Mukurapa kwekukurumidzira, iyo Kendrick Extrication Device (KED) chishandiso chekutanga chekubatsira chinoshandiswa kubvisa munhu akashungurudzika kubva mumotokari kana pakaitika tsaona yemumugwagwa.

Iyo KED yakatenderedza

• musoro;
• ari mutsipa;
• hunde.

Kutenda kuKED, zvikamu zvitatu izvi zvakavharwa munzvimbo yakaoma-yakasimba, zvichibvumira iyo spinal column kuti usafambe.

Iyo Kendrick extrication mudziyo unogara uchishandiswa mushure mekushandiswa kweiyo cervical collar: iyo yekupedzisira yakakosha kwazvo kuchengetedza iyo immobilisation yemusoro-mutsipa-trunk axis, kudzivirira kunyange kukuvadza kwakanyanya uye kusingagadzirisiki kune hurongwa hwetsinga panguva yekubviswa kwemunhu akakuvara kubva mumotokari, zvakadai sekuoma mitezo yekumusoro nezasi kana kufa.

CERVICAL COLLARS, KEDS AND PATIENT IMMOBILISATION DEVICES? SHASHAI BOOTH YASPENCER PAEMERGENCY EXPO

Iyo KED inogadzirwa sei

Kusiyana nerefu refu musana bhodhi kana marara, Kendrick extrication mudziyo une akatevedzana mazariro akagadzirwa nematanda kana zvimwe zvinhu zvakaomarara zvakafukidzwa nejasi renylon, iro rinoiswa kuseri kwemusoro, mutsipa uye hunde yenyaya.

A KED inowanzo zivikanwa ne:

• mabhandi maviri hoka-ne-loop emusoro;
• matatu anogadziriswa akabatanidzwa kune trunk (ane mavara akasiyana kuti asungirwe kune bhanhire rekurudyi);
• zvishwe zviviri zvakabatanidzwa kumakumbo.

Tambo idzi dzinoita kuti nyaya yacho ichengetedzwe kumapuranga kana zvimwe zvinhu zvakaomarara.

KUDZIDZWA KWERUBATSIRO RWEKUTANGA? SHANYIRA DMC DINAS MEDICAL CONSULTANTS BOOTH PAEMERGENCY EXPO

Zvakanakira zveKED

Iyo Kendrick extrication mudziyo ine akawanda mabhenefiti:

• ine mari;
• zviri nyore kushandisa;
• inogona kuiswa nokukurumidza;
• ine tambo dzemavara dzinoita kuti zvive nyore kune muponesi;
• inogona kukurumidza uye nyore kuiswa muchigaro chemotokari nemununuri mumwe chete;
• inobvumira kupinda mumhepo;
• inodzivirira kunyange kukuvadza kwakanyanya uye kusingagadziriswi;
• inochinja kune chero saizi yemuviri.

KED muvana nevacheche

Kunyangwe Kendrick extrication mudziyo unogona zvakare kushandiswa kumisa kufamba kwevacheche nevana, zviri pachena kuti zviri nani kushandisa zvakagadzirirwa vana immobilisation midziyo pese pazvinogoneka.

Kana iyo KED inoshandiswa kumisa mucheche kana mwana, padding yakakwana inofanira kushandiswa kuve nechokwadi chekusagadzikana kwakakwana nenzira isingafukidze chifuva uye dumbu remurwere wechidiki, nokudaro kudzivirira kuongororwa kunoramba kuripo kwenzvimbo idzi dzinokosha.

Nguva yekushandisa KED

Chigadzirwa chacho chinoshandiswa kune varwere vanofanira kubviswa kubva mumotokari, kuitira kuti vadzivise kukuvara kweorthopaedic-neurological, kunyanya kumusana wepelinha uye nokudaro mutsara wepelinha.

RADIO YEVAPONISI MUNYIKA? SHANYIRA EMS RADIO BOOTH PAEMERGENCY EXPO

Usati washandisa KED

Usati washandisa KED, kana zvichibvira, maitiro ese anotangira chikamu ichi anofanira kupedzwa, saka:

• Chengetedzo uye kuzvidzivirira,
• Mamiriro ekudzora
• cheki chekuchengetedza motokari;
• nzvimbo yekuchengetedza yemotokari, iyo inofanirwa kusaina nenzira kwayo kumotokari dzinouya, injini yakadzimwa uye mabhureki ekupaka akaiswa;
• kutarisa zvakakosha zvemurwere, izvo zvinofanira kunge zvakagadzikana;
• kutarisa kune vamwe vatyairi vakanyanyisa;
• Kutarisa kubviswa kwechero chipingamupinyi chingangoitika senge mbiru yekutungamirira.

The ABC mutemo unonyanya 'kukosha' kupfuura mudziyo wekubvisa: kana pakaitika tsaona yemumugwagwa nemunhu akuvara mumotokari, chinhu chekutanga kuita kutarisa patency yemhepo, kufema uye kutenderera uye ipapo chete munhu anenge akuvara anogona kuiswa. simbi yemutsipa uye KED (kunze kwekunge mamiriro acho achida kukurumidza kutorwa, semuenzaniso kana pasina moto wakanyanya mumotokari).

