Hluav taws kub, nqus pa thiab kub hnyiab: cov tsos mob, cov tsos mob, txoj cai ntawm cuaj

By Cristiano Antonino On Apr 7, 2023

Hluav taws kub yog ib qho tseem ceeb ua rau raug mob, tuag thiab kev puas tsuaj rau nyiaj txiag. Kev puas tsuaj rau cov pa luam yeeb ua rau muaj kev puas tsuaj loj heev ntawm kev tuag hauv cov neeg mob kub hnyiab: nyob rau hauv cov xwm txheej no, kev haus luam yeeb puas tau ntxiv rau qhov kub hnyiab, feem ntau ua rau tuag taus.

TECHNOLOGICAL INnovation ntawm Kev Pabcuam ntawm FIREFIGHTERS thiab Pej Xeem Kev Tiv Thaiv Cov Neeg Ua Haujlwm: DISCOVER qhov tseem ceeb ntawm DRONES NTAWM LUB FOTOKITE BOOTH

Cov tsos mob, cov cim qhia thiab kev kuaj mob hauv cov neeg raug hluav taws kub

Qhov nce morbidity thiab kev tuag cuam tshuam nrog kev ua pa raug mob hauv cov neeg mob kub hnyiab yuav tsum tau lees paub sai thiab kho.

Kev kuaj mob nrawm nrawm, fibreoptic bronchoscopy, hauv siab X-ray, haemogasanalysis, ECG thiab kev saib xyuas haemodynamic yog cov kauj ruam tseem ceeb hauv kev kuaj mob.

Kev saib xyuas zoo ntawm tus neeg mob los ntawm cov txheej txheem no tso cai rau kev ua raws sijhawm thiab tsim nyog yog tias tsim nyog.

Qee cov ntsiab lus tseem ceeb yuav muaj txiaj ntsig zoo hauv kev ntsuam xyuas thiab kev kho thawj zaug ntawm cov neeg raug hluav taws kub uas tau nqus pa.

Cov keeb kwm zoo ntawm kev raug rau ib puag ncig, qhov chaw haus luam yeeb heev yuav tsum ua rau ib tus neeg xav tias kev nqus pa raug mob, txawm tias tsis muaj cov tsos mob pom tseeb.

Lub xeev tsis nco qab yuav ua rau asphyxia thiab / lossis carbon monoxide (CO) thiab cyanide (RCN) lom ntau dua.

Cov cim classic ntawm cherry-liab xim ntawm daim tawv nqaij nyob rau hauv cov xwm txheej ntawm CO lom yog tsis ntseeg ntawm nws tus kheej.

THAWJ AID: Mus ntsib DMC DINAS Cov Kws Pab Tswv Yim Kho Mob Hauv Tsev Kho Mob EXPO

Oximetry yog ib qho kev ntsuam xyuas tseem ceeb rau kev kuaj mob ntawm CO intoxication, txawm li cas los xij, qib Hbco qis tsis suav nrog qhov ua rau muaj kev puas tsuaj rau lub ntsws tseem ceeb hauv theem nrab thiab lig tom qab kub hnyiab.

Pulse oximetry yog qhov tseem ceeb thib tsib hauv kev saib xyuas cov neeg mob hnyav, txawm li cas los xij, SpO2 tsis raug cuam tshuam txog Hbo cov ntsiab lus hauv cov neeg mob CO lom vim oxyhaemoglobin thiab Hbco muaj qhov zoo sib xws ntawm lub teeb nqus, yog li, SpO2 qhov tseem ceeb yuav raug dag hauv cov neeg mob CO lom. .

Pulse oximetry ua pov thawj muaj txiaj ntsig tsuas yog hauv cov neeg mob kub hnyiab nrog qhov ze li qub Hbco qhov tseem ceeb.

Lub ntsej muag kub hnyiab, hlawv vibrissae, buccal thiab laryngeal oedema, charred khib nyiab nyob rau hauv cov hlab ntsha thiab cov hnoos qeev qhia txog kev ua pa raug mob, tab sis lawv qhov tsis tuaj yeem txiav txim tsis tau.

Lub xub ntiag ntawm charred particles nyob rau hauv cov hnoos qeev, uas kuj yog ib tug rhiab heev kos npe rau ntawm pa luam yeeb inhalation, tej zaum yuav tsis pom nyob rau 8-24 teev, thiab tsuas yog tshwm sim nyob rau hauv li 40% ntawm cov neeg mob ntsws mob.

Laryngeal stridor, hoarseness, hais lus slurred thiab thoracic retractions qhia tias muaj cov kab mob ntawm txoj hlab ntsws sab sauv thiab xav tau kev ntsuam xyuas tag nrho ntawm qhov no.

Laryngoscopy thiab fibreoptic bronchoscopy yog qhov muaj txiaj ntsig zoo rau ob qho tib si kev tshawb fawb ntawm cov hlab ntsws sab sauv thiab tshem tawm cov qaub ncaug thiab cov khib nyiab uas tuaj yeem tshwm sim.

Cov tsos mob ntawm hnoos, dyspnea, tachypnoea, cyanosis, hissing, hawb pob los yog rhonchi qhia tias mob hnyav dua qhov nqus tau pa.

Ib qho electrocardiogram (ECG) feem ntau qhia tachycardia thiab tseem tuaj yeem pom cov tsos mob ntawm ischemic plawv.

