{"id":54827,"date":"2018-04-07T12:06:50","date_gmt":"2018-04-07T08:06:50","guid":{"rendered":"http:\/\/soodmand.com\/agahi\/%d9%85%d9%88%d9%84%d8%aa%db%8c%d9%be%d9%84-%d8%aa%d8%b1%d9%88%d9%85%d8%a7-%da%86%db%8c%d8%b3%d8%aa%d8%9f-%d8%aa%d8%b1%d9%88%d9%85%d8%a7-%db%8c%d8%b9%d9%86%db%8c-%da%86%d9%87%d8%9f\/"},"modified":"2018-04-07T12:06:50","modified_gmt":"2018-04-07T08:06:50","slug":"%d9%85%d9%88%d9%84%d8%aa%db%8c%d9%be%d9%84-%d8%aa%d8%b1%d9%88%d9%85%d8%a7-%da%86%db%8c%d8%b3%d8%aa%d8%9f-%d8%aa%d8%b1%d9%88%d9%85%d8%a7-%db%8c%d8%b9%d9%86%db%8c-%da%86%d9%87%d8%9f","status":"publish","type":"post","link":"https:\/\/soodmand.com\/agahi\/%d9%85%d9%88%d9%84%d8%aa%db%8c%d9%be%d9%84-%d8%aa%d8%b1%d9%88%d9%85%d8%a7-%da%86%db%8c%d8%b3%d8%aa%d8%9f-%d8%aa%d8%b1%d9%88%d9%85%d8%a7-%db%8c%d8%b9%d9%86%db%8c-%da%86%d9%87%d8%9f\/","title":{"rendered":"\u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u062a\u0631\u0648\u0645\u0627 \u0686\u06cc\u0633\u062a\u061f | \u062a\u0631\u0648\u0645\u0627 \u06cc\u0639\u0646\u06cc \u0686\u0647\u061f"},"content":{"rendered":"<figure itemprop=\"image\" itemscope=\"\" itemtype=\"https:\/\/schema.org\/ImageObject\"><meta itemprop=\"name\" content=\"\u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u062a\u0631\u0648\u0645\u0627 \u0686\u06cc\u0633\u062a \u062a\u0631\u0648\u0645\u0627 \u06cc\u0639\u0646\u06cc \u0686\u0647\"\/><meta itemprop=\"url\" content=\"http:\/\/soodmand.com\/agahi\/wp-content\/uploads\/d985d988d984d8aadb8cd9bed984-d8aad8b1d988d985d8a7-da86db8cd8b3d8aad89f-d8aad8b1d988d985d8a7-db8cd8b9d986db8c-da86d987d89f.jpg\"\/><meta itemprop=\"width\" content=\"400\"\/><meta itemprop=\"height\" content=\"300\"\/><img decoding=\"async\" class=\"main-image\" itemprop=\"contentUrl\" src=\"http:\/\/soodmand.com\/agahi\/wp-content\/uploads\/d985d988d984d8aadb8cd9bed984-d8aad8b1d988d985d8a7-da86db8cd8b3d8aad89f-d8aad8b1d988d985d8a7-db8cd8b9d986db8c-da86d987d89f.jpg\" alt=\"\u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u062a\u0631\u0648\u0645\u0627 \u0686\u06cc\u0633\u062a \u062a\u0631\u0648\u0645\u0627 \u06cc\u0639\u0646\u06cc \u0686\u0647\"\/><\/figure>\n<p class=\"lead\" itemprop=\"description\"> \u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u062a\u0631\u0648\u0645\u0627 \u0686\u06cc\u0633\u062a \u062a\u0631\u0648\u0645\u0627 \u0622\u0633\u06cc\u0628 \u0648 \u0635\u062f\u0645\u0647 \u0627\u06cc \u0627\u0633\u062a \u06a9\u0647 \u0639\u0627\u0645\u0644 \u0622\u0646 \u0686\u06cc\u0632\u06cc \u063a\u06cc\u0631 \u0627\u0632 \u062e\u0648\u062f \u0634\u062e\u0635 \u0648 \u0628\u062f\u0646\u0634 \u0645\u06cc \u0628\u0627\u0634\u062f \u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u062a\u0631\u0648\u0645\u0627 \u062d\u0627\u0644\u062a\u06cc \u0627\u0633\u062a \u06a9\u0647 \u0627\u06cc\u0646 \u0635\u062f\u0645\u0627\u062a \u0648 \u0622\u0633\u06cc\u0628 \u0647\u0627\u06cc \u0628\u06cc\u0631\u0648\u0646\u06cc \u0627\u0641\u0632\u0627\u06cc\u0634 \u06cc\u0627\u0628\u062f \u0648 \u0628\u0647 \u06cc\u06a9 \u0622\u0633\u06cc\u0628 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\u0642\u0644\u0628\u06cc\u060c \u062a\u0631\u0648\u0645\u0627 \u0645\u062d\u0633\u0648\u0628 \u0645\u06cc\u200e\u06af\u0631\u062f\u062f \u06a9\u0647 \u0627\u06cc\u0646 \u0627\u0645\u0631 \u062f\u0631 \u0627\u06cc\u0631\u0627\u0646 \u0633\u0648\u0645\u06cc\u0646 \u0639\u0627\u0645\u0644 \u0645\u0631\u06af \u0648 \u0645\u06cc\u0631 \u0645\u06cc\u200e\u0628\u0627\u0634\u062f.<\/p>\n<p>&#13;<br \/>\n&#13; &#13;<br \/>\n&#13; <\/p>\n<p><strong>\u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u062a\u0631\u0648\u0645\u0627 \u0686\u06cc\u0633\u062a\u061f<\/strong><\/p>\n<p>&#13;<br \/>\n&#13;<\/p>\n<p>\u062f\u0631 \u0648\u0627\u0642\u0639 \u0634\u062e\u0635\u06cc \u06a9\u0647 \u062f\u0686\u0627\u0631 \u062a\u0639\u062f\u0627\u062f \u0636\u0631\u0628\u0627\u062a \u0648 \u062d\u0648\u0627\u062f\u062b \u0645\u062a\u0639\u062f\u062f\u06cc \u06af\u0631\u062f\u06cc\u062f\u0647 \u0627\u0633\u062a \u0631\u0627 \u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u062a\u0631\u0648\u0645\u0627 \u06af\u0648\u06cc\u0646\u062f.