Chiitiko chinotsanangurwa munyaya iyi chiitiko chakaitika munharaunda yekumaruwa. Izvo zvinogona kuitika kuti mamiriro ezvinhu anogona kubuda kunze kwekutonga pasina chiziviso uye kana mamiriro ezvinhu achizoguma, mapurisa angabatsira mukugadzirisa mamiriro acho ezvinhu.

Mamiriro ezvinhu anotyisidzira hupenyu anowanzoitika uye akajairika kune veEEM vashandi. The #KUSVIRA! nharaunda yakatanga muna 2016 ichiongorora dzimwe nyaya. Iyi yenyaya ye #Crimefriday kuti udzidze zviri nani nzira yekuchengetedza muviri wako, timu yako uye ambulensi yako kubva pazuva "rakaipa muhofisi"!

Mamiriro ezvinhu anotyisidzira hupenyu: kuita zvechisimba panguva yekuongororwa kwechimbichimbi

"Ini ndashanda seEMT (Emergency Medical Technician) pane ambulensi muCanada kwemakore mana. Iyo dunhu pakaitika nyaya iyi ine maamburenzi maviri anoshandiswa kufukidza angangoita 4 km² yenzvimbo. Avhareji yekupindura nguva inogona kusiyanisa zvakanyanya, kubva pamaminetsi mashoma kusvika pamaminetsi makumi mana, zvichibva pakureba kwechiitiko chekufona uye nyore kwekuwanika (nzira zhinji dzemigwagwa hadzina kugadzirwa).

Imwe ambulensi inoshandiswa uye yakagadzirirwa kune ALS (Upenyu Hwakagadziridzwa), asi imwe yacho inoshandiswa uye yakagadzirirwa kusvika a BLS (Basic Life Support) nhamba. Chikamu cheA ALS chakanyorwa ne a Paramedic uye EMT uye anokwanisa kuita zvose ACLS (Advanced Cardiac Life Support) mishonga sezvinotsanangurwa ne American Heart Association.

Chikamu cheBLS chine vashandi ve2 EMTs, uye hachigone kuita ACLS, asi chinokwanisa kupa akasiyana mamwe marapirwo anonangana nemhinduro yekutanga (senge IV's, oxygen therapy, supraglottic airway placement, cardiac monitoring uye. defibrillation) Iyo BLS unit inogona zvakare kumisikidza iyo ALS unit yekutsigira, uye inokwanisa kubvunza chiremba kuburikidza nerunhare.

Ichi chiitiko chakanga chave chichipinda chikwata cheB BLS, neAl unit ichiuya mushure mokudzoka.

Mitemo yekumanikidzwa kwemoyo uye nekurega kugadziriswa kunowanikwa pasi apa kuti utaure:

1. Cardiac kusunga protocol

 2. Ramba Resuscitation Protocol

Izvo zvakaitika kune imwe yeanoverengeka maIndia Reservations mukati medunhu. Kugadziriswa inzvimbo dzakasarudzika dzemubatanidzwa dzakaiswa padivi kuti dzishandise rimwe bhendi (kana dzinza) revaAborigine. Ivo varipo uye vanoshanda nehumwe kuzvitonga kubva kune vanhu vazhinji. Ini handisi nyanzvi yehukama hwevaAborigine muCanada, uye inyaya ine nharo munyika yangu. Saka ini ndinovimba chete kuratidza kuti izvi zvakakanganisa sei chiitiko chakaitika, uye nemabatiro aakaita pakuchengetedzeka kwemamiriro acho.

Mamiriro ezvinhu anotyisidzira hupenyu muCanada: magariro mamiriro evaAborigine

Mamiriro ehutano anosiyana pakati pekuchengetedza, asi paavhareji ivo vari varombo kupfuura vanhu vakawanda. Mamwe mapfupi maverengera okusimbisa pfungwa iyi:

• Ikokushaya kwehuwandu hwekuchengetedzwa kwemabasa kunenge nguva dzinenge 3 dzakakwirira kudarika chiyero chenyika
• 61% yevechidiki vechiaboriginal-vakuru havapedze chikoro chesekondari, uye 43.7% havawani chero chitupa chekudzidzisa, diploma kana degree
• Mitengo yechisimba chechisimba chakaitwa muzvivako chakanga chakafanana neC2004: huwandu huwandu huri pamusoro pekurohwa, kanomwe pamusoro pekurwiswa kwepabonde uye kanomwe pakukwirira kwekuuraya kune zviyero muKanada yose
• Mitengo ye Hutano hwepfungwa matambudziko akanyanya kukwira pakati pevaAborigine pane vanhuwo zvavo, huwandu hwekuzviuraya hwakapetwa ka2.1 pane vasiri veCanada.

