Izixhobo zokubeka iliso kwii-ambulensi: Ukuqinisekisa ukhuseleko lwezigunda ngexesha lothutho
Ii-ambulensi zikwiindlela zokuphila eziselula ezibonelela ngononophelo lwezigulana ngexesha lothutho kumaziko onyango. Ukudibana okunokubakho kuluhlu lwezixhobo zokubeka esweni kwiBhodi, evumela ii-radimes ukuba zivavanye rhoqo kwaye zilawule iimeko zabaguli. Eli nqaku liza kuphakamisa iindidi ezahlukeneyo zezixhobo zokubeka esweni ezisetyenzisiweyo kwii-ambulensi kunye nokubaluleka kwazo kwisibhedlele.
1. Intshayelelo yesixhobo sokubeka esweni ii-Ambulensi
Izixhobo zokubeka esweni kwii-ambulensi zidlala indima ebalulekileyo ekufumaneni kwangoko kunye nokulawulwa kwemeko yongxamiseko. Ezi zixhobo zibonelela ngedatha yexesha lokwenyani kwimiqondiso ebalulekileyo kunye nezinye iiparamitha ze-paramegical, evumela ababoneleli ngezempilo ezempilo ukwenza izigqibo ezinolwazi kwaye bahambise ukhathalelo olufanelekileyo ngexesha lothutho.
I-2. Iimpawu ezibalulekileyo ezinqwenelekayo
Imiqondiso ebalulekileyo esweni zizixhobo ezisisiseko kuzo nayiphi na i-ambulensi, inika ukulandelwa okuqhubekayo kwe-paramerigical yemzimba:
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I-electrocardiogram (i-ECG) ibeka iliso:
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o Umsebenzi: I-ECG ibeka i-ECG ibeka i-ECG yokulandelela umsebenzi wombane wentliziyo, ibonelela ngokuqonda kwiqondo lentliziyo kunye nesingqisho.
o Ukubaluleka: Kubalulekile ukuba kuchongwe iimeko zentliziyo ezinje ngokufana, ukutshixiza kwe-mysocardial (uhlaselo lwentliziyo), kunye nezinye iimeko ezinxulumene nentliziyo.
o Iimpawu: I-ECG yanamhlanje kwii-ambulensi ihlala iza nezakhono ezi-12 ezikhokelayo, ezibonelela ngolwazi oluneenkcukacha zomsebenzi wentliziyo kwii-engile ezahlukeneyo.
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Uxinzelelo lwegazi:
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o Umsebenzi: Ezi zixhobo zilinganisa i-systolic kunye ne-Distonic yegazi, nokuba kungabi naziphi na izinto ezingenantlonelo zisebenzisa i-cuffs okanye ngokungagungqiyo kwizicwangciso zononophelo.
o IBALULEKILE: Ixabiso lokuqhubeka kweliso loxinzelelo lwegazi libalulekile ekulawuleni izigulana nge-hypertension, i-hypoteren, kunye nokothuka.
o Iindidi: Ii-Cuffs ezizenzekelayo zisetyenziselwa ukukhululeka kwabo kunye nesantya, ngelixa i-SphygMMOmanometers ibonelela ngokufundwa ngokuchanekileyo.
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Pull ye-oximeter:
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o Umsebenzi: Tsala i-oximeter ilinganisa ukumiselwa kwe-oksijini yegazi kunye nereyithi yempuphu.
o Ukubaluleka: Ukubeka iliso kumanqanaba e-OCygen kuyanceda ukufumana i-hypoxia kwangoko, nto leyo ibalulekileyo kwizigulana ezinemeko zokuphefumla, uxinzelelo, okanye kwimicimbi yentliziyo.
o Itekhnoloji: Basebenzisa ukukhanya okuqaqanjiweyo ukuvavanya amanqanaba e-OXYGEN kwaye abekwe kumnwe wesigulana, indlebe, okanye ebunzini.
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Ixabiso lokuphefumla i-remotory:
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Umsebenzi : Ezi ndawo zokubeka iliso zibambe inani lokuphefumla ngomzuzu.
o Ukubaluleka: Ixabiso lokuphefumla sisibonakaliso esibalulekileyo, ngakumbi kwizigulana ezinoxinzelelo lokuphefumla okanye ezomoya.
o Ukudityaniswa: Ngokwesiqhelo kudityaniswa nezinye iinkqubo zokubeka iliso, kuvumela ukujonga okukhulu kwemeko yokuphefumla kwesigulana.