<\/p>\n<p>&#13;<br \/>\n&#13;<\/p>\n<p>\u0645\u062b\u0644\u0627 \u0634\u062e\u0635\u06cc \u06a9\u0647 \u062f\u0631 \u062a\u0635\u0627\u062f\u0641 \u062f\u0686\u0627\u0631 \u0634\u06a9\u0633\u062a\u06af\u06cc \u060c\u062e\u0648\u0646\u0631\u06cc\u0632\u06cc\u060c\u0622\u0633\u06cc\u0628 \u0639\u0631\u0648\u0642\u06cc\u060c\u0642\u0637\u0639 \u0639\u0636\u0648 \u0648 \u063a\u06cc\u0631\u0647 \u0645\u06cc\u0634\u0648\u062f \u06cc\u06a9 \u0628\u06cc\u0645\u0627\u0631 \u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u0627\u0633\u062a.<\/p>\n<p>&#13;<br \/>\n&#13;<\/p>\n<p>\u0628\u06cc\u0645\u0627\u0631\u0627\u0646\u06cc \u06a9\u0647 \u062f\u0686\u0627\u0631 \u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u0645\u06cc\u200e\u0634\u0648\u0646\u062f \u0646\u06cc\u0627\u0632 \u0628\u0647 \u0627\u0645\u062f\u0627\u062f \u0631\u0633\u0627\u0646\u06cc \u0648 \u0627\u0642\u062f\u0627\u0645\u0627\u062a \u0627\u0648\u0644\u06cc\u0647 \u062a\u062e\u0635\u0635\u06cc \u062f\u0627\u0631\u0646\u062f.<\/p>\n<p>&#13;<br \/>\n&#13;<\/p>\n<p>\u0628\u0627\u062a\u0648\u062c\u0647 \u0628\u0647 \u0642\u0627\u0646\u0648\u0646 \u0628\u0631\u062e\u0648\u0631\u062f \u0627\u0648\u0644\u06cc\u0647 \u062f\u0631 \u0645\u0648\u0627\u0631\u062f \u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u0628\u0633\u06cc\u0627\u0631 \u062d\u06cc\u0627\u062a\u06cc \u0627\u0633\u062a\u060c \u0628\u0627\u062a\u0648\u062c\u0647 \u0628\u0647 \u0645\u062d\u0644 \u0627\u06cc\u062c\u0627\u062f \u0646\u062d\u0648\u0647 \u0627\u0645\u062f\u0627\u062f\u0631\u0633\u0627\u0646\u06cc \u0645\u062a\u0641\u0627\u0648\u062a \u0645\u06cc\u200e\u0628\u0627\u0634\u062f \u0648\u0644\u06cc \u0622\u0646\u0686\u0647 \u0645\u0647\u0645 \u0627\u0633\u062a \u062a\u0628\u062d\u0631 \u0648 \u062a\u0633\u0644\u0637 \u067e\u0632\u0634\u06a9 \u0648 \u06cc\u0627 \u0645\u0633\u0626\u0648\u0644 \u0637\u0628 \u0627\u0648\u0631\u0698\u0627\u0646\u0633 \u0645\u06cc\u200e\u0628\u0627\u0634\u062f.<\/p>\n<p>&#13;<br \/>\n&#13;<\/p>\n<p>\u0646\u062d\u0648\u0647 \u062c\u0627\u0628\u062c\u0627\u06cc\u06cc \u0628\u06cc\u0645\u0627\u0631\u060c \u0645\u062d\u0644 \u0622\u0633\u06cc\u0628 \u062f\u06cc\u062f\u0647\u060c \u0628\u0633\u062a\u0646 \u0648 \u0627\u0646\u062a\u0642\u0627\u0644 \u0622\u0646\u060c \u062c\u0644\u0648\u06af\u06cc\u0631\u06cc \u0627\u0632 \u062e\u0648\u0646\u0631\u06cc\u0632\u06cc\u200e\u0647\u0627\u06cc \u0627\u062d\u062a\u0645\u0627\u0644\u06cc \u0648 \u0085 \u0627\u0632 \u062c\u0645\u0644\u0647 \u0639\u0648\u0627\u0645\u0644 \u0645\u0648\u062b\u0631 \u0648 \u0633\u0631\u0646\u0648\u0634\u062a \u0633\u0627\u0632 \u062f\u0631 \u0627\u06cc\u0646 \u0645\u0631\u062d\u0644\u0647 \u0631\u0627 \u062f\u0627\u0631\u0646\u062f.<\/p>\n<p>&#13;<br \/>\n&#13;<\/p>\n<p>\u062f\u0631\u0645\u0627\u0646\u200e\u0647\u0627\u06cc \u0628\u0647 \u0645\u0648\u0642\u0639 \u0628\u0627\u0639\u062b \u062c\u0644\u0648\u06af\u06cc\u0631\u06cc \u0627\u0632 \u0627\u06cc\u062c\u0627\u062f \u0622\u0633\u06cc\u0628\u200e\u0647\u0627\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0648 \u0634\u062f\u06cc\u062f\u062a\u0631 \u0628\u0647 \u0628\u06cc\u0645\u0627\u0631 \u0645\u06cc\u200e\u0646\u0645\u0627\u06cc\u062f. \u0628\u0637\u0648\u0631 \u0645\u062b\u0627\u0644 \u06af\u0631\u0641\u062a\u0646 \u0641\u0634\u0627\u0631 \u062e\u0648\u0646 \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u062f\u0686\u0627\u0631 \u0636\u0631\u0628\u0647 \u0645\u063a\u0632\u06cc \u0628\u0633\u06cc\u0627\u0631 \u0636\u0631\u0648\u0631\u06cc \u0627\u0633\u062a.