Nzvimbo yechiitiko chacho yakaratidza zvakawanda zvezviverengero izvi. Iine uwandu husingaverengeki hwourombo, hutambu, hutano hwepfungwa, uye zvinodhaka.

Canada zvakare ine nhoroondo refu yekoloni, iyo nhoroondo inosanganisira hurumende yakamanikidza kufananidzwa kwemaaboriginal. Nekudaro, kune kutsungirira kwemaitiro ekusavimba nehurumende pane kuchengetedza.

Mamiriro ezvinhu anotyisidzira hupenyu: nyaya

Sezvo EMS uye vamwe vekutanga vapindura vanobatanidzwa sevashandi vehurumende izvi zvinogona kugadzira chipingamupinyi pakuchengeta. Kuti uzviise muchidimbu, kupfeka yunifomu dzimwe nguva kukoka kwakajeka kuhutsinye.

THE CASE - Takapindura kune asingazivikanwi 'munhu pasimamiriro ezvinhu kunzvimbo iri kure yekuIndia. Ndichiri munzira yekuvandudzwa yakapihwa pamamiriro emurwere yaivhiringidza, uye isina kubatana. Ruzivo rwakanakisa rwuripo rwakaratidza mukadzi wemakore makumi mashanu-akawanikwa asina chaanoziva nemhuri. Akawanda mayuniti akange atumirwa kune chiitiko ichi, kunyangwe nekuda kwekuti kure uye kusakwanisika vangangoita maminetsi makumi maviri kumashure kwedu.

Pachiitiko chacho, takaona murwere wacho ari mukati mwoyo musungwa, uye CPR yakanga yatanga nemhuri. Takaramba tichidaro kudzorerazve kuedza apo wakamirira kutsigirwa. Munguva ino rumwe ruzivo rwakave rwuripo kubva kumhuri, paine humbowo hunoratidza kuti murwere aive asingachinjike Nechipatara chiri padyo nemaminitsi makumi mashanu kubva ipapo, murwere agamuchira CPR kwemaminitsi makumi matatu, uye akasimbisa asystole kwemaminetsi makumi maviri- maprotocol edu akabvumidzwa kumiswa kwekumutswa . Takabvunza ne chiremba kuburikidza nefoni, uye vakabvuma kurega CPR, uye kuzivisa kufa panzvimbo.

Chikamu chechipiri chainge chasvika panguva ino. Takataurirana nemapurisa zvichienderana nemaitiro akajairwa kufa kusingatarisirwe pamba. Mhuri ye6 yakaungana mukamuri rakajairika kune rimwe divi reimba kuchema. Sezvo isu takaunganidza edu midziyo, Ndakanzwa kumwe kugwinha uye kufamba kuchibva mubhedhuru kwakanangana nekamuri kwainge kwakarara chitunha. Mumwe wangu panguva ino akandiudza kuti patainge tichishanda kodhi, anga aona murume muhombe akaburitsa musoro wake kubva mumba yekurara kuti aone zvakapfupika. Murume uyu akange adzokera zvakare mumba ndokuvhara gonhi rake. Yakanga iri panguva ino patakaona, kuti isu tanga tine munhu pachiitiko chisina kuzivikanwa.

Takawana hunhu hwemurume uyu hwakasarudzika munzira dzakasiyana. Izvo zvekuti aive padyo nemutumbi, asi patakatanga kusvika, anga asiri pakati penhengo dzemhuri dzichiedza kupa rubatsiro kana kubatsira neCPR munzira ipi neipi. Chechipiri kuti anosarudza kuzvipatsanura kubva kune vamwe vese vemhuri vari kuchema. Chechitatu kuti haana kuyedza kuzivisa huvepo hwake kwatiri. Mumwe wangu neni takakurukura nezvazvo kwenguva pfupi tisingayedze kukwezva zvakanyanya kukurukurirana kwedu. Kunyangwe isu takaona mamiriro acho asinganzwisisike, hatina kuwana chero chinhu chinonyumwira zvakanyanya kana kumisa chero chinangwa chakaipa pachinzvimbo chemurume uyu - saka takabvumirana kuramba takangwarira uye kuramba tichiona kusangana nemuviri uye mumwe nemumwe panguva ino.

