Hezvino iwe unogona kuita mune zvishoma zvinowanzoitika
Mutariri ndiro shoko ratinoshandisa mumabasa ekutsvaga kureva munhu asina mhosva anenge ari pedyo nechiitiko. Inogona kuva munhu anoona njodzi yemotokari, chirwere chemwoyo, kana kurwa. Inogona kuva vanhu vari kunze kweBoston Marathon kana kutamba pasi pasi pePulse Nightclub muOrlando. Hazvina mhosva kuti ndeipi kana kuti chii chakaitika, vatsigiri vemapurisa nemapurisa vanogara vachishandisa izwi rokuti "mutariri."
Asi mumiriri ishoko risingaiti. Zvinoreva zvazvinoreva; kuti munhu akamira-achingova pedyo nezviri kuitika. A mumiriri haabatsiri. Anotarisa. A anomira haabatsiri. Anongopinda munzira.
Chinhu ichi ndechekuti: vanhu vazhinji havaiti saizvozvo. Vanopinda mukati vobatsira kana kuenda kwacho kuchiva kwakasimba. Chapupu chinouya mberi uye chinoudza zviremera zvaakaona. MuSamariya Akanaka anokwevera avo vakakuvadzwa kune ngozi kana kuti vanoedza kumisa kubuda ropa. Chero chii chinoda kuitika chinowanzoitwa nemunhu mumugwagwa kana vashandi vomurwere. Vanhu vazhinji havangomiri.
Vanopindura Nenguva Isipi
Vhidhiyo inonyatsozivikanwa nepfungwa yeVatambi Vokutanga. Ava ndivo vanhu vanouya kuzotibatsira patinoda rubatsiro. Kazhinji yenguva, izwi racho rinoreva vanodzimisa moto, mapurisa, nyanzvi dzezvehutano dzinoshamiswa, uye varapi vepamuviri . Izvo zvakakura sezvazviri kuonekwa sevanhu vanotungamirira mutero wekubatsira avo vari kushaiwa, chokwadi ndechekuti Vapindi Vokutanga kazhinji havakwanisi kutanga.
Pamberi peVapindura Vokutanga, pane mhinduro pakarepo . Ndiwo munhu, kazhinji asina kudzidziswa, uyo anotora kuita chero zvaanogona kuti amise zvinhu zvakaipa kuti zvirege kuitika uye kutanga kuita zvinhu zvakanaka. Munhu anenge apindura zvino anenge atova kubatsira vasati vatanga vaziviswa nezvechinetso.
Ndiyo anobva apindura (izvo zvandakadana kune dzimwe nhepfenyuro muponesi wakadzika kana, mune dzimwe nguva, munhu anomira) uyo ari kuita chifukidzo chemapfupa kana varapi vepamuviri vachifamba nepamukova.
Iyo pakarepo mubvunzo ndiye uya akadana 911 panzvimbo yekutanga.
Kana uri kuverenga izvi, iwe unoda kuva mutevedzeri pakarepo. Handisi kureva kuti unoda chimwe chakaipa kuti chiitike. Ndiri kungoti iwe unoda kugadzirira. Iwe unoda kuziva kuti chii chaunofanira kuita muchiitiko chekukurumidzira kwechiremba kana mamiriro ekushandura anoshanda. Iwe uri rudzi rwemunhu asingakwanisi kumira nekutarisa pasina kusvetuka mukati kuti abatsire.
Kugona.
Vanonyanya kupindura vanenge vapindura ndevaya vane zvishoma zvidzidzo zvishoma, zvingave mukirasi kana nemashoko anozvidzidzisa. Kuziva kuti unofanira kuitei mune imwe nhamo kunokupa gumbo kusvikira-kunyange kana kungova kuburikidza nekurayirirwa kwete pane kuwana ruvoko rwekutanga. Nekudzidziswa uye ruzivo, iwe unenge wava nenguva yakawanda yekuita nenzira inopa rubatsiro rwechokwadi. Saka, dzidzira kudzidziswa. Tora nzira yekutanga yekutanga uye udzidze CPR . Cherechedzai Mhanya, kuvanza, kurwisa vhidhiyo. Ziva iwe pachako.
