Chaka cha 2001 chisanachitike, ma helikopita azachipatala omwe amagwiritsidwa ntchito ndi maofesi aku Japan popereka chithandizo chodzidzimutsa anali asanakhale ndi chisamaliro chokwanira. Kenako Dokotala-Heli waukadaulo wogwira ntchito pa chipinda cha helikopita adafika ndikukula kwambiri. Tiyeni tiwone zomwe zingachite!

Chigawo cha Miyazaki, yomwe ili kum'mwera kwa chilumba cha Kyushu, adayamba kugwira ntchito ya Doctor-Heli kuchokera ku University of Miyazaki Hospital mu 2012. Miyazaki ndi dera lakumidzi ku Japan. Chiwerengero chake ndi anthu miliyoni imodzi, 420,000 a iwo amakhala likulu. Pulogalamu yatsopanoyi imafunikira dongosolo latsopano lazachipatala la helikopita kuti lipange bwino kwambiri HEMS.

 

HEMS wogwira ntchito kwa dokotala mu maboma aku Japan: malongosoledwe a gulu latsopanoli pa ma helikopita azachipatala

Ulimi ndi gawo lalikulu lazachuma. Malo ake ndi otakata, kuyambira kumtsinje kupita kumapiri. Asanabwereko helikopita yodziwira, Miyazaki anali ndi ndege yopulumutsa ma helikopita yomwe inkagwira ntchito yaikulu Zina mwa ziwopsezo za m'chiuno, chithandizo chamankhwala choyambirira, komanso kuponderezana ndi moto. Miyazaki imagwiritsa ntchito dongosolo la EMS lochokera pamoto, monganso madera ambiri aku Japan. University of Miyazaki Hospital ndi a chipatala chachikulu cha chisamaliro chapamwamba ndi kuwonjezeka kwaposachedwa kwa dipatimenti yake ya Acute Care ndi Traumatology.

Kuyamba kwa ndege mderalo kumafunikira magawo angapo osiyanasiyana ndi kutengapo gawo kwa ambiri omwe akuchita nawo. Chipatala adapanga heliport yomwe ili pamalopo ndi onse awiri ozimitsa moto ndipo ogwira ntchito zaboma m'malo onsewo adaphunzitsidwa madera akumidzi komwe amakhala. Malo opitilira 200 okhala m'malo ambiri adadziwika. Madokotala angapo kuchipatala adaphunzitsidwa kwambiri, ndikuwuluka ndi mapulogalamu a Doctor-Heli omwe akhazikitsidwa kale. Awa adayambitsa maphunziro apaderako omwe ali ndi udindo womaliza maphunziro awo kwa asing'anga ena.

 

Kodi kusankha kwa ma HEMS ogwira ntchito ku udokotala ku maboma aku Japan kunachokera kuti?

Yunivesite ya Miyazaki idafikiranso ku bungwe lawo laling'ono la America, University of California, Irvine kuti athandizane pamagawo a EMS kuphatikiza ndi kusasitsa. Kugwirizana kumeneku kunawonekera m'mabuku othandiza kugwiritsira ntchito ndege. Bukuli lakonzedwera ambulansi akatswiri othandiza anzawo pangozi ndi asing'anga omwe amatumikira zipatala. Cholinga chake chinali kukhazikitsa miyezo yoyenera yogwiritsira ntchito gwero latsopanoli. Zinaphatikizapo zingapo ziwonetsero zambiri pempho la ndege komanso omwe ali ndi zizindikilo.

Malangizowo adakonzedwa kuti asonyeze kuchuluka kwa machitidwe ochizira opaleshoni ku Japan ndi kusapezeka kwa malo apadera apakati pa dongosolo la MiySaki EMS. Bukuli lili ndi zolinga zazikulu zitatu. Choyamba ndi kupereka zizindikiro zomveka kwa odwala opaleshoni kumunda pamene chitsimikizo chatsopanochi chiyenera kupemphedwa. Chachiwiri, ndi konzekerani kusonkhanitsa deta yabwino, kulola kusinthasintha kwa dongosolo kukhala kachitidwe kopitilira. Chachitatu, ndikuyala maziko oyakhazikitsa madongosolo oyang'anira chisamaliro cha madera onse, kuphatikiza nthaka, kuwuluka pandege, ndi malo olandirira.

M'miyezi khumi yoyamba kugwira ntchito, ndegeyo idawuluka mu maulendo a 300 ndipo mphamvu yake yogwira ntchito yawonjezeka chiyambireni. Dokotala-Heli ku prefecture ya Miyazaki amapereka chitsanzo chabwino cha momwe dera lingathe kukhalira bwinobwino mosamalitsa ma air ambulansi atsopano mu dongosolo lawo la EMS.

