Shanduro yekushingaira izwi rinoshandura mifananidzo yevarume vanopfura vachifamba muchikoro kana mahofisi, vachirova vasina chavanofunga vasina mhosva. Inogonawo kureva vapambi vese kana mapoka emagandanga ari kushanda pamwe chete kurwisa kuungana kwevanhu munzvimbo dzevanhu. Tingave tichitaura nezvomumwe mutambi akaipa kana boka, izwi iri rakafanana.
Kushanda kwekushanda kwekushanda kunowanzotarisa pane zvaunofanira kuita muchiitiko icho iwe unozviwana uri mumamiriro ezvinhu akadaro. Dhipatimendi reHome Land Security inotikurudzira kuti tiite chimwe chezvinhu zvitatu kana tatarisana nebhadhadziro:
- Runha . Nzira imwe chete yakanakisisa yekugara yakachengeteka panguva yechiitiko chakashandura chekushandura ndeyokusazogara pachiitiko chinoshandiswa chechibhadharo zvachose. Buda uye uende nokukurumidza sezvaungaita.
- Viga . Kana iwe usingakwanise kumhanya, chivanza. Nyarara uye usaramba uchiona, zvichida seri kwemukova wakavharwa. Nyarara yako foni.
- Kurwisa . Pakupedzisira, kana usina imwe sarudzo, kurwisa. Kuvandudza zvombo uye kuzvipira kuzviito zvako nokuti hupenyu hwako hunoenderana nezvahwo.
Dana 911 uye tarisira kuva musimboti apo mapurisa anouya. Havana kuziva kuti ndiani, saka ivo pavanosvika ikoko, vachave vakangwarira vose. Tevera mirairo yavo uye iva nemwoyo murefu.
Muzviitiko zvakasiyana-siyana, i-how-to's do not include what to do for injuries. Kukuvadzwa kubva kune zviitiko zvinoshandura zvipfeko-uyewo kukuvara kwekukuvadza kubva kune zvishandiso zvinoputika-tevedzera maitiro akafanana, kunyanya kufanana nemajekitete uye maronda ekuputika.
Tourniquets
Tourniquets akamboshungurudzwa neboka rekutanga rekubatsira. Kwenguva refu kwazvo, isu (ini takabatanidza) takatenda kuti maruva emitambo yakanga ari matambudziko kupfuura zvaaikodzera. Zvaifungidzirwa kuti mavarai anokwanisa kuponesa upenyu, asi aizoita kuti kurasikirwa kwemuviri kana kushandiswa kana kushandiswa.
Heino mhedziso: maruva ekushandura anoshanda nekupfepa ropa rinopinda kune ruoko rwakagadzirwa kana gumbo. Kubvumira kunomira, asi ndizvo zvakaitawo kubuda kwezvimiti uye oksijeni kune imwe nzvimbo yese. Kana murwere asina kurapwa zvakaringana, zvaitendwa, kurasikirwa kweropa kunopinda kune chikamu chisina kuvhiringidzwa chekuguma kunotungamirira kumaronda kufa.
Chinhu chacho ndechokuti, pakanga pasina chaicho chechikonzero chekufunga kwakadaro. Sezvo zvinosvika (pasina pun inonzi) zviratidzo zvinoshandiswa kwemazana emakore pasina zvirwere. Dzidziso yekukuvara yakakonzera kuderera kukuru mukushandiswa kwevashandi kunze kwemauto.
Kutsvakurudza kwakanakisisa munguva yekukakavadzana muIraq neAghanistan kwakabatsira kubatsiridza mukurumbira wevashandi uye ikozvino zvakakosha kune chero kambani yekubatsira yekutanga.
Shandisa mazhenjeti apo kubuda ropa kwakaoma kana kuti kune kukuvadza kwakakura kune ruoko kana gumbo kuti kusunga kupfugurwa hakugone kuvhara. Kuwanda kwekukuvara kunogona kusanganisira kumiswa. Nenzira yekugadzirisa kushanda kwekushanyirwa ndekuita kuti ive yakasimba zvikuru. Kushandiswa zvakakodzera kutenderera hakunakidzi kune murwere, vamwe vangati kunyange zvinorwadza.
Pressure Dressings
Nzira yakanakisisa yekudzidza kuti ingashandisa sei kupfekedzwa kupfeka ndeyokuzviita. Tenga maviri uye uzarurire kuti uite nayo. Imwe yezvinonyanya kukosha ndeyekusungwa kweIsrael, iyo ine chikwata chinosundira pavanga kuti iite chisimba. Bhanhire reIsrael rinogona kushandiswa nekukurumidza nekuita, asi zviri nyore kutyisa kana iwe usina kuzviita kakawanda.
Zvakakosha kuyeuka kuti uchange uri mumakumbo eAdrenalin kana yava nguva yekushandisa zvinhu mumutambo wako wokutanga rubatsiro. Dzidzira ndiyo nzira chete yekuita kuti kubudirira kana maoko ako achizununguka uye iwe une dambudziko kuisa pfungwa.
Kusiyana nekufambisa, kusungirirwa kwekumanikidzwa hakuna kumbove nemhando yakafanana yezita rakaipa. Izvozvo zvakati, kuomeswa kupfeka kwakaoma zvikuru kushandisa zvakanaka. Kune mhando dzakawanda dzekunze nekunze kushandiswa kupfeka pamwe nehemostatic agents dzinobatsira ropa coagulate.
