Pano pali zomwe mungachite pazidzidzidzi zosavuta
Wowimilira ndi mawu omwe timagwiritsa ntchito muzinthu zam'tsogolo pofuna kutanthauza munthu wosalakwa yemwe ali pafupi ndi chochitika. Kungakhale munthu amene amawona ngozi ya galimoto, matenda a mtima, kapena nkhondo. Zimatha kukhala anthu pafupi ndi Boston Marathon kapena kuvina pansi pa Pulse Nightclub ku Orlando. Zilibe kanthu kaya ndi zochitika zotani, othandizira opaleshoni ndi apolisi nthawi zambiri amagwiritsa ntchito mawu akuti "woyima."
Koma woyima ndi mawu osalankhula. Izo zikutanthauza zomwe izo zikunena; kuti munthuyo waima pafupi-chabe pafupi ndi zomwe zikuchitika. Wotsalira sakuthandiza. Amayang'ana. Wogwira ntchito sathandiza. Amangofika panjira.
Chinthuchi ndi chakuti anthu ambiri samachita momwemo. Amalumphira mkati ndikuthandizira pakapita kovuta. Mlaliki akubwera ndikuuza akuluakulu zomwe adawona. Msamariya Wachifundo amakoka ovulalawo kumalo otetezeka kapena amayesa kuimitsa magazi. Zonse zomwe ziyenera kuchitidwa nthawi zambiri zimachitika ndi munthu pamsewu kapena ogwira nawo ntchito. Anthu ambiri samangoyima.
Otsatira Mwachangu
Zofalitsa zimadziwika bwino ndi lingaliro la Otsutsa Woyamba. Awa ndi anthu omwe amatithandiza pamene tikusowa thandizo. Nthawi zambiri, mawuwa amatanthauza ozimitsa moto, apolisi, akatswiri azachipatala, ndi othandizira opaleshoni . Ndibwino kuti anthu adziwone ngati anthu omwe akutsogolera kuti athandize anthu osowa thandizo.
Pamaso pa Otsutsa Woyamba, pali woyankha mwamsanga . Ndi munthuyo, nthawi zambiri osaphunzitsidwa, amene amachitapo kanthu kuti achite chilichonse chimene angathe kuti athetse zinthu zoipa ndikuyamba kuchita zabwino. Woyankhayo akuthandizira kale asanamvepo za vutoli.
Ndi woyankha mwamsanga (zomwe ndayitanitsa m'nkhani zina kukhala wopulumutsa payekha kapena, nthawi zina, woima) yemwe akuchita zofufuzira pamtima pamene odwala opaleshoni amayenda pakhomo.
Wowonjezelayo ndi amene amachitcha 911 pamalo oyamba.
Ngati mukuwerenga izi, mukufuna kukhala woyankha mwamsanga. Sindinena kuti mukufuna chinachake choipa chichitike. Ndikungonena kuti mukufuna kukhala wokonzeka. Mukufuna kudziwa zomwe mungachite ngati mwadzidzidzi mukudandaula zachipatala kapena mchitidwe wogwira ntchito. Ndiwe mtundu wa munthu yemwe sangayime ndi kuyang'ana popanda kulumphira mkati kuti athandize.
Zabwino.
Anthu omwe akuyankha mofulumira kwambiri ndi omwe ali ndi maphunziro pang'ono, kaya ali m'kalasi kapena ndi chidziwitso chomwe chimaphunzitsidwa. Kudziwa choti muchite pangozi kumakupatsani mwendo mmwamba-ngakhale mutangophunzitsidwa osati pokhapokha mutalandira chithandizo choyamba. Pokhala ndi maphunziro ndi chidziwitso, mutha kuchita zambiri zomwe zimapereka thandizo lenileni. Choncho, phunzitsani. Tengani njira yoyamba yothandiza ndikuphunzire CPR . Onerani, yambani, yesetsani kanema. Dzidziwitse wekha.
Zimene Mungachite
Mwinamwake mukuganiza kuti mukusowa zina zowonjezera ndi zipangizo kuti mukonzekere. Koma pokonzekera sikukutanthauza kuti muyenera kukhala ndi zida.
