Paramedics chaizvo vanogara vari panjodzi pavanenge vari kunze neamburenzi. Zvikamu zvechisimba zvinozivikanwa uye zvakashata, kazhinji. Kuiswa kwedzidziso iyi iri muIzirairi.

Iwo mavara echiitiko ichi chaicho ma paramedics uye EMTs muIsrael. Iyo protagonist yave iri EMT-P yekudzidziswa kwegore rapfuura. Kwemakore ekupedzisira, Jerusarema neIsrael vanga vachiona hukasha mukutyisidzira kwe "Hondo imwechete" vachitora marudzi ese ezviumbwa: kubaya, mota-kupfura, kupfura, mabhomba uye chero musanganiswa wekare.

Sarudzo iri nyore yeiyi nyaya yekufunda kwave kutanga kuyeuka nyaya yekupindura kune imwe yekutyisidzira kwekwaingavepo kana kungave kusati kwave kuchiri kushanda sekupfura kana gandanga ratiza uye vangangodaro vasiri kutiza munzira yavari kupindura. kubva.

 

TERROR ATTack: PARAMEDICS RESPONSE

Sezvambotaurwa, kutumira kunotaurirana nePolice station inochengeta nzvimbo yatiri kupindura uye kuvabvunza kuti kana muperekedzi wemapurisa anodiwa here kana kuti kwete. Kazhinji kacho kana saizi yemapurisa inodikanwa tinopedzisira takamirira pane imwe nzira yekuenda kunharaunda nekuti mumwe munhu (mhuri / shamwari yemurwere) anofanirwa kuuya kuzotiratidza nzira, kungave kuri nekuda kwekushaikwa kwemazita emumigwagwa munzvimbo kana nekuda kwekushayikwa kweruzivo nezve kero chaiyo.

Munguva ino yekuvengana, seye paramedics, isu tinowanzogara madhiri. Makore akati wandei apfuura isu takanga tichidavirira kumafoni munguva dzemanheru uye takamirira pasuo remuvakidzani, apo isu tiri kutarisa-tarisa kuti tione kana paine munhu ari kusvika kwatiri kuzotiratidza nzira yatakaona mumwe munhu achimhanya akananga kwedu. Mufungo wekutanga ndewechokwadi kuti iyi inhengo yemhuri, zvine runyararo kwatiri, mumwe wevashandi vacho aive nemeso akapinza kuti azive kuti munhu uyu aive akatakura mukoto wehorotov uye akapopotera mutyairi kuti atange kutyaira. Iyo hotot yehotot yakakandwa, yarova yedu amburenzi asi nerombo rakanaka isu hatina kupaza kutendera kutiza tisina kukuvara. Munyaya iyi, takanga tisiri kumirira mapurisa kuti aperekedze mhuri chete kuti vatiratidze nzira nekuti mamiriro acho aifungidzirwa.

Dzimwe nguva, vanamazvikokota vanomirira mapurisa vanogona kukonzera kunonoka kukuru pakupindura. Kwete nguva refu yapfuura ini ndakapindura zvakananga kune mumwe wevavakidzani vangu (pasina muperekedzi wemapurisa, huchenjeri hweizvi hunofungika) ALS ambulensi yakanga iri 5-maminetsi kufamba asi yakanga ichiri kumirira mapurisa. Rombo rakanaka kwandiri, iro paramedic Kuziva kuti zvinogona kutora chinguva vakatumira nhengo yemhuri kudzoka kumba neyekutakura cheya. Mushure mekupedza yangu yekutanga assesment zvese zvainongedzera munzira yeCVA iyo sezvo isu tese tichiziva nguva yekuenda kuchipatara chinhu chakakosha. Pamwe chete nevarume vemhuri yevarwere takamuradzika pachigaro ndokutanga kufamba kuenda kuamburenzi.

Tasvika paamburenzi, murwere akatanga kubata, dai izvi zvakaitika ndichiri ndega mumba ndingadai ndisina kana nzira yekumisa kubatwa kana kuzvidzivirira kubva kumhuri yakatsamwa yandikumbira "kuita chimwe chinhu". Pane kuguma kwakanaka kwenyaya iyi, zvakadaro, mavhiki akati apfuura chiitiko ichi mumwe wemhuri akauya kwandiri munzira kuti azonditenda uye akandiudza murwere adzoka kumba asina magariro akaipa ekutenda kukurumidza kupindura kwema paramedics.

