Zoyendera odwala: tiyeni tikambirane za machira onyamula
Za machira onyamulika: pabwalo lankhondo, pamene azachipatala amafunikira chida chosavuta kugwiritsa ntchito, champhamvu zokwanira kunyamula wodwala m'malo ovuta, koma chophatikizika mokwanira kuti chinyamulidwe mu zida zamankhwala amodzi, machira onyamula adabadwa.
Inali yopinda, yomwe nthaŵi zambiri inkapangidwa ndi matabwa olimba ndi chinsalu, ndipo inkagwiritsidwa ntchito ndi anthu aŵiri kuchotsa msilikali wovulala pangozi yanthaŵi yomweyo yankhondo kuti akalandire chithandizo kumalo otentha kapena ozizira. Ofufuza adapanga zofanana zida ngakhale izi zisanachitike.
Mukamayenda m'malo owopsa, monga kugunda kwagalimoto m'mphepete mwa mpanda, mawu opulumutsa akuti "angle yotsika" amatanthauza kutsetsereka kulikonse komwe sikufuna kuti manja asungike bwino (<40 degrees.)
Kupulumutsidwa kwa ngodya yapamwamba kumaonedwa kuti ndi malo omwe ali ndi malo otsetsereka a madigiri a 50 ndi apamwamba. Opulumutsa amadalira kwathunthu zingwe zomwe zimagwiritsidwa ntchito kuti iwo ndi ozunzidwa asagwe komanso kuti alowe ndikutuluka kuchokera kumalo opulumutsira.
Portable Stretchers
Chingwe chamakono chonyamulika chimakhala ndi cholinga chomwechi—kunyamula wodwala bwino kupita kumalo osadziwika kapena osakhululukidwa komanso kuti azitha kutumizidwa mosavuta.
Masamba amasiku ano onyamula amabwera m'njira zosiyanasiyana ndipo amaphatikiza machira kapena zida zonyamula odwala zomwe zimatha kunyamulidwa komanso / kapena osadalira kuyenda kwamawilo.
Mitundu yochepa chabe ya machira onyamula opangidwa kuti azigwiritsidwa ntchito nthawi zina
- BASKET STRETCHERS: amagwiritsidwa ntchito m'chipululu amapulumutsa, ndikulola kuti wodwala akokedwe kumtunda;
- ZOCHITIKA ZOPHUNZITSA: kulola kuwongolera kolimba kolimba komanso kuchuluka kwa ogwira ntchito kuti akweze wodwalayo kuchokera kuzinthu zambiri;
- SCOOP kapena ORTHOPEDIC STRETCHERS: amalola odwala omwe sangathe kukwezedwa mwanjira ina chifukwa chovulala kuti achotsedwe pamalopo ndikukonzekera chithandizo china ndi zoyendera.
Flexible Stretchers
Flexible stretchers ndi mtundu wa chipangizo choyendetsa odwala chomwe chingagwiritsidwe ntchito nthawi iliyonse pamene mikhalidwe yolimba ikakumana m'munda, kuteteza odwala kuti asatulutsidwe ndi nthawi yayitali. gulu la msana kapena chipangizo china cholimba.
Monga momwe zimakhalira ndi chisamaliro cha odwala komanso zida zoyendetsera odwala ku EMS, akatswiri okhawo omwe aphunzitsidwa komanso omasuka ndi machira osinthika ayenera kuphatikizidwa pakugwiritsa ntchito chipangizocho.
Zoyala zosinthika zimakhala ndi ndodo zingapo zolimba zomangika mu pepala la pulasitiki lolimba kapena zinthu zina - zitsulo zopyapyala kutalika kwake, pafupifupi mainchesi anayi kapena sikisi motalikirana, zomangika mkati mwa phula, kuphatikiza kupanga chogudubuzika, chonga pepala, cholimba koma cholimba. chipangizo chosinthika chokhala ndi zogwirira zingapo kuti akatswiri a EMS agwire.
Wodwala wofuna Msana kusokoneza ikhoza kugubuduzidwa ndipo chipangizochi chimayikidwa pansi pa wodwalayo ngati kuti akatswiri a EMS akuyika pepala kuti asunthire pepala.
MALANGIZO:
- kuthekera kwa extrication ndi njira zina (kuthekera zotambasula 'kukhoza kupereka immobilization msana ndi zochepa kwambiri kuposa zipangizo zina, chifukwa chomanga);
- claustrophobia; ndi
- kuvulala kwina kwa torso komwe kumatha kuwonjezereka ndi kukanikiza (ie, chifuwa cha flail, kusakhazikika kwa khoma la pachifuwa, crepitus, etc.).