Pali zambiri zomwe mungachite modzidzimutsa popanda chithandizo choyamba chokha kapena chilolezo cha paramedic. Ndipotu, lamulo la Murphy limati simudzakhala ndi zida zoterezi pamene zinthu zidzakantha fanaku.
Zambiri mwazinthu zowonjezera zoyamba zothandizira choyamba ndi za kuvulala kwazing'ono zomwe sizikupha. Mabanki ndi mafuta odzola samapulumutsa miyoyo; zochita zimatero.
Zoopsa # 1: Kumangidwa kwa Cardiac
Malingana ndi mtundu wavuto, pali zambiri zomwe mungachite kuti mupereke chisamaliro kapena thandizo. Pankhani ya kumangidwa kwa mtima , CPR ndi sitepe yofunika kwambiri ndipo ziribe kanthu kuti ndinu ophunzira bwanji. Ma Paramedics kapena madokotala adzachita CPR yomweyo yofanana ndi yomwe wothandizira (kapena wotsutsa mwamsanga) angachite kwa wodwala ndi kumangidwa kwa mtima.
Iwo adzalingalira chinthu chimodzi chomwe muyenera kuikapo pazigawozo - zida zapachifuwa.
Kuphatikizira pachifuwa ndi chinthu chimodzi chofunika kwambiri pa kumangidwa kwa mtima, ndipo popeza kuti kumangidwa kwa mtima kumapangitsa kuti munthu afe ndithu ngati sichikuchiritsidwa, zida za chifuwa zingakhale zofunikira kwambiri pa zamankhwala. Ngati simukuchita china chilichonse kwa munthu amene sapuma, imbani 911 ndipo muthamangitse pachifuwa chake. Pitirizani kukankhira mpaka thandizo lifika ndipo limakuuzani kuti muime . Nkulondola: ngakhale kamodzi odwala opaleshoni atayenda pakhomo, musayime mpaka atanena choncho (kawirikawiri osati mpaka atakonzeka kukulandirani).
Zoopsa # 2: Kusankha
Njira ya Heimlich (mimba ya m'mimba yochotsa njira ya munthu amene akukwera) imayandikira pafupi ndi chifuwa cha chifuwa mumagulu omwe sangathe kuyembekezera. Pamene chidutswa cha steak (kapena galu wotentha, mapewa olimba, cufflink, gumball, etc.) atayika mu mphepo, idzapha munthu mu mphindi zingapo chabe. Panthawi yomwe Otsutsa Woyamba abwera kumalo, wodwalayo angakhale atafa ...
... kupatula mutathandiza.
Monga makapu a chifuwa, simukusowa zipangizo zamtundu uliwonse kuti muchite Heimlich. Zonse zomwe mukufunikira ndikuchita. Gwirani manja anu mozungulira munthu yemwe akung'ung'udza ndi kufinya steak kuchokera mwa iye. Pitirizani kuyesera mpaka atachikweza kapena kutuluka. Ngati apitako, aitanani 911 ndikukankhira pachifuwa chake ngati kumangidwa kwa mtima.
Zoopsa # 3: Kupuma
CPR yowunikira (pali mawu omwewo) akhala akutsogolera maphunziro a boma kuyambira kumapeto kwa zaka za m'ma 21 st . Kuchokera mu 2015, kulamulira kwa magazi kwawonjezeredwa ku uthengawo. Akuluakulu adazindikira kuti kutaya kwa magazi kumakhala koopsa m'maboma a anthu ataphunzira mafunde ambirimbiri. Maphunziro azachipatala omwe apangidwe kuti asilikali agwiritse ntchito panthawi ya nkhondo tsopano akuphunziridwa ndikusinthidwa kuti asagwiritsidwe ntchito ndi anthu.
Ngakhale kuti kusintha kwakukulu kunayambira ndi zochitika zokhudzana ndi zigawenga ndi zigawenga, pali zifukwa zina zambiri zomwe zimayambitsa magazi zomwe munthu wamba amatha kukumana nazo kusiyana ndi nkhondo. Mosasamala kanthu chomwe chimayambitsa, kutaya kwa magazi kuyenera kuimitsidwa mofulumira kapena munthuyo angamwalire.
