-connected (point-connected) disposable tourniquet
[domestic tourniquet use status and related policies and regulations]]:
rubber tourniquet (also known as: tourniquet) is widely used in hospitals for venous blood collection and intravenous injection. With the increasing severity of hospital infections, the Ministry of Health's "Disinfection Management Measures" and "Hospital Infection Management Measures" clearly stipulate that all medical devices, appliances and articles that come into contact with skin and mucous membranes must reach the level of disinfection. Today, when other disposable medical consumables are used on a large scale, the traditional rubber tourniquet is still used by many people without any disinfection treatment, and it is not necessarily a separate spare tourniquet for infectious patients (hepatitis B, typhoid fever, tuberculosis, etc.). The tourniquet is placed in drawers, treatment plates or work clothes at will, which brings hidden dangers to nosocomial infection.
The Measures for the Administration of Medical Infections (Order No. 48 of the Ministry of Health of the People's Republic of China) clearly stipulates that medical devices, appliances and articles that contact skin and mucous membranes must reach the level of disinfection; all kinds of invasive operations such as injection, puncture, blood collection, etc. Medical equipment must be sterilized once used. The "Hygienic Standard for Disinfection in Hospitals" (GB15982-1995) clearly stipulates that the total number of bacterial colonies in medical supplies contacting the skin should be ≤ 200ufu/g or 100 cm2, and pathogenic bacteria and microorganisms should not be detected. The "Letter on Printing and Distributing" (Wei Fu She She She's memo (2008) No. 7) clearly stipulates that community health and medical institutions must strictly implement aseptic technical operations, so that one person, one needle, one tube, one belt, one towel, one disinfection, to prevent cross infection.
some hospitals repeatedly cross the use of tourniquet, disinfection is not complete, have exceeded the relevant provisions of the state.
Product Description
[product performance, main structure]]:
This product is made of medical polymer material natural rubber or special rubber refined, milky white/blue, long flat type, point even stacked packing, strong flexibility, continuous extraction.
[scope of application]]:
This product is suitable for medical institutions in the conventional treatment and treatment of infusion, blood, blood transfusion, hemostasis, one-time use; or limb bleeding, field snake bite bleeding emergency hemostasis.
[contraindications, precautions, warnings and reminders]]:
1, this product is safe and convenient to use, and effectively avoid cross infection;
2. This product is for one-time use and destroyed after use; if the packaging is damaged, it is strictly prohibited to use;
3. Please cover the window cover after use to avoid dust and bacterial contamination;
4, production date see the side of the box or certificate;
5. Store in a cool and dry place. Please use it as soon as possible after opening.
Storage conditions and methods]: Store in a cool and dry place.
[validity period]]: Three years.
industry standards
[executive standard]]:GB/T 1.1-2009
[standard range]]: This standard specifies the product classification and marking, requirements, experimental methods, inspection rules, marks, packaging, transportation and storage of the point-connected disposable tourniquet.
[classification]]: tourniquet points I type single packaging type, type II even pumping type.
Appearance and Structure]:
1. Disposable tourniquet is milky white/blue, long flat, point-stacked packing, continuous extraction.
2. The packing box is made of hard paper and is equipped with flip-lid drawable windows, with 50 strips per box.
Technical Field, Background and Application
tourniquet hemostasis is a simple and effective hemostasis method for emergency treatment of massive hemorrhage in limbs. It can achieve hemostasis by compressing blood vessels and blocking blood flow. However, if used improperly or for too long, the tourniquet can cause distal limb ischemia, necrosis, and disability. For this reason, the tourniquet can be applied only when the bleeding is violent and other methods cannot stop bleeding.
tourniquet with rubber or rubber tube is good, not with cloth, wire and other inelastic band. The binding position should be above the wound (proximal to the heart end) and as close to the wound as possible. It is better to use the upper 1/3 of the upper arm and the upper middle part of the thigh. The lower leg and forearm cannot be tourniquet, because there are two bones, the blood vessel just walks between the two bones, and the upper tourniquet cannot compress the blood vessel. The middle 1/3 of the upper arm cannot be applied with a tourniquet because it may cause nerve damage and cause arm paralysis.
After selecting the tourniquet site, you should first pad a cloth strip there, tighten the tourniquet, wrap the limbs for two weeks and tie the knot. The tightness should be appropriate to observe that the wound does not bleed. On the tourniquet to remember the time, winter every half an hour, summer every 1 hour to relax l/2 minutes, and then tied up. When binding again, the parts should be moved up and down slightly. For patients with massive hemorrhage, they should be sent to the hospital for treatment as soon as possible at the same time as the tourniquet.
, clean the wound with sterile water (boiled water), gently locate the deep artery with a clean finger, and carefully tie the artery with a sterile thread. It was the first time an open wound had been touched.
if the artery is ruptured thoroughly, the ends may atrophy, making it difficult to find. When you are sure that the artery is in a small piece of tissue, you can stitch up the entire tissue with a large needle.
checking whether the operation is successful, loosen the hemostatic bandage as soon as possible to find out whether the artery causing the bleeding is only the blood vessel that has been bandaged. If it is found that there is still bleeding, the tourniquet should be re-tied immediately and the search for the ruptured blood vessel should continue. There will be other small blood vessels in the tissue, which will provide the blood necessary for the limb to maintain physiological metabolism and maintain circulation.
don't leave the tourniquet in place
Application
need to use a tourniquet: the forearm (just under the armpit) and the upper part of the thigh. Select a tape with a width of at least 5cm (2 inches) to use as a hemostatic tape. If you are forced to use a narrower line (wire or rope), you must pad it with folded layers of fabric to reduce discomfort and avoid damage to nerves or muscles.
stops bleeding, tie the tourniquet around the limb for 3 times and tie it into a half knot. Put a light short stick on the knot and tie it into a double knot. The tourniquet must be tightened until the bleeding stops.
hemostasis, the tourniquet must be tied tightly enough to block the blood supply, but must be loosened once at intervals, and the above-mentioned tying method can be easily loosened.
After the blood vessel is ligated, the tourniquet should be completely untied.
Warning
1) tourniquets can block the flow of blood, and strapping for too long can severely damage tissue-even lead to limb necrosis.
2) tourniquet can only be used to tie the limbs, never tie the head, neck or trunk.
3) Do not cover with other objects, and do not cover the tourniquet tied to the limb. If you have to leave the patient alone in the camp, write on his head, with a sign pen or lipstick, the time of strapping and the location of the tool box.
check the blood circulation
1) After the bandage is finished, the toe or finger should be checked frequently to see if there is a purple spot with black hair at the end and if the body temperature drops. If there is such a phenomenon, the cloth tape should be loosened, otherwise it will cause tissue necrosis over time.
2) For the same reason, it is not possible to use a tourniquet to tie the limb for a long time, unless it is necessary to do so during the arterial ligation operation. In general hemostasis, direct pressure should be tried first, followed by the pressure site method, until the method of maintaining direct pressure at the wound is used. If the wound is at the end of the limb, the injury can be elevated.
the use of disposable tourniquets has become widespread in developed countries around the world,
domestic disposable tourniquet instead of traditional tourniquet has become an inevitable trend.
Key words: disposable tourniquet; disposable silicone tourniquet; snap-on tourniquet; silicone tourniquet; exercise rehabilitation
