Chidzidzo chakaitwa naDr Fausto D'Agostino kuongorora kuchengetedzwa kweBSS-D makosi akapihwa panguva yedenda re COVID

Cardiac pathologies inokonzera 35% yevakafa vese uye zviitiko zvekufa kamwe kamwe kwemoyo muItari zvinofungidzirwa pakati pe50,000 ne70,000 pagore: kusungwa kwemoyo ndicho chikonzero chikuru cherufu munyika medu.

Iyo huwandu hwevakafa nekuda kwekusungwa nemoyo wakasungwa hauna kudzikira panguva yechirwere asi, nekusiyana, kufa nekuda kwekusungwa kwemoyo kwakawedzera nekuda kwezvikonzero zvakati wandei, kutanga kutya kutya kununura murwere ane fungidziro inogona kuve Sars-Cov-2 hutachiona .

Denda razvino rasimudza mwero wenjodzi kune vese vanunuri (akarara uye vekurapa) nekuda kwekugona kwekutapurirana kuburikidza nekugadzirwa kwemadonhwe uye maaerosols panguva yekumutsiridza mweya

Muchokwadi, iyo WHO yakafunga izvi zvinoponesa hupenyu, kunyangwe zvichikosha uye zvichifanirwa kuitwa pasina kunonoka, kuve panjodzi huru yekusvibiswa kwehutachiona kune vese vanunuri uye nekudaro inofanirwa kuitwa nechengetedzo chaiyo.

Nechikonzero ichi, zvave zvakafanira kuti uite shanduko dzenguva pfupi kuzvirongwa zvinozivikanwa zvekumutsiridza (BLS-D: Basic Life Support uye Defibrillation)

Mune vanhu vane yakasimbiswa kana inofungidzirwa COVID-19, iyo yakajairwa cardiopulmonary yekumutsidzira kuteedzana inochengetwa pamwe nezvimwe zvinokurudzirwa, zvichitevera zvinongedzo zveese epasi rese kununura mazita (ILCOR, AHA, ERC, ILSF):

Mununuri akarara anofanira kunzvenga kusvika kumeso kwemunhu akuvara kuti aone kuvapo kwemweya wekufema uye anofanira kuenderera nemaoko-chete CPR nemazano ekuvhara muromo wemhino nemhino nemask kana nekuisa jasi pamusoro pavo kudzora kupararira kweaerosol;

panguva yazvino COVID-19 denda, vashandi vehutano (asi zvine musoro zvinoshanda kune 'kuisa' vanunuri) vanofanirwa kushandisa kudzivirira kwavo midziyo paunenge uchiita kumutsidzira.

Kubuda kwedenda reSars-Cov-2 kwakakonzera kumiswa kwevose First Aid makosi, ayo anogona kudzoserwa chete mushure mekunge Bazi idzva reMirairo yehutano rapihwa.

Kuenderera mberi BLS-D kudzidziswa kwevashandi vebasa re112 / 118 kana zvipatara hazvigoni kumiswa kana kumiswa nokuda kwezvikonzero zvakajeka zvekuwana kukwanisa kupindira muchiitiko chekusungwa kwemwoyo.

Naizvozvo, musi wa 23/06/2020 Ministry of Health yakaburitsa denderedzwa (prot. Kwete. 21859) "Zviratidzo zveNyika zvekuchengetwa kwehutachiona hweSARS-CoV-2 mumabasa erubatsiro rwekutanga uye nekudzidziswa kwevanonunura", iwo marongedzero matsva ekuita nzira dzinoponesa-hupenyu zvakachengeteka uye nhungamiro yekupihwa makosi erubatsiro rwekutanga panguva ye COVID-19 denda.

Izvi zvinotevera zvinodiwa zvinofanirwa kuzadzikiswa mukupihwa kweiyo BLS-D kosi

• Nzvimbo huru dzinovimbisa chinhambwe chemamita angangoita 2.0 pakati pevanodzidziswa;
• Spaces nemahwindo akakwana zvakakwana kuti ave nechokwadi chekushandurana kwemhepo kanokwana maminitsi makumi matanhatu nemabhureki mapfupi;
• drills kuti iitwe pane dummy uye chete neanodzidziswa akapfeka magirovhosi uye mask yekuvhiya;
• pamagumo ega ega maneuvre, iyo simulators (dummies, AED varairidzi nemidziyo yekufema) ichacheneswa nemishonga inouraya utachiona uye bepa rinoraswa.

Tichifunga nezve kurwara kwakanyanya uye kufa kubva pamwoyo uye nemweya wekufema uye nekuda kwekubudirira kunoratidzwa neBLSD makosi mukutungamira kwecardiorespiratory emergency, zvaive zvakakosha kuti usamise Basic Life Rutsigiro kudzidziswa panguva yedenda, zvese kune vashandi vehutano. uye kuisa vanhu.

Kuchengetedza chikamu chekudzidziswa muhunyanzvi uye hunyanzvi hunyanzvi hweCPR mune ye 'mu-munhu' maitiro akaonekwa seakakosha, zvichipiwa kudiwa kwekudzidzira Basic Life Support inofambisa yakananga pane simulators.

Nekudaro, kuve nechokwadi chekuchengetedza uye kushanda kwemaitiro acho kwaive chinhu chakakosha munzira yekudzidzisa.

Chinangwa chechidzidzo chekuchaira ndege, chakaitwa naDr Fausto D'Agostino nebazi rezvehutano vachishanda pamwe neAmerican Heart Association (AHA) neItaly Resuscitation Council (IRC), kwaive kuongorora kuchengetedzwa kwemakosi eBDD akapihwa panguva denda rekukurumidzira muItaly yose.

