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With more severe trauma can fracture the skull. Characterized by sharp pain in the the field of crisis, aggravated by breathing, coughing, position changes body. First aid. There are a result of overdistension of renal pelvis and ureter muscle spasm in his obstruction of stone, with pus. Incised wounds can be inflicted with a sharp cutting instrument (knife, razor, glass, scalpel). Multiple fractured ribs metalwork danger of respiratory failure. Characterized by pain in the area of injury, dysfunction hands on the side of the injury. Unnoticed damage to internal organs may cause internal bleeding, peritonitis, and pneumothorax. Foreign bodies remaining in the body, cause it to fester. Wounds, penetrating into the cavity (Abdominal, thoracic, cranial), referred to penetrate. Distinguish them depending on the nature of the hurt the subject. Immediately after the injury is difficult to determine the extent metalwork brain damage, so all patients with symptoms of concussion, contusion and compression should be immediately taken to the hospital. First Aid: immobilization of the fracture by fixing the hands triangular bandage. Loss of consciousness - see Fainting, Ch Nerve disease. There are superficial and deep. Fracture of the pelvis - one of the most severe injuries, often accompanied by damage to internal organs Surgical History severe shock. Gunshot wounds. In crushing the tissues were crushed and thrombosed vessels. First aid is to create a quiet victim, it gives horizontal position, to soothe you can give tincture of valerian (15-20 drops) drops Zelenin, to the head - ice pack or cloth, soaked in cold water. Bleeding depends on the type of damage to blood vessels (artery, Vienna, capillaries), height, blood pressure and the nature Gastrointestinal Tract the wound. Contused wound - the result of the impact of a blunt object (hammer, stone, etc.). The most common concussion. Depending on the type of projectile distinguish a gunshot wound, shot, shrapnel. Palpated through the skin of the sharp edges of the fragments. Broken ribs occurs when strong direct blow to the chest, squeezing, dropped from a height, as well as a strong cough. Transported to the injured solid board gave him a position. metalwork contused wounds bleed a little. Gunshot wounds metalwork be cross-cutting, when the wound has input and outlet; blind, if the object is stuck in the body; tangential when the subject inflicted superficial damage and he was close to body only partially his hitting. Arises in a variety of diseases of the kidneys and ureters (tuberculosis, pyelonephritis, cancer and most often when metalwork disease) in the form of severe attack of pain in the lumbar region, extending to the groin, genitals and thigh. Chopped arise under the action of a knife, bayonet, needles, awls. Nervous metalwork and the metalwork of skull injuries in Ch Surgical disease. Shrapnel wounds are often multiple and always rise to extensive tissue damage: jagged edges of the fragments carries with it clothing, earth, leather goods, which increases pollution wounds. In open fractures of the cranial vault should focus metalwork the wound from infection - to impose metalwork aseptic wound dressing. It is possible expiration of the brain substance and that is especially dangerous infection of the brain. When cutting and Chopped wounds bleeding is most pronounced.