Ambulences inhare mbozha inopa kutarisirwa kwakasimba kune varwere panguva yekufambisa kuenda kunzvimbo dzekurapa. Kubatanidza kune iyi kugona ndeyekunyora kwemamiriro ekuongorora zvishandiso mubhodhi, izvo zvinobvumira Paramedics kuti urambe uchiongorora uye uchigadzirisa mamiriro ezvevarwere. Ichi chinyorwa chinopera mumhando dzakasiyana siyana dzekutarisa zvishandiso zvinoshandiswa muamber uye kukosha kwavo mukuchengeta muchipatara.
Kuongorora michina muAmbulences inoita basa rakakosha mukutanga kwekuona uye manejimendi ekurapa emergency. Midziyo iyi inopa chaiyo-nguva data pazviratidzo zvakakosha nezviratidzo zvepanyama, zvichiita kuti varidzi vehutano vaite sarudzo dzine ruzivo uye kuendesa kuriridzwa kwakakodzera panguva yekufambisa.
Zviratidzo Zvinokosha Monitors ndiwo maturusi akakosha mune chero ambulensi, anopa kuenderera mberi kwekutevera kweiyi kiyi physiological parameter:
·
Electrocardiogram (ECG) monitors:
·
O Basa: ECG monitor inotevedzera chiitiko chemagetsi yemoyo, kupa nzwisiso mumoyo memo uye rwiyo.
O Kukosha: Ivo vanokanganisika kuongororwa kwemwoyo madyoji akadai saArrhythmias, myocardial infction (kurwiswa kwemoyo), uye kumwe kurwiswa kwemoyo.
o Zvimiro: Zvazvino ECG monitors muAmbulences vanowanzouya negumi nemaviri-kutungamira kugona, kunopa ruzivo rwakadzama pamoyo wemoyo kubva kumakona akasiyana.
·
Ropa Dzvinyadzidzo Monitors:
·
o Basa: Izvi zvishandiso zvinoyera systolic uye diastolic ropa kudzvinyirira, kungave kusiri-kusapinda uchishandisa cuffs kana zvisingaonekwe mune zviitiko zvekutarisira zvine hanya.
O Kukosha: Kuenderera mberi kweropa rekumanikidza kutarisisa kwakakosha kuti utange kurira varwere vane hypertension, hypension, uye kuvhunduka.
o Mhando: automated cuffs inowanzo shandiswa pakurererwa kwavo uye kumhanya, nepo manje spygmomanoman anopa backup yekuverenga zvakanyanya.
·
Pulse oxixamute:
·
o Basa: pulse oxixieters kuyera iyo okisijeni yekuwirwa kweropa uye iyo pulse rate.
O Kukosha: Kuongorora maokisijeni mazinga anobatsira kuona hypoxia mangwanani, izvo zvakakosha kune varwere nemamiriro ekufema, kushungurudzika, kana matambudziko emwoyo.
O Technology: Ivo vanoshandisa infrared mwenje kuti uongorore okisijeni mazinga uye anowanzoiswa pamunwe wemurwere, nzeve, kana pahuma.
·
Kufema zviyero zvemadzinza:
·
o Basa: Aya ma monitors anoverengera nhamba yemweya yeminiti.
O Kukosha: Kufema kwemitambo yakakosha chiratidzo chakakosha, kunyanya mune varwere vane kufema kushushikana kana kwakarongeka mhepoway.
o Kubatanidzwa: Kazhinji yakabatanidzwa nedzimwe dzakatariswa system, kubvumira kutarisisa kwekutarisa kwemurwere ekufema.
Yepamberi Carriaccal tarisiro yakakosha kuti utore varwere vane mamiriro akanyanya emwoyo kana panguva yekusungwa kwemwoyo.
·
Coldiac Monitor / Dhibillillators:
·
O Basa: Aya midziyo yezvimedu zvekutarisa kwemoyo rwiyo uye anogona kuendesa defibrillation
O Kukosha: Zvakakosha mukupa kupindira kwekuponesa kwehupenyu hwekuzviponesa mumaramu emhuri.
O Chanduro: Yazvino Dhibrillallators inowanzo kusanganisira maficha akadai sekurapa kwekutandama
·
Expnography:
·
O Basa: Connography inoyera kusunganidzwa kweCarbon dioxide (CO2) mumhepo yakadzingwa, ichipa chaiyo-nguva data pane ventilation.
O kukosha: inonyanya kubatsira yekuongorora kushanda kwekushanda kweiyo ventilation mune yakavezwa varwere uye panguva yeCPR.
o Mhando: MaWartForm Expormhy anopa chiratidzo chemifananidzo cheCO2 mazinga nekufamba kwenguva, kupa ruzivo rwakadzama muzvinangwa zvekufema.
Yakarongeka yekutarisa masisitimu inobatanidza mabasa mazhinji mune imwe chete mudziyo, kupa zvese-mu-imwe mhinduro yekuongororwa kwemurwere:
·
Multi-paramende monitors:
·
O Basa: Aya masisitimu anobatanidza ECG, kudzvanywa kweropa, pulse oximetry, kufema mwero, uye dzimwe nguva tembiricha yekutarisa mune imwe unit.
O Kukosha: Ivo vanopa maonero eHexistic yemamiriro emurwere, achigonesa kuita sarudzo nekukurumidza uye kunobudirira.
o Zvakanakira: Nekubatanidza ma parmeter akawanda, vanoderedza kudikanwa kwemidziyo yakawanda yekuparadzanisa uye kurerutsa maitiro ekutarisa.