KUCHITA: Kusuntha kupita ku machira osinthika kumachitidwa ndi
- wodwala akukulungidwa bwino chipika ku mbali imodzi, ndi machira osinthasintha amakulungidwa, amatembenuzidwira kumunsi kwa wodwalayo, kubwera kudzapumula motsutsana ndi kumbuyo kwa wodwalayo.
- Kenaka wodwalayo amakulungidwa kumbali ina, pamwamba pa mawotchi osinthika, omwe amalola kuti machira osinthika apitirire patsogolo, motero amaphimba malo onse kumbuyo kwa wodwalayo ndikulola kuti machira osinthika akwezedwe, kuphatikizapo wodwalayo.
Pamene flexible stretcher yayikidwa,
- mamembala awiri kapena kuposerapo amatenga malo mbali zosiyana za wodwalayo ndikugwira zogwirira ntchito. Ndikofunikira kuwonetsetsa kuti kuchepa pang'ono komwe kungathekere kumakhalapo potsegula chipangizocho kuti muteteze kusinthasintha kosafunikira kamodzi wodwala akunyamulidwa ali mu chipangizocho. Kuthekera kwa ma flexible stretchers kuti apereke immobilization ya msana ndizochepa kwambiri kuposa zipangizo zina, chifukwa cha zomangamanga.
- Ndikofunikira kuti akatswiri osachepera anayi a EMS azikhudzidwa akamagwiritsa ntchito machira osinthika, komanso ngati kusuntha kuyenera kutsogozedwa mmwamba kapena pansi pamakwerero kapena masitepe.
- Akatswiri awiri a EMS adzakhala mbali iliyonse ya wodwalayo, ndipo pamene akugwiritsa ntchito makina oyenerera a thupi ndikugwiritsa ntchito mphamvu zogwirira ntchito pafupi ndi iwo, akatswiri onse a EMS adzakweza nthawi imodzi ndikulola kuti mbali zonse za chipangizocho zigwirizane ndi wodwalayo.
Tangoganizani, ngati mungafune, pensulo ndi tortilla. Pensulo imayimira wodwala ndipo tortilla imayimira chotambasula chosinthika.
Ngati pensulo yaikidwa pakati pa tortilla, ndiyeno mbali za tortilla zichotsedwa, chimachitika ndi chiyani?
Pensulo imakhalabe pamalo otsika kwambiri ndipo mbali za tortilla zimakula molunjika pamwamba pa pensulo. Izi ndizofanana ndi machira osinthika komanso wodwala.
Ndikofunika kuti akatswiri a EMS asunge chogwirira pafupi ndi wodwalayo momwe angathere kuti ateteze wodwalayo kuti asapume pansi.
Katswiri wachisanu wa EMS, ngati akugwira ntchito kapena akufunikira, adzakhala malo owonetsera gulu ndikuwongolera gululo pang'onopang'ono, mpaka pamene wodwalayo akhoza kuchepetsedwa bwino ndikusamutsidwa ku njira zotetezeka komanso zothandiza kwambiri zoyendetsera odwala, monga bolodi lalitali la msana.
MA STRETCHERS WABWINO PAMsika? ALI PA EXPO ZOCHITIKA ZOCHITIKA: ENDWENI KU SPENCER BOOTH
Scoop (Orthopedic) Stretchers
Mtundu wina wa chipangizo choyendetsa odwala chomwe chili chofanana kwambiri ndi bolodi lalitali la msana ndi scoop stretcher kapena orthopedic stretcher.
Monga momwe zilili ndi zipangizo zonse za EMS, akatswiri okhawo omwe adaphunzitsidwa komanso omasuka ndi scoop stretcher / orthopedic stretcher ayenera kuphatikizidwa pakugwiritsa ntchito chipangizochi.
The scoop stretcher/orthopaedic stretcher ili ndi zidutswa ziwiri zomwe zimagwirizanitsa pansi pa wodwala (yemwe sangathe kugubuduka chifukwa chovulala) kuti apange chipangizo chonyamulira kadengu, chokhala ndi zingwe zosachepera zitatu kuti ateteze wodwalayo ndi zogwirira zambiri za EMS. akatswiri kunyamula kuchokera kutalika kwake.
Gawo lamkati la scoop stretcher/orthopedic stretcher limapangidwa ngati mphero yomwe imalumikizana ndi wodwalayo poyamba, kulola mbali zonse za chipangizocho kukankhira pamodzi, ndipo izi zokha zimayika chipangizo kumbuyo kwa wodwalayo.