Mushure mekutya kwekutanga kwe death declaration ndakanga ndanyura zvishoma, ndakaenda kuzotaura nemhuri pamusoro pemunhu akafa. Ndakanga ndiine maitiro mashomanana anowanzoita pamusoro pechipupuriro chehuzivi uye chero humwe uchapupu hwehutano kana kuti pachena chikonzero chekufa. Mhuri, kunyange zvazvo yaishungurudzika, yakanga yakabatana uye yakasununguka kuvapo kwangu nemibvunzo. Zvisinei, pandakabvunza pamusoro pomunhu akavanza muimba yekurara, vakanyanyisa kupa ruzivo pamusoro pake. Vairambira kuziva zita rake uye havazorevi kuti hukama hwake hwakanga huri kwavari kana kuti akafa.

Vakaramba kusvika kuimba yake yekurara, uye vakati 'zvakanakisa kumusiya ega'. Yakanga iri panguva ino panguva yekubvunzurudza mhuri, ndakaona redhiyo scanner chinyararire ichiona makorani emapurisa pasherefu rekicheni. Ndakagara ndichisangana nema scanner redhiyo munzvimbo dzekugara dzega pasiti, asi mune ruzivo rwangu, zvinowanzo kuratidza kuti mumwe munhu ari mumba ari kuyedza kudzivirira kusangana nemapurisa (kungave nekuda kwekubvumidzwa kwekusungwa kana nekuda kwekuita zviitiko zvisiri pamutemo). Ndakaonawo kuti TV yaive ichiratidza mafeedi kubva kumakamera ekuchengetedza akapoterera chivakwa. Matanho akadaro ekuchengetedza haana kujairika uye haapindirane nemari shoma, yepasi, yekumaruwa.

Panguva ino the yechipiri ambulensi yakasvika. Ndakavatsanangurira kuti kune humwe uchapupu hwemamiriro ekusava nechokwadi pamamiriro ezvinhu. Ndakavabvunza kuti kunyange zvazvo pasina chavaigona kuita, kuti varambe vari pachiitiko nesu chengetedzo muchiverengero kusvikira mapurisa asvika. Ivo vakazara nomwoyo wose vakabvumirana. Ini zvino ndakatumira radio yangu dispatcher For an ETA kumapurisa. Zvisinei, nokuti mapurisa neEEMS vanoshandisa 2 zvakasiyana-siyana masangano ekukurukurirana, ndaiziva kuti kunyange kuwana ruzivo urwu kunotora nguva nguva yakawanda.

Ndichakamirira mapurisa, munhu akavanda mukamuri rekuseri akauya, akazvizivisa semurume wemushakabvu, uye akatirayira nehasha kuti tisiye imba yacho nekukasira. Akasimudzirawo kuti akwanise kuwana muviri chaiwo. Ndakaedza kutsanangura zvakadzikama zviripo zvedu nemaitiro aizoitika izvozvi. Ini ndakanyatsozivisawo kuti mapurisa aive munzira kuenda kunzvimbo. Akange asina hanya nekuteerera, akaramba achidanidzira pamusoro pangu nekutuka ini ndichitaura. Akabva adzokera kubedroom kwake ndokunyarara.

Mushure memamwe maminetsi mashanu akadzoka panze ndokudzokorora iwo chaiwo maitiro. Paakadzokera kuimba yake yekurara, ndakabvunza imwe yenhengo dzevamwe vashandi kuti vaedze kuwana nzira yakananga kumapurisa. Uye kunyangwe ndichiedza zvakanyanya kugadzirisa mamiriro acho ezvinhu, kechitatu, akatanga kundisundira kumadziro uye achishevedzera zvinetswa. Akandipa rairo dzakajeka dzandaifanira kusiya mumaminetsi maviri anotevera kana kukuvara kwaizouya kwandiri. Akataura kuti 'nyika yekukuvara yaiuya nenzira yangu' uye kuti 'handizive chakandirova'. Akazosvipira bhutsu dzangu, ndokudzokera kuimba yake yekurara, zvakare. Panguva ino ini ndakaridza redhiyo kodhi, inoratidza iyo mhirizhonga kupindura kwemapurisa yaifanira kuonekwa.

