Usizo lokuqala (PMP) e waphuka: Imbondela isondo amahanisi hemostat, kokuthutha isisulu

Ngena esimweni esiphuthumayo can umuntu ngamunye. Futhi kulokhu, ulwazi imithetho usizo lokuqala kungasindisa ukuphila. Into esemqoka - ukuze alondoloze acabanga ngokucacile, futhi ungazami ukuba bangasizakali, edinga ukuqeqeshwa okukhethekile.

CPR PMP

Umsebenzi yomuntu, onesifo usizo lokuqala - okubi ethintekile kunalokhu oyikho manje. Kufanele ngidambise izinhlungu futhi ukunikeza ukuphumula endaweni ezilimele. Lona umsebenzi oyinhloko ukunakekelwa kwezempilo okuyisisekelo (PHC) e waphuka.

Isinyathelo sokuqala ukuhlola kobukhulu isimo isisulu bese ithole ukulimala. Khona-ke, uma kudingekile, ukuze ukopha. Ngaphambi kokufika usizo lochwepheshe is hhayi Kunconywa ukuhambisa umuntu, ikakhulukazi uma ophukayo yomgogodla noma ukulimala okungaphakathi. Kwezinye kunesimo esiphuthumayo kusuka yesehlakalo kubalulekile. Kulokhu, sebenzisa uhlaka esiqinile noma izihlangu.

ukulimala gqwa kudinga indlela ahluke kancane. Kuyadingeka kubathene ethintekile esitho ibhasi, wasinikeza a isikhundla physiologic ngaphezulu. Qiniseka ukulungisa ngokuhlanganyela ngaphambi nangemva ukwa. Uma kungekho ezinye izikhalazo, isisulu is uyiswa esibhedlela.

Vula noma avaliwe ukwa?

PMP at waphuka incike ukuma, uhlobo nobukhali umonakalo. Phakathi Ukuhlola isisulu kuyadingeka ukunquma uhlobo ukwa, njengoba kuye ukuthi usizo lokuqala izoke ezahlukene. Ekwakhiweni iyiphi uphethwe esekelwe izimfuneko ezithile. Endabeni ophukayo khona izimpawu isihlobo kanye ngokuphelele eveza khona ukulimala.

izinkomba Isihlobo:

1. Ubuhlungu. Lapho u-, zama ukushintsha isikhundla esitho olimele kuphakama ukungakhululeki.
2. Ukuvuvukala. Ufihla ukwaphuka iphethini, kuyingxenye impendulo ukuvuvukala kwaba ukulimala, licindezele izicubu zomzimba ezithambile kanye Ungahambisa izingcezwana ithambo.
3. Hematoma. Ikhombisa ukuthi ubuqotho vasculature ukuthi kuphazamisekile isayithi yokulimala.
4. umsebenzi Ukuphazamiseka. Kubonakala ukuthi ubeke umkhawulo ukuhamba noma ukungakwazi ukumelana umthwalo evamile.

izinkomba Kuphelele:

1. Strange, nemvelo ithambo isikhundla, ukusonteka yayo.
2. Ukuba khona ukuhamba, lapho akakaze abe khona.
3. Ukuba khona crepitation (air Bubbles) ngaphansi kwesikhumba.
4. Nge i ukwa okukhululekile nqunu iso isikhumba ebonakalayo izilonda futhi izinsalela.

Yileyo indlela khona nohlobo ukwaphuka kungaba azimisele ngaphandle kokusebenzisa imishini eyinkimbinkimbi.

Ukwaphuka we esitho elingenhla

PMP e waphuka of the ibhodi lemisindo ukunikeza liyogcina ilungile futhi ukukulungisa emzimbeni. Ukuze wenze lokhu, agobe ingalo endololwaneni ukuze akha engela kwesokudla, ocindezelwe izandla zakhe esifubeni sakhe we isisulu. Ukukhetha impahla splinting ukuthi lungaphezu ingalo ndawonye engenhla nge umshanelo. It is kuvikelwe ukuba esitho kule sikhundla aboniswa ke ingalo imiswe okwesikhashana phezu sigqoka, okuyinto endwangwini ezihambisana indandatho futhi baphonswe ezweni entanyeni ukuvimbela kunokwenzeka umthwalo.

Ehlombe ukwa kudinga amacebo ukuhluka. Isikhundla esitho unamathele engela efanayo degrees ayisishiyagalolunye, kodwa abeke amasondo amabili:

• ehlombe ngaphandle kangangokuba wayeyonamathela iwe ngezansi endololwaneni;
• ebusweni engaphakathi izandla kusukela axilla bafike endololwaneni.

Tyres pribintovyvayut lokuqala eceleni, bese kuvikelwe ndawonye. Hand futhi kufanele hung ibhande, isikhafu phi nqamu udaba lokuthi ususondele. Ukuze bathuthe isisulu esibhedlela kuphela edinga ehlezi.

