Çocuklarda Deprem Sonrası Crush Sendromu ve Hemşirelik Bakımı

Year 2024, Volume: 7 Issue: 3, 241 - 250, 27.09.2024

Esra Nur Kocaaslan , Melahat Akgün Kostak

https://doi.org/10.53493/avrasyasbd.1283307

Abstract

Deprem gibi doğal afetler veya savaşlar, terör saldırıları, trafik kazaları gibi insan kaynaklı afetlerde başlıca ölüm nedeni yaşamsal organların hasar görmesidir. Özellikle depremlerde künt kas travması ve komplikasyonlarının neden olduğu ikinci en önemli ölüm nedeni crush sendromudur. Crush sendromunda görülen klinik belirtiler; yaralanan kasların lokal semptomlarına ve kaslardan salınan maddelerin sistemik bulgularına göre değişkenlik gösterir. Crush sendromunun tedavisi ve hemşirelik bakımı; travmatik hastalara yaklaşım ilkeleri doğrultusunda yapılmalıdır. Hava yolu kontrolünün sağlanması, kan kaybının önlenmesi, hipoterminin önlenmesi ve crush sendromu sonucu ortaya çıkan elektrolit dengesizliği, şok, akut böbrek yetmezliğinin tedavisi gibi tıbbi ve/veya cerrahi tedavilerin uygulanmasını içermektedir. Bu tedavilerin yürütülmesinde, erken teşhisinde ve hemşirelik yönetiminde sağlık ekibinin önemli bir üyesi olan hemşirelere önemli sorumluluklar düşmektedir.

Keywords

ezilme yaralanmalaarı, crush sendromu, çocuk, hemşirelik

Supporting Institution

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Project Number

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Thanks

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CRUSH SYNDROME AND NURSING CARE IN CHILDREN AFTER AN EARTHQUAKE

Abstract

Damage to vital organs is the leading cause of death in natural disasters such as earthquakes or man-made disasters such as wars, terrorist attacks, and traffic accidents. The second most important cause of death caused by blunt muscle trauma and complications, especially in earthquakes, is "crush" syndrome. Crush syndrome clinical signs vary depending on the local symptoms of the injured muscles and the systemic findings of the substances released from the muscles. Treatment and nursing care of crush syndrome; should be done in line with the principles of approach to traumatic patients. It includes providing airway control, preventing blood loss, preventing hypothermia, and applying medical and/or surgical treatments such as electrolyte imbalance, shock, treatment of acute kidney failure resulting from crush syndrome. Nurses, as important member of the health care team, have significant responsibilities in the delivery of these treatments, including early diagnosis and nursing management.

Keywords

Crush injuries; crush syndrome; child; nursing

Project Number

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