Maitiro ekushandisa iyo KED

Aya anotevera ndiwo matanho makuru ekushandisa Kendrick extrication mudziyo kubvisa munhu anenge akuvara kubva mumotokari:

• Isa cervical collar yehukuru hwakakodzera pamutsipa weakakuvara USATI waisa KED;
• Munhu wacho anotsvedzerwa mberi zvishoma nezvishoma, achibvumira KED yakapetwa kuti iiswe kuseri kwemashure (KED inobva yaiswa pakati pemusana wekukuvadzwa uye kumashure kwemotokari);
• Mativi eKED akavhurwa pasi pehapwa;
• Iwo tambo dzinochengetedza iyo KED dzakasungirirwa mune yakasarudzika hurongwa:
• kutanga tambo dzepakati,
• tevere avo vari pasi,
• achiteverwa netambo dzegumbo nemusoro,
• chekupedzisira, tambo dzepamusoro (izvo zvinogona kutsamwisa kana uchifema),
• nzvimbo inoramba isina chinhu pakati pemusoro neKED yakazadzwa nemapadhi ehuwandu hwakakwana kuderedza kufamba kwekervical spine;
• murwere anogona kubviswa mumotokari, kutenderedzwa uye kuchengetedzwa pabhodhi remusana.

ZVINOKOSHA Kune nharo uye kukakavara pamusoro pehurongwa chaihwo hwekushandiswa kwezvisungo zvebhanhire, vamwe vachipikisa kuti kurongeka hakuna basa, chero bedzi bhandi rakachengetedzwa pamberi pemusoro.

Kuchengetedza kunofanira kutorwa nepedhi yemusoro, iyo inogona kuunza musoro wakanyanyisa mberi kuti ubvumire mapepa emativi kuti aidzore zvakakwana.

Kuchengetedza kunofanira kutorwa kuchengetedza musoro nenzira kwayo kuchengetedza kwazvakarerekera immobilisation.

Kana musoro uri kure zvakanyanya mberi, musoro unodzoserwa kuzosangana neKED kunze kwekunge kune marwadzo kana kushorwa.

Kana zviratidzo izvi zviripo, musoro hauna kufamba panzvimbo yakawanikwa.

Mavara emabhandi

Mabhandi ane mavara ekubatsira muponesi kurangarira kutevedzana uye kuti asavhiringa kurwiswa kwakasiyana-siyana panguva yekunakidzwa kwechinguvana:

• girini yemabhandi pahunde yepamusoro;
• yero kana orenji kune avo vehunde yepakati;
• tsvuku kune avo vari pazasi pemuviri;
• dema kune vari kumakumbo.

Kubvisa KED

Kana iyo KED iri ichangoburwa radiolucent modhi, iyo KED inogona kuchengetwa munzvimbo nekuisa murwere pamuzongoza; kana zvisina kudaro "classic" KED inofanira kubviswa nokukurumidza apo murwere anoiswa pamuzongoza board.

Kurumidza kuburitsa: kana iyo KED isiri kushandiswa

Muzviitiko zvakawanda zviri nani kushandisa KED, asi kune mamwe mamiriro ezvinhu umo murwere anoda kukurumidza kubudiswa, apo iye angave asina kudziviswa neKED uye panzvimbo pacho anotorwa zvakananga kunze kwemotokari, pasina kurasikirwa nenguva. mukushandisa iyo KED.

Zvikonzero zvekushandisa tekinoroji iyi zvinosanganisira:

• chiitiko chacho hachina kuchengetedzeka kune akakuvara uye / kana vanunuri;
• mamiriro emurwere haana kugadzikana uye kudzorera kutenderera kunofanira kutangwa nokukurumidza sezvinobvira;
• murwere ari kuvharidzira kupinda kune mumwe munhu anonyanya kurwara.

Mumashoko akajeka, pasi pemamiriro ezvinhu akajairika KED inofanira kushandiswa nguva dzose, kunze kweiyo mamiriro ezvinhu apo kushandiswa kwayo kunogona kutungamirira kumamiriro ezvinhu akakomba kune murwere kana vamwe vanokuvadzwa.

Semuenzaniso, kana motokari iri moto uye inogona kuputika chero nguva, murwere anogona kutorwa kubva mumotokari pasina KED, nokuti kushandiswa kwayo kunogona kukonzera kurasikirwa kwenguva inogona kumuuraya kana muponesi.

ZVINOKOSHA Iyo KED inowanzo shandiswa chete pane haemodynamically yakagadzikana vakabatwa; vasina kugadzikana vakakuvadzwa vanoparadzwa vachishandisa nzira dzekukurumidza dzekuburitsa pasina kushandiswa kwekare kweKED.

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Source:

Medicina Online