TUS TSHUAJ TSHWJ XEEB TSHUAJ TIV THAIV TSEV KAWM NTAWV RAU COV TSEV KAWM NTAWV TSEV KAWM NTAWV: QHOV TSEEB QHOV TSEEB QHOV TSEEB YUAV TSHWJ XEEB NYOB HAUV TSEV KAWM NTAWV

Kev kuaj X-ray hauv siab feem ntau qhia tias tsis muaj cov tsos mob ntawm kev nqus pa

Ib txoj kev tshawb nrhiav scintigraphic ua tom qab txhaj tshuaj ntawm xenon-133 yog qhov qhia tau hais tias kev raug mob ntawm txoj hlab pa me me yog tias kev tshem tawm tag nrho ntawm isotope tsis tshwm sim hauv 90 vib nas this.

Hmoov tsis zoo, nws tsis yog qhov ua tau zoo los ua qhov kev sim no thaum ntxov ntawm kev kho mob.

Spirometry tau ua pov thawj muaj txiaj ntsig zoo rau kev kuaj pom cov pa me me thiab cov hlab ntsws sab saud.

Ob qhov siab tshaj plaws expiratory ntws thiab yuam tas sij hawm tus nqi ntawm 50% ntawm yuam tseem ceeb muaj peev xwm yog markedly txo.

Kev siv tau ntawm txoj kev no, txawm li cas los xij, tsuas yog txwv rau cov neeg mob uas tuaj yeem ua raws li tus kws tshuaj xyuas cov lus txib thiab ua kom muaj zog ua pa txaus.

Arterial blood gas analysis (ABG) yog ib qho tseem ceeb heev rau kev ntsuam xyuas qhov hnyav thiab kev loj hlob ntawm lub ntsws raug mob.

Kev txo qis hauv PaO2 thiab nce hauv P (Aa) O2 (ntau dua 300), lossis txo qis ntawm PaO2 / FiO2 piv (tsawg dua 350), yog qhov ua tau zoo thiab muaj txiaj ntsig ntawm kev ua pa tsis zoo.

Kev ua pa alkalosis feem ntau tshwm sim hauv lub sijhawm tam sim tom qab kub hnyiab thiab feem ntau txuas ntxiv nrog rau theem hypermetabolic.

Kev ua pa acidosis yog qhov qhia tau hais tias ua pa tsis ua haujlwm thiab feem ntau cuam tshuam nrog hypoxemia hnyav.

Asphyxiation, nce qib Hbco (siab dua 40), HCN lom thiab tsis tshua muaj lub plawv tawm yog txhua yam uas ua rau mob hnyav metabolic acidosis.

Electrocardiogram (ECG) thiab kev saib xyuas haemodynamic yog qhov tseem ceeb hauv cov neeg mob uas muaj qhov kub hnyiab thib peb txuas ntxiv ntau dua 10 feem pua ntawm lub cev, txawm tias tsis cuam tshuam nrog kev raug mob ntawm qhov nqus pa.

Hauv kev kub hnyiab, tshwj xeeb tshaj yog cov teeb meem los ntawm kev nqus pa raug mob, pulmonary arterial pressure, cardiac output thiab lwm yam hemodynamic variable tuaj yeem saib xyuas kom ua kom cov kua dej ua kom zoo thaum lub sij hawm resuscitation, tsis txhob hypotension, lub raum tsis ua hauj lwm thiab dej ntau dhau.

TSHWJ XEEB TSEV KAWM NTAWV RAU COV TSEV KAWM NTAWV: Mus ntsib ALLISON BOOTH ntawm EMERGENCY EXPO

Hluav taws kub, txoj cai ntawm cuaj

Kev ntsuam xyuas ntawm kev raug mob ntawm daim tawv nqaij yog ua los ntawm kev kuaj lub cev, ntsuas lub cev hnyav (kom ua raws li cov dej sib npaug) thiab kev txiav txim siab ntawm qhov chaw ntawm lub cev kub hnyiab.

Cov tom kawg tuaj yeem suav nrog suav, siv txoj cai hu ua cuaj, tom qab txiav txim siab txog qib kev koom tes ntawm lub taub hau, pem hauv ntej thiab nraub qaum ntawm lub cev thiab cov ceg.

Hauv txoj cai ntawm cuaj, hauv cov neeg laus, txhua qhov chaw anatomical sawv cev kwv yees li 4.5% lossis 9% lossis 18% ntawm tag nrho lub cev.

Kev sib tw thiab kev vam meej: txoj kev taug ntawm cov poj niam Hluav Taws Kub…

Jan 17, 2024

Poj niam tua hluav taws: Niaj hnub nimno Heroines ntawm Frontlines

Dec 19, 2023

Hluav taws kub ntawm Tivoli Tsev Kho Mob Firefighters Avert Kev Puas Tsuaj, tab sis…

Dec 13, 2023

Cov poj niam hauv Kev Pabcuam Hluav Taws Xob: Los Ntawm Cov Pioneers Thaum Ntxov mus rau…

Dec 4, 2023

Qhov tob ntawm qhov kub hnyiab tau soj ntsuam raws li nws cov tsos mob, ib txwm khaws cov ntaub ntawv luv luv no hauv siab:

thawj qib kub hnyiab: Hlawv rau hauv epithelium, tshwm sim raws li erythema thiab mob;
Kev kub hnyiab thib ob: Hlawv ntawm epidermis thiab dermis, tshwm sim nrog erythema, hlwv thiab mob
Thib peb-degree hlawv: Hlawv uas ua rau daim tawv nqaij mus rau hypodermis lossis hauv lub hypodermis thiab tshwm sim los ntawm daj ntseg lossis greyish-xim av discoloration ntawm qhov cuam tshuam, uas tsis mob, vim kev puas tsuaj tag nrho ntawm lub cev hauv lub cev. tawv nqaij.