I-3. Ukuhlolwa kwentliziyo
Ukubeka iliso kwiCadiacriac ePristac kubalulekile ukuze kulawulwe izigulana ezineemeko ezinzima zentliziyo okanye ngexesha lokubanjwa kwentliziyo:
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Ukubeka iliso kwi-Cardiac / i-chazaibrilators:
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o Umsebenzi: Ezi zixhobo zeqela elininzi zibeka imbeko yentliziyo kwaye zinokuhambisa iingcongconi zokulungisa ukubuyisela isingqisho esiqhelekileyo kwiimeko zefibricular fibricartia.
o Ukubaluleka: Zibalulekile ekuboneleleni ngongenelelo lokonga ngobomi kwi-Destiageegesisgeezes.
o Izakhono: Ukungafihli kwale mihla kuhlala kubandakanya amanqaku anje ngeendawo zokuhlala eziguqukayo kunye neenkqubo zengxelo ze-CPR.
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I-Capnography:
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Umsebenzi : I-capnography ilinganisa ukugxininiswa kwe-carbon diokside (CO2) emoyeni evuthayo, ukubonelela ngedatha yexesha lokwenyani kwi-ventilation.
OBA ABALUSI
o Iindidi: ukugoba i-capnography kubonelela ngokumelwa kwemizobo yamanqanaba e-CO2 ngokuhamba kwexesha, ukuhambisa ulwazi oluneenkcukacha ngemeko yokuphefumla.
4. Iinkqubo ezibanzi zesigulana
Iinkqubo ezibanzi zokujonga ukubeka esweni zidibanisa imisebenzi emininzi kwisixhobo esinye, ukubonelela ngesisombululo sonke sovavanyo izigulana:
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I-rander nganye yeparamitha:
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Umsebenzi
o Ukubaluleka: Banika umbono opheleleyo wemeko yesigulana, ukunika amandla okwenza izigqibo ngokukhawuleza nangokufanelekileyo.
o Izibonelelo: Ngokudibanisa iiparameter ezininzi, zinciphisa isidingo sezixhobo ezahlukeneyo ezahlukeneyo kwaye zisebenze lula inkqubo yokubeka iliso.
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Iinkqubo zeTelemetry:
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o Umsebenzi: Iinkqubo zeTelemetry zadlulisela idatha kwizigulana zokubeka iliso kwiindawo ekude, zivumela ukuqaphela okuqhubekayo kwanaxa i-ambulensi ihamba.
o Ukubaluleka: Babalulekile ekugcineni ukuqhubekeka kokhathalelo, ngakumbi abaguli abagula kakhulu abafuna iphononongo rhoqo.
o Izicelo: isetyenziswa kwimeko yesiqhelo apho izigulana ezisemngciphekweni kufuneka zithuthe imigama emide okanye xa ukongamela kwezorhwebo kwisibhedlele esisesikweni siyadingeka.
5. Izixhobo ezikhethekileyo zokubeka esweni
Ukongeza kwi-imbusithi ezisemgangathweni, ii-ambulensi zinokuthwala izixhobo ezikhethekileyo ezilungiselelwe iimeko ezithile zonyango zikaxakeka:
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Izixhobo ze-ultra eziphathwayo:
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o Umsebenzi: I-Utrasounds ephathekayo ibonelela ngengcinga yokwenyani, iluncedo ekuvavanyeni ukulimala kwangaphakathi, ukukhokelwa kwenaliti kunye nokuvavanya umsebenzi we-Cardiac.
o Ukubaluleka: Banikezela ngokuqonda ngokukhawuleza, ukungahlambuluki okunokuthi kubaluleke kakhulu kumatyala oxinzelelo okanye xa kuchonga iimeko ezifana ne-qwerisi okanye ukopha isisu.
o Ukuhanjiswa: Ukusetyenziswa ngokukhulayo kwiisetingi zangaphambi kwesibhedlele ngenxa yobungakanani babo obuhlanganisiweyo kunye nokukwazi ukubonelela ngolwazi lokuxilonga kwangoko.
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I-Glucose Reanders:
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o Umsebenzi: Ezi zixhobo zilinganisa amanqanaba eGlucose yegazi, kubaluleke kakhulu ngokulawula ngexesha likaxakeka.
OBA EBALULEKILEYO: Uvavanyo lwe-glucose olukhawulezileyo lubalulekile ekunyangeni hypo- okanye hyperglycemia ngokufanelekileyo.
o Ukusetyenziswa: Uvavanyo lweminwe olulula lubonelela ngeziphumo ezikhawulezileyo, ezikhokelayo ungenelelo lwangoko.
