O e fefe e tiaʻi lou tua laupapa? Ua oʻo i le taimi e suia ai lou mafaufau e uiga i le faʻaaogaina o le tuasivi

O SE PAPI E TE ILOA AI ATILI - Dr D Connor, K Porter, M Bloch ma aʻu Graves i le "Pre-hospital Spinal Faʻaleagaina: O se Faʻamatalaga Muamua Consensus ", toe iloilo faʻamaoniga o loʻo iai nei i luga o le faʻataʻitaʻiga o le faʻaogaina o le tui i totonu o le falemaʻi muamua. O se vaega lea o faaiuga mai se fonotaga autasi na faia e le Faculty of Pre-hospital Care i le Royal College of Surgeons of Edinburgh ia Mati 2012. O le vaega autasi na matua manino lava e manaʻomia se suiga mai se faiga faʻavae o le le gaoioi o ua e pei o tele mo le puipuiga o le fomaʻi e pei o le tagata maʻi, i se faiga o le le mafai ona faʻaogaina faʻapitoa e fuafua e faʻaitiitia ai lamatiaga i le tagata manua. E taua le manatua, peitaʻi, o faʻalapotopotoga fesoasoani ofo fua o le a saili mo taʻiala i lenei tulaga faigata. Mo nei lōia, o le ta'iala mo le 'le fa'apolofesa' fa'afoeina manu'a e tatau ona sese i le pito i tua talo. Ae ui i lea, e mafai ona latou iloa lena mea totoa tautau e le o le panacea na masani ona latou faia ma o lena tusi lesona inline stabilization (MILS) e masani lava o se sili atu ona aoga ma taliaina metotia pe a faʻatusatusa i le triple immobilisation. E tatau foi ona fautuaina latou e mafaufau ia soso ese mai vaomatua laupapa agai atu i mea e le o ni uʻamea ma le manatu o le laʻitiiti tagofia.

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ILOILOGA MAI MEDEST118 - Pei ona e iloa, faʻataʻitaʻiga vaʻaia gaioiga e faia i uma gasegase tigaina mai le au laveaʻi i EMS faiga uma i le lalolagi atoa, tusa lava poʻo le aano o manuʻa ma faʻailoga faʻafomaʻi. Lenei ituaiga o auala ua i ai nei faʻailogaina mai molimau ua maua ma taʻiala moni. ACEP, ia Ian 2015, na faʻatuina mai ai se faʻamatalaga faʻavae ua faʻaulutalaina: "EMS Faʻataʻitaʻiga o Tagata Maʻi ma Manuʻaga Potu o le Manuʻa" faʻamalamalamaina o faʻailoga saʻo, ma faʻafitauli, mo le faʻamaloloina o le tuasivi i nofoaga muamua. O le le lava o faʻamaoniga o le aoga o le faʻaaogaina o masini e pei o tuasivi tua, koluse o le faʻaʻautagata ma isi mea… e eseʻesega ma le faʻaalia o aafiaga leaga o ia mea faigaluega: fetuʻutuʻunaʻiga o le ea, faaletonu manava, manaʻoga, tino ischemia, faʻateleina mamafa intracranial, ma tiga, mulimuli ane i ivitema immobilization mea faigaluega, e mafai ona maua ai i le faʻaopoopoina faʻaaogaina o diagnostic imaging ma le olaga nei. Ua uma i le 2009 a Cochrane toe iloilo faʻaalia le le lava o faʻamaoniga i le faʻaaogaina o togafitiga faʻasaina i le vaʻaia i le vevesi.

Talu ai nei lava mai le faʻamaoniga o le falemai o Lisi o le Nofoaga ma Kanata C-spine rules, faʻamalosi malosi i se toe faʻafoʻi atu i le ola mama.

O lea i le 2013 American Association of Neurological Surgeons ma le Congress of Neurological Surgeons "Taʻiala mo le Pulea o le Cervical Spine and Spinal Cord Injurie "  ma Faiaoga o Tausiga Muamua Falemai "Mua-Falemai Spinal Immobilisation: O Le Muamua Maliega Faʻamatalaga" taʻu mai na suiga.

E faavae i luga o nei faʻamatalaga:

1. Spinal immobilization e le tatau ona faʻaaoga mo tagata gasegase ma le faʻalavelave faʻaleagaina e aunoa ma se faʻamaoniga o manuʻa.
2. Spinal le faʻamalosia e tatau ona iloiloina i faʻamaʻi uma o maʻi ma letui o le tino poʻo vaʻa afaina ai le manua pe faʻatasi ai foi ma se masini o manua ei ai le mafai e mafua ai le gaʻo vaʻa manua.
3. Faʻagata tapulaa o le toto e le tatau ona mafaufauina mo tagata gasegase ma le faʻaogaina o le faʻaleagaina o manuʻa ma soʻo se tasi o mea nei:
   • O le maʻi o GCS 15 (masani lev el o mataala)
   • E iai leai se laina sili atu i le ogatotonu laina
   • E iai leai ni manuʻa faʻalavelave (isi manua tiga)
   • E iai leai ni faailoilo o le neurological folasia ma / poʻo faʻamaoniga (faʻataʻitaʻiga, faʻalavelave ma / poʻo le vai vaivai)
   • E iai leai se faʻaleagaga o le anatomic o le tui
   • E iai leai se inupia (ava malosi poʻo vailaau faʻasaina, e aofia ai le sotrogenic)
4. O le ivi umi komiti e na'o se mea e fa'amama ai.
5. Fale i tua e le tatau ona faʻaaogaina e avea o se gasegase togafitiga poʻo se lapataiga faʻapitoa i totonu poʻo tua atu o le falemaʻi pe mo fefaʻatauaiga i nofoaga. Mo le mafuaʻaga lenei, e tatau ona faʻaaogaina se mea e faʻaaogaina ai poʻo se masini masi.
6. EMS kamupani o le a avea aʻoaʻoina lelei on iloiloga tulaga lamatia mo le manua ma le suʻesuʻega neurologic, faʻapea foʻi ma luga faʻatino faʻatonuga o le gaioiga i se auala e faʻatapulaʻaina ai totoga o le totola i tagata gasegase e mafai ona afaina i le vaʻaia.

mau faasino

1. 2015 ACEP Faʻamatalaga Faiga Faʻavae: EMS Faʻatautaia o Tagata Malie e Mafai Ona Manunuʻa ile Manua
2. Totten VY, Sugarman DB. Aafiaga a le tino mai le toto o le tino. Tausiga Faʻataʻi Faʻapitoa. Oct-Dec 1999; 3 (4): 347-352.
3. Cochrane Rewiev Spinal immobilisation mo tagata mamaʻi maʻi
4. Suʻega o suʻega a le tagata NEXUS faʻafitauli mo le siakiina ole falemaʻi mo le manua o le vaʻa.
5. Le faʻamaonia o le Faʻataʻitaʻiga o le Kanata C-Spine Rule e Palemia
6. Iloiloina o le Saogalēmū o le C-Spine Clearance by paramedics
7. 2013 American Association of Neurological Surgeons ma le Congress of Neurological Surgeons Taʻiala mo le Faʻamālōina o le Cindical Spine and Spinal Cord Injurie
8. Faiaoga o Tausiga Muamua Falemai "Mua-Falemai Spinal Immobilisation: O Le Muamua Maliega Faʻamatalaga"