Binciken da Dr Fausto D'Agostino ya gudanar don tantance amincin darussan BLS-D da aka bayar yayin cutar ta COVID

Cututtukan cututtukan zuciya suna da alhakin 35% na duk mutuwar da shari'o'in mutuwar zuciya kwatsam a Italiya an kiyasta tsakanin 50,000 zuwa 70,000 a kowace shekara: kamun zuciya shine babban dalilin mutuwa a ƙasarmu.

Adadin mace-macen da aka samu sakamakon kamawar jijiyoyin zuciya bai ragu ba yayin barkewar cutar amma, akasin haka, mace-macen da aka samu sakamakon bugun zuciya ya karu saboda dalilai da dama, da farko tsoron kubutar da mara lafiya da ake zargi da yiwuwar kamuwa da cutar Sars-Cov-2 .

Barkewar cutar ta yanzu ta haɓaka matakin haɗari ga duk masu ceton (kwanciya da likita) saboda yuwuwar yaduwa ta hanyar samar da ɗigon ruwa da iska a lokacin motsa jiki na motsa jiki.

A zahiri, WHO ta yi la’akari da waɗannan hanyoyin ceton rai, duk da cewa suna da mahimmanci kuma yakamata a aiwatar dasu ba tare da bata lokaci ba, don kasancewa cikin haɗarin kamuwa da ƙwayoyin cuta ga duk masu ceton kuma saboda haka yakamata a aiwatar da taka tsantsan.

A saboda wannan dalili, ya zama dole a yi canje-canje na wucin gadi ga ƙa'idodin farfadowa na duniya da aka sani (BLS-D: Taimakon Rayuwar Asali da Defibrillation)

A cikin mutanen da aka tabbatar ko waɗanda ake zargi da COVID-19, ana kiyaye daidaiton tsarin farfado da jijiyoyin jini tare da wasu shawarwari, bin alamun duk abubuwan taƙaitaccen ceton duniya (ILCOR, AHA, ERC, ILSF):

Mai ceton ya kamata ya guji kusantar fuskar wanda aka azabtar don tabbatar da kasancewar numfashi kuma ya ci gaba da CPR da hannu kawai tare da shawara don rufe bakin da hanci da wanda aka azabtar da abin rufe fuska ko ta hanyar sanya sutura a kansu don takaita yaduwar aerosol;

yayin barkewar cutar ta COVID-19 na yanzu, ma'aikatan kiwon lafiya (amma masu dacewa da masu '' sa '') yakamata suyi amfani da kariya ta mutum kayan aiki lokacin yin farkawa.

Barkewar cutar ta Sars-Cov-2 ta haifar da dakatarwar farko na kowa First Aid darussa, waɗanda za a iya dawo da su ne kawai bayan an fitar da sabbin Ka'idodin Ma'aikatar Lafiya.

Ci gaba BLS-D horar da ma'aikatan sabis na 112/118 ko asibitoci ba za a iya dakatarwa ko jinkirta shi ba saboda dalilai na zahiri na samun ikon shiga tsakani a yayin kamawar zuciya.

A zahiri, a ranar 23/06/2020 Ma'aikatar Lafiya ta fitar da madauwari (prot. No. 21859) "Alamu na ƙasa don ɗaukar kamuwa da cutar SARS-CoV-2 a ayyukan agajin farko da kuma horar da masu ceto", wanda ya lissafa sabbin jagororin don aiwatar da ayyukan ceton rai cikin aminci da jagororin samar da darussan agajin farko yayin barkewar COVID-19.

Dole ne a cika waɗannan buƙatun na asali don samar da kwas ɗin BLS-D

• Manyan wurare suna tabbatar da tazarar aƙalla mita 2.0 tsakanin masu horo;
• Wurare tare da manyan windows don tabbatar da musayar iska aƙalla kowane minti 60 tare da ɗan gajeren hutu;
• atisayen da za a yi a kan dummy kuma kawai tare da mai horon sanye da safar hannu da abin rufe fuska;
• a ƙarshen kowane motsi, simulators (dummies, AED masu horarwa da kayan aikin iska) dole ne a tsaftace su tare da takamaiman magunguna da takarda da za a iya zubarwa.

Dangane da yawan cututtuka da mace -mace daga cututtukan zuciya da na numfashi da kuma ingancin tasirin da darussan BLSD suka nuna a cikin gudanar da ayyukan gaggawa na jijiyoyin zuciya, yana da mahimmancin mahimmanci kada a dakatar da horo na Tallafin Rayuwa yayin bala'i, duka ga ma'aikatan kiwon lafiya. da mutanen banza.

Kula da lokacin horo a cikin fasahar fasaha da na hannu na CPR a cikin yanayin 'cikin-mutum' an ɗauke shi da mahimmanci, saboda buƙatar aiwatar da ƙa'idodin Tallafin Rayuwa na kai tsaye akan masu kwaikwayo.

Koyaya, tabbatar da aminci da ingancin hanyoyin sun kasance muhimmin sashi na tsarin koyarwa.

