Paramedics Kutambudzwa panguva yekurohwa: Haimboiti Zvaunofunga Kana Zvataurirwa
Apo vanopa utano hwehutano vanosvika pachiitiko chechiitiko vanoisa pangozi hupenyu hwavo zvakare, nekuda kwevanhu vakatsamwira vakatarisa. Kudzivirirwa kunomiririra, asi varapi vemapurisa vanorwiswa haasi mashoko akadaro uye zvinonetsa kudzivirira. The #AMBULANCE! mharaunda yakatanga mu 2016 kuongorora zvimwe zviitiko. Iyi ndiyo nhau yeChinomwe-friday kuti udzidze zviri nani sei kuchengetedza muviri wako, timu yako uye ambulensi yako kubva "zuva rakaipa muhofisi"!
A paramedic inodanwa kune zviitiko zvakasiyana-siyana zvinogona kusanganisira varwere vasina kuroorwa kune vatachiona vakawanda, nharaunda senge mugari wemurwere kunzira dzemigwagwa nenzvimbo dzinoungana veruzhinji dzakadai semabhawa, dzimba dzemitambo, maresitorendi, nezvimwe
Sezvakaitwa nevese vakagadziriswa, hauna kumboziva zvaunenge uine uye zvauchazopindura. Zvinosuruvarisa, varwi vepamugadziri vanoshungurudzwa vari kuwedzera kunyange zuva rimwe nerimwe zuva.
Yedu nyaya nhasi inotaurira chiitiko chemushambadzi wemakore ane makumi matatu nemashanu ezviitiko muALS (Advanced Life Support), sevhisi iyo 35 vashandi vanotakura vanokwanisa maambulensi uye matatu anopindura mota masikati uye maamburenzi gumi nematanhatu asina mota dzekupindura husiku.
Mumwe ambulensi inoshanda nevatachiona vaviri veAIDS uye inopindura motokari inoshandiswa nehurongwa hwe 1 ALS. Mukuwedzera, pane vatariri vaviri veA ALS vari mubasa usiku humwe hunokwanisa kupindura asi kazhinji huchaita izvi apo iyo inowanika ambulance nhamba inoderera pasi pe3 inowanikwa mauniti.
Nharaunda umo protagonist inorarama uye mabasa inharaunda inowanikwa mumaguta e7 uye 1 neguta rine huwandu hwevanhu vane 609,000 vagari. Nharaunda ine imwe mhizha asi mune imwe nzvimbo yemugariro wekamuri ine nhamba yakawanda yevagari vanoenda kunzvimbo dziri kumadokero.
NHANGANYAYA - Nekutumira kwose, iwe unopiwa ruzivo rukuru rwerwere iro rinowanzosava nehuwandu hwemashoko epadenga. Chigadziro chega chaunacho ndechekuti muzvinyorwa zvinokuratidza kuti iwe uri kufamba muchikumbiro chako usina bofu kune chawakamirira zvechokwadi kune rumwe rutivi rwemukova.
Kubva pane zvaunokumbira iwe unogona kupindura nemudiwa wako chete, pamwe nemasangano akabatana akadai se basa remoto nemapurisa kana nekuwedzera kwemauto mapurisa uye chikumbiro chekufamba panzvimbo yacho. Paunenge uchikumbira kuti uende, iwe uri kurayirwa kuti upindure kune call asi ramba uchidzoka kusvikira mapurisa achiudza nzvimbo yacho yakachengeteka uye yakachengeteka kuti iwe upinde.
Kunyange zvazvo motokari dzinobva mubasa rimwe nerimwe dzakabatana dzichiita zvakasiyana zvakasiyana, makore mashomanana akapfuura vose vakapindura vakatarisa iyo yirima, yunifomu yerima neyemapfudzi bedzi chete vachipa mazano kuti muteereri aiva chii. Pamusana pezviitiko zvishomanana, varapi vezvepamuviri ikozvino kupfeka mashizha akakwirira ekuonekwa (yakatsvuka yellow) nepo mapurisa akaramba