Zvaunogona Kuita
Unogona kunge uchifunga kuti unoda zvimwe zvinhu uye midziyo yekugadzirira zvechokwadi. Asi kugadzirirwa hazvirevi kuti unofanirwa kuva ne gear.
Pane zvakawanda zvaunogona kuita munjodzi pasina chirongwa chekutanga chekubatsira kana chirongwa chepedicic. Zvechokwadi, Mutemo waMurphy unoti hauzovi neipi yemhando iyo yakaisvonaka apo zvinhu zvinokanganisa fan.
Zvizhinji zvezvigadzirwa mumutambo wekutanga wekutanga rubatsiro ndezvekukuvadzwa kwechidiki kwechimiro chisingazokuurayi. Mabhanji nemafuta haafaniri kuchengetedza hupenyu; zviito zvinodaro.
Emergency # 1: Cardiac Kusungwa
Zvichienderana nerudzi rwekukurumidzira, pane zvakawanda zvaungaita kuti utarisire kana kuti rubatsiro. Munyaya yekusungwa kwemoyo , CPR ndiyo danho rinokosha uye harina basa kuti iwe uri mudzidzi zvakadini. Paramedics kana vanachiremba vachaita imwecheteyo CPR iyo muchengeti wechipfuti (kana kuti pakarepo anenge achipindura) angaita kune murwere ane kusungwa kwemwoyo.
Vachafunga nezvechinhu chimwe chete chaunofanirwa kutarisirwa nacho - chifukidzo chechipfuva.
Kudzvinyirirwa kwechifukidzo ndiko humwe unyanzvi hunokosha hukuru hwekusungwa kwemwoyo, uye sezvo kusungwa kwemoyo kunotungamirira kune imwe rufu kana isingatariswi, kuiswa kwepfupa kunogona kuva humwe unyanzvi hunokosha hukuru hwemishonga. Kana iwe usingaiti chimwe chinhu kune munhu asingafemera, sidza 911 uye shandisa pfupa rake. Ramba uchimhanya kusvikira rubatsiro rwasvika uye ruchikuudza kuti urege . Ndizvo chaizvo: kunyange kamwechete varapi vanofamba mumusuwo, musamira kusvikira vataura kudaro (kazhinji vasati vagara vakagadzirira kutora iwe).
Emergency # 2: Choking
Iyo Heimlich inofamba (mimba yepamuviri kuti ibudise nzira yomugwagwa yemunhu ari kukonzera) mitsara yakatarisana nechepamusoro pemapfupa mubhokisi-iyo isinga-wait wait category. Apo chikamu chebiki (kana imbwa inopisa, mashizha akaoma, cufflink, gumball, nezvimwewo) yakanamirwa mumhepo, inouraya munhu mumaminitsi mashoma. Nenguva iyo Vapindi Vokutanga Vachisvika panzvimbo yacho, murwere angangove afa ...
... kunze kwekuti iwe ubatsire.
Kufanana nemakumbo emapfupa, haudi chero mhando yemichina yekuita Heimlich. Zvose zvaunoda kuita. Putira maoko ako kumativi omunhu ari kukonzera uye kumanikidza steak kubva maari. Ramba uchiedza kusvikira achikwevera kana kupfuura. Kana akazobuda, danai 911 uye shingai pachipfuva chake sechimiro chekusungwa kwemwoyo.
Emergency # 3: Bleeding
Mutariri weCPR (pane iro shoko zvakare) rave riri mberi kwekudzidzisa vanhu kubvira pakusvika kwezana remakore rechi21. Kubva muna 2015, kutonga ropa kunowedzera kune iyo mharidzo. Vakuru vakaona kuti dambudziko rinokonzerwa nehemorrhage rinogona kunge riri munharaunda yevanhu mushure mekudzidza maverengi evanhu vakawanda. Dzidzo yezvechiremba pakutanga yaida kuti varwi vashandise panguva yekurwisana iye zvino vanogara vachidzidzwa uye vakashandurwa kuti vasashandise zvevanhu.