Ukwaphuka we esitho engezansi

Ukuze zihumusha SRL lapho waphuka imilenze kudingeka isitoko inqwaba amathayi eside futhi ububanzi (amabhodi shtaketin m. P.). Ilungu immobilizing a kunawo wonke Waphuka, isondo lokuqala kumelwe aphumele ngaphandle, ekugcineni engenhla abutting ngokumelene ikhwapha fossa, kanye nezinye - engakafiki isitaki. Amapholisa athi ibhasi le sesibili uqala kusuka perineum ezinyaweni, abanye ekhulumela wakhe. Ngamunye wabo pribintovyvayut eceleni bese ndawonye.

Uma kungekho zokwakha amathayi, nakanjani ungakwazi ukubopha isisulu ukuze umlenze uninjured.

Ukwaphuka we tibia kudinga ukukhiya efanayo hip ukwa. Esibhedlela isisulu ilethwa kuphela amanga.

Ubambo waphuka futhi emhlathini

Kusukela ukwa imiphetho ukuze uziqede zingabi yilutho, ke esifubeni ozungeza eziphoqelelwe ngebhandeshi Friend. Isisulu Kunconywa ukuba sikwazi ukuphefumula kuphela ngosizo imisipha besisu ngaphandle zingaphazamisi esifubeni. Uma ibhandishi akwanele, ungasebenzisa izingcezu indwangu noma scarves. Kubalulekile ukuthi abantu noma kunjalo akaqambi amanga, njengoba emaphethelweni abukhali izingcezwana kungalimaza emaphashini, inhliziyo, diaphragm punctured.

A ephuke umhlathi - avame umphumela impi noma ukuwa. Ngakho-ke, kunengqondo ukuphetha khona isisulu futhi abangele ukulimala ebuchosheni. Usizo lokuqala kulokhu ukumboza umlomo yomuntu, amnike analgesic kanye Ilokhi emhlathini ngebhandeshi, okuhlanganisa imikhawulo phezulu. Into esemqoka - ukuqapha isimo ulimi, ngakho-ke akuveli abaphila ipheshana zokuphefumula. Uma isisulu aquleke, kubalulekile okuyibeka ezinsikeni zawo noma kubheke phansi. Ezokuthutha immobilization ngoba waphuka ikhanda kufanele ibe isimo ovundlile. Lokhu kuzovimba umthwalo ithambo ezilimele futhi kuvimbele yokungawutholi umoya.

Usizo lokuqala for waphuka evulekile

PMP nge ukwa evulekile kumele anikezwe ngokushesha ngangokunokwenzeka. Kulesi simo, ingozi yezinkinga ezifana ukushaqeka ubuhlungu, nciphisa, omkhulu ukopha inyuka kakhulu.

Ngakho-ke, ukulandelana yezenzo simiswe ngalendlela lelandzelako:

1. Hlola isisulu futhi ukuhlola isimo sayo.
2. Mnike kubulawe izinzwa ukuvimbela ukushaqeka esibuhlungu.
3. Inqubo isikhumba azungeze isilonda nge nekhambi peroxide, i-iodine noma yimuphi omunye isinqandakuvunda.
4. gauze Oyinyumba ngobumnene ome phansi futhi emaphethelweni isilonda.
5. Eligoqiwe izikhathi eziningana ukuba abeke ngebhandeshi oyinyumba isilonda, kodwa hhayi agxishiwe.
6. Khiqiza immobilization amathuluzi atholakalayo.
7. Akunakusetshenziswa musa ukwehlisa kwezingcezu!
8. Shayela i-ambulensi.

PMP nge ukwa avaliwe kuyodingeka izinyathelo ezifanayo, ngaphandle kwalabo izinto, elibhekisela ekwelapheni inxeba.

immobilization

Immobilization - lokhu immobilization zezitho ezilimele zomzimba. It nakanjani esenzelwe waphuka of amathambo namalunga, ukwa nerve futhi kwemisipha endwangwini, ukusha. Ngenxa yobuhlungu isiguli angenza ukunyakaza kungazelelwe ezingase babhebhethekise umonakalo.

Ezokuthutha immobilization ukunikeza isisulu ngenkathi ongasanyakazi, aze wayiswa esibhedlela. Kusukela ngenkathi ushayela amanye banikine akunakugwenywa, a nenkanuko edlulele ezinhle isiguli ukugwema eziya ziba zimbi isimo.

Kukhona imithetho okubekwe isondo kuzothatha buhlungu okungenani isisulu ngaphansi kwazo.

1. Isondo kufanele ibe nkulu ngokwanele ukuze uthwebule joint nangaphezulu indawo ukwa. Futhi uma ezilimele hip kubathene umlenze wonke ngokuphelele.
2. Ifomu ibhasi noma impilo esitho ethintekile, noma bona, hhayi ukuletha ngokuphazamisa ezengeziwe esigulini.
3. amathayi ukunqwabelanisa ukukhiqiza zokugqoka ukuvimbela isilonda ukutheleleka.
4. Ukuze ugweme ingcindezi izilonda ezindaweni eduze indawo ithambo esikhumbeni, ngaphansi ibhasi, ufake impahla esithambile.
5. Bus awunasilinganiso ngohlangothi lapho eqondisa ithambo eliphukile kuphuma ngoba akuvunyelwe nakancane ukunciphisa a ukufika zangaphambi esibhedlela.

