Pit Crew Cardiac Arrest Resuscitation

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Zvidzidzo kubva kuRacetrack Vaponesi Vanochengetedza Upenyu

Paramedics uye nyanzvi dzezvehutano dzinotsvaga (EMTs) vane unyanzvi mukuronga mamiriro ezvinhu akaoma. Tinopindura nguva dzakaipa muupenyu hwevanhu uye tinopa rubatsiro rwekuchengetedza hupenyu. Tinofanira kunge tine ruzivo rwakakura rwe ruzivo rwekukurumidzira nokuti hazvibviri kufungidzira chii chiri kuuya pane chinotevera pamutsara we 911.

Zvimwe zvezvatinoita, zvisinei, zvinotarisirwa. Tichagara tichiteerera zviitiko zvemotokari. Pachava nekukanda uye stabbings. Tinoronga zviitiko zvakasiyana-siyana nguva dzose, asi hapana chimwe chimwe chechokwadi kune chimwe chinhu chaicho: kana mwoyo wevarwere ichiri kurova, iye achafa asina kupindira .

Kamwe kamwe Kashidi Yakasungwa

Pano pane nharo yakasununguka pamusoro pekuti kana kana kwete maawa mashoma anoverengeka mune mhinduro dzakawanda dzedambudziko rezvechiremba. Zvisinei, mune imwe chirwere chezvehutano, hazvishamisi kuti kutarisira kwakakurumidza kunopiwa, iyo yakakwirira mukana wekupona. Kusungwa kwekukurumidza kwemwoyo ndiyoyo imwe muenzaniso.

Nyanzvi dzakawanda dzinofunga kuti kukanganisa kwepfungwa dzisingagoneki kuripo mukati memaminitsi mana kusvika masere mushure mekusungwa kwemwoyo. IAmerican Heart Association inoda kuti munhu wose adzidze maoko-CPR chete ndivo vanogona kubatsira kana mumwe munhu achiwa pamberi pavo. Vashandi vanogara munyika yose vanoita kuti kuderedze nguva dzavo dzekupindura, kunyanya kumanikidzwa kwemwoyo kana isiri iyo mhando dzekurapa kwebasa.

Kuenda ikoko nokukurumidza hakukwani, zvakadaro. Tinofanirwa kushanda nekukurumidza uye zvinobudirira kuti tipe kuwedzera kweuropi uye musimba wemwoyo. Kunyanya, kushushikana kwepfungwa hakusi basa rimwechete kana maviri-munhu. Zvinotora boka, kushanda pamwechete, kuchengetedza hupenyu.

Gomo Rinosungirwa Kununura

NASCAR pit pit crews have it down. Vanoita zvakasiyana-siyana zvakaoma kufamba mumasekondi mashoma. Vanowanzoita zvikanganiso uye kufamba kwavo zvinosarudzwa kusvika pedyo nekukwana. Nzira iyo vanoita zvavanoita inopa hurumende yehutano hurumende (EMS) vanhu kutevedzera.

Heino nzira yekuita nayo zvakanakisisa yeiyo gomba regomba rechokwadi rinofanira kupa. Kune zvishoma kusiyana kusiyana kwatisiri kuedza kudzorera vanhu mumasekondi gumi nemaviri kana kuti pasi, asi pfungwa dzose dzinobva mumuganhu wegomba.

1. Inotsanangurwa mabasa
2. Basa rakakwana
3. Kukurumidza kuongorora
4. High C performance CPR

Ngatitange nekutsanangurira mabasa edu muPac Crew Resuscitation tisati tawana kukokwa.

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Zvinotsanangurwa Mabasa

Iwe hauna kumboona boka regomba rinosvetuka parusvingo apo motokari ichikwira mumugero wegomba isina zvigadziri mumaoko avo. Hazvingave zvisinganzwisisiki here kuona vanhu vachifambisa pamadziro ezvo vova nehurukuro yekukurukura pamusoro pezvinozoita?

