Wakaona izwi rokuti "First Responder" muchidhindwa kana kutaurwa nemutungamiri wepurezidhendi kana maviri. Mazuva ano, yakashandiswa zvakanyanya, asi yakatanga sechinyorwa cheEEMS, chakakwana ne capitalization.
Zvinotanga kupindura Mutevedzeri wekutanga kunobva pane kwaunogara, asi zvichida haisi ambulensi .
Kutaura Nezvekurapa Kwokurapa
Ukama hweVokutanga Vanopinda ma ambulensi yakasiyana neEEMS .
Kusiyana nekuchengetedzwa kwemitemo kana kupisa moto, uko munhu wekutanga kusvika panzvimbo yacho anoda kuve nekwanisi yekugadzira mamiriro ezvinhu (pfuti kana hoses, zvichienderana nezvinodiwa), chirwere chekukurumidzira chinofanira kutariswa mumatanho maviri akasiyana:
- Dzoka dambudziko rekukurumidzira kubva pakufambira mberi kune mamwe matambudziko akaoma
- Kutakura murwere kuti ave nehanya zvakanaka (dhipatimendi rekukurumidzira dhipatimendi, kupisa mukati, nzvimbo inoshungurudza, mapiritsi emagetsi echechi, etc.)
An ambulensi inofanirwa kutakura murwere, asi vamwe vanopindura mutano vanogona kuita danho rokutanga. Vanonzi F irst R esponders , izwi rinoshanduka mune zvemashoko-kunyanya kubvira 9/11-kureva vose vaparidzi vanoparidzirwa, asi zviri pachena zvinongoreva vanhu vezvechiremba vanorova ambulensi munzvimbo. Vazhinji vanotanga kupindura vatori vadziviri vemoto, asi kune dzimwe mienzaniso munyika yose, kusanganisira vasina chirwere chemahara mu Quick Response Vehicles (QRV) kana kunyange pamabhasikoro.
Mitemo yezvemitemo inogonawo kuzadzisa basa rekutanga wePinduri.
Kukosha Kwoukama Hwenguva Dzokupindura
Nguva dzekupindura dzinowanzoonekwa sechinhu chakakosha pane zvose zvitatu zvinoshandiswa pabasa rinokurumidza: kushandiswa kwemitemo, kupisa moto, uye kushandiswa kwehutano hurumende (EMS). Yakagadzirirwa nenzira iyi nokuti zvinokurumidza mumabasa ose matatu zvinogona kuwedzera nokukurumidza uye vaparidzi vemhirizhonga vangave vakakwanisa kuita chimwe chinhu kuti vadzivise kana vakasvika ipapo munguva.
Mapurisa anogona kumisa mushure kuti arege kukuvadza (kana kuita zvinokuvadza kupfuura zvave zvatoitwa); dhipatimendi remoto inogona kukwanisa kununura avo vari muchivako chinotyisa; EMS inogona kukwanisa kumutsira munhu mumoyo kusungwa (imwe yenhamba shomanana yehutano yakarongerwa kuti iite rufu kana isingarapwa zvakanaka uye nokukurumidza).
Zvichida chikonzero chinowanzovhiringidza chokuti nguva dzinopindura ndezvekuti vanhu vanotarisira kuti vanochema kuti vabatsirwe kupindurwa nekukurumidza uye nepfungwa yekukurumidzira. Tinoda kufungidzira ambulensi ichidanidzira pasi mumugwagwa uye mwenje ichipenya uye mheremhere achichema. Ikoko hakuzombovi nenjodzi inonyanya kukosha kudarika dambudziko redu .
Kazhinji yenguva, zvisinei, maminitsi haaverengi-zvichida kwete ma ambulensi. Hapana chidzidzo chimwe chete chinosangana nemigumisiro yakanaka yevarwere (varwere vanowedzera zviri nani) pamwe nemamambudzi anosvika kumativi evarwere pakutanga. Izvozvo hazvirevi kuti munhu haafaniri kuenda ikoko nokukurumidza, asi haafaniri kuva ambulensi.