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Ukubek'esweni okushishikeleyo:
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o Umsebenzi: Ii-thermometers, kubandakanya izixhobo zexeshana okanye ze-tympinic, zilinganisa ubushushu bomzimba.
o Ukubaluleka: Ukubek'esweni amaqondo esweni kubalulekile ekuchongeni iimeko ze-febrile, i-hypothermia, okanye i-hypertermia.
o Umdibaniso: Abanye abantu ababekwe kwi-raditorter omninzi bandakanya amaqondo obushushu kuvavanyo lobushushu oluqhubekayo.
6. Unxibelelwano nolawulo lwedatha
Iinkqubo zonxibelelwano ezifanelekileyo kunye neenkqubo zolawulo lwedatha zibalulekile ekusebenzeni kwezixhobo zokubeka esweni kwii-ambulensi:
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Iinkqubo zonxibelelwano:
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O Umsebenzi: Ezi nkqubo ziqinisekisa ukuqhubeka nokunxibelelana ngokuqhubekayo nabaSawuleliyo kwezoNyango, bezibhedlele, kunye nabanye abasebenzi bezonyango.
o Ukubaluleka: Unxibelelwano lwangexesha luququzelela ukhathalelo olucwangcisiweyo kwaye luphendulwe ngokukhawuleza kwiimeko zabaguli.
o Iindidi: Iinkqubo zerediyo, iifowuni eziphathwayo, kunye nonxibelelwano lwesatellite qinisekisa ukuba ukunxibelelana nangakwiindawo ezikude.
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Ukunika ingxelo ngononophelo lwezigulana (i-EPRc):
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o Umsebenzi: Iinkqubo ze-EPRC ezinamaxwebhu omonde obuqhetseba, imiqondiso ebalulekileyo, kunye nokhathalelo olunikezwe ngexesha lothutho.
o Ukubaluleka: Bayitshintsha ingqokelela yedatha, ukuphucula ukuchaneka, kwaye kuqinisekiswe ukudluliselwa kwengqondo kolwazi ukuze bafumane amaziko onyango.
o Izibonelelo: Iinkqubo ze-EPCR Guqula ukuqhubeka konyamezelo kunye nokuxhasa iimfuno zomthetho nezolawulo kwiinkonzo zonyango ezingxamisekileyo (i-EMS).
7. Ukuqinisekisa ukulungela izixhobo
Ukugcina ukusebenza nokulungela ukubeka iliso kubaluleke kakhulu kubalulekile ekusebenzeni nge-ambulensi esebenzayo:
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Ukulungiswa rhoqo kunye nokulinganisa:
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o Iitsheki ze-Frine: Ukuhlolwa rhoqo kunye nokulinganisa kwezixhobo zokuqinisekisa ukuchaneka nokunyaniseka.
o Isondlo sokuthintela: Ulondolozo olucwangcisiweyo luthintela ukusilela kwezixhobo ngexesha lamaxesha anzima.
o Iifomathi: Iiarhente ze-EMS zilandela iiprothokholi ezingqongqo ukugcina zonke izixhobo zokubeka iliso kwimeko efanelekileyo.
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Uqeqesho kunye nobuchule:
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o Uqeqesho lwabasebenzi: Imfundo eqhubekayo noqeqesho oluqhubekayo qinisekisa ukuba abasebenzi be-ambulensi bayazi amandla ekusebenziseni izixhobo zokubeka iliso.
o Ukuqhutywa kwe-Impley Pass: Iidrives eziqhelekileyo kunye neemeko zinceda ukuqinisa izakhono kwaye zilungiselele amaqela ezimo ezingxamisekileyo ebomini.
o Isiqinisekiso: Ababoneleli abaninzi bee-EMS bafuna iZiqinisekiso kwiNkxaso yoBomi abaPhezulu (ALS) kunye nezixhobo ezizodwa ukusetyenziswa.
Ukuqukumbela
Ukuqukumbela, izixhobo zokubeka iliso kwii-ambulensis zibaluleke kakhulu ekuboneleleni ngononophelo olusemgangathweni wesibhedlele. Kwimiqondiso ebalulekileyo ebalulekileyo ekwakheni i-cardiacriacriacriac kunye nezixhobo ezikhethekileyo zokuxilonga, ezi zixhobo zivumela ii-paramedics ukuhambisa umbulelo ophucukileyo, osebenzayo, nongenelelo lobomi. Ukuqinisekisa ukuba i-ambulensi ixhotyiswe ngetekhnoloji yakutshanje kwaye abasebenzi baqeqeshiwe ngokuphucula iziphumo zonyango kwaye baxhasa umsebenzi weenkonzo zonyango olungxamisekileyo ukusindisa ubomi kunye nokunciphisa ukubandezeleka.