Mapurisa paakasvika munhu uyu akabva angokundwa nekuzviisa pasi, achichinja kuva hunhu hwakasiyana zvachose. Akabuda mukamuri make akadzikama paakarairwa nemapurisa. Aiva netsika uye airemekedza mupurisa wacho uye akatondikumbira ruregerero nokuda kwezvaakaita. Akapomera hukasha hwake hwaive paari pakutambudzika zvekuona mudzimai wake achipfuura.

Takazoona zvakare kudanwa nemapurisa akabatanidzwa. Vakatitaurira kuti munhu uyu akave akaiswa mutirongo nekuda kwemhosva dzechisimba. Akange abvumirana nemapurisa kuti utsinye hwake kune EMS hwakanga hwauya kubva pakunzwa kwake kunoshamisa kwekutya. Akange ave akanyatsogutsikana, panguva iyoyo, kuti nekodha yekare yekare aizofungidzirwa ane mhosva mukufa kwomudzimai wake. Kuziva kwangu, mudzimai akapfuura kubva kune zvinetso zvezvehutano.

ANALYSIS - Iko kushevedza kwaive kunonakidza pamatanho mazhinji, kunyange panguva iyo yaishamisa zvikuru kune ini. Kuburitsa kwaiva kwakanyanya, handina kunyanya kukuvadzwa nayo. Kutyisidzira nekupika kwakanga kusiri chinhu chandakanga ndisati ndakambonzwa. Kupfira kwacho kwakakura asi hakuna kupa chero njodzi chaiyo yebiohazard. Asi kushamwaridzana kwakabatana kwezvose kwakandibata uye kwakaderedza kuvimba kwangu mukubata nemashoko ekufa kwechinguva.

Paiva nezvidzidzo zvidzidzo zvakadzidzwa kubva pane zvakaitika:

Ekutanga Mapurisa Kumisikidza & Kugutsikana

Kutanga mapurisa ekubvumira kunokosha munzvimbo dziri kure uye kumaruwa. Ndichitarisa kumashure, apo iro rekutanga kutumira ruzivo rikava rinopokana uye kuvhiringidza, ndinofanira kunge ndakanyumwa zvakanyanya. Zvingave zvakagamuchirwa zvakakwana kukumbira mapurisa kuti apinde kufona uku tichiri munzira. Kutanga kushandiswa kwemapurisa kwagara kuchikurudzirwa musangano redu, uye izvi ndaizviziva panguva yechiitiko ichi. Yakanga ichingori nyaya yekusagutsikana, kuti nekufamba kwenguva ndanga ndatojaira kupindura kufona neruzivo rudiki kana rwunopokana (nezvishoma kana zvisina mhedzisiro).

Kusarudzira Ngozi Yakagamuchirwa

​Kunyangwe tichigara tichiudzwa zvatinonyanya kukoshesa kuchengetedza kwedu, muchokwadi chevashandi vemberi, zvinogona kuve kurwira pakati pekuchengetedzeka uye izvo zvinokwanisika kushanda. Ndakawana parunhare urwu chakanyanya kukanganisa kutonga kwangu kwenjodzi yaigamuchirwa zvese zvakaitika kwandiri, pamwe nekusaziva kwangu. Chiitiko changu chekare chakanditungamira kuti ndifungire murume kubva pazviito zvake zvekutanga pachiitiko (paakahwanda mumba yekurara kubva kwatiri), nemabatiro aiita mhuri yake naye. Izvo zvakare zvakaita kuti ndifungidzire tsotsi chinhu kana ndichiona radio scanner nemidziyo yekuchengetedza. Asi chokwadi chaive, kunyangwe ndakaona kuti njodzi yaive iri kukwira, ndakaramba ndichinzwa kuti yaive mukati mechikumbaridzo chinogamuchirwa pamwe nekuda kwekusaziva kwangu. Kusaziva kwangu kwakaita kuti kutonga kwangu kwemamiriro ezvinhu kuve kwakakonzerwa nemazano mazhinji aive akavakirwa zvakanyanya pamaonero ezvaitarisirwa nevezera rangu, pane kuti zvinyatsoitika. Dzimwe dzepfungwa dzaiitika mumusoro mangu dzaive:

