Kuisirwa ropa muzviitiko zvekushungurudzwa: muenzaniso weIreland

Huru hemorrhage ndechimwe chezvikonzero zvepamusoro zvekufa kubva kuruzhinji hurombo uye neropa rekutsvagisa ropa rinotarisirwa kudzikisa huwandu hwevanhu

Varwere veTrauma vari mudunhu reDublin / Wicklow vari kurwadziwa hupenyu hunotyisidzira kubuda ropa zvichitevera kushungurudzika kukuru hakuchina chekumirira kusvika kwavo paDhipatimendi reEmergency (ED) vasati vapihwa ropa.

Iyo yeropa yekuisira ropa muchipatara cheSt. Vincent's University Hospital (SVUH), mukubatana naWicklow Rapid Response (WWRR), yakaziviswa nhaka kuNational Ambulance Service (NAS), ikozvino yakwanisa kupa ropa rekukurumidza uye plasma zvakananga panzvimbo yekunetseka.

Ino inguva kekutanga muIreland kuti ropa riwanikwe nekuda kwekuwedzerwa kuchipatara uye rinopa kuvandudzwa kwakakosha mukutarisirwa kunogona kuendeswa kuvarwere mushure mekutambudzika kukuru.

Wicklow Rapid Mhinduro ndiwo chipatara chepamberi pekutarisirwa, inofambiswa nokuzvidira naDr David Menzies, Emergency Medicine Anopa kubva kuSt Vincent's University Hospital achibatana neNational Ambulance Service. Nderimwe remasavhisi mashoma eIreland uko vanachiremba vanopihwa basa neNAS kuzvipatara zvakanyanya nekurwara kunorwadza uko murwere anogona kubatsirwa nekurapwa kwakakosha parutivi rwegwagwa.

Nzira chete yekuita pre-chipatara medics kuti dzora varwere vanobuda ropa mune zvekushungurudzika zviitiko rave rekushandisa saline solution asi nekuti haisi kutakura oksijeni kana kupfeka, haisi iyo kurapwa kwakanaka.

Zvino, muchiitiko chekubuda ropa kunokanganisa, WWRR inofanirwa kurapa varwere vanozokwanisa kuendesa ropa rinoponesa hupenyu kune varwere vasina kumbomirira kusvika kwavo paDhipatimendi reEmergency.

Dr David Menzies, St. Vincent's University Hospital vakati: “Kune boka revarwere vakakuvara zvakaipisisa zvekuti tichava neropa rakamirira ivo pavanosvika muDhipatimendi reEmergency kuti vobva vawedzerwa ropa. Kuwedzerwa ropa prehospital kunozodzora zvakanyanya nguva inotora kuendesa kurapwa uku. Yedu Caseload yazvino inoratidza kuti ishoma asi yakakosha nhamba yevarwere vanogona kubatsirwa kubva pane izvi gore rega rega. Chipenga chekupa hupenyu hunopedza hupenyu mukupa chipatara chisati chave muyedzo wekutarisira vanachiremba vasati vasvika muchipatara. UK, Northern Europe, Australasia uye USA. Zvinotifadza kuti izvozvi tinogona kuzvigadzirira kuno kuIreland. ”

Mr. Martin Dunne, Director weNational Ambulance Service vakati: "Murwere ari pamwoyo webasa redu uye NAS inokoshesa zvikuru mupiro weanozvidira pre-chipatara anotarisirwa ekurapa mabasa anoitira kuchengetedza varwere. NAS inofara kubatsira kutsigirwa kwakanyanya kwevarwere kunowedzerwa muchipatara uye vanotarisira kuwedzera chirongwa ichi ”.

Dr Joan Fitzgerald, Chipangamazano Haematologist pachipatara cheSt. Vincent's University Hospital akati: "Izvi zvinonakidza kuvandudza zvave nemwedzi yakati wandei mukugadzirira uye zvichaita mutsauko chaiwo kurapwa kwatinogona kupa kuvarwere vakakuvara zvakanyanya mudunhu iri." Vanachiremba Masayendisiti ari muRopa Transfusion Laboratory vakashanda pamwe neDhipatimendi reNjodzi, iyo National Ambulance Service uye Wicklow Rapid Mhinduro yekuona kuti hurongwa hwakachengeteka uye husina tsvina yezvigadzirwa zeropa uye nekuzara kweTNNXX / 24 kusanganisira nguva yezororo ”.

Kuwedzera kumasero matsvuku, WWRR ichave yakatakura zvikamu zviviri zveplasma kukurudzira kufuka kweropa. Nepo masero matsvuku akatakura oxygen, kuendesa plasma mu1: Chikamu che1 chine masero matsvuku ndicho chiratidzo chakanakisa chekusimudzira kufuka kweropa, dambudziko rinozivikanwa muvarwere vakanyanya kushungurudzika. Ropa rekukurumidza uye plasma inopiwa maawa ese 48 maawa kubva kweropa rekuisirwa ropa murabhoritari kuSVUH uye inozadza sezviri kudikanwa. Kana ikasashandiswa, zvigadzirwa zvacho zvinodzoserwa mukati memaawa e48 kuenda kwiropa rekuisirwa kweropa muSVUH kuti ishandiswe kumwewo, kudzivirira chero kuraswa. Zvigadzirwa zeropa chinhu chakakosha chishandiso uye chinofanira kuchengetedzwa mufiriji. Zvigadzirwa zveropa zvinochengeterwa mumabhokisi eCredo © “Golden Hour”, ayo anoshanda kuti achengeterwe kwenguva refu paWWRR RRV pa4oC nekuita kuti ropa uye plasma zvinyowane munzvimbo huru dzekushungurudzika.

Kana iro ropa richidikanwa mune zviitiko zvekushungurudzika, inofanirwa kudziyirwa kudziya kwemuviri inova yakakosha danho mukudzivirira hypothermia uye zvimwe zvinonetsa muvarwere vari kugamuchira ropa zvigadzirwa.

Nekuda kwekuvandudza mari nemipiro, St Vincent's Foundation ichangobva kutenga ropa rinotakurika uye kudziya kwerudzi rwekushandiswa kwekutanga kuchipatara. Iyo Qinflow © Hondo yemuropa uye inodziya kudziya inzvimbo yechigadzirwa chehunyanzvi, yakarongedzerwa kunze kwekushandiswa kuchipatara. Iyi ichave yekutanga yakadaro unit inoshandiswa muIreland uye ine kugona kwekudziya kwemukati mvura uye zvigadzirwa zveropa kubva ku4oC kusvika pakupisa kwemuviri mumasekondi. Isu tinotenda chaizvo kune avo vanopa uye fundraisers vakaita kuti izvi zvikwanisike

Dr Stephen Field, Medical & Scientific Director weIrish Blood Transfusion Service vakati: "IBTS inofara kutsigira chirongwa ichi, chinova chinoponesa hupenyu. Kune humbowo hwakanaka hwesainzi hwekuisira-kuchipatara kuwedzerwa uye ndizvo zvakajairika kumwe kunhu. Zvigadzirwa zveropa zvinogara zvichidiwa, kana vanhu vachida kutsigira izvi, imwe yenzira dzakanakisa dzavangaite izvi kupa ropa ravo pachavo ”.