Ndichiri kumirira mapurisa iyo mhuri / shamwari dzemurwere dzinogona, zvinonzwisisika, kushungurudzika kwazvo, vanoedza kutiedza isu kuti zvese zvakachengeteka uye ndapota regai 'tiende. Izvi zvakaoma chaizvo nhengo zhinji dzevashandi, kune rimwe divi, tinoda kuenda kunoita zvedu mabasa kuponesa hupenyu, kune rumwe rutivi, vazhinji vedu takasangana ruoko rwekutanga chikonzero nei tichida kuperekedzwa kwemapurisa.

Kana tangosvika pachiitiko mapurisa dzimwe nguva anouya mukati medu, dzimwe nguva vanogara kunze, vangatonyangarika kufona (asi izvi hazvifanire kuitika):
Rinopfuura gore rapfuura ndakapindurawo nedzimwe nhengo dzechikwata chedu pamwe nevekunze amburenzi yekukuvadza mukamba yemuno, ukuwo nhengo dzemhuri dzaive dzakatimirira kuti tiende kunzvimbo iyi (yaive mukati meichivako chakaderera kupfuura 50m kubva kwatiri) mapurisa aiperekedza aive achiri kuratidza.

Kufona kwanga kuri padyo nechipurisa saka takangopedza hafu-kumanikidza mapurisa maviri kuti atiperekedze mukati. Zvinhu zvainge zvadzikama zvishoma, taive nevarwere ve2, vaviri vevakuru vemhuri kubva kumapato anopikisa, saka takakamurana mumapoka e2 paramedics uye vanopa. Mapurisa akagara mukoridho pakati penzvimbo mbiri idzi dzekurapwa, mapoka ese evemakamuri maviri aive nemuridzi mumwe ane zvombo pakati pehuwandu hwavo (sezvo isu tichigara munzvimbo dzine njodzi vazhinji vedu vane mvumo yepfuti). Tichiri mukati mekati zvinhu zvakatanga kupisa kudzoka, takawona kuti mapurisa anga asisiri mukorasi kana chero kupi zvako mumutsetse wedu wekuona.

Pakutanga yaive yerudzi rwe 'pfupi flares' yechisimba uye boka randakanga ndafunga kutanga kutora murwere wedu panze nekukurumidza mushure mekupfupika, rimwe boka rakashaya nzira yekufambisa kubvira takauya takashandira murwere mumwe taivawanikidza chimwe chigaro kana tave nemurwere wedu panze. Sezvo takasvika kunze kweimba yakatitenderedza yakatanga kurwazve nemwoyo murefu nepo rimwe boka richirimo mukati. Nerunyararo kuswededzwa kwepedyo nechiteshi chemapurisa kwakabvumidzwa kupindurwa nekukasira nemapurisa emuganhu kukurudzira vamwe vese vechikwata chedu.

Nhengo yechikwata chine zvombo mukati yakareurura kuti yakasvika padyo nekumanikidzwa kudhira ruoko rwake.
Dzimwe nguva nekuda kwekuputika kwemamiriro ezvinhu, tinogona kungoita ongororo yekutanga nekukasira-kuenda kunoongorora chaizvo uye nekurapa panguva yekufambisa kunyangwe izvi zvichiita kuti basa redu rive rakaomarara uye zvinogona kutiparira kuva nenzvimbo dzakaderera ita mabasa edu.

Makore mashoma apfuura takave neOHCA kudana mumugwagwa wevakuru vemumigwagwa mumugwagwa, nevemhuri yese (makumi kune 100 vanhu) vakatikomberedza (nezve 6-8 yekurapa pachako uye pamwe 6 mapurisa emuganhu) murwere anga asiri akataura musango, kunyangwe anga asiri kugona, asi akatorwa ne "show" CPR kuenda kune ambulensi (hapana munhu anogona kuita CPR inokwenenzvera uye isu takanga tisina CPR mudziyo ipapo) kuti itakurwe. kuchipatara kunotaurwa, uko kuchengetedzwa kwaizokwanisa kubata wedzinza.

