 20 60 80 110 10 1 6 7 /kg 1 12 20 30:2 AED 3 1
2 119 2 2
2 X X SpO 90% 60mmHg Primary Survey FAST CT 90% 100mmHg FAST 1 2L FAST(Focused assessment with sonography for trauma) 3
HUS 10 20 36 40 16 CRT:1s 27 25 CRT:4s START 30 4
2 SIRS SIRS SIRS SIRS 20 5
SIRS G 2 6
Fowler ---------------------- ------------------------- -------------------------- ----------------------- ----------------------------PAM 2 7
3 8
ARDS 18 Hg PaO2 FiO2 400 Hg ARDS 95 PaO2 A-aDO 2 COPD ACS) VF ACS AED ACS BLS AED CK-MB H-FABP T avf ST 9
Q V1 3 V2 V3 V4 V5 18g/ COPD 95 90 85 70 50 20 CO-Hb 10
6Gy 4Gy 1 1Gy Japan Coma Scale 2 2 10 20 200 200 ---------- ---------- ---------- --------------- ---------- early CT sign 11
12
38 30 5 560 Hb 20.2g/dl 8800 81 1 14 78/40 mmhg SpO2 90% 25 / 13
58 7 1 45 14
29 159cm 81kg 32/ 106bpm 98/76 mmhg CT D-Dimer 46 125/68 mmhg 60 / SpO2 92% 9 / 36.1 JCS 100 2 PAM 48 2 15
55 2 1 37.5 7,400 120 ( 37 160) CRP 2.8mg/dl 32 121/72 100 / SpO2 99% 18 38.0 E4V4M6 CT 21cmH2O MRI CT 40 36.1 120 76 50 260 8.4 26 12, 23 16
16 1 2 3 41 170 cm 70 kg 24/ 116/ 116/92 mmhg 500 ml 500 750 ml 750 1,500 ml 1,500 2,000 ml 2,000 ml 62 1 22/ 17
54 4 110/70 116 SpO2 100%( 10L) 30 100ml 1L CHDF HCO3 - CK AST(GOT) LDH T 60 2 102/65 mmhg 40 / SpO2 92% 9 / 33.1 JCS 20 SpO2 18
77 78 35 SpO2 E3V3M5 88/62 120 SpO2 86%( 10L) 3 2 X CT 19
80 50Kg 50 2 9 19% 37% 39% 41 45% Baxter 1 120ml/h 230ml/h 370ml/h 460ml/h 510ml/h 20
81 50 168cm 55 kg 24/ 86/ 142/92 mmhg 21
63 :160/96 :48 SpO2:98% 6mm 4mm GCS 4 Secondary survey CT CT 2 22
21 30 120 80 64mmHg 23
45 SpO2:100% :80/60 :140 Primary Survey FAST CT X X Primary Survey TAE( ) / / mmhg mmhg Hb g/dl Hb g/dl ml Hb g/dl 12 24
80 2 JCS 30 JCS100 JCS300 GCS 7 GCS 8 40 CT 36 5 25
95 97 72 1 NSAIDs 3 118/64mmHg 45 SpO2 100 CT X ECG 26
25 170cm 65kg 36.5 14/ 80/ 100/80mmHg CT 24 27