"Johnny, tora jack apo Bill anowana gasi anogona.Jake naSean, mumwe nomumwe anowana thiri uye anonditevera.

Izvozvo hazvisi kuzoitika. NASCAR pit pit crews drill repeatedly. Havasi vakagadzirira nguva yakawanda kusvikira vaine chikepe pasi. Iwe hauzombooni munhu wegomba rekudzika kuti awane kuvhiringidzika panguva yemakwikwi.

Zvakanaka, zvishoma kwete kamwe chete.

Triangle of Life

Pane 4 nheyo dzinokosha muPac Crew Resuscitation.

1. Compressor # 1 pafudzi rimwe chete
2. Compressor # 2 pane imwe pfudzi (kuvhara kuita chifukidzo chechifu ne # 1)
3. Musoro / mhepo inoponesa (inochengeta mhepo uye inochengeta nguva)
4. ALS mudzikinuri pachiuno (advanced EMT kana paramedic level)

Nhatu dzokutanga dzinowanzotaurwa kunzi Triangle of Life. Ava vanoponesa vanopa mavheti emapfupa , mafungiro akanaka emhepo , uye kusvibisa . MuAmerican Heart Association ya 2010 CPR mirayiridzo (uye mirayiridzo yeAACLS), kudzvinyirirwa kwepachifu uye kusagadziriswa kwakasimbiswa pamusoro pezvimwe zvose zvinopindira. Kunyange kuputika kwakaderera, kunyange zvazvo isina kubviswa.

The Triangle of Life inobvumira murwere wekusungwa kumwoyo kuti agone kuenderera mberi, kusina kuvharwa kwepfupa. Vanoponesa vakamira kune rumwe rutivi rwechifukidzo uye vanogona kushandura mushure mega yega yega yemaminitsi maviri eCPR.

Muponesi akaiswa pamusoro wemurwere anogona kuchengeta chisimbiso nebhagi-valve-mask. Ari munzvimbo yakakwana yekuchengeta nguva uye kudzidzisa avo vanoita zvigadziro kana vachida kugadzirisa zvakadzika, kudzorera kana kutora.

Muponesi we ALS anofanirwa kutora nzvimbo pachiuno chomurwere. Pamusana iwoyo, iye anogona kugadzira kuvhiringidza (IV) kana intraosseous (IO) kupinda, kugovera mishonga uye kutarisa kurwara kwechirwere chechirume zvose panguva yeCPR uye panguva yechiratidzo chekuongorora pakati pemiganhu yese yeCPR.

Ziva Nzvimbo Yako

MuEEMS, tinogara tichiratidzira panzvimbo yekukurumidzira nemafungiro akazarurwa. Icho chipo chikuru kunze kwekuti nguva ndeyechokwadi. Tinosvika kumativi erwere uye tinosarudza kuti tingagadzirisa sei mamiriro ezvinhu akaiswa kwatiri. Kazhinji, iyo inoshanda zvakanaka kwazvo, asi mumoyo wakasungwa, awa inonyanya kukosha.

Chidzidzo chedu chekutanga kubva kugomba regomba ndechokuziva nzvimbo dzedu tisati tasvika kumurwere. Kutsanangura basa redu nguva isati yasvika kunomutsa kudzorera kunofadza. Nhengo imwe neimwe yeboka iri inosviira munzvimbo yake isina kuudzwa. Nhanho imwe neimwe yekudzorerwa inopedzwa zvayo.

Mamwe madhipatimendi emoto akawedzera vashandi vegomba kuti vaite basa ku "mashizha" ezuva nezuva pamwe chete nezvimwe zvinhu zvakadai semabasa ekufambisa uye purogiramu yekudzidzisa. Nhengo imwe neimwe yekambani inonyatsoziva zvaari kuita kana pakaitwa mushumo musati mhepo ikamboromoka.