·
Telemeter Systems:
·
O Basa: Telemetry Systems inoendesa data kubva kumurwere kuenda kunzvimbo dziri kure, kubvumira kuenderera mberi kwekutarisa kunyangwe ambulensi iri mukufambisa.
O Chiitiko: Ivo vanokanganisika kuti varambe vachienderera mberi nehanya, kunyanya varwere vanorwara vanotsoropodza vanobva vaita kuti vagare vachiongorora.
O application: inowanzoshandiswa mune zviitiko uko varwere vane njodzi vanoda kutakurwa madaro marefu kana kana kutarisisa kwekurapa kubva muchipatara chechipatara chinodiwa.
Kuwedzera kune standard monitors, ambulences inogona kutakura michina yakasarudzika yakagadziriswa kune chaiyo dzekuremekedza emergency.
·
Inotakurika zvishandiso zvekupedzisira:
·
O Basa: Inotakurika Ultrasounds inopa chaiyo-nguva yekufungidzira, inobatsira kuongorora kukuvara kwemukati, kutungamira kuiswa kwenzopa, uye kuongorora basa rekushandisa.
O Change: Ivo vanopa nekukurumidza, vasingabvumirwe nzwisiso vanogona kuve vanokwanisa kutsoropodza mumatambudziko kana kuongorora mamiriro ezvinhu sekiritanic tamponade kana mudumbu kubuda ropa.
o Kutenderwa: Kuwedzera kunoshandiswa mune pre-chipatara zvigadziriso nekuda kwehukuru hwavo hwekuita uye kugona kupa ruzivo nekukurumidza.
·
Glucose Monitors:
·
O Basa: Izvi zvishandiso zvinoyera ropa glucose mazinga, chakakosha kugadzirisa chirwere cheshuga chirwere.
O Chiitiko: Kukurumidza Glucose Ongororo kwakakosha pakurapa hypo- kana hyperglycemia zvinobudirira.
o Kushandisa: Zvakareruka zvidimbu-zvimiti zvekushandisa zvinopa mhinduro dzinokurumidza, kutungamira kwekurapa kwekurapa.
·
Tembiricha yekutarisa:
·
o Basa: thermometers, kusanganisira turmpompany kana tympanic zvishandiso, kuyera tembiricha yemuviri.
O Kukosha: Kupisa tembiricha kwakakosha mukuzivisa uye kugadzirisa madota emuchina, hypothermia, kana hyperthermia.
o Kubatanidzwa: Mamwe marudzi akawanda-paramende monitor anosanganisira tembiricha presaricha yekuongorora tembiricha.
Kukurukurirana kunobudirira uye matare emanagement masisitimu anoenderana nekushanda kwemidziyo yekutarisa muamberces:
·
System Yakataurirana:
·
O Basa: Aya masisitimu anove nechokwadi chekutaurirana nekuenderera mberi ne emergency ekurapa disbsitchers, zvipatara, uye nevamwe vashandi vekurapa.
O Chiitiko: Kukurukurirana kwenguva kunofambisa kurongeka kwakarongeka kuchengetwa uye nekukurumidza kupindura kwekuchinja mamiriro emurwere.
o Mhando: Radio Symbols, nhare mbozha, uye Satellite kutaurirana kunoita kuti kuunganidzwa kunyangwe munzvimbo dziri kure.
·
Electronic murwere ekutarisira kutaurira (EPCR):
·
O Basa: EPCR Sistisheni Degitally Dziviriro Rine murwere ruzivo, zviratidzo zvakakosha, uye hanya zvakapihwa panguva yekufambisa.
O Chiitiko: Vanosimudza data kuunganidza, simbisa chokwadi, uye ita shuwa kusanzwisisika kweruzivo rwekugamuchira zvivakwa zvekurapa.
O Batsirai: EPCR Masisitimu anovandudza kuenderera kwemurwere uye kutsigira zviri pamutemo uye zvinotambudza zvinodiwa mumazambirival emergency masevhisi (EMS).
Kuchengeta mashandiro uye kugadzirira kwekuongorora zvishandiso zvakakosha kune inoshanda ambulance inoshanda:
·
Kugara kuchengetedzwa uye kuenderana:
·
o Routine cheki: Kuongorora nguva dzose uye kuongororwa kwemidziyo inoona chokwadi uye kuvimbika.
O Kudzivirira Kugadziriswa: Yakarongwa Kugadziriswa inodzivirira zvishandiso kukundikana panguva yekushomeka nguva.
O protocols: EMS masangano anotevera maProtocol kuti achengete zvese zvimiro zvemamiriro ezvinhu.
·
Kudzidziswa uye kugona:
·
o Vashandi kudzidziswa: Kuenderera mberi dzidzo uye kudzidziswa vanoona kuti vashandi veAmbulensi vane hunyanzvi mukushandisa ese midziyo yekuongorora.
o Simuling Drill: Kugara uchidhara uye zviitiko zvinobatsira kusimbisa hunyanzvi uye kugadzirira zvikwata zvehupenyu chaihwo-hupenyu.
O Certification: Vakawanda veMs vanopa vanoda certification mune yepamusoro yehupenyu rutsigiro (als) uye nyanzvi yemidziyo yekushandisa.
Mukupedzisa, kuongorora midziyo muAmbulences ndeyekupa kwakapetwa kwekutarisira kwepamberi pekutanga-kwechipatara. Kubva pane zvinokosha zviratidzo zvinokosha monitors kuenda kufambira mberi zvekutamba uye zvishandiso zvekuongorora Kuverengera kuti ambulces yakavezwa neiyo tekinoroji yemazuva ano uye vashandi vakanyatsodzidziswa vanowana matsimba emurwere uye anotsigira basa remabasa ekukurumidzira ekurapa uye kuderedza kutambudzika.