Nzira Dzakakwanisa Kuendako Ikoko
Zvimwe zvinoshandiswa zvinokanganisa nguva yekupindura-kufamba, geography, kushandiswa kwemagetsi, kutumira maitiro, nezvimwewo-asi chinonyanya kukosha ndeye kuwanikwa kwezvinhu.
Kana pane nguva dzose ambulensi yakagara maminitsi gumi kubva kwauri paunodana 911 , chero ipi zvayo yekukurumidzira inogona kugamuchira ambulensi mumaminitsi gumi. Ndiwo mutemo unyore.
Nguva dzose kuva nema ambulensi akawanikwa zvaizoguma nekuenda kune mamiriro mukati maminitsi gumi zana zana panguva iyoyo. Nzira chete yekuita kuti vanhu vakapindura vechokwadi vaigara varipo panguva inenge iri yekuwedzera mafashamo nemhando. Izvozvo hazviitike nokuti kushandiswa kwemari kunowedzera mari. Nguva imwe neimwe yekuwanika-iyo inowanzotaurwa nezvayo seyunitiawa-ine mari yakawanda inoshandiswa nayo: yevashandi vemari, mafuta, kupfeka uye kubvarura pamidziyo, zvinhu zvekutenga mari, mari yekudzidzisa, nezvimwewo.
Izvi zvinoumba makwikwi pakati pehutano hwezvemari yehutengo uye kutarisira kwebasa nevagari.
Panzvimbo yechinhu chakanaka chinodhura chekuwedzera mamwe unit maawa kuhurongwa, zvinokwanisa kusvitsa huwandu hwekugadzira kubva pane imwe imwe yeawa imwe nekuvandudza kubudirira. Kana chero ambulensi imwe neimwe inogona kupindura mafoni akawanda ehurumende neawa, kudiwa kwezvimwe zviwanikwa kunoderedzwa. Inova muganhu unogona kuonekwa muhurongwa hwakanyatsotarisirwa zvayo. Nokuda kwechikonzero ichi, masunharaunda akawanda anoyera nguva yekupindura semutungamiri wehutano hweEEM system. Pasi (AKA nekukurumidza ) nguva yekupindura, zviri nani hurongwa huri kuita.
Vapindi Vokutanga Vanofanira Kuva Vafambidzani Here?
Kutaura nezvemari, pane gakava muEEMS pamusoro peiyo ndiyo iri nani Mutevedzeri wekutanga, EMT kana chirongwa chepedicic. Kutsigirwa hupenyu hutsigiro (ALS) Vokutanga Vanopindura vane chirongwa cheperiyamu pabhodhi uye hupenyu hwomutsigiro hwehupenyu (BLS) Vokutanga Vanopindura vane unyanzvi hwezvehutano hwekukurumidzira (EMT) vari pabhodhi. Paramedics inodhura.
Nyaya shomanana yemitemo inofanira kuitika mumaminitsi ekutanga kwechirwere chekukurumidzira ( CPR , defibrillation , kubuda ropa , epinephrine administration , uye maitiro akanaka ekumanikidzwa kwemhepo) zvose zvinogona kuitwa neMEMT. Kamwe zvinhu izvi zvave zvatanga, dambudziko racho rakagadziriswa, kana kuti zvishoma nezvishoma rakaderera. Murwere anenge anoda kunyanya kurapwa uye kutakura kuenda kuchipatara, asi maminitsi mashomanana haazogadziri mutsauko panguva ino. Vokutanga Vanopindura vanofanira kuva pedyo (izvo zvinoreva kuti tinoda zvakawanda kwavari) uye zvinowanika kupindura nokukurumidza paunodana 911. Kushandisa BLS vokutanga vapindura kunobatsira kuitisa.