Manufar binciken matukin jirgi, wanda Dr Fausto D'Agostino yayi tare da Ma'aikatar Lafiya tare da haɗin gwiwar Ƙungiyar Zuciya ta Amurka (AHA) da Majalisar Resuscitation Council (IRC), shine don tantance amincin darussan BLSD da aka bayar yayin barkewar cutar a duk Italiya.

An tattara bayanai ta hanyar tambayoyin da ba a tantance su ba kuma an gudanar da su ga daraktocin IRC (Majalisar Resuscitation Council) da cibiyoyin horo na AHA a ƙarshen darussan da aka gudanar a cikin lokacin 1 Yuni 2020 - 31 ga Janairu 2021.

Tambayar ta ƙunshi tambayoyin zaɓuɓɓuka 14 da aka tsara don gwada matakin aiwatar da da'irar minista da duk wani mahimmancin da aka samu a cikin shirye-shiryen darussan BLS-D a zamanin COVID-19.

Tambayar ba a san ta ba kuma an yi amfani da bayanan a cikin jimlar tsari.

An gudanar da tambayoyin ta hanyar buƙatar imel zuwa duk daraktocin Cibiyoyin Horarwa a duk faɗin ƙasar.

MAGANAR DEFIBRILLATORS: ZIYAR DA ZOLL BOOTH A GABATAR DA GAGGAWA.

Daga cikin 398 Italiyanci IRC/ERC da Cibiyoyin Horar da AHA, 337 sun ba da darussan BLS yayin lokacin karatu kuma an gayyace su don amsa binciken.

An yi rikodin ƙimar amsa 30%.

A cikin lokacin, mahalarta 7833 sun yi ƙoƙarin yin kwas ɗin BLS; akasarin mahalarta (68%) ƙwararrun masana kiwon lafiya ne, yayin da mutanen da aka lissafa 32% ne kawai (n = 2499).

Ana nuna manyan dalilan halartar kwas ɗin a cikin siffa 1A.

Hoto 1A Me ya sa masu koyon aikin suka halarci kwas na horo na Taimako na Farko yayin Cutar Cutar Covid-19?

Kashi 90% na mahalartan sun ɗauki darasin da amfani, gami da sabon horo kan daidai amfani da kayan kariya na mutum (94% na martani).

Koyaya, kashi 80% na ɗaliban sun nuna fargabar kamuwa da cutar yayin halartar karatun, galibi yayin zaman aiki (69% na martani).

A zahiri, kashi 94% na mahalarta sun ba da rahoton damuwa game da amincin kwas ɗin, musamman lalata ɗakin da manikin (Fig. 1B).

Hoto 1B Menene mahimman batutuwa?

Ayyukan da aka nuna a cikin siffa 1C an dauke su da amfani don rigakafin kamuwa da cuta, wato Sars-Cov2 swab screening, amfani da abin rufe fuska da tazara tsakanin mutane.

Hoto 1C Wane ƙarin matakan za a iya amfani da su don yin kwas ɗin Agajin Farko mafi aminci?

Matakan da aka ɗauka don hana kamuwa da cuta, kamar yadda dokar Italiya ta ba da shawara, an yi la'akari da amfani da sauƙin amfani a cikin kashi 92% da 87% na martani daidai da haka.

Ba a ganin amfani da abin rufe fuska yayin kwas din a matsayin cikas ga sadarwa ta kashi 85% na masu amsa.

An sami rahoton mutane 9 da suka kamu da cutar COVID-19 bayan darussan da aka gudanar yayin karatun; 90% wanda ya faru a cikin kwanaki 5-14 bayan hanya (Fig. 1D).

Fig. 1D Shin kuna da wani rahoto na ainihin kamuwa da COVID-19 sakamakon kwas a cibiyar ku?

Shekarun masu koyon cutar sun bambanta tsakanin shekaru 31 zuwa 40 (Siffa 1E).

Hoto 1E Har yaushe bayan kammala kwas ɗin rahoton ya shigo?

Haɗarin kamuwa da cuta a cikin darussan BLS ya kasance 0.11%, tare da ƙididdigar yawan haɗarin kamuwa da cuta na 54.8 ga mahalarta 100,000.

Wannan shine rahoto na farko akan abin da ya faru na kamuwa da cutar Sars-Cov2 da ke da alaƙa da darussan BLS-D kuma ya kafa ma'auni don kimanta amincin darussan CPR na zama yayin bala'in COVID-19

A cikin hangen nesa na fa'ida, idan aka kwatanta da kusan kamuwar zuciya 70,000/shekara a Italiya, haɗarin kamuwa da cuta yayin darussan BLS ya bayyana yana da iyaka kuma ana iya ƙara rage shi.

Don karanta cikakken labarin: https://www.resuscitationjournal.com/article/S0300-9572(21)00330-0/fulltext

Dr Fausto D'Agostino

Kwararre a cikin Anesthesia, Resuscitation, Intensive Care and Pain Therapy

www.centroformazionemedica.it

Karanta Har ila yau:

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