Kei te mataku koe ki te maka i to papa tuaiwi? Kua tae ki te waa ki te whakarereke i to whakaaro mo te koretake o te tuaiwi

HE WHAKAMAHI KI TE KAUPAPA – Dr D Connor, K Porter, M Bloch and I Graves in the “Pre-hospital Tuhinga o mua Te Whakakino: He Tauākī Whakaaetanga Tuatahi", ka arotake i nga taunakitanga o naianei e waatea ana mo te mahi o te whakaheke i te tuara i roto i te taiao o mua i te hohipera. He waahanga tenei o nga whakatau mai i te hui whakaaetanga i whakahaeretia e te Faculty of Pre-Hospital Care i te Royal College of Surgeons of Edinburgh i Maehe 2012. I tino marama te roopu whakaaro ka hiahiatia he whakarereketanga mai i te kaupapa here o nga kaki korekore hei he nui mo te whakamarumaru o te rata mo te manawanui, ki tetahi punaha whakangao maataki i hangaia hei whakaiti i nga tupono ki te patunga tukituki. He mea nui kia maumahara, heoi, ka rapua e nga whakahaere awhina a-tuo he arataki mo tenei waahi uaua. Mo enei tohunga, ko te arataki mo te 'kaore i te ngaio' te whakahaere i nga raru e tika ana kia pohehe Tuhinga. Ka taea e ratou me te painga, engari, kia mohiohia tera nga kohinga pukupuku Ehara i te mea ko te panacea i te nuinga o te waa, a, ko te whakahoutanga whakaurunga raupaparorohiko (MILS) he maha ake te painga me te taurangi ki te whakakotahitanga mo te tokotoru. Me akiakihia hoki kia whai whakaaro ratou ki te neke atu i nga papa tuukere ki nga whiu kikiore me te kaupapa o te whakahaere iti.

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WHAKAMAHI MAI MEDEST118 - E mohio ana koe, ka whakatutukihia te whakakorenga o te tuaiwi i nga tuuroro whara katoa mai i nga kaiwhakaora i nga punaha EMS puta noa i te ao, ahakoa te tikanga o te whara me nga tohu haumanu. Ko tenei momo huarahi kua roa kee ka whakakorehia mai i nga whakaaturanga hou me nga aratohu pono. ACEP, i te Hanuere 2015, i tukuna he korero mo te kaupapa here e tika ana: "Te Whakahaere EMS o Nga Taane me te Whara Tuuroro Tino" e whakamarama ana i nga tohu tika, me nga whakahee, mo te koretake o te tuaiwi i te waahi o mua. Ko te koretake o te taunakitanga o te whakamahi whaihua i nga taputapu penei i nga papamuri tuara, i nga kohinga o te pukupuku, me era atu… he rereke ki nga kino kino o nga taonga penei: te aukati i te huarahi rererangi, te ngoikore o te manawa, te wawata, te kiko o te kiko, te whakapiki kaha o te pehanga, me te mamae taputapu immobilization tuaiwi, kia hua i roto i te whakanui ake whakamahi o te tātaritanga atahanga me te tahuti. Kua tae ki te 2009 a Te arotake a Cochrane i whakaatu i te kore o nga taunakitanga mo te whakamahinga o nga rautaki whakawhitinga tawhito i roto i te raruraru.

Tuhinga o mua Ngā paearu nohonga a Nga ture C-spine Canadian, e kaha ana ki te huarahi ki te whakawhitinga i nga mokupuku.

Na i te 2013 American Association of Neurological Surgeons and the Congress of Neurological Surgeons "Ko nga aratohu mo te Whakahaere o te Tohu Whakanoho Ake me te Tainui Korero Injurie "  a Faculty of Pre-Hospital Care "Pre-hospital Spinal Immobilisation: He Panui Whakaaturanga mo te Whakaaetanga Katoa" i whakaatu i aua huringa.

I runga i enei korero:

1. Te whakatipu korepu kaua e whakamahia mo nga turorotanga me te kainohu kaore he tohu o te whara.
2. Tuhinga o mua te whakahou me whakaarohia i nga mate pukupuku katoa me teko te taatai ​​pukupuku ranei filosilivá te whara kiri ranei, me te ahuatanga o te whara kei te kaha ki te whakaputa i te whare filosilivá whara.
3. Ko te whakawhitinga motika kaua e whakaarohia mo nga turorotanga me te ahua kino o te whara me nga mea e whai ake nei:
   • Ko te manawanui GCS 15 (te tikanga noa o te mataara)
   • he kaore he mokomoko o waenganui-aho
   • he kaore he whara (nga atu whara mamae)
   • he kahore he tohu tohu taiao me te / / nga tohu (hei tauira, te korenga me te ngoikore ngoikore)
   • he kaore he ngoikoretanga anatomic Tuhinga o mua
   • he kahore he mate (te waipiro me te raau taero tae atu ki te kitrogenic)
4. Te tuaiwi roa poari he taputapu tango noa.
5. Pouakapapa kaua e whakamahia hei urupare hauora, hei raupapa whakatupato ranei i roto, i waho atu o te hōhipera, mo nga whakawhitinga urutomo ranei. Mo tenei take, me whakamahi te kapeke me te mate mate moenga.
6. EMS kaiwhakarato ahs hei he pai te ako on te aromatawai i te raru mo te whara me te te aromatawai neurologic, tae atu ki runga te whakatutuki i te nekehanga whakamua i roto i te tikanga e whakawhitinga ana i etahi atu mokopuna i roto i te hunga mate ki te whara i te whara.

Tohutoro

1. 2015 ACEP Kaupapa Kaupapahere: Te Whakahaere EMS mo nga Patai ki te Maatauranga Rawa Potential
2. Totten VY, Sugarman DB. Nga hua mai o te taiao o te taiao. Care Care Emerg Care. Oct-Dec 1999; 3 (4): 347-352.
3. Cochrane Rewiev Spinal immobilisation mo te tūroro tukino
4. Te whakamatautau i te mahinga NEXUS i te paearu haumanu mo te taiao haumanu mo te mate pukupuku.
5. Ko te Whakamana i waho o te Wharepera o te Ture C-Spine C Canada e te paraparau
6. Te aromatawai i te Haumaru o te C-Spine Clearance by Paramedics
7. 2013 American Association of Neurological Surgeons and the Congress of Neurological Surgeons Ko nga aratohu mo te Whakahaere o te Whero Tae Kaute me te Waahi Spinal Injurie
8. Faculty of Pre-Hospital Care "Pre-hospital Spinal Immobilisation: He Panui Whakaaturanga mo te Whakaaetanga Katoa"