Chiitiko Chinoitika
Rega ndishandise muenzaniso wekumanikidzwa kwemwoyo kuratidza kuti unoshanda sei:
- Mwoyo murefu unomira zvakakwana kupemha ropa (kusungwa kwemwoyo).
- Mumiririri anotumira 911 uye anotanga CPR (Muteereri CPR, maitiro eBS care).
- Vanopindura nezvechiremba vanosvika uye vanoramba vachiita CPR, iye zvino nekuwedzera kwekuponesa kufema (BLS care, iyo inogona kuitwa neB BLS kana ALS First Responders, kana chero chero ambulensi, uye inofanira kutanga mukati maminitsi mashanu ekutanga kutumira).
- Vanopindura nezvechiremba vanoisa zvinodzivirira pamurwere uye vanovhiringidza mwoyo (BLS care, iyo inogona kuitwa neB BLS kana ALS First Responders, kana chero chero ambulensi, uye inofanira kutanga mumaminitsi mashanu ekutanga kutumira).
- Vanopindura nezvechiremba vanotanga mutsara unopindira kuti upe mvura ine mishonga uye mishonga (ALS care, iyo inogona kuitwa neAlS First Responders kana ALS ambulances, uye inofanira kutanga mukati maminitsi gumi ekutanga kutumira).
- Vanopindura nezvechiremba vanoisa mhepo inoenda mberi kuti ventilate murwere (ALS kuchengetedza, iyo inogona kuitwa neAlS First Responders kana ALS ambulances, uye inofanira kutanga mukati maminitsi gumi ekutanga kutumira).
- Vanopindura nezvechiremba vanopa mishonga kune murwere (ALS care, iyo inogona kuitwa neAlS First Responders kana ALS ambulances, uye inofanira kutanga mukati maminitsi gumi ekutanga kutumira).
- Vanopindura nezvechiremba vanogadzirira murwere kutakura kuenda kuchipatara uye kuendesa murwere kupinda mu ambulensi (inoda ambulensi, iyo inofanira kuwanika kumativi emurwere mukati memaminitsi gumi nemashanu kubva pakutumira kwepakutanga).
Matanho maviri ekutanga anoitika vasati vasvika vasvika. Matanho matatu uye mana anogona kuitwa neAlS chero ipi zvayo kana BLS mhinduro, ambulense kana injini yemoto. Maitiro mashanu kusvika kune manomwe anoda vashandi vezvematongerwo enyika uye anofanira kunge ane ALS anopindura, injini yemoto, kana ambulensi. Nhanho masere inoda ambulensi.
Kwete nguva dzose kushandisa varapi vemapurisa vanganzwika sekuderera kwekurapa, asi muna 2005, USA Today yakabudisa nheyo dzishanu-chikamu chinoratidzira kuti masangano eEEM ane vashoma vanobatsira varwere vakagadziriswa zvakanyanya kukura kwekusungwa kwemwoyo. Kana iwe ukashevedzera 911 nokuda kwehutano hutsva, usavhunduka kana munhu wawakatarisira asingaratidzi pakutanga. Munhu wekutanga anopindura anoziva nzira yekukubatsira.
> Sources:
> Sanghavi P, Jena AB, Newhouse JP, Zaslavsky AM. Migumisiro Mushure mekubuda kwechipatara Chirwere cheCardi Chinotorwa Chichiitwa neChitatu neViyo Upenyu Hwekuwedzera. JAMA Intern Med. 2015 Feb; 175 (2): 196-204. doi: 10.1001 / jamainternmed.2014.5420.
> Sanghavi P, Jena AB, Newhouse JP, Zaslavsky AM. Migumisiro yeChechi Yakakosha Kuhupenyu Hwokutanga Hutsigiro Kwekubuda Kwechipatara Dambudziko Rezvokurapa. Ann Intern Med . 2015 Nhamba 3; 163 (9): 681-90. doi: 10.7326 / M15-0557. Epub 2015 Oct 13.