Izvo (Nekuda) Hazvomboregi Kutora

Kunyange kana iwe usina kutaurirana pamusoro pefivha yemangwanani kuti usarudze kuti ndiani ari kuita, kugovera gomba vashandi basa panzira yekuenda kudanidzi richiri kukuisa danho mberi mberi kana murwere achizoitika ari mumoyo wekusungwa. Chero bedzi uchifamba muchiitiko uchiziva basa rako, wakagadzirira kupindura zvakakodzera.

Kana ukangosvika panzvimbo yacho, iwe unoda nzvimbo yakawanda yekuita basa rakarurama.

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Basa rakakwana

Zvingava zvakanaka kana varwere vedu vose vaigona kuverenga mabhuku eEEM vasati vawa kubva pamusana pekusungwa kwemwoyo. Zvinosuruvarisa, vazhinji vavo havana chido chekuedza rufu munzvimbo yakakodzera, vachida kuti vaendezve tisati taedza kuvadzosa zvakare.

Kana iwe iye zvino uri mushandi weEEMS, zvichida wakapindura kumurwere anogara mumusha wakagadzirirwa nezvinhu (fesheni, zvipfeko, zvishandiso zvitsva, uye kunyange mhuka dzemhuka kana marara) kubva pasi kusvikira kune denga. Isu muEEMS tine tsika yekuedza kurapa varwere ivavo mumisha yavo yakanyanya kudarika, pane kuvaendesa kunzvimbo iri nani.

Pit Crews Have Space

Kana tichizokwereta chimiro chemoyo wedu kubva kunzvimbo yegomba reNASCAR, haugone kupokana kuti havana nzvimbo yakakwana yekushanda. Ngatinyatsojeka: vashandi vemugodhi havana nzvimbo yose munyika. Kune rumwe rutivi, vane zvose zvavanoda. Icho chiyero.

Chimwe chezvinhu zvinokonzera kukwikwidza kwemotokari yemagetsi kubasa ndeyekuti vanongotora izvo zvavanoda - muvashandi vose nemidziyo - kunze kwemotokari. Zvine zvavanoita neEEMs hazvisi kukwanisa kudzora nzvimbo yavo.

Zivai Basa Rako Rokushanda Usati Wachida

Apo patinoratidza kuratidziro rwechirwere chekukurumidzira, tine zvisarudzo zvakawanda zvokuita. Tinofanira kuongorora kana iri yakachengeteka kana kwete. Tinofanira kusarudza kuti ndezvipi zvimwe zvigadziro zvatinoda kana pane. Tinofanira kusimbisa nhamba nekuoma kwevarwere vedu.

Ndinoda kuti iwe uwedzere chimwe chinhuzve pane yako: nzvimbo yekushanda. Kana iwe waizosvika pachiitiko chekusungwa kwemwoyo - kana iwe uri kutarisira ku-kana kuti iwe unogona kuunza murwere kuti amudzorere zvakare.

Iyi ingano (mukati kana kunze) iwe unofanirwa kuva nayo usati wasvika kurutivi rwomurwere. ona nzvimbo yakanakisisa yokutora murwere apo iwe une nzvimbo yakakwana yekuita CPR uye chero hupi hupi hwakatsigira hupenyu hwekutsigira hupenyu. Zvipe iwe nzvimbo kumativi ose murwere kuti ashande. Kana iwe uchizviita nenzira yakakodzera, iwe uchada kukwanisa kuita chifukidzo chechifu kune rumwe rutivi rwomurwere.

Pfungwa iyi ndeyokutora murwere nekukurumidza mushure mekunge wakaziva kuti iye ari mumoyo wekusungwa. Iko inofanira kuva chinhu chekutanga chaunoita, uye hachikurumidze kana iwe usingazivi kuti uri kuenda kupi.

Ichokwadi kuti kuendesa murwere nokukurumidza kunoda kuongorora nokukurumidza.

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Rapid Assessment

Wati wamboona munhu ane mwoyo wekusungwa here?