<\/p>\n<p>&#13;<br \/>\n&#13; &#13;<br \/>\n&#13; <\/p>\n<p><strong>\u062f\u0633\u062a\u0648\u0631\u0627\u062a \u0627\u0648\u0644\u06cc\u0647 \u0628\u06cc\u0645\u0627\u0631 \u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u062a\u0631\u0648\u0645\u0627<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>1. NPO<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>2. CVS q30min for 3 hrs, then q3h if stable<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>3. IV line * 2 (large bore)<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>4. cardiac monitoring &amp; pulse oximerty &amp; ICU admission if very ill<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>5. serum NS 1000cc IV free \u00e0 repeat another 1 liter if unstable<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>6. supplemental O2 4-5 lit\/min<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>7. reserve 6 units PC<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>8. CBC serial q6h<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>9. Check Na, K, BUN, Cr, BS, PT, PTT, INR, UA<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>10. Foley catheter fixed<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>11. Chart I\/O<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>12. NG tube fixed (contraindicated in skull base fx)<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>13. ECG<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>14. ABG<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>15. CXR<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>16. Pelvic X-ray (AP)<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>17. Neck view (AP&amp;Lat) including C7-T1<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>18. abdominopelvic sonograpgy<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>19. Amp Ranitidin 50 mg \/ IV \/ bd<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>20. Tetanous prophylaxis (if applicable)<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>21. Orthopedic X-rays (if applicable)<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>22. Brain CT scan (if GCS&lt;15, head trauma, vomiting, amnesia)<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>23. Orthopedic consult (if applicable)<\/strong><\/p>\n<p>&#13;<br \/>\n&#13; <\/p>\n<p><strong>24. Neurosurgery consult (if applicable)<\/strong><\/p>\n<p>&#13; <\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0645\u0648\u0644\u062a\u06cc\u067e\u0644 \u062a\u0631\u0648\u0645\u0627 \u0686\u06cc\u0633\u062a \u062a\u0631\u0648\u0645\u0627 \u0622\u0633\u06cc\u0628 \u0648 \u0635\u062f\u0645\u0647 \u0627\u06cc \u0627\u0633\u062a \u06a9\u0647 \u0639\u0627\u0645\u0644 \u0622\u0646 \u0686\u06cc\u0632\u06cc \u063a\u06cc\u0631 \u0627\u0632 \u062e\u0648\u062f \u0634\u062e\u0635 \u0648<\/p>\n","protected":false},"author":2,"featured_media":54828,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[192],"tags":[],"class_list":["post-54827","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-192"],"_links":{"self":[{"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/posts\/54827","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/comments?post=54827"}],"version-history":[{"count":0,"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/posts\/54827\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/media\/54828"}],"wp:attachment":[{"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/media?parent=54827"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/categories?post=54827"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/soodmand.com\/agahi\/wp-json\/wp\/v2\/tags?post=54827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}