Ke māhuahua ana nā mākaʻi alanui ma ke ʻano ʻoi aku ka hopena o nā lāʻau lapaʻau. Ua makemake kēia noiʻi e nānā i nā Emergency Ambulance Service Scheme (EASS) i nā ulia alanui i FCT Abuja.

 

Ke makemake nei kēia noiʻi e nānā i ka pono o ka pilikia ʻO ka'ōmaʻa ʻĀina lawelawe (EASS) i loko o kahi ala kaʻa hele kaʻa ma FCT Abuja ʻO ka hoʻonui nui ʻana o nā ulia kaʻahele ala, ka komo ʻana o nā Federal Road Safety Corps i ka hoʻopakele a me ka hoʻokele ʻana i nā pōʻino i hoʻopiʻi ma nā alanui ʻo Federal Capital Territory (FCT), i hana i ka pono no kekahi noiʻi like ʻole.

Hoʻohana ka noiʻi i nā ʻikepili mai nā nīnau noi i mālama ʻia i nā holo palekana zebra hoʻomalu a me ke kaʻi ʻūlū ma nā ʻalemai i koho ʻia ma Abuja ʻO ka maikaʻi o ka ʻike o ka noho ʻana o nā lawelawe ambulance Abuja Zebra he ʻilihune nui loa a ʻo ka hapanui o nā mea ulia i hoʻopiʻi ʻia i ka hale haukapila ma o nā kaʻa pilikino a i ʻole ma ka lehulehu.

No nā loea olakino e hoʻohana ana i nā hanana mua-ʻoihana no hoʻi ka ʻike nui pehea e puka ai i ka ambulance i nā ulia pōpilikia o ke ala. Pono ka palekana ma ka mua! ʻO nā ʻatikala ʻē aʻe e pili ana i ka palekana o nā mea olakino olakino ma nā alanui.

• Nā wahi ala: Pehea e ʻike ai nā hanana paramedic i kahi kūlana hoʻokūkū?
• Ke ala ala ʻole - Manaʻo ka lehulehu huhū e koho i ka mea maʻi e mālama mua
• Ua pau ʻoe! Hoʻokele ʻia e ka poʻe huakaʻi alanui e nā poʻe ambulance

 

 

AUTHOR

Dukiya Joshuaphat Jaiye1. ZAGI, B. Abraham2
1Department o ka ʻona hoʻokele o ka ʻenehana,
Ke Kulanui o ʻenehana Federal, Minna, Naigeria.
ʻO 2Otukpa Hoʻolālā Kūʻai Kūʻē Kūʻai Kūʻai
ʻO nā Kapu Palapala Hoʻo Federal, Nigeria

 

He aha e pili ana i nā hihia mua o ka haukapila?

Hoʻopilikia ke lawelawe ʻo Ambulance Services i nā kūlana he nui. ʻO kekahi o ka pilikia olakino olakino holoʻokoʻa e pili ana i nā pilikia kaʻeha alanui trauma. ^ E Ha yM. Kuhi aku ia ma mua o ka make ʻo 16,000 i kēlā me kēia lā e kumu ma luna o ka make ʻana o 312 miliona mau makahiki i kēlā me kēia makahiki e ʻimi nei i ka mālama olakino (Peden, 2005).

ʻO ia ka kumu maʻamau o ka make ma waena o nā kānaka ma lalo o 40 mau makahiki ka nui o ka hoʻokūkū ma ke ola o ka mana o ke kanaka. Eia nō kekahi mau tausani me nā hōʻehaʻeha ʻole i nā mea hōʻeha a make i nā maʻi (Ugbeye, 2010).

Ua mālama ʻia aia ka hapa nui o nā make e hiki mai ana i loko o ka hola mua o ka hōʻeha ma mua o ka nui ka hopena o kaʻeha koʻikoʻi a me ka hōʻeha cardiovascular me ka ʻike mālama liʻiliʻi. Hiki ke pale ʻia nā make ma muli o ke keakea ʻana o ke ea a me ke kahe koko waho Ke kōkua mua ana (Ashaolu, 2010). ʻO nā hana i hanaʻia ma nā'āina i kūkuluʻia e hoʻohaʻahaʻa i ka hoʻopiʻiʻana o kaʻeha, ua hoʻolālāʻia i loko o kahi pūnaewele maʻemaʻe, maikaʻi a me ke kumu kūʻai, e hōʻoiaʻiʻo ana i ka loaʻaʻana o ka maʻi e pili ana i ka trauma.

Ma Nigeria, me ka nui o 160 miliona mau kānaka, e hōʻike ana ka hoʻopaʻa noi ʻana ma hana hoʻokō ʻoi aʻe lawe ʻia ma ke Kulanui Haʻawina ʻAmelika ʻo Ilorin e hōʻike wale ana ʻo 68.4% o nā hōʻeha 2455 i komo i loko o ka Accident and Emergency Department he trauma hihia e pili ana i nā hōʻeha i hoʻopaʻa ʻia ma RTC.

