Pneumatic Antishock Garment Application
A pneumatic antishock garment (PASG), also known as medical antishock trousers or a MAST suit, consists of inflatable bladders sandwiched between double layers of fabric. When inflated, a PASG places external pressure on the lower extremities and abdomen, creating an autotransfusion effect that squeezes blood superiorly and increases blood volume to the heart, lungs, and brain by up to 30%.
A PASG is used to treat shock when systolic blood pressure falls below 80 mm Hg or below 100 mm Hg when accompanied by signs of shock. It can control abdominal and lower extremity hemorrhage as well as help stabilize and splint pelvic and femoral fractures.
Use of a PASG is contraindicated in patients with cardiogenic shock, heart failure, pulmonary edema, tension pneumothorax, or increased intracranial pressure. The device should be used cautiously during pregnancy.
Equipment
For Application
Gloves ▪ PASG ▪ foot pump ▪ Optional: resuscitation equipment, personal protective equipment.
For Removal
Gloves ▪ PASG ▪ resuscitation equipment ▪ hospital-grade disinfectant.
PASGs come in a pediatric size for patients 3½′ to 5′ (1 to 1.5 m) tall and an adult size for patients taller than 5′.
Preparation of Equipment
Before applying, spread open the PASG on a smooth surface or blanket to avoid puncturing it. Make sure all the stopcock valves are open. Attach the foot pump.
Implementation
Verify the doctor’s order.
Confirm the patient’s identity using at least two patient identifiers according to your facility’s policy.4
Explain the procedure to the patient and answer all questions to allay his fears and ensure his cooperation.
Applying a PASG
Take the patient’s vital signs to establish baseline measurements. Assess his physical condition to ensure that there are no contraindications to the use of the PASG.
Assess the patient’s injuries to see whether he can be turned from side to side. If he can’t be turned, slide the PASG under him. If he can be turned, place the PASG next to him and logroll him onto it. You can also set up the PASG on a stretcher and place the patient on it in a supine position. (See Applying a pneumatic antishock garment.)
Examine the patient for sharp objects that could injure him or the garment such as pieces of glass.Stay updated, free articles. Join our Telegram channel
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