Spinal immobilisation ndohumwe hunyanzvi hukuru hunofanirwa kuitwa nenyanzvi yekurapa yekukurumidzira. Kwemakore mazhinji ikozvino, vese vakakuvadzwa vakakuvadzwa vakatadza kufamba uye, nekuda kwerudzi rwetsaona, zvinoenderana nemaitiro enyanzvi, zvaive zvakafanira kumisa musana wemuzongoza.

Aya aive makore apo zvaive zvine musoro uye zvine musoro kufunga kuti chero munhu akabatwa mutsaona yehukuru hwakakwana, sekudonha kubva pakakwirira, tsaona yemotokari kana chiitiko chakafanana, anofanirwa kuvharika nekuti paive nenjodzi yekukuvara kwemusana, izvo zvatinofanira kudzivisa zvachose.

Izvi zvaisanganisira kusafamba-famba vakabatwa vasina kutambura chero zviratidzo zvekushungurudzika kwemhando ipi neipi, kunyangwe mutsipa kurwadziwa.

Semitemo yakawanda, taizomisa chero ani zvake akabatanidzwa mutsaona, chero ani zvake aibatanidzwa mumamiriro ezvinhu angaguma nekuputsika kwepelinha kana kukuvara kwepelinha.

ZVINHU ZVAKAKOSHA ZVAKASIYANA? SHANYIRAI SPENCER BOOTH PAEMERGENCY EXPO

Mhedzisiro yekunyanyisa spinal immobilisation:

Izvi zvakaita kuti zvipatara zvizare nevanhu vaifamba nepagonhi vakasungirirwa muhuro, vakatadza kufamba bhodhi kana vacuum metiresi, iyo yakaunza iyo system yese kudonha.

Munguva pfupi, chipinda chekukurumidzira vashandi vezvokurapa vakatanga kuona kuti kuzvidzora kwakanyanyisa kwaikuvadza dhipatimendi rechipatara rinoona nezvenjodzi.

Izvi zvakakonzera kugadzirwa kwenhevedzano yemaprotocol kuti vaone kana varwere vaifamba nepamusuwo wekamuri rekukurumidzira vakasangana nemaitiro ekuita maitiro eradiological kuti vaone kana vaive nemusana wakatyoka.

Spinal immobilisation: Mitemo miviri mikuru yakagadziridzwa, iyo Nexus Low Risk Criteria (NLC) uye Canadian C-Spine Rule (CCR)

Zvose Nexus uye Canadian protocol zvakatsvaga kusabvisa varwere vasina kuzadzisa maitiro ekuongorora radiology kuongororwa nokuti kuongororwa kwavo kwekliniki kwakanga kusina kunyatsofungira kwepelinha kana kukuvara kwemusana.

Aya maitiro akakurumidza kubva pakuva maitiro echipatara, angangoita eradiology, kusvika pakushandiswa mukurapa kunze kwechipatara kuona kuti ndevapi varwere vanofanirwa kuvharwa mumugwagwa uye vasingafanire.

Kune zvakare mamwe maitiro chaiwo enjodzi dzekubuda kunze kwechipatara, senge PHTLS maitiro, zvese zvichibva pakuwanda kwemaitiro esainzi zvichienderana nekutsvaga kwenhamba kana kuedza kwevanhu.

Muenzaniso wekare ndewekuedza uko boka revanhu vanozvipira havana kufambiswa kwenguva yakareba, pakati pehafu yeawa nemaawa maviri, ndokuzobvunza nezve zvinogona kukonzeresa kubva mukurebesa uku. immobilisation.

Zvakazoonekwa kuti kusafamba kwemurwere kwakaunza kushushikana uye kurwadziwa mumutsipa uye kumashure izvo zvinogona kugara kwemaawa, uye mune dzimwe nguva zvinogona kukonzera maronda eganda panzvimbo dzekutsigirwa nebhodhi.

Naizvozvo, akawanda euchapupu-hwakavakirwa nhungamiro akaonekwa, senge NICE 2 nhungamiro kana mamwe akafanana.

Muna Nyamavhuvhu 2018, American College of Surgeons Committee on Trauma (ACS-COT), the American College of Emergency Physicians (ECEP) uye Association of Emergency Medical Services Physicians (NAEMSP) yakasvika pachinzvimbo chakabatana pane zvave kunzi Spinal Motion. Kuganhurirwa (SMR) 3 .

Gore rakatevera chinyorwa chinonakidza chakabuda muScandinavian Journal of Trauma, Resuscitation and Emergency Medicine ine musoro unoti “New Clinical Guidelines on Spinal Motion Restriction. Murwere mukuru wekushungurudzika: kubvumirana uye humbowo hwaro 4 ”, yakaburitswa 19 Nyamavhuvhu 2019.

Isu tinokwanisa kuipfupikisa mumashanu ayo akanyanya kurudziro, ina yesainzi humbowo-hwakavakirwa kurudziro uye imwe algorithm:

• Pane humbowo hwakasimba hwesainzi hunopesana nekushandisa kudzikamisa kwemusana kune varwere vane kukuvara kwega kwega, izvo zvinoreva kuti hazvifanirwe kuitwa.
• Rutsigiro rwesainzi rwekumisa murwere ane danga A B C D E ine spinal board uye musana wakaoma collar haina kusimba, isingakurudzirwe kuitwa nguva nenguva.
• Rutsigiro rwesainzi rwekutamisa murwere mumetiresi yevacuum yekufambisa hauna simba, kureva kuti zvinogona kuitwa asi pane humbowo hushoma pazviri.
• Kushandiswa kwekiriniki algorithm inokurudzirwa.

BIBLIOGRAPHY

1. García García, JJ Immobilizzazione cervicale selettiva basata sull'evidenza. Nzvimbo TES 2014(3):1;6-9.
2. Linea guida NIZZA. Febbraio 2016. Trauma maggiore: erogazione del servizio. https://www.nice.org.uk/guidance/ng40/chapter/Recommendations
3. Peter E. Fischer, Debra G. Perina, Theodore R. Delbridge, Mary E. Fallat, Jeffrey P. Salomone, Jimm Dodd, Eileen M. Bulger & Mark L. Gestring (2018) Spinal Motion Restriction in the Trauma Patient - Una dichiarazione di posizione comune, Assistenza preospedaliera di chimbichimbi, 22:6, 659-661, DOI: 10.1080/10903127.2018.1481476. https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1481476
4. Maschmann, Elisabeth Jeppesen, Monika Afzali Rubin uye Charlotte Barfod. Nuove linee guida cliniche sulla stabilizzazione spinale dei pazienti adulti con trauma: consenso e prove basate. Scandinavian Journal of Trauma, Resuscitation uye Emergency Medicine 2019:(27):77. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-019-0655-x

Verenga Uyewo:

Emergency Rarama Zvakawanda…Rarama: Dhawunirodha Iyo Itsva Yemahara App yebepanhau Rako yeIOS uye Android

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Nhanho gumi dzekuita Yakakodzera Spinal Immobilization Yeye Trauma Patient

Spinal Column Kukuvara, Iyo Kukosha kweiyo Rock Pin / Rock Pin Max Spine Board

Source:

Zona TES