"Han Zai, my baby's left hand is dislocated, please help see what to do." At 8:30 p.m. on January 13, Li's mother, who was isolated at home in the security community, anxiously asked the community staff for help, and half an hour later, Yan Jin, director of the Orthopedic Department of the Third People's Hospital of Longgang District (hereinafter referred to as "Longgang Third Hospital"), added Li Dad's WeChat, asked about the specific situation and decided to video demonstrate the teaching reduction technique, less than 15 minutes, the baby's lower arm can be lifted, and the reduction is successful.
▲The baby has recovered well
It turned out that Li's mother's family was in the home isolation period, when the 4-year-old baby accidentally fell, the father was in a hurry to drag the left hand up, and the result was that the baby's left elbow joint could not move, and the left hand was protected with the right hand and did not give others to touch, and has been crying non-stop, and can only find the community staff for help.
When the community service personnel contacted the Longgang Third Hospital through the security security society, Xu Weiping, deputy chief of the medical department, and Yan Jin, director of the orthopedic department, and other relevant personnel under the restriction of "hospital infection prevention and control", the first solution that came to mind was two: first, the doctor came to the door to diagnose and examine, but if the baby's dislocation problem was more serious, it still needed to be sent to the hospital to take a film; second, the direct hospital sent a car to pick up the dislocated baby to the hospital, but the manpower and material resources under the epidemic prevention state were so tight, and the hospital also needed to open a green channel for epidemic prevention treatment. To prevent cross-infection.
▲Director Yan Jin resets the children in the hospital
Is there a faster and better solution? "I contact the parents first, use the remote video to see the specific situation of the child, and then make a judgment." Yan Jin, director of the Department of Orthopedics of Longgang Third Hospital, said, "Clinically seen a lot, after understanding the cause of injury and the injury posture, basically have a number in the diagnosis mind, if it is a relatively simple child radius small head subluxation, bare hands can be reset." ”
After the remote video "live broadcast" the situation of the children, Yan Jin judged that the children's common radius small head semi-dislocation, commonly known as "pulling elbows", "If it is not the epidemic period, the child can come to me, three or two times can be reset, but now there is a distance limit, so that others may not be sure of the operation, fortunately, the family seems to be more cooperative communication, so decided to teach in person." In this way, Yan Jin used his colleagues as a demonstration, "After the elbow is rotated, the elbow is rotated before the elbow is rotated, and the thumb presses the dislocated joint, and if a slight bouncing sound can be felt during the extension and flexion process, it means that the reset is successful." ”
The baby's uncle simulated in a similar way, and soon learned, Yan Jin looked at the technique basically correctly, in the video "staring" the uncle to reset the baby. Hearing a "click", the baby's dislocated left elbow joint was reduced, and in order to reconfirm, Yan Jin let the baby's arm be raised, can be higher than the head, can scratch the hair, and move freely.
"Thanks to Director Yan's patient guidance, a little hard money is also a skill learned, please collect it." The baby's family sent thanks and red envelopes to Director Yan, "Don't be polite, overcome the difficulties together." Yan Jin declined.
Popular science tips:
What should I do if my child falls at home or on the road?
If the child falls, parents should gently stop the waist, hold the chest and abdomen, and avoid pulling the arm with excessive force to prevent dislocation.
If children fall down, if they are not carefully handled, it is very easy to cause dislocation. Dislocation, that is, due to external forces, normal joints are detached from normal anatomy, also known as misalignment. The most common misalignment in children is the elbow joint, called the radius microcephalic subluxation. Pediatric radius small head subluxation should be paid attention to, the disease is more likely to occur in children under 5 years of age, the normal anatomical structure of the child's elbow joint is not perfect, avoid excessive traction, such as often there are parents like to lead the child to play on the swing, sometimes pull the child's forearm, excessive force and so on must be avoided.
If there is dislocation, parents should not be too nervous, the child's most critical performance is that the arm can not be bent, the hand can not be raised, sometimes parents mistakenly think that the shoulder arm is off, in fact, it is not, it is the main joint injury. Parents should take their children to the hospital in time to take pictures, restoration, and fixation.
Source | Crystal Newspaper APP
Reporter: Li Hairou
Correspondent: Zheng Hongyan
Editor: Zhou Xiaosa