Na-atụ ụjọ ịtụpụ bọọdụ azụ gị? Oge erugo ịgbanwe obi gị banyere ịkpụ azụ azụ

A MGBE ỊMỌRỤ ỌZỌ - Dr D Connor, K Porter, M Bloch na m Graves na ụlọ ọgwụ tupu oge eruo. Ogwu Anaghị akwụsị akwụsị: Nkwupụta nkwenye mbụ ", na-enyocha ihe akaebe dị ugbu a na omume nke ịmegharị ọkpụkpụ azụ na gburugburu ebe obibi tupu ụlọ ọgwụ. Nke a bụ akụkụ nke nkwubi okwu sitere na nzuko nkwenye nke ngalaba nlekọta ụlọ ọgwụ na Royal College of Surgeons nke Edinburgh na March 2012. Otu nkwenye ahụ doro anya nke ọma na mgbanwe dị mkpa site na amụma nke ime ihe n'olu dị ka immobilizing olu dị ka. Ọtụtụ maka nchebe nke onye dọkịta dịka nke onye ọrịa, na usoro nke ime ihe na-ahọrọ nke e mere iji belata ihe ize ndụ nye onye merụrụ ahụ. Ọ dị mkpa icheta, Otú ọ dị, na òtù enyemaka afọ ofufo ga-achọ nduzi na mpaghara a siri ike. Maka ndị ọrụ a, ntuziaka maka ndị 'na-abụghị ọkachamara' na-ahụ maka trauma kwesịrị ịmehie n'akụkụ nke ọzọ. ịlụ. Otú ọ dị, e nwere ike ime ka ha mara nke ahụ akwa ume abughi ihe panacea bu nke eweputara ha ka ha buru ihe ma dozie ntuzi aka (MILS) na abakariri uru karie ekwesi ma e jiri ya tunyere ubochi ato. Ekwesịrị ịgba ha ume ịtụle ka ịpụpụ na bọọdụ spinal gaa na scoops na-abụghị ihe mma na echiche nke njikwa obere.

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AJỤTA NKE MEDEST118 - Dịka ị maara, a na-eme nkwonkwo akwara na ndị ọrịa niile na-arịa ọrịa site n'aka ndị nnapụta na usoro EMS n'ụwa niile, n'agbanyeghị usoro mmerụ ahụ na akara ngosi ahụike. Kinddị ụzọ a bụ n'oge weghaara site na ncheta ihe akaebe na ntuziaka. ACEP, na Jenụwarị 2015, wepụtara nkwupụta iwu nke isiokwu ya bụ: "EMS Management of Patients with Potential Spinal Injury" na-akọwapụta ihe ngosi ziri ezi, na mmegide, maka ịkpụkpụ azụ azụ na usoro ịgba alụkwaghịm. Enweghi ihe akaebe nke ojiji nke ihe eji eme ihe dika ihe ndi ozo, ihe ndi ozo na ihe ndi ozo. akụrụngwa na-eme mkpọtụ, nwere ike ime ka ojiji nke nyocha nyocha na ịnwụ anwụ. Ugbua na 2009 a Nyochaa Cochrane gosiputara na enweghi ihe akaebe banyere ojiji nke usoro nchikota nke ogwu.

N'oge na-adịbeghị anya site n'aka ụlọ ọgwụ maka Nexus njirisi na Iwu C-spine nke Canada, gbasiri ike ka a laghachi na nlekota ala.

Ya mere na 2013 Òtù America nke Ndị Na-agwọ Ọrịa Na-ahụ Maka Ọrịa Na-ahụ Maka Ọrịa Na-ahụ Maka Ọrịa Na-adịghị Anya "Ntuziaka Maka Nchịkwa nke Ọkpụkpụ Cervical Nnukwu Na Spinal Cord Injurie "  na Ngalaba nke -lọ Ọgwụ Na-elekọta "-lọ ọgwụ Spinal Immobilisation: Nkwupụta Nkwupụta Mbụ" kwuru mgbanwe ndị ahụ.

Dabere na okwu ndị a:

1. Ngwurugwu nke ahihia ekwesighi iji ya maka ndị ọrịa na-enwe ọnyá na-enweghị ike na-enweghị ihe akaebe nke mmerụ ahụ.
2. Ogwu eme ihe kwesịrị ịtụle ya na ndị ọrịa niile na-arịa ọrịaakwara cervical ma ọ bụ spinal mmerụ ahụ ma ọ bụ na usoro nhụjuanya nwere ike ime ka cervical spinal mmerụ.
3. Akwụsịghị ihe ọkpụkpụ ekwesịghị ịtụle ya maka ndị ọrịa na-eme ihe nhụjuanya na ihe ọ bụla n'ime ihe ndị a:
   • Onye ọrịa bụ GCS 15 (nkịtị lev el nke alertness)
   • Enwere enweghi obi uto
   • Enwere enweghị nhụsianya (mmerụ ndị ọzọ na-egbu mgbu)
   • Enwere ọ dịghị ihe omimi nke ihe omimi na / ma ọ bụ ihe mgbaàmà (dịka, nkwụsị na / ma ọ bụ nkwarụ ike)
   • Enwere enweghị nrụrụ anatomic nke spine
   • Enwere enweghị mmanya (mmanya na-aba n'anya ma ọ bụ ọgwụ ọjọọ, gụnyere ụbụrụ)
4. Ogologo spinal osisi bụ ngwaọrụ mkpochapụ naanị.
5. Ndabere ekwesighi iji ya mee ihe dika ogwugwu ogwu ma obu dika ihe ndi ozo ma n'ime ma obu n'azu ulo ogwu ma obu maka inyefe ndi ozo. Maka nke a, a ga-eji ihe nkocha ma ọ bụ ihe mgbochi ọkụ.
6. EMS na-enye ahs ezi mmụta on nyochaa ihe ize ndụ maka ọnya ogwu na nyocha nyocha, nakwa na na-arụ ọrụ nke ndidi n'ụzọ na-egbochi ndị ọzọ na-agbanye ọkpụkpụ azụ na ndị ọrịa nwere mmerụ ahụ.

References

1. 2015 ACEP Nkwupụta nzuzo: EMS Management of Patients with Potential Spinal Terreatury
2. Totten VY, Sugarman DB. Mmetụta respiratory nke na-eme ihe na-adịghị mma. Nlekọ anya na-atụ anya na Prehosp. Ọkt-Dec 1999; 3 (4): 347-352.
3. Cochrane Rewiev Spinal immobilisation maka trauma ndị ọrịa
4. Ihe nyocha nke onye ọ bụla ANXUS dị nyocha nyocha ọhụụ dị ntakịrị maka ọrịa ọnyá ahụ.
5. Ihe Nlekọta nke Ụlọ Ọgwụ nke Ụlọ Ọchịchị C-Spine nke Canada nwere site na Paramedics
6. Nyocha maka Nchebe nke C-Spine Clearance by Paramedics
7. 2013 Òtù America nke Ndị Na-agwọ Ọrịa Na-ahụ Maka Ọrịa Na-ahụ Maka Ọrịa Na-ahụ Maka Ọrịa Na-adịghị Anya Ntuziaka Maka Nchịkwa nke Nnukwu Nkwonkwo Cervical na Spinal Cord Injurie
8. Ngalaba nke -lọ Ọgwụ Na-elekọta "-lọ ọgwụ Spinal Immobilisation: Nkwupụta Nkwupụta Mbụ"