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World Trauma Day-17th October 2005

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Golden Hour 

The goal of medicine is to preserve the health by minimizing the chances of fatality in case of a trauma by providing immediate medical attention. The Golden Hour as the name suggests is Golden with respect to preserving the most valuable life. Appropriate help rendered during this period is very critical and may range from the time of injury to definitive treatment in a hospital. If appropriate action is taken during the Golden Hour to restore airway, breathing and circulation, life-saving attempt would turn out to be productive and rewarding. 

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Taking care of Airways

The first and foremost thing to do is to ensure the patency of the airway for an unconscious patient. This can be done by gently lifting the chin. This would facilitate the forward movement of the jaw and backward movement of the head, thereby allowing air to enter the lungs through the nose and mouth. Special caution should be excised while doing so as it can worsen an already existing head, neck or back injury.

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Taking care of Blood Loss

Blood loss involves losing blood and can be either internal or external. The term external bleeding is used when the blood loss occurs externally through a natural opening or externally through a break in the skin. Internal bleeding refers to leak of blood from blood vessels inside the body. Severe blood loss is a lifethreatening condition that requires prompt medical intervention. The first aid measures can only be used to control extenal bleeding.  

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Taking care of broken bones

A structure as strong as the bone can break when more pressure is exerted on it than it can withstand. The severity of the condition will depend on the extent of the break and the area involved. Surprisingly, fractures can also occur when a repeated, prolonged force is applied to a bone. This type offracture is more common among sports persons. Wearing practising general safey measures can go a long way in preventing fractures associated with falls, accidents etc. 

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