The other type of anti shock garment is a nonpneumatic version. A comparative study of the nonpneumatic anti shock garment for the treatment of obstetric hemorrhage in nigeria. Antishock garment in postpartum haemorrhage safe motherhood. We hypothesized the nasg group would have a 50% reduction in adverse outcomes. Figure 1 schematic diagram of the nonpneumatic antishock. Antishock definition of antishock by merriamwebster. A costeffectiveness analysis in egypt and nigeria tori sutherland1, janelle downing2, suellen miller3, david m. Use of an improvised pneumatic anti shock garment and a nonpneumatic anti shock garment to control pelvic blood flow international journal of emergency medicine, 2010. Experience in the use of nonpneumatic antishock garment. Nurses in low resource settings save mothers lives with nonpneumatic anti shock garment. When the compartments are inflated, they compress the abdomen and legs, limiting the blood flow into these areas and preventing pooling of blood and fluid in the underlying tissues. Deflating and removing link to skill competency checklist link to interactive skill competency checklist what is a pneumatic antishock garment.
Based on reported success in the field, this device was used more widely for emergency medicine and trauma patients in the 1970s10,11. The nasg is a true life saving device for women in shock and close to death due to pph, this is a major life saving support device, easy to administer by any. Antishock garment definition of antishock garment by. For all midwives, nurses and obstetricians interested in a cemarked device to reduce maternal death this product is essential to have on ambulances, in clinics and in hospitals. Nonpneumatic antishock garment nasg training video. Miller s, hamza s, bray e 2004 first aid for obstetrical hemorrhage. Implementation project of the nonpneumatic antishock. What is the abbreviation for pneumatic antishock garment. In timorleste, a low technology first aid device is saving womens lives. Lightweight, flexible and comfortable for the wearer. The nonpneumatic anti shock garment nasg is a lowcost firstaid device that may help women with obstetrical hemorrhage survive these delays without longlasting adverse effects. This article discusses how the garments work and how they are applied. One method to manage pph is the use of a nonpneumatic antishock garment nasg.
Antishock garment in postpartum haemorrhage sciencedirect. If so, share your ppt presentation slides online with. The prehospital use of pneumatic antishock garments. Nonpneumatic anti shock garment for obstetric hemorrhage. Unlike the predecessor device, the pneumatic antishock garment. Antishock definition is designed to be resistant to or to offer protection against shock. Pdf 4 nonpneumatic antishock garment suellen miller. Use of an improvised pneumatic anti shock garment and a nonpneumatic anti shock garment to control pelvic blood flow int j emerg med 3. The nonpneumatic antishock garment nasg is a neoprene suit that is wrapped tightly around the lower abdomen and limbs. Via global health is committed to reducing maternal mortality rates, and guarantees the lowest incountry prices for the lifewrap nonpneumatic antishock garment. Pneumatic antishock garment is the property of its rightful owner. The nonpneumatic antishock garment nasg is a firstaid device that. Prerequisites for transfer informed consent anti shock garment nasg check availability of beddoctor in the referral hospital referral documents indwelling catheter with urosac vaginal pack in traumatic pph tamponade in atonic pph record presence of packtamponade do not remove until destination 4.
Turan j, ojengbede o, fathalla m, mouradyoussif m, morhasonbello io, nsima d, et al. As such, it became known as the militarymedical antishock trousers mast suit or pneumatic antishock garment pasg8,9. Pasg abbreviation stands for pneumatic antishock garment. Nonpneumatic anti shock garment nasg, a firstaid device to decrease maternal mortality from obstetric hemorrhage. National health systems resource centre new delhi,india. Quick facts sthe nasg is a segmented, lightweight neoprene garment designed for application to the lower extremities and midsection of the body. Pdf a noninflatable antishock garment for obstetric. The nonpneumatic anti shock garment nasg is a lowtechnology, firstaid compression device which, when added to standard hypovolemic shock protocols, may improve outcomes for women with. Antishock garment in postpartum haemorrhage request pdf. Of 20 such patients, 17 85% responded rapidly, as did all 5 patients who were treated for a ruptured abdominal aortic aneurysm. The nonpneumatic anti shock garment nasg is a lightweight,reusable, neoprene and velcro compression device that can be rapidly applied to a hemorrhaging woman to shunt bloodfrom the lower extremities to the core organs, heart, lung and brain, and to decrease blood loss. The lifewrap nasg is a lightweight and reusable first aid compression device used to treat shock and manage obstetric haemorrhage. Ppt pneumatic antishock garment powerpoint presentation. While the pasg is not often used for obstetric hemorrhage, the nonpneumatic.
Use of the nonpneumatic antishock garment nasg for life. The nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolaemic shock and decreases obstetric haemorrhage. The proper application and management of antishock trousers are simple enough for use in the field, although deflation of the device before adequate replacement of fluids would precipitate a return to a state of shock. Effectiveness of nonpneumatic antishock garment nasg. An improved antishock treatment method and garment employ a series of resilient, stretchable straps and belts attached to semirigid elongated support rods positionable along the midline of the outer sides of the legs and abdomen of a shock victim.
