Ambulance, hoʻopakele ma waho o ka haukapila: AVPU Scale, manaʻo a me ka pilina me Glasgow Coma Scale
ʻO ka acronym 'AVPU' i ka lāʻau lapaʻau e pili ana i kahi pālākiō no ka loiloi ʻana i ke kūlana o ka ʻike o ka mea maʻi, ka mea i hoʻohana nui ʻia i ka hihia o ka hoʻopakele ʻana i waho o ka haukapila, laʻa, ke komo ka paramedic ma kahi o kahi ulia pōpilikia a loaʻa. he kanaka ike ole
ʻO ka pālākiō AVPU kahi koho maʻalahi i ka Glasgow Coma Scale kaulana loa
ʻO ka'ōmaʻa Hoʻohana pinepine nā mea hoʻopakele i ka unahi AVPU maʻalahi a pololei, aʻo nā kauka a me nā kahu hānai e hoʻohana pinepine i ka ʻO Glasgow Coma Scale.
ʻO ka AVPU he acronym i hana ʻia me nā leka ʻehā, e hōʻike ana kēlā me kēia i ka ʻeha o ka mea maʻi:
- makaʻala (alert patient): ua ala ka mea maʻi a makaʻala; Ua loiloi maikaʻi ʻia kēia mokuʻāina inā hiki i ka mea maʻi ke pane maopopo i nā nīnau maʻalahi loa e like me "ʻO wai kou inoa?" aiʻole "He aha kāu i hana ai?";
- waha (maʻi me ka pane waha): pane pū ka mea maʻi ma ka hoʻoneʻe ʻana i nā maka a i ʻole me nā hana kaʻa akā i ka hoʻoulu waha wale nō, ʻo ia hoʻi inā kāhea ʻia, ʻoiai me ka ʻole o ka hoʻoulu ʻana ua ʻike ʻia ʻo ia e hiamoe a huikau paha;
- ʻeha (maʻi e pane i ka ʻeha): ʻaʻole pane ka mea maʻi i nā hoʻoulu waha akā i nā mea hoʻoulu ʻeha wale nō ma ka haʻalulu (i ka mea maʻi ʻeha ʻole) a/a i ʻole ke kuʻi ʻana i ke kumu o ka 'ā'ī.
- pane ʻole (maʻi pane ʻole): pane ʻole ka mea maʻi i nā mea hoʻoulu waha a ʻeha paha, no laila ua manaʻo ʻia ʻaʻole maopopo.
AVPU, maʻalahi:
- ʻO ka makaʻala, ʻo ia hoʻi ka maʻi ʻike a maopopo;
- ʻO ka waha e pili ana i ka mea maʻi he semi-conscious a pane aku i nā hoʻoulu leo me ka hāwanawana a i ʻole ka hahau ʻana;
- ʻo ka ʻeha e pili ana i ka mea maʻi i pane wale i nā mea hoʻoulu ʻeha;
- ʻO ka pane ʻole e pili ana i kahi maʻi ʻike ʻole i pane ʻole i kekahi ʻano mea hoʻoulu.
Mai A a i U, pi'i ke kūlana ko'iko'i.
I ka manawa hea e hana ʻia ai ka loiloi o ke kūlana ʻike AVPU?
ʻO ke kūlana o ka ʻike AVPU ke kumu mua (a i ʻole kekahi o nā mea mua) e noʻonoʻo ʻia e ka mea hoʻopakele i ka wā e kū ai me kahi mea i hōʻeha ʻia i loko o ke kūlana o ka ʻike hapa a i ʻole ka ʻike ʻole.
Hoʻomanaʻo mākou i ka mea heluhelu ʻaʻole e huikau ka mokuʻāina o ka ʻike me ke ʻano o ka ʻike: hiki i ka mea maʻi ke noʻonoʻo a pane akā ʻaʻole ʻike ʻia, no ka laʻana, ma hea ʻo ia.
Hoʻohana pono ʻia ka AVPU no ka loiloi neurological i hana ʻia ma kahi D o ka A B C D E ka rula.
ʻO nā māka ʻeha ʻehā ʻokoʻa o ka unahi AVPU e pili ana i kahi helu ʻokoʻa Glasgow Scale:
ka mea maʻi "makaʻala" pili i ka mea maʻi me Glasgow Coma Scale score 14-15
ʻO ka mea maʻi "waha" pili i ka mea maʻi me Glasgow Coma Scale score 11-13
ʻo ka mea maʻi "ʻeha" e pili ana i ka mea maʻi me Glasgow Coma Scale score 6-10
ʻo ka mea maʻi "unresponsive" pili i ka mea maʻi me Glasgow Coma Scale score 3-5.
E heluhelu pū nō hoʻi:
Mahope o ka hopu ana i ka wela o na keiki
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ʻO ka Cerebral Haemorrhage, He aha nā hōʻailona kānalua? Kekahi mau ʻike no ke kamaʻāina maʻamau
ʻO ABC, ABCD a me ABCDE Rule i ka lāʻau lapaʻau pilikia: He aha ka mea e hana ai ka mea hoʻopakele
ʻO Rapid Blood-Pressure Ke haʻahaʻaʻana i nā maʻi me ka'āpana o Intertrebral Hemorrhage
Loaʻa Tourniquet a me kahi komo intraosseous: ka hoʻokele koko nui
Nā hōʻehaʻeha:ʻO ka pono o nā hana kūikawā mua loa no ka hōʻehaʻeha o ka maʻiʻehaʻeha (BTI)
Pehea e wikiwiki ai a maopopo pono i ka mea maʻi maʻi maʻi ma kahi hoʻonohonoho prehospital?
Glasgow Coma Scale (GCS): Pehea e loiloi ʻia ai kahi helu?
Pediatric Glasgow Coma Scale: ʻO wai nā mea hōʻailona GCS e hoʻololi ai i ka pae koma Pediatric.