Izinhlobo isondo yezokwelapha

isondo Medical kungaba ukulungiswa eziningana kuye ngenjongo yokusetshenziswa kwawo. Kukhona ibhasi-sokwenziwa aqhubeka kule ndawo eyayithintekile behamba isikhundla esisodwa, bese ushintsha olahlekile ithambo ingxenye.

Lezi zinhlobo ezilandelayo immobilization amathayi:

• ITire Kramer - a nehele izintambo esihle, okuyinto phezulu camera enezingxenye eziningana izicubu zomzimba ezithambile noma ibhandishi. Uhlaka inganikelwa noma iyiphi ukuma, okuyinto edingekayo endabeni ethile, kwenza kube jikelele.
• ITire Dieterichs - imele Amapulangwe amabili ngokhuni ne izimbobo yamba therein lapho izintambo zinwetshwe noma izicubu. Ngisho isethi kufaka emikhonweni ezincane flat, okuyinto ufakwa ukuvulwa, ukulungisa isondo phezu ezingeni lelifanele.
• I womoya isondo Nemithi - ikamelo uphawu ngaphakathi okuyinto esitho olimele ibekwe. Khona-ke, phakathi kwezindonga zawo kushaywa umoya, futhi ingxenye umzimba thembeke isilungisiwe.
• Bus Schantz - a collar-lock, okuyinto esetshenziswa izifo yomgogodla, kanye nokuvimbela dislocation wesibeletho ngesikhathi ukulimala emuva.

PMP ne ukopha

Ukopha - phetho yokwephula ubuqotho odongeni isitsha. Kungaba kwangaphandle nangekhatsi, lwemithambo, emithambo yegazi noma capillary. Ikhono ukumisa igazi kuyadingeka ngoba ukusinda kwabantu.

PMP ne ukopha kusho ukuthi ngiyayihlonipha imithetho ethile.

1. Geza isilonda ukopha kuyadingeka kuphela uma kwenzeka ukuthi babe izinto caustic noma ayingozi. Endabeni nezinye ukungcola (isihlabathi, metal, umhlaba) endaweni ukugeza amanzi ayikwazi lilimele.
2. Akunakusetshenziswa musa gcoba isilonda. Lokhu kuvimbela ukuphulukiswa.
3. Isikhumba emhlabeni Isilonda athutha bahlanza futhi ziphathwe isixazululo isinqandakuvunda.
4. Ningathinti izandla zakho ukuba enenxeba elivulekile noma ususe amahlule njengoba lezi amahlule zivimbela ukopha.
5. Susa emizimbeni bezinye izizwe abavela emaqenjini isilonda kungaba udokotela!
6. Ngemva tourniquet ngokushesha kufanele abize i-ambulensi.

bandaging

I sigqoka sisetshenziswa ngqo isilonda. Ukuze wenze lokhu, angasebenzisa ibhandishi oyinyumba noma indwangu ehlanzekile. Uma ungabaza mayelana inzalo leyo nto, kungcono iconsa Iodine ke, ukuze indawo Ubuyisé phezu isilonda. Kumi esiqongweni sezindawo Indwangu walala roller ngebhandeshi noma uhala Friend ke pribintovyvayut. Nge bandaging efanele ukopha kwanqamuka, futhi engawuboni manzi.

• Qaphela: Njengoba i ukwa ovulekile futhi bone ophumile ngebhandeshi Friend bese usetha amathambo kungavunyelwe! Enough ukwenza ngebhandeshi!

Tourniquet noma twist

tourniquet Hemostatic bangaba njengoncedo kukho ukopha mpi, futhi sandise kobukhulu isimo isisulu. Lokhu zokukhwabanisa is yakhetha kuphela uma ukopha esindayo kakhulu ukuthi angeke ime ezinye izindlela.

Uma isandla akuyona yezokwelapha enjoloba band, bese ilingane hose ezivamile mncane. Ukuze phusha isikhumba, kungenzeka ukuba sigcizelele twist ku izingubo (ingalo noma umlenze), noma wafaka ucezu iyiphi izicubu eziqinile. I finiteness we tourniquet zihambisana izikhathi eziningana, ukuze ikhoyili kungukuthi ngesiswebhu kwa each nye, kodwa futhi igebe phakathi kwabo kwakungeyona. Eyokuqala - umpofu, futhi isidingo ngasinye okwalandela ukoma ngaphezulu. tourniquet Hemostatic kungenziwa abethela mhla kuchithwa igazi uyayeka uya. Qiniseka ukuthi ukurekhoda ngesikhathi ebeka amahanisi futhi uvikelekile ku-ke endaweni egqamile. Phakathi nezinyanga zasehlobo, ungagcina kufika emahoreni amabili, futhi emakhazeni - kuphela ngehora.