Its efficacy for reducing maternal deaths due to obstetrical hemorrhage is being researched. Positive effects of the nonpneumatic anti shock garment on delays in accessing care for postpartum and postabortion hemorrhage in egypt and nigeria. You are the doctor on scene of a road traffic accident attending a 30 year old man who has sustained blunt trauma to the abdomen. One method to manage pph is the use of a nonpneumatic anti shock garment nasg. Nonpneumatic anti shock garment nasg is clinically proven to reverse shock in the case of massive postpartum hemorrhage.
Anti shock garment in postpartum haemorrhage suellen miller cnm, phd director, safe motherhood programs hilarie b. Nonpneumatic antishock garment world health organization. Using the nonpneumatic antishock garment in humanitarian. Be sure to check your local protocols regarding use of pasg in your area. The use of pneumatic antishock garments pasg is controversial and local protocols regarding their use vary.
Pdf use of nonpneumatic anti shock garment in hemorrhagic shock. Regional blood flow after pneumatic anti shock garment inflation. As part of initiatives to prevent and manage postpartum hemorrhage. The nonpneumatic antishock garment nasg is a first line intervention for the management of women with severe pph and hypovolemic shock.
The lifewrap nonpneumatic anti shock garment nasg is a lightweight and reusable first aid compression device used up to 144 times for each unit to treat shock and manage postpartum and obstetric hemorrhage. Product functionality the nasg is a lightweight neoprene garment that is made up of five segments that close tightly with velcro. Nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolemic shock and decreases obstetric. The need of invasive treatments, like hysterectomies, decreased 4556%. Someone suggests using the pneumatic anti shock garment pasg. Use of the nonpneumatic anti shock garment nasg for lifethreatening obstetric hemorrhage. Recommendations for use of the garment and limited supportive anecdotal reports continued into the 1980s.
Research article open access combined analysis of the. Pdf antishock garments for obstetric hemorrhage janet. Use of the nonpneumatic antishock garment nasg for. Our analysis comprised five quasiexperimental nonrandomized studies of the nasg as treatment for hypovol. The nonpneumatic antishock garment, a first aid device. Pph, the moh recently introduced the nonpneumatic anti shock. Appendix further information observational studies 1.
Nonpneumatic anti shock garments glowm unlike the pneumatic anti shock garment pasg, or medical anti shock trousers mast, both of which preceded the development of the nasg, there are no. It consists of articulated neoprene segments that close tightly with velcro, shunting blood from the lower body to the core organs, elevating blood pressure and increasing preload and cardiac output. Who recommendation on the use of nonpneumatic antishock. Positive effects of the nonpneumatic antishock garment. The mechanisms of action of the nonpneumatic antishock garment. The nonpneumatic antishock garment nasg is a lowtechnology firstaid device used to treat hypovolemic shock. One first aid management tool for hypovolemic shock secondary to obstetric hemorrhage is the nonpneumatic anti shock garment nasg. This lowtechnology, easy to apply, circumferential pressure device, is made of stretchy compression neoprene and closes tightly with velcro, reversing shock, restoring vital. Path 2011 affordable, highquality, nonpneumatic antishock garments. The nonpneumatic anti shock garment nasg is a lowtechnology, firstaid compression device which, when added to standard hypovolemic shock protocols, may improve outcomes for women with hypovolemic shock secondary to obstetric hemorrhage in tertiary facilities in lowresource settings. Antishock medical definition merriamwebster medical. Pneumatic antishock garment definition of pneumatic.
Paramedics in the 1970s and 1980s often used medical anti shock trousers mast, also called the pneumatic anti shock garment pasg. Obstetrical hemorrhage is heavy bleeding of a woman during or shortly after a pregnancy. Martin ba data analyst, safe motherhood programs jessica l. The nonpneumatic anti shock garment nasg is a lightweight, reusable, neoprene and velcro compression device that can be rapidly applied to a hemorrhaging woman to shunt blood from the lower. Postpartum hemorrhage pph continues to be the single most common cause of maternal morbidity and mortality, accounting for approximately. Nonpneumatic antishock garment nasg, a firstaid device to. Lifewrap nonpneumatic antishock garment nasg large.
Following a quick training session, frontline health providers are able to successfully apply the garment to the bleeding patient. Serotonin release music with binaural beats alpha waves, relaxing music, happiness meditation music greenred productions relaxing music 631 watching live now. Morris ma project specialist, safe motherhood programs department of obstetrics, gynecology and reproductive sciences, university of california. Antishock garments for obstetric hemorrhage bentham science. The nonpneumatic anti shock garment nasg is used to manage the uncontrollable postpartum haemorrhage pph and to keep women alive until they can get the treatment they need. Purchase lifewrap nonpneumatic antishock garment nasg. The support rods are each formed of two elongated parts which are connected together but can be slid relative to one another to adjust the lengths.
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