Kune avo vasina, zvinogona kutora miniti (zvichida mashomanana mashoma) kuti uzive zvauri kuona. Vaya vakaona kusungwa kwemwoyo kwenguva shomanana vanowanzozviziva nokukurumidza.

Shandisai zvakaitika. Vimba nematumbo ako.

Fungidzira Zvakaipisisa

Mumakore apfuura, chinangwa chekuvhara mwoyo kwepanyama chakanga chiri kuve nechokwadi chekuti murwere wako akanga ari mukati memwoyo kusungwa asati atanga CPR. Zvichida zvakabva pakunetseka kuti kukwira pachifukidzo chemumwe munhu kungave kwakakanganisa utano hwavo kana vakanga vasati vasati vasungwa mumoyo.

Iye zvino tinoziva zvinhu zviviri zvinokosha:

1. Varwere havazofi kana tikasundira pamapfupa avo pavanenge vachiri nemhepo.
2. Varwere vachafa kana tisingasundiri pamapfupa avo pavanenge vasina chaipo (izvi hazvizivo zvitsva, asi zvinokosha).

Tinogona kugara tichimisa CPR kana tikatanga kune murwere asiri mukumanikidzwa kwemwoyo, asi hatigone kudzoka munguva uye tanga kutanga pane murwere ari. Nezvozvi mupfungwa, nguva dzose fungidzira zvakaipa. Kana iwe usingazivi, tanga CPR (mushure mekunge iwe nokukurumidza uendesa murwere kune nzvimbo yakakwana yekushanda).

Kana murwere akasimuka ndokutanga kukumbira pamusoro pako nekusunga pachifuva chake ... rega.

Iwe unoshandura sei pachipfuva chinotonyanya kukosha kudarika nguva .

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High Performance CPR

IAmerican Heart Association yeCPR Guidelines 2010 yakajeka kwazvo:

• Chest compression starts before positive pressure ventilation
• Kumanikidzira chifu chemasendimita maviri akadzika
• Kumanikidzira chifu pamwero weanenge zana paminiti
• Bvumirai chifukidzo chekudzikinura zvachose pakati pezvinyorwa
• Kuputika hakufaniri kutora chikamu chimwe chete kwechipiri chimwe nechimwe
• Mafupa emapfupa anofanira kunge achienderera mberi kunze kwekumanikidza uye kumbomira kushamiswa
• Kana murwere akavharwa, kuvhara kifupa hakufaniri kumbomira kuti iite ventiroyo

Kushanda kwekodzero yeCPR inongotevera tsamba yezviongororwa (kunze kwekuti nzvimbo yako yakashandura mazano - zvino tevera izvozvo kune tsamba).

Gwara rekugadzirisa mafambiro ekudzoka kunobvumira boka kuti riite mirayiridzo iri nani nekujekesa chikamu chemuponesi wega wega. Hapana muto wepachivande apa; iyo mirayiridzo inokuudza izvo zvinoda kuitwa.

Usarega Kuedza

Mapoka mazhinji anoponesa anomira achiedza kare. Kana murwere akawanikwa mune rwiyo rukuru, iye ane mukana wakanaka chaizvo wekupona. Mune dzimwe nzvimbo dzenyika, zviri nani kupfuura 50%.

Kana murwere akatamiswa mushure mekudzorerwa kwapera, unogona kunyora chiedza. Kuchengeta chifukidzo chechipfuva kuti chiendese murwere kana panguva yekuendesa ambulensi zvinongomisa chete kudzoka. Kudzorerazve kuedza kwevarwere mu ventricular fibrillation kunogona kutora nguva yakareba kupfuura yaimbofunga.

Kushanda kwepamusoro CPR inotenga nguva yekushandisa zvinodhaka uye oxygenation kuti ishande. Chero bedzi murwere anoramba ari muuropiyumu fibrillation, kune mukana wekuwanazve. Usaramwe.