The scoop stretcher ili ndi mphamvu yofanana ndi bolodi lalitali la msana ndipo ingagwiritsidwe ntchito kuti iwonongeke, ndipo imakhala ndi mitundu yofanana ya zingwe zotetezera wodwalayo.
The scoop stretcher idzakhala ndi njira yotulutsira kumapeto kwa chipangizocho chomwe chimakhala ndi cholumikizira ndi batani-iyi ndi mbali yachikazi ya makina; mbali ina ya scoop stretcher idzakhala ndi mbali yamphongo ya makinawo.
KUKHALITSA:
Ngati wodwala akufunika immobilization ya msana,
- Katswiri wa EMS nambala wani azikhala akusunga kukhazikika kwa khomo lachiberekero (ndi a khola lachiberekero kugwiritsidwa ntchito) nthawi
- Akatswiri a EMS nambala ziwiri ndi zitatu amagwiritsa ntchito scoop stretcher/orthopedic stretcher.
Pamene zatsimikiziridwa kuti wodwalayo akufunikira scoop stretcher / orthopedic stretcher (kawirikawiri chifukwa cha kuvulala koopsa kapena kusakhazikika kwa pelvic), osachepera akatswiri awiri a EMS amafunika kugwiritsa ntchito chipangizochi ndipo atatu akulimbikitsidwa: Nambala yachiwiri ya EMS adzakhala ndi mbali imodzi yathunthu ya chipangizocho chomwe chachotsedwa mbali inayo, ndikudziyika yekha mbali imodzi ya wodwalayo.
The scoop stretcher / orthopaedic stretcher ikhoza kupangidwa kuti igwirizane ndi wodwalayo mumpangidwe umodzi wokha (wojambulidwa kumapeto kwa mapazi a wodwalayo ndi kufalikira kumapeto kwina kwa torso ndi mutu wa wodwalayo), kotero ndikofunikira kuti katswiri wa EMS amadziyika yekha kumbali yoyenera.
Kamodzi pa mbali yoyenera ya wodwalayo, EMS wothandizira nambala wachiwiri adzayika mbali yake ya scoop stretcher / mafupa a mafupa pansi pafupi ndi kufanana ndi wodwalayo.
Nambala yachitatu ya wothandizira EMS adzadziyika yekha mofanana kumbali ina ya wodwalayo.
Akatswiri onse atatu a EMS adzakhala atagwada.
Pamene manambala onse a EMS awiri ndi atatu ali pamalo, adzakhala ndi machitidwe oyenera a thupi, kukweza mitu yawo ndi misana yawo mowongoka, ndikukankhira mbali zonse zomwe zimapanga scoop stretcher / orthopedic stretcher pamodzi mapeto amodzi panthawi, kuonetsetsa makina okhoma amatchinga ndikugwira motsutsana ndi kukakamiza koyipa.
Kuwongolera komweku kumagwiranso mbali ina ya scoop stretcher/orthopaedic stretcher.
Pamene nsonga zonse ziwiri zimangiriridwa bwino ndipo wodwalayo ayikidwa bwino pa chipangizocho, thupi la wodwalayo liyenera kutetezedwa ku chipangizocho.
Kawirikawiri, monga pa bolodi lalitali la msana, torso imatetezedwa ndi zingwe poyamba, ndiye pamimba kapena m'chiuno ndiyeno m'munsi mwa thupi.
Ngati kolala ya khomo lachiberekero yayikidwa pa wodwalayo, mutu wa wodwalayo umatetezedwa ku scoop stretcher / orthopedic stretcher poyika malonda a styrofoam mutu kapena matawulo okulungidwa ndi ojambulidwa mbali zonse za mutu wa wodwalayo, ndiyeno kugwedeza mutu wa wodwalayo. ndi kutsekereza zida ku bolodi.
Katswiri wa EMS nambala wani apitiliza kukhala ndi kukhazikika kwa khomo pachibelekero pomwe EMS akatswiri nambala yachiwiri adzayika mbali imodzi ya tepi (mwina tepi yachikhalidwe kapena tepi yomwe imabwera ndi midadada yamutu wamalonda) mbali imodzi ya machira, ndiye wongolerani utali wotsalira wa tepi pansi ndi pachibwano cha wodwalayo / c-kolala, ndipo potsirizira pake mpaka kumbali yotsalira ya scoop stretcher / orthopedic stretcher. Chidutswa chachiwiri cha tepi chidzagwiritsidwa ntchito mofananamo, kudutsa pamphumi pa wodwalayo.