Mumamiriro ezvinhu akajairika varwere chete vasingagoneki vatinotakura kuenda kuchipatara ndevevana sezvo mubatsiri akakodzera/psychiatric zvivakwa zviripo kuti zvibatsire vabereki kugadzirisa nhamo dzavo, asi panyaya dzakadai panenge paine njodzi kuvashandi kana veruzhinji, tinotakurawo murwere.
Pakati pegore rapfuura isu pane kakawanda takabata magandanga aive asati aongororwa nesappers, iyi yaive mhosva pane yedu (uye mapurisa nekuitendera) iyo yakatiisa munjodzi huru, nekutenda takabuda tisina kukuvadzwa.

ANALYSIS

Ini ndauya kwauri akasiyana siyana mamiriro uye mamiriro, ini handikwanise kunyepedzera kuve nemhinduro.
Ini ndinofunga kuti pane zvinoverengeka zvinhu izvo paramedics / mapurisa anogona kukurudzira kuti uderedze njodzi:

1. Nguva dzekusvika, mapurisa haagare akabata bata isu kuti tisvike nekukurumidza, izvi ndizvo, zvinodzivirira zvachose kubva kune avo vakatenderedza murwere (nemurwere).
2. Kutevera maitiro akakodzera / mapuroteni, protocol yakajeka kwazvo nezvegandanga vanogona kunge vakatakura vanoputika vanoongororwa nenyanzvi yekuputika, zvisinei kupisa kwechinguvana dzimwe nguva kunoita kuti tikanganwe kutora matanho ekunzwisisa mukukurudzira kwedu kuponesa hupenyu, kudzidzisa zviitiko izvi uye kuongorora. ivo mushure mechiitiko kuti vadzidze kubva kwavari uye kupinza izvi muhana-muhana yedu vanovimba nekubatsira kudzivirira kwakadaro kutsvedza-munguva inotevera.
3. Kuzivisa uye mamiriro ekuziva ndechimwe chezvinhu zvakakosha sezvakataurwa pamusoro apa imwe nhengo yedu yeamburenzi isina kucherechedza iyo hotota yemototov inogona kunge yakaputika pane zvinokanganisa uye nekupisa ambulansi yedu.
4. Kuve nyanzvi dzekutaurirana kugadzirisa mamiriro ezvinhu nevarwere vane hutsinye / mhuri dzevarwere pasina kukosha kwemapurisa (zvinosuruvarisa parizvino hapana kudzidziswa nezvenyaya iyi kunopihwa kunze kwekutanga mitauro yemitauro, zvinhu zvakaita seVerbal Judo hazvipiwe).
5. Nhengo dzevashandi vepamauto, kunyange izvi zvingave zvinopesana negungano reGeneva, vashandi pamwe nenhengo imwe chete kana kupfuura vane zvombo vanowanzovhurika vachipinda munzvimbo ine njodzi pasina muperekedzi wemapurisa, nokudaro vachipfupisa nguva yekumirira. Kuvapo kwavo kungango tendawo kunyevera nezveyaipisa dzinopisa. Zvakawanda hazvo kunyangwe isu tichida kutaura kuti zvese zvinogona kugadziriswa nekutaura zvisina mhirizhonga isu tinogara munzvimbo ino izvi zvingoitika kwete, vanhu vanotirwisa vanoziva zvizere zvakanaka tauya kuzobata murwere, vangangoziva murwere wedu uye kungova nehanya nehutano hwavo zvakanyanya ivo saka vane hanya nezve 'kuwana imwe mukati'.
6. Kuvapo kwemapurisa General, nzvimbo dzakavakidzana dziine yakajairwa / yakawedzera kuvapo kwemapurisa (semuenzaniso nekuda kwekuti maJuda anogara ipapo) anowanzoita kunge asina njodzi.
7. Zvimwe zvakabatanidzwa zvinoteedzerawo kubatsira mukugadzira nzvimbo inoenderana nemapurisa, kuvimba kwakawanda uye nemafambisirwo ari nani.

Pane zvimwewo zvinhu zvakanaka zvekutaura, kunyangwe ndakaudza nyaya zhinji dzemhirizhonga pano huwandu hwekufona kwedu hunopera pasina mhirizhonga.