Haisi pfungwa yakaipa yekuita zvisarudzo zvishomanana zvekumanikidzirwa mumaketani mubato rako rekutanga rekubatsira. Mabhanji anouya ne hemostatic agents akaisvonaka pakuteya mavanga. Mabhanji anonamatira pachake pasina kunyengerera paganda akaisvonaka kune vakwegura vakwegura.
Chest Seals
Bullets uye mabhirikiti anobhururuka kubva mumhepo inoputika zvinogona kuisa masango mune zvishoma. Chero huni mumutumbi usingafaniri kunge uripo uchabuda ropa. Ganda nematumbu emuviri ndezvimwe zvine ropa uye muviri wemvura. Idzira gomba mumudziyo uye mvura inenge ichibuda.
Inobata mubhokisi, kusanganisira kumusoro kwekumusoro, kwete kungoita ropa chete asiwo kubvumira mweya kupinda mukati nekubuda. Iyo idambudziko rakakosha iyo masango mubhokisi anoonekwa achiyamwisa mavanga emapfupa . Hazvidi kuti iwe unzwe kana kuona kutenderera kwemhepo. Kazhinji kazhinji kanyengeri.
Kana isina kusiyiwa, kunwa mavanga emapfupa kunogona kutungamirira kumapapu akadonha, chiitiko chinonzi pneumothorax . Mhepo inovhara mukati merupa rwechifuva nemapapu, kushiva pamapapu uye kuchiita kuti iite "yakakoromoka" pane x-ray.
Nzira yekurwisa ronda rinoputika chechipfuva nderekuisa chisimbiso . Kuchengetedza kufamba kwemhepo kuchachengeta pneumothorax kubva pakukura. Muzviitiko zvisingawanzoiti, kuisa chisungo chepfupa kunogona kutungamirira kumhepo kuvhara mubhokisi kubva pakunyura mumapapu. Zvinonzwisisika kuti bhururu inofamba zvakaringana zvakakwana kuti iise danda mumisungo yakaoma yebhokisi yaizoisawo mamiriro muzvivako zvemapapu.
Sezvo mhepo inogona kubuda kubva mumapapu uye kuva inoyamwa mukati megomba mubhokisi, zvimwe zviputi zvechifuva zvinouya nemhepo. Ivhu rinobvumira mweya kupukunyuka asi inochengetedza mhepo kuti isapinda muchironda. A vent is a great addition, but it is not necessary-especially if the patient will get help in a short time. Kuwanda kwekukuvadzwa kwehurumende kunozobatwa nekukurumidza zvakanyanya kudarika vamwe vavo vehondo.
Nekudzidziswa zvishomanana uye kunzwisisa kwokuti zvivharo zvechifukidzo zvinoshanda sei, ichi chinhu chimwe chezvigoni zvinogona kushandiswa nyore nyore uchishandisa kuvhara kwekusvibiswa kwakashata kakatova mukiki chako chekutanga chekubatsira. Pasinei nokuti iwe unofungidzira kana kushandisa chisimbiso chezvokutengeserana, dzidza kuzviita usati watoda.
> Sources:
> Active Shooter Kugadzirira | Homeland Security. Active shooter Kugadzirira | Homeland Security . (2016). Dhs.gov .
> Butler FK, Dubose JJ, et al. Kutungamirirwa kweWorld Pneumothorax muHondo Yokurwisana Nesimba: Kuchengetedzwa kweTCCC 13-02. J Spec Oper Oper Med . 2013 Kuwa; 13 (3): 81-6.
> Edwards S, Smith J. Kufambira mberi mumashure ekudzorerazve. Emerg Nurse . 2016 Oct 6; 24 (6): 25-29.
Kubatsira Pakutanga Kwekushanda Kwekushanda Kwekushanda
Kamwe kubhururuka kwamira, pane nguva refu yekumirira kusati kwasvika ruponeso. Ndiyo nguva ino yaunofanira kusarudza kana iwe uchange uri mumiririri kana kuti muteereri pakarepo . Uri kuenda kunongomira kana kuita chimwe chinhu here? Chisarudzo ichocho chinova nyore zvikuru kana iwe waronga mberi kwezvaunofanira kuita.
Chokutanga, dzidza rubatsiro rwekutanga . Hapana chakafanana nekudzidziswa kwakakodzera kukugadzirira iwe zvisingatarisirwi.
Chechipiri, tora chikwata chekutanga chekubatsira . Ikoti yakakodzera inowanzowanikwa yakatangwa kare, asi iwe unogonawo kuivaka kubva pakutanga. Chero nzira, pane zvigadziro zvaunoda muchitokisi chako kuti ugadzirire mamiriro ekushandura anoshingaira angangodaro asina kudiwa mune imwe mhando ipi yegadziriro yekutanga yekubatsira.
Pasi pane urongwa hwezvimwe zvinhu zvinoshandiswa kune zviitiko zvekushandura zviitiko uye kukurukurirana pamhando imwe neimwe. Zvinhu izvi zvakakosha kune kitambo chekutanga chekubatsira muhofisi, chikoro, kana chikwata chako pachako. Kubatsirwa kwekuti zvinhu izvi zvose zvakafanana ndezvokuti zvinogona kushandiswa uye zvinobvumira muponesi kuti ave asina maoko. Nenzira iyo, muponesi anogona kubatsira kubvisa murwere kana kunyange kurwisana nemudhiriri kana zvichidikanwa.