Kunyange zvazvo kukurudzirwa kwekushanduka kwakatanga nemamiriro ekushandura akashanda uye kurwiswa kwegandanga, pane zvimwe zvakawanda zvinokonzera kubuda ropa zvokuti munhu wepakati pezvakawanda anowanzosangana kukunda kurwa. Pasinei nokuti chii chinokonzera, kuora ropa kunofanira kumira nokukurumidza kana munhu wacho angafa.
Kushushikana pachironda ndiyo nzira yakanakisisa yekurega kubuda ropa. Zvechokwadi, haudi chinhu kunze kwemaoko ako kuti upe zvinetso, asi jira rakachena rinobatsira. Kubata chimwe chinhu kurwisana nevanga kuti ubatsire ropa rinounganidza uye kubatana kunobatsira kudzora kubuda ropa. Kubata kumanikidza kazhinji hakugoneki kumurwere kana kumununuri. Zvinogona kutora zvishoma zvekumanikidzirwa kurega kuteura ropa, kunyangwe kubva mukukuvara kunononoka.
Kungofanana nekumapfupa emapfupa ari pamusoro apa, usakanganiswa pamusana pokuti kubatsirwa kwasvika uye kukuudza kuti uite saizvozvo.
Tourniquets
Tourniquets sekurapa kwekuita ropa kunokonzera ukama hwakasimba nehukama hweEAS. Pakutanga, zvirongwa zvekuratidzira dzaive iyo yekuenda-kubuda ropa. Zvadaro, vakadzingwa sevangangodaro kukonzera kukanganisa kwakanyanya kwemashutu zvakakosha kutungamirira pakurasikirwa kwemakumbo. Pakazosvika 2005, vatambo vakawana mukana wechipiri.
Dambudziko rekushanyirwa kwevashandi ndeyekuti ivo vari kunze kwemutemo usina-gear-unodiwa. Kuti ushandise zvakakodzera tourniquet, unoda kutendera zvakanaka. Nzira dzakagadziridzwa dzakaputsika dzinopera 100% yenguva. Kana yako tourniquet isingasanganisi kirasi yemafirimu (mamwe mararamiro okuita kuti akanganise kwazvo, zvakasimba kwazvo) haigoni kushanda. Zvakaipisisa, mune imwe chidzidzo chete zvigadzirwa zveputi zvakasara muupenyu semhepo yeguruva isina kuputsa. Usatotambudza nekutarisa kana iwe usina chikamu chekutengeserana uye kudzidzira kuishandisa; shandisa zvinetso kuti urege kubuda ropa uye yeuka kungomhanya zvakanyanya kana ropa richirega.
Itai chimwe chinhu
Pakupedzisira, chinhu chinonyanya kukosha chokuyeuka hachisi chokuona. Mhinduro pakarepo pachinetso chekukurumidzira. Dana 911 kuti ubatsirwe uye tevera mirayiridzo yechiparidzi.
Apo zvose zvese zvinokundikana, taura nemunhu ari pakati pehutano hutsva. Kana zvose zvaunoita ndezvokudya vhudzi rake kana kubata ruoko rwake, icho chinhu. Hapana anoda kutambura ari oga.
> Sources:
> Active Shooter Pocket Card (2016). Dhs.gov .
>. Tactical Emergency Casualty Care (TECC) Mirayiridzo . (2016 ) > C-tecc.org .
> King DR, Larentzakis A, Ramly. EP; Boston Trauma Collaborative. Tourniquet inoshandiswa paBhoston Marathon bhomba: Yakarasika mukushandura. J Trauma Zvakanyanya Care Care Surg. 2015 Mar; 78 (3): 594-9. doi: 10.1097 / TA.0000000000000561.
> Kraf JF Jr, Wallum TE, Aden JK 3rd, Dubick MA, Bhaer DG. Ndeipi Ikuvandudzirwa Kwekushanyira Windlasses Ichishanda Zvakanaka uye Ndezvipi Zvisingadi? Wilderness Munharaunda . 2015 Sep; 26 (3): 401-5. doi: 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). Chikamu 1: Chirongwa Chirongwa. Kutenderera 132 (18 suppl 2), S315-S367. doi: 10.1161 / cir.0000000000000252