Shin kuna jin tsoro don jefa allon kashin ku? Lokaci yayi da za ku canza ra'ayinku game da hana kashin baya

MUHIMMIN ZA KA SAN SUNSU - Dr D Connor, K Porter, M Bloch da I Graves a cikin "Pre-asibiti Spinal Rashin hankali: Bayanin Yarjejeniyar Farko na Farko", yana nazarin shaidar da ake samu a halin yanzu game da aikin rashin motsa jiki a cikin yanayin asibiti na farko. Wannan wani bangare ne na kammalawa daga taron yarjejeniya da Faculty of Pre-asibiti Care a cikin Royal College of Surgeons na Edinburgh a cikin Maris 2012. Ƙungiyar yarjejeniya ta bayyana sarai cewa ana buƙatar canji daga manufar hana wuyan wuyansa kamar yadda ya kamata. da yawa don kariyar likitan likitanci kamar na majiyyaci, zuwa tsarin da aka zaɓa na rashin motsi wanda aka tsara don rage haɗari ga wanda aka azabtar da shi. Yana da mahimmanci a tuna, duk da haka, ƙungiyoyin agaji na sa kai za su nemi jagora a wannan yanki mai ƙalubale. Ga waɗannan ma'aikatan, jagora ga 'marasa sana'a' da ke kula da rauni ya kamata su yi kuskure zuwa ga ɓarna. saduwa. Duk da haka, ana iya sanar da su da fa'ida ƙidaye na mahaifa ba shine panacea da ake yin su koyaushe ba kuma cewa ingantawar kwalliyar ciki (MILS) shine mafi yawan amfani da kuma yardar rai idan aka kwatanta da sau uku. Hakanan yakamata a karfafa su suyi la'akari da motsawa daga allon kasala zuwa scoops marasa ƙarfe da manufar kulawa da ƙarancin aiki.

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KASHI DAGA MEDEST118 - Kamar yadda kuka sani, ana yin motsi na kashin baya a cikin dukkan marasa lafiya na rauni daga masu ceto a cikin tsarin EMS a duk faɗin duniya, ba tare da yanayin rauni da alamun asibiti ba. Irin wannan tsarin ya kasance a zamanin yau rebutted daga karatun hujjoji da ainihin jagororin. ACEP, a cikin Janairu 2015, ya fitar da wata sanarwa game da manufofin mai taken: “Gudanar da EMS na Marasa lafiya tare da Raunin Raunin Raunin Rauni” yana bayyana alamun da ke daidai, da kuma sabawa juna, don hana kashin baya a cikin yanayin asibiti. Rashin shaidar yin amfani da na'urori kamar su allon baya, abin wuya na wucin gadi da sauransu the ya saba da tasirin irin wadannan kayan aikin: sasantawar iska, rashin karfin numfashi, buri, ischemia na nama, karin matsin lamba na ciki, da ciwo, sakamakon kayan aikin haɓaka na kashin baya, na iya haifar da ƙara amfani da hoton bincike da mace-mace. Tuni a cikin 2009 a Cochrane sake dubawa nuna rashin rashin shaida game da amfani da ƙwayoyin ƙwayar cututtuka a cikin rauni.

Kwanan nan kwanan nan daga asibiti daga cikin asibiti Nexus ma'auni da kuma Kanad C-kashin baya, da karfi da aka kaiwa zuwa wata hanyar da aka sake komawa zuwa lalacewa.

Saboda haka a 2013 Ƙungiyar Amurka na Ma'aikata Masu Magungunan Tsaro da Majalisa na Magungunan Tsaro "Sharuɗɗa don Gudanar da Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararriyar "  da kuma Makarantar Kulawa da Asibiti "Ciwon asibiti na asibiti na baya-baya: Bayanin Yarda da Farko" ya bayyana waɗannan canje-canje.

Bisa ga wannan kalamai:

1. Labaran yanayi ba za a yi amfani ba ga marasa lafiya tare da ciwon rauni ba tare da shaida game da rauni na kashin baya ba.
2. Spinal immobilization ya kamata a yi la'akari a duk marasa lafiya marasa lafiya daƙwallon ƙwalji ko kashin baya ciwon magunguna ko tare da wata magungunan ciwo da ke da damar haifar da mahaifa kashin baya rauni.
3. Ƙuntatawar motsa jiki kada a yi la'akari ga marasa lafiya tare da mummunan shinge na rauni da kuma kowane daga cikin wadannan:
   • Mai haƙuri ne GCS 15 (na al'ada lev el na alertness)
   • Akwai babu matsakaicin tsakiyar layi
   • Akwai babu rauni (wasu ciwo mai raɗaɗi)
   • Akwai babu alamomin da ke da alamomi da / ko bayyanar cututtuka (misali, ƙuntatawa da / ko raƙuman motsa jiki)
   • Akwai babu nakasar nakasar na kashin baya
   • Akwai babu maye (barasa ko magunguna, ciki har da mai daɗi)
4. Dogon kashin baya hukumar na'urar cirewa ce kawai.
5. Backboards ba za a yi amfani dashi a matsayin maganin warkewa ko a matsayin ma'auni ba a ciki ko a waje da asibiti ko don canja wurin wuri. A saboda wannan dalili, dole ne a yi amfani da matashi mai tsalle ko matsi na katako.
6. EMS masu samar da ahs su zama yadda ya kamata on kimantawa hadarin don ciwon kashin baya da kuma bincike neurologic, da sauransu yin motsi na haƙuri a cikin hanyar da za ta ƙaddamar da ƙarin motsi a cikin marasa lafiya da ciwo na rauni.

References

1. 2015 ACEP Bayanin manufofin: EMS Management na marasa lafiya tare da Raunin Raunin Rauni
2. Totten VY, Sugarman DB. Sakamakon cututtuka na lalacewar asali. Prehosp Emerg Care. Oct-Dec 1999; 3 (4): 347-352.
3. Cochrane Rewiev Spinal immobilisation ga marasa lafiya marasa lafiya
4. Gwajin gwajin mutum na NEXUS ƙaddamar da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta.
5. Tabbatar da Ingantacin Ƙwaƙwalwar Cutar ta Kanada C-Spine Rule by Paramedics
6. Bincike na Tsaron C-Spine Clearance by Paramedics
7. 2013 Ƙungiyar Amurka na Ma'aikata Masu Magungunan Tsaro da Majalisa na Magungunan Tsaro Sharuɗɗa don Gudanar da Ƙwararren Ƙwararren Ƙwararren Ƙwararriya da Ƙwararren Ƙwararren Ƙwararren ƙwayar cuta
8. Makarantar Kulawa da Asibiti "Ciwon asibiti na asibiti na baya-baya: Bayanin Yarda da Farko"