• Handigoni kubata mapurisa. Asi handikwanisi kushandisa kadhi yehudhiyo yehudhiyo, iyo ndeyemamiriro ezvinhu akaoma chete. Sezvakaita apo chisimba chenyama chakatoitika kune vashandi, chaiko?
• Mapurisa ari kupindura kubva kure. Vangave vachiita zvimwe zvinhu zvakakosha. Ndinogona kumirira.
• Saka zvakadini kana mukomana ari kuita zvisingaiti. Handidi kukurudzira matambudziko akawanda, nokuti ndinofunga kuti ari 'kure'

Ndinofunga kuti nzira chaiyo yechokwadi yekurwisana nemhando iyi yekufungidzira ndeyekuvaka rubatsiro rwevamwe vezera, pakati pevashandi pamwe nevezera rako pane imwe nhengo dzehurumende. Hazvina kukwana kudzidzisa kuti 'kuchengeteka ndicho chinhu chikuru chekutanga'. Tinofanira kunyatsowedzera kunzwisisa kunowedzerawo kuti munhu wese ane ngozi yekuvharira ichave yakasiyana. Asi, pasinei nokuti izvozvo, zvisinei nokuti munhu anotsanangura chikonzero chake pachavo achasigirwa nevezera ravo uye nemapurisa.

Familiarization neHuman Process

Kudzidziswa kwedu hakuna kutigadzirira kusangana zvakanaka neichi chiitiko chakati. Rufu kuzivisa haisiyo nyaya iyo inowanzo kufukidzwa muEMT syllabus. Ini ndaive nemaawa matatu ekudzidzira munzvimbo ino, vazhinji vevandaishanda navo havana. Isu taigara tichirairwa kuti ibasa remapurisa kubata, uye kwete chimwe chinhu chataifanira kuziva zvakawanda nezvacho. Izvi zvinoshanda zvakanaka kumatunhu makuru, asi munharaunda dzekumaruwa, hazvisi zvakajairika kuti vemhuri kana shamwari dzemufi vasvike panzvimbo mapurisa asati agona.

Ndinotenda izvi zvakanyanyisa zviito zvedu panguva iyi. Kubatanidzwa kwakaoma kwekufananidzira rufu uye kutsigira mhuri inoshungurudzika, asi kwete kunyatsoziva nzira, iko kwakatitungamirira kwatiri kusava nechokwadi nezvekutonga sei zvaanoita nemafambiro ake. Izvo zvakaitawo kuti tisave nehanya nekukwanisa kukurumidza kukura kumhirizhonga.

Mushure mekuitika kwechiitiko ichi, ndakakurukura nezvavo nevashandi pamwe neni uye ndakaona kuti pane chido chikuru pane chisarudzo changu chekutsvaga kudzidzisa munharaunda iyi. Takazoenda kunzvimbo dzakashungurudzwa mazano (a subunit yemapurisa anotsigira avo vanopomerwa mhosva kana dambudziko) uye vakaronga kuti chidzidzo chekudzidzisa chiitwe nenzira dzakanakisisa dzekufa rufu, kuziviswa kwemhuri, kushungurudzika, uye mapurisa anotarirwa nekutadza kusatarisirwe kumba .

Mugore rapfuura, nyaya yekuvapo kwemhuri panguva yekumutsiridzwa (FPDR) yakave iri nyaya iri kubuda mune yedu yehutano system. Mamwe masangano makuru (akadai seAmerican Heart Association) anokurudzira FPDR, kuzivisa ikodzero yakakosha uye kubatsira zvakanyanya mukuchema. Icho chisati chiri chiitiko chakajairika, uye chete chete huru yekutambudzika nzvimbo munzvimbo medu iri kushingairira kukurudzira FPDR. Izvo zvakakurukurwa pagore rino rekiriniki yekusiyirana yeEMS, uye kazhinji yakawanikwa iri tsika inobatsira, kunyangwe vazhinji vevashandi vasina chokwadi chekuti vanganyatsoishandisa sei pasina kukanganisa kurapwa kwevarwere kana kuchengetedzeka kwevashandi.

Mukupedzisa kufa kuzivisa, chizvarwa chinotevera chiziviso, uye zvachose kusangana nekugadzirisa kusuruvara haisi tsika yakagadziriswa mumatemu edu eSEMS. Asi munguva pfupi pane imwe nzira yekugadzirisa iyo.