Dhata dzakaunganidzwa kuburikidza nemubvunzo usina kubvumidzwa uye wakapihwa kune vatungamiriri ve IRC (Italian Resuscitation Council) uye AHA nzvimbo dzekudzidzisa pakupera kwemakosi akaitiswa munguva ya1 Chikumi 2020 - 31 Ndira 2021.

Mubvunzo wemibvunzo unosanganisira gumi nemimwe mibvunzo yakasarudzika yakasarudzika kuyedza muyero wekuzadzikiswa kwedenderedzwa revashumiri uye chero matambudziko akasangana musangano reBSS-D makosi mune iyo COVID-14 nguva.

Bvunzo remibvunzo rakanga risingazivikanwe uye iyo data yaishandiswa muhuwandu fomu.

Bvunzo remibvunzo raiitwa neemail chikumbiro kune vese vatungamiriri veDzidziso Mahara nyika yese.

KUKURUKURA KUGUMIRA DEFIBRILLATORS: SHANYIRA ZOLL BOOTH PAKUKANGANISIRA EXPO

Pakati peiyo 398 Italian IRC / ERC uye AHA Kudzidzisa Nzvimbo, 337 yakaendesa BLS makosi panguva yekudzidza uye vakakokwa kuti vapindure kuongororo.

A 30% yekupindura mwero yakanyorwa.

Munguva iyi, 7833 vatori vechikamu vakaedza kosi yeBSS; ruzhinji rwevatori vechikamu (68%) vaive vashandi vezvehutano, nepo vanhuwo zvavo vaingova ne32% chete (n = 2499).

Zvikonzero zvikuru zvekupinda kosi iyi zvinoratidzwa mumufananidzo 1A.

Fig. 1A Sei vadzidzi vaipinda kosi yekutanga yekudzidzisa panguva yeCovid-19 Pandemic?

Kosi yacho yaionekwa seinobatsira ne90% yevatori vechikamu, kusanganisira kudzidziswa kutsva pamusoro pekushandisa chaiko kwezvidziviriro zvemunhu (94% yemhinduro).

Nekudaro, makumi masere muzana evadzidzi vakaratidza kutya kubatwa nehutachiona vachienda kukosi, kunyanya panguva yechirongwa chinoshanda (80% yemhinduro).

Muchokwadi, 94% yevatori vechikamu vakataura kunetsekana nezve kuchengetedzeka kwedzidzo, kunyanya kuuraya utachiona mukamuri uye manikin (Fig. 1B).

Fig. 1B Ndeapi aive akakosha mapoinzi?

Mapindiro akaratidzirwa muFiri. 1C akaonekwa seanobatsira mukudzivirira hutachiona, kureva Sars-Cov2 swab kuongorora, kushandiswa kwemask uye kureba kwevanhu.

Fig. 1C Ndeapi mamwe matanho angashandiswa kuita kosi yeRubatsiro rwekutanga kuchengeteka?

Matanho akatorwa kudzivirira hutachiona, sekurudzirwa nemutemo weItaly, akaonekwa seanobatsira uye ari nyore kushandisa muna 92% uye 87% yemhinduro dzakateerana.

Iko kushandiswa kwemasikisi panguva yekosi hakuna kuonekwa sechipingamupinyi pakutaurirana ne85% yevakapindura.

Paive nezvakaitika zviitiko zvipfumbamwe zvehutachiona hweCOVID-9 mushure memakosi akaitwa panguva yekudzidza; 19% yeiyo yakaitika mukati memazuva mashanu kusvika kumashanu mushure mekosi (Fig. 90D).

Muonde. 1D Wanga uine chero nhoroondo yeiyo chaiyo COVID-19 hutachiona uchitevera kosi yepakati pako?

Zera revadzidzi vane hutachiona hwakasiyana pakati pe31 ne40 makore (Fig. 1E).

Fig. 1E Inguva yakareba sei mushure mekupedza kosi iyo mushumo wakapinda?

Njodzi yekutapukirwa mumakosi eBSS yaive 0.11%, ine fungidziro yezviitiko zvehuwandu hwevane 54.8 pavanhu 100,000 XNUMX vatori vechikamu.

Uyu ndiwo mushumo wekutanga wezviitiko zvehutachiona hweSars-Cov2 hune hukama neBSS-D makosi uye inoisa bhenji yekutarisa kuchengetedzwa kwenzvimbo dzekugara dzeCPR panguva yedenda re COVID-19

Mune mukana wenjodzi-wekubatsira, uchienzaniswa neanenge makumi manomwe emakumi masere emoyo kusungwa / gore muItari, njodzi yekutapukirwa panguva dzeBSS kosi inoratidzika kunge ishoma uye inogona kuderedzwa.

Kuti uverenge chinyorwa chizere: https://www.resuscitationjournal.com/article/S0300-9572(21)00330-0/fulltext

Dr Fausto D'Agostino

Nyanzvi muAnesthesia, Kumutsidzira, Kuchengetedza Kwakanyanya uye Therapy Therapy

www.neworleansmarfeta.it

Verenga Uyewo:

Ndeupi Musiyano uripo Pakati peCPR Uye BLS?

ERC Yakapihwa BLS Uye ALS Nongedzo Pane COVID-19 Varwere Vane Zvimwe Zvirwere

European Resuscitation Council (ERC), Iwo 2021 Mirayiridzo: BLS - Basic Life Rutsigiro