Kupsyinjika pa bala ndi njira yabwino yopezera kutaya mwazi. Mwachidziwitso, simukusowa kanthu koma manja anu kuti mupereke kupanikizika, koma nsalu yoyera ndi yothandiza. Kusunga chinachake motsutsana ndi bala kuti athandize magazi kusonkhanitsa ndikugwirana kumathandiza kuchepetsa kutuluka kwa magazi. Kusunga nkhawa nthawi zambiri sikuli bwino kwa wodwala kapena wopulumutsira. Zingatenge zovuta kwambiri kuti asiye magazi, ngakhale kuvulala kochepa.
Mofanana ndi zolembera pamutu, musalole kupanikiza mpaka thandizo lifika ndipo likukuuzani kuti muchite zimenezo.
Zojambulazo
Zokopa monga chithandizo cha kuchepa kwa magazi zakhala ndi mgwirizano wolimba ndi EMS wachilendo. Poyamba, ma tourniquets anali chipangizo cholowera magazi. Kenaka, amaonedwa kuti akhoza kuwononga mitsempha yowonongeka molakwika kuti athe kutsogolo kwa miyendo. Circa 2005, maulendo achidwi anapeza mwayi wachiwiri.
Vuto ndi maulendo a maulendowa ndikuti iwo amachokera ku lamulo losafunika-galimoto. Kuti mugwiritse ntchito bwino maulendoti, mukufunikira maulendo oyenera oyendayenda. Zogwiritsira ntchito zowonjezera zimalephera nthawi yambiri. Ngati malo anu opangira maulendowa sakuphatikizapo magalasi (mtundu wina wothandizira kuti awupangitse kwambiri, mwamphamvu kwambiri) sungagwire ntchito. Choyipa kwambiri, mu phunziro limodzi chabe zidutswa zazitsulo zinapulumuka moyo ngati mpukutu wopanda phokoso. Musati muvutike nazo ndi zokopa zamtundu ngati mulibe chikalata cha malonda ndi maphunziro kuti muzigwiritse ntchito; gwiritsani ntchito kupanikizika kuti asiye kutuluka magazi ndipo kumbukirani kuti mungomangika kwambiri ngati magazi sakuleka.
Chitani Chinachake
Chomaliza, chinthu chofunika kwambiri kukumbukira sichoncho kukhala wotsalira. Yankhani mwamsanga mukakumana ndi vuto. Itanani 911 kuti muwathandize ndikutsatira malangizo a wotumiza.
Zonse zikalephera, kambiranani ndi munthuyo pakati pa zachipatala. Ngati zonse zomwe mukuchita ndizoyetsa tsitsi lake kapena kugwira dzanja lake, ndizochita. Palibe amene akufuna kuvutika yekha.
> Zotsatira:
> Pulogalamu Yogwiritsira Ntchito Yothamanga (2016). Dhs.gov .
>. Ndondomeko Zowonongeka Zowonongeka Mwachangu (TECC) . (2016 ) > C-tecc.org .
> King DR, Larentzakis A, Ramly. EP; Boston Trauma Collaborative. Kugwiritsa ntchito maulendo pamabomba a Boston Marathon: Omasuliridwa m'masulidwe. J Trauma Surgery Yopambanitsa. 2015 Mar; 78 (3): 594-9. lembani: 10.1097 / TA.0000000000000561.
> Kraf JF Jr, Wallum TE, Aden JK 3, Dubick MA, Baer DG. Kodi Ndondomeko Zowonjezera Zamakono Zolimbitsa Bwino Zimagwira Ntchito Bwino Ndi Ziti? Mphepete mwa Med . 2015 Sep; 26 (3): 401-5. lembani: 10.1016 / j.wem.2014.12.028. Epub 2015 Mar 12.
> Neumar, R., Shuster, M., Callaway, C., Gent, L., Atkins, D., Bhanji, F. et al. (2015). Gawo 1: Chidule Chachidule. Kuthamanga 132 (18 suppl 2), S315-S367. lembani: 10.1161 / cir.0000000000000252