ʻO ke kūlana o nā alanui, nā wahi mamao, ka hala ʻole o ka GPS a me ka ʻike ʻike ʻole o ka lawelawe ambulance hoʻokele kumu nui i nā make. Nui nā ola i hiki ke mālama ʻia i nalowale ma muli o kēia mau pilikia. Wahi a FRSC (2010), ma luna o ka 100 poʻe e make a ua hōʻeha ʻia ka 200 a i 400 i kēlā me kēia makahiki i ke kūkaʻa alanui ma Abuja. I mea e hōʻoia ai i ka pane koke ʻana i nā mea i make, Nā Kūlana Kūʻē Kūʻē Kānāwai (EASS) ua hoʻokū ʻia e hāʻawi i nā pane i loko o nā iwakālua (20) mau minuke i nā mea hoʻokūkū hala-post, (FRSC
He Baʻala Manaʻo Zebra, 2012).

ʻOiai ke aupuni a me nā ʻoihana ʻē aʻe ke hoʻomaka i ka ʻike o ka lehulehu ma ka nui o ka hoʻomau ʻana i ke ala pono i ke ala ʻona ma Abuja Municipal Area Council (AMAC) i hui pū ʻia me nā seminar like ʻole a me nā haʻawina i hoʻonohonoho nui ʻia e ka FRSC a me ka National Emergency Management Agency (NEMA ) e kāohi i nā wahi ʻino ma ke alanui a ma Abuja kūikawā.

 

He aha ka hopena o nā lawelawe ʻoihana Ambulance maikaʻi?

He mea nui holomua o ka hoʻomōla ʻana o nā mea i hōʻeha ʻia i ka puʻuwai naʻau, ʻo kahi laʻana, ʻike ʻia mai ka 6% a i ka 8% ke hoʻomaikaʻi ʻia ka manawa pane mai 15 mau minuke a 8 mau minuke. No laila, ua hoʻopaʻapaʻa ʻia, ʻo ka hoʻomaikaʻi ʻana i nā manawa pane i 5 mau minuke mai ka awelika o 15 mau minuke hiki ke ʻoi aku ma mua o nā helu ola pālua.

ʻOiai he mea nui ka manawa pane, Ke kūpono hoʻi i ka mea e pili ana i ke kahua. Wahi a Nicholl et al., (1995) nā maʻi o ka ʻO London Air Ambulance i ʻike ʻia ka lawelawe e hele mai i ka haukapila ma mua o ka hoʻohālikelike ʻana i ke kūlana ʻoihana ambulance a ke hele lōʻihi aku nei nā poʻe kauā ma ka wahi, e hoʻokele ana i ka hoʻokele pono o ka mea maʻi. Eia kekahi, ua hoʻāʻo ʻia nā mea maʻi i nā haukapila me nā loea kūpono etc.

Pēlā nō, ʻo ka noiʻi o nā hihia o ka hopu ʻana i ke puʻuwai i loaʻa i ka mau paramedics i hoʻolōʻihi i ka manawa ma mua o nā mea loea ambulance e hoʻohana ana i nā loea a me ka defibrillator semi-otomatiko. Hoʻomaopopo kēia i ka hoʻohana ʻana o nā paramedic i kā lākou akamai a no laila ke hōʻole nei i ka ambulance mai ka hoʻomaka ʻana o kona huakaʻi i ka haukapila. Nā ʻano
hiki paha ke hoʻolāleʻa i ka uku o ka mea maʻi, ʻO Guly et al. (1995).

 

Nā lawelawe ʻoihana Ambulance: hoʻonui i nā hana a me nā mākau

Ua lilo i mea hoʻomau mau i ka e hoʻomohala i nā mākaukau o ka hui ambulance a me ka paramedics ma o ka ulu pinepine hoʻonaʻauao kiʻekiʻe a me ke aʻo ʻana, e hiki ai iā lākou ke komo i ka palekana a hilinaʻi ke hele hana ma ke kahua, a me ka hāʻawi ʻana i kahi ākea ākea o ka lāʻau lapaʻau (Ball, 2005). Marks et al. (2002), no laila, ua ʻike pū ʻia ka hoʻolaha nui ʻana o nā ʻōnaehana hoʻouna mua.

Kēia mau ʻano hana o ka 'triage' ʻōnaehana i hoʻolālā ʻia e like me ka wikiwiki o ka pane ʻana i nā pono lāʻau lapaʻau o nā maʻi, me ka hoʻohana ʻana i nā protocols i hoʻoponopono ʻia a me ka nīnau ʻana o ka lawelawe ʻana i nā mea kāhea (Nicholl et al., 1999). Ma kahi hoʻohālikelike, ʻo O'Cathain et al. (2002) ʻike ka hoʻokō ʻia o nā ʻōnaehana hoʻoneʻe no ka hōʻuluʻulu ʻana i ka makemake no ka ʻōlelo aʻo mua a ua hopena ʻoi aku ka maikaʻi o ka mea hea.

Māʻili ʻia ke ʻano o Nigeria ma muli o kona disorganization i ka pilina ma waena o ka poʻe paena a me nā kino. Manaʻo ka poʻe i ka wehe ʻana i nā mea hōʻeha mai ka hanana hoʻokūkū a lawe koke iā lākou i ka haukapila e ʻoi aku ka maikaʻi no nā mea mau, a maʻamau mau nele i ka ʻike kōkua mua, a me ka lawa 'ana o ka hoʻolaha e hoʻolaha nei i nā wahi ho'ōla. Eia nō naʻe ʻo ka poʻe pīpī ka mea mua i hōʻea i kahi kahua pōpilikia, a hōʻole pinepine i nā hana o nā limahana ambulance.

E KOMO MAI MA ACADEMIA.EDU

 

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