Malekezero onse ayenera kuyesedwa kuti ayendetse, kuyendetsa galimoto, ndi kukhudzidwa kusanachitike, ndi pambuyo pake, kusasunthika kwa scoop stretcher/orthopedic stretcher.
Ndi panthawiyi pomwe akatswiri a EMS nambala wani amatha kumasula kukhazikika kwapaintaneti kwa msana wa khomo la wodwalayo.
Malo aliwonse kapena mipata yodziwikiratu ya mtunda pakati pa wodwalayo ndi choyalapo / mafupa otambasula adzakutidwa ndi matawulo kapena zovala zazikulu.
The scoop stretcher/orthopaedic stretcher angagwiritsidwe ntchito popanda kolala ya khomo lachiberekero ngati palibe kukayikira khosi kuvulala kulipo. Kusasunthika kwathunthu sikungakhale kofunikira, mwina. Nthawi zambiri odwala amawaika ndi kutetezedwa ku scoop stretcher/orthopaedic stretcher kuti athe kuyenda mmwamba kapena pansi pa masitepe kapena kupyolera muzochitika zina zomwe wodwalayo sangatengedwe poyamba pa machira omwe amagwiritsidwa ntchito kwambiri.
Bariatric Stretchers
Odwala ena ndi okulirapo komanso olemera kuposa anthu ambiri ndipo amafuna zida zapadera kuti zithandizire kuyenda bwino komanso zoyendera. Mabala a Bariatric amagwiritsidwa ntchito pamene wodwala akuyembekezeka kupitirira kapena pafupi ndi malire a kulemera kwake kapena kukula kwa zotambasula wamba.
Mabala ambiri a bariatric ndi zipangizo zamagudumu, zomwe zimakhala ndi chitsulo chovomerezeka kulemera kwa mapaundi pafupifupi 1,000, kuphatikizapo matiresi odwala, ndi zingwe zingapo kuti ateteze wodwalayo ku chipangizocho (osachepera, chingwe cha miyendo, chiuno kapena mimba. zomangira, ndi chifuwa cha chifuwa, nthawi zambiri zimakhala ndi mapewa oyimirira) ndipo akhoza kubwera ali ndi IV choyimira, malo osungira kumbuyo (kwa mpweya, mapepala, ndi zina zotero) ndipo nthawi zambiri amalola kuti wodwalayo aikidwe m'malo osiyanasiyana:
- lathyathyathya pa nsana wawo kapena supine - 180º;
- kukhala mmwamba kapena malo a Fowler–90º, ndi makona angapo pakati.
Bariatric stretchers amathanso kukweza mapazi a wodwalayo pangodya yodziwika bwino yotchedwa
Odwala amasunthidwa ndikutetezedwa ku mabala a bariatric mofanana ndi momwe odwala omwe sali a bariatric amasamutsidwira kumagulu osakhala a bariatric.
Masamba a bariatric amatha kutsitsidwa kumalo okonzedweratu kuti odwala azitha kuyenda mosathandizidwa ndi chipangizocho komanso kulola akatswiri a EMS kugwiritsa ntchito njira yojambulira kukoka wodwala ku chipangizocho kuchokera pabedi.
Masamba ambiri a bariatric amakhalanso ndi zida zowonjezera zowonjezera, zomwe zimapezeka pakati pa kutsogolo ndi kumbuyo kwa machira, zomwe zimalola kuwongolera bwino pakuyenda ndi othandizira angapo a EMS.
Masamba a Bariatric ali ndi masitayilo onyamula omwe ali ngati machira ena amakono ndipo amatha kubwera ndi zida zina zingapo monga makina opangira ma winch kapena ma elevator kuti athe kutsitsa ambulansi.
Machitidwe a WINCH amalola kuti wodwalayo ndi machira akokedwe kumbuyo kwa ambulansi ndi waya wamakina achitsulo ndi injini, zomwe zimapangitsa kuti pakhale kuwongolera komanso kupewa kuvulala kwa akatswiri a EMS.
Machitidwe a ELEVATOR amachoka kumbuyo kwa ambulansi ndi kutsika pansi, kulola kuti mabala a bariatric ndi odwala atetezedwe pa nsanja yomwe imakwezedwa mpaka kutalika kwa bokosi la ambulansi kuti itetezedwe mkati mwa unit musanayambe kunyamula.
Masamba a Bariatric ndi olemera kwambiri kuposa zida zina ndipo amafunikira antchito okwanira kuti agwiritse ntchito mosamala.
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