Gudanar da zirga-zirgar jiragen sama na gaba shine muhimmin bangare na kulawa da asibiti. Mene ne ainihin dalilai na yanke shawarar yin fashewa?

Tsarin Tsarin Tsarin Labaran hanya shine hanya na sarrafa iko da kullun da kuma rage haɗarin jari da ruwa regurgitation haife a cikin 1970 (Tsarin | Safar) yin amfani da Cricoid Pressure a lokacin sarrafa hanyoyin Airway (Sellick). Saurin Tsarin Tsari yana ɗayan mahimman motsi a cikin ALS saboda dole ne ya kiyaye ingancin hanyar iska. Yana da mahimmanci ga dabarun fasaha, don aiki a cikin asibiti na asibiti. Amma tun da 2010, akwai tambayoyi game da Sellick Maneuver cewa masu binciken suna binciken.

The Ƙungiyar HEMS ta Greater Sydney yana daya daga cikin manyan ma'aikata game da hanyoyin ALS a cikin asibiti. Suna bin #FOAMED ladabi don samarwa kowa da kowa bayani game da abubuwan da suka faru, musamman game da Airway Management. Sun halicci Registry Registry Wannan muhimmin mahimmanci ne don koyi wani aiki mafi kyau. Dukkan lokuta da aka rajista a cikin Registry Airway suna tattauna ne ba tare da lokaci daya ba, ba tare da an ambata ba kuma sun haɗu a kan wani lokaci don zartar da hada-hadar saƙonnin gida.

The Yankin Yankin Sydney HEMS a 2010 ƙirƙiri Jagoran Tsarin Tsarin Tsarin Tsari. Wannan littafin yana bayanin tsarin don maganin rigakafin gaggawa na asibiti. Kutu ne mai matukar ban sha'awa ga kwararru waɗanda ke aiki a cikin iyakantattun saituna inda ƙungiyar dawo da su kayan aiki kuma ana iya buƙatar ƙwarewar don samar da ingantacciyar hanya mafi inganci da ingantacciyar hanyar kula da hanyoyin jirgin sama.

Shirin HEMS na Greater Sydney yana bayanin hanyoyin da za'a bi don asibiti na gaggawa a asibiti. Tunanin Ostiraliya shine tallafawa dabarun laryngoscopy da aka riga aka tsara don nasarar farko. “Wannan zai hana tsawaita tsawaitawa da yawa kuma ya haifar da rikice-rikice. Yana da nufin tabbatar da hakan samfurin daidaitaccen lafiya don rigakafin gaggawa a asibiti yayin amincewa da bambance-bambancen yanayi, mahalli da abubuwan ci gaba da aka samu a cikin farkon asibitin. Shawarar da aka bayar ta samo asali ne daga haɗewar masanan da ke cikin rukunin asibitoci a kulawa da rauni na asibiti kafin kuma a tabbatar da hakan. Jagorar ta fayyace mahimman ka'idoji da ƙwarewar aiki waɗanda aka kimanta su a cikin Canjin Asibiti na gaggawa na cikin gaggawa ”. Kamar yadda dukkanin hanyoyi, da shawarar da za a ci gaba da rigakafin gaggawa ta asibiti dole ne ya dogara ne akan binciken da aka sani game da hadarin wannan hanya ta hanyar amfani da asibiti. Alamun ga asibiti na gaggawa a asibiti su ne:

• Rashin fadin filin jirgin sama
• Rashin tsaro ta iska
• Rashin samun iska / oxygenation
• Tsarin da ake tsammani na asibiti
• Dalilai na jin kai
• Don sauƙaƙe harkokin sufuri

Tsarin jiragen sama na gaba, gami da maganin rashin lafiyar gaggawa, shine ainihin tushen aikin kulawa na gaba-asibiti. Tabbatar da kulawar hanya da kariya muhimmiyar fasaha ce wajen kulawa da yawan masu haƙuri. Yana inganta oxygenation na marasa lafiya da suka ji rauni sosai, yana ba da damar jigilar su zuwa asibiti, yana sauƙaƙe aikin neuroprotection har da bincike mai sauri a cikin asibiti da kulawa na tiyata.

Extraarin lokacin da aka ɓata lokacin ɗaukar lamarin kiyaye hanyar jirgin sama (har ma da kwararrun likitocin) na ɗaya daga cikin manyan rigima a cikin kulawar asibiti kafin lokacin. Lokaci da aka ɓoye yana kula da titin jirgin sama a cikin lokacin da aka adana lokacin jigilar kai da ɗayan matakan asibiti yayin da za'a yi shi cikin kwanciyar hankali da sauri. Asibitocin gaggawa na asibitoci lokutan da basu wuce 20min za'a iya cimma ruwa kuma yakamata su zama manufa yayin horo.

Harkokin rigakafi na gaggawa na asibiti yana da hatsari fiye da asibiti a asibiti saboda matsalolin da ke gaban asibitoci don haka dole ne a yi kokari don kare lafiyar hanya. A cikin jiragen sama da na sojan soja an yarda da shi, cewa mafi girma daga yanayin da ake ciki, mafi girma shine buƙatar cire kowane zaɓi na mutum kuma mafi girma da buƙatar biyayyar hanyar bin hanya.

Yanke shawara game da yunwar: jerin abubuwan daga Sydney HEMS

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