Ambulansi, kupulumutsidwa kunja kwa chipatala: AVPU Scale, tanthauzo ndi makalata ndi Glasgow Coma Scale
Mawu akuti 'AVPU' m'zamankhwala amatanthauza sikelo yowunika momwe wodwalayo alili, yomwe imagwiritsidwa ntchito kwambiri populumutsa anthu kunja kwa chipatala, mwachitsanzo, paramedic atalowerera pamalo pomwe pachitika ngozi yapamsewu ndikupeza. munthu wosazindikira
Sikelo ya AVPU ndi njira yophweka yosinthira ku Glasgow Coma Scale yotchuka kwambiri
Ambulansi opulumutsa nthawi zambiri amagwiritsa ntchito sikelo yosavuta komanso yowongoka ya AVPU, pomwe madotolo ndi anamwino amagwiritsa ntchito pafupipafupi Glasgow Coma Scale.
AVPU ndi chidule chopangidwa ndi zilembo zinayi, iliyonse ikuwonetsa kuuma kwa wodwala:
- tcheru (odwala): wodwala ali maso ndipo amadziwa; mkhalidwewu umayesedwa bwino ngati wodwala atha kuyankha momveka bwino mafunso osavuta monga "Dzina lako ndani?" kapena “N’chiyani chinakuchitikirani?”;
- mwamawu (woleza mtima ndi mawu): wodwalayo amayankhanso ndi kusuntha maso kapena ndi zochita zamoto koma kungolankhula ndi mawu, mwachitsanzo, akaitanidwa, pamene popanda kusonkhezera amaoneka akuwodzera kapena kusokonezeka;
- ululu (wodwala womva ululu): wodwala samayankha zolimbikitsa zapakamwa koma zowawa zowawa mwa kugwedeza (mwa wodwala wosavulala) ndi / kapena kukanikiza pansi pa khosi.
- wosayankhidwa (wodwala wosamva): wodwala samayankha zolankhula kapena zopweteka, motero amaganiziridwa kuti alibe chidziwitso.
AVPU, kuphweka:
- kuchenjeza kumatanthauza wodwala wozindikira komanso wozindikira;
- mawu amatanthauza wodwala yemwe ali ndi chidziwitso chochepa ndipo amakhudzidwa ndi kukopa kwa mawu ndi kunong'ona kapena kukwapula;
- kupweteka kumatanthauza wodwala amene amangochita zowawa;
- wosayankhidwa amatanthauza wodwala chikomokere yemwe sayankha mtundu uliwonse wa kukondoweza.
Kuchokera ku A kupita ku U chiwerengero chazovuta chimawonjezeka: wodwala 'watcheru' ndi wochepa kwambiri, pamene wodwala 'wosamvera' ndi wovuta kwambiri.
Kodi kuwunika kwa chidziwitso cha AVPU kumachitidwa liti?
Chidziwitso cha AVPU nthawi zambiri chimakhala chinthu choyamba (kapena chimodzi mwazoyamba) chomwe chiyenera kuganiziridwa ndi wopulumutsa munthu akakumana ndi wovulalayo yemwe ali ndi chidziwitso pang'ono kapena chikomokere.
Timakumbutsa owerenga kuti chikhalidwe cha chidziwitso sichiyenera kusokonezedwa ndi chidziwitso: wodwala akhoza kukhala ozindikira komanso omvera koma osadziwa, mwachitsanzo, kumene ali.
AVPU imagwiritsidwa ntchito makamaka pakuwunika kwa minyewa komwe kumachitika pamfundo D ya Mtengo wa ABCDE lamulo.
Magiredi anayi okhwima osiyanasiyana a sikelo ya AVPU amafanana ndi milingo yosiyana ya Glasgow Scale:
wodwala "watcheru" amafanana ndi wodwala ndi Glasgow Coma Scale score 14-15
wodwala "wamawu" amafanana ndi wodwala wokhala ndi Glasgow Coma Scale 11-13
wodwala "zowawa" amafanana ndi wodwalayo ndi Glasgow Coma Scale score 6-10
wodwala "wopanda kuyankha" amafanana ndi wodwalayo ndi Glasgow Coma Scale score 3-5.
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