The Nakanihon Air Service inali imodzi mwa makampani oyamba a HEMS omwe amayang'anira pulogalamu ya Doctor-Heli ndipo imakhala ndi 25% ya ma helikopita azachipatala ku Japan.

Liti zadzidzidzi chitika, anamwino othawa ndi madotolo Kwerani bolodi ndipo amawulukira kukafika odwala pamasamba. Amayamba kupereka chithandizo chamankhwala akadali ndi moyo. Malo omwe a wapadera helikopita ntchito imapita kuchokera ku 70 km kupita ku 150 km kutali ndi chipatala. Zachidziwikire, kuyitanidwa kwa zadzidzidzi adzafika kuchipatala chapafupi kwambiri ndipo ndi omwe amatumiza helikopita. Moti ngoziyo ili kutali kwambiri ndi mtunda wovomerezeka koma palibe ma helikopita azachipatala omwe alipo, chipatala chakutali chimatumiziranso ndege yake mothandizidwa.

 

HEMS yogwira ntchito ngati dokotala: ndani omwe amapereka chithandizo chadzidzidzi pama helikopita azachipatala?

Kuphatikiza pa anamwino othawa ndi madotolo othawa, nawonso kukonza makina ndizofunikira kwambiri pa board. Amagwira ntchito zothandizira kuyenda ndi kuthandizira, kutsogolera kulumikizana ndi malo olumikizirana, amasamalira machitidwe olumikizirana ma wailesi komanso amathandizira oyang'anira ndege ngati zingachitike. Amaperekanso kukonzanso ndege isanachitike komanso itatha. Ichi ndichifukwa chake kupezeka kwawo ndikofunikira kwambiri pa board nthawi iliyonse.

Okhulupirira okhala pamakona nthawi zambiri amapangidwa ndi Namwino wandege wa 1 ndi dokotala wa 1 chifukwa cha kulemera kwa ndege. Komabe, ndizotheka kuti helikopita imakhala ndi ophunzitsa, koma kuchuluka kwa anthu sikungathe kupitilira 5 pa ndege iliyonse. Helikopita EC135 mwachitsanzo, malo ochepa ku 4, ophatikizidwa ndi wodwala. Komabe, ogwiritsa ntchito Helikopita sasamala za ophunzitsidwa bwino. Ndi nkhani yakuchipatala.

Wina membala wofunikira ndi woyendetsa ndege, inde. Kuyambira chaka chino, boma la Japan lidasintha malamulo oyendetsa ndege za helikopita za EMS. Kuyambira chaka chino mpakana, kuti adzalembedwe ntchito ngati oyendetsa ndege a HEMS, opikisanawo adzafunika akuthawa kwa ma 1000 maola angapo oyendetsa ndege. Koma za Nakanihon Air Service, oyendetsa ndege ayenera kuti adakumana ndi maola osachepera a 1500, ndi ma 1000 maola aulendo oyendetsa ndege omwe ma 50 maola angapo pa ndege yomweyo.

 

HEMS ya Dokotala: zomwe zikuyenera kugwirabe ntchito?

Pali sikokwanira madera ophunzitsira oyendetsa ndege ku Japan. Izi zimapangitsa maphunziro oyendetsa ndege kukhala ovuta. Nakanihon Air Service komabe muyenera kupereka maphunziro m'mikhalidwe yovutayi. "Tifunikira malo ocheperako / osokera, omwe amayambitsa vuto lofanizira / kunyamuka pamalopo kwa oyendetsa ndege za ab-Initio. Komabe, madera ambiri ophunzirira (malo owonetsera ana pasukulu ya boma, malo osungirako masewera, bwalo lamasewera, malo osungiramo malo, mitsinje, etc.) ndi zoyendetsedwa ndi akuluakulu aboma. Amakhazikitsa malamulo oti azigwiritsa ntchito. ”

ndege kukwera / kunyamuka sikumalembedwa malamulo ogwiritsira ntchito, chifukwa chake zimatenga nthawi yambiri kuti chilolezo chichitike. Izi ndi zovuta kwa ife. ”

WERENGANI ZINA

Japan idaphatikiza ma helikopita azachipatala ogwirira ntchito ku EMS

Mobilicom kupereka yake Mission Mission Management System kwa nthawi yoyamba ku Japan

Zaumoyo ndi chisamaliro cha chipatala ku Japan: Dziko lolimbikitsa

KUKUPHUNZITSANI

Coronavirus, gawo lotsatira: Japan ikukonzekera kuyimitsa ngozi mwadzidzidzi

Japan idakhazikitsa zida zoyesera ma antigen mwachangu kuti adziwe matenda a coronavirus

Sources:

• EMSpedia

• Robert Katzer MD MBA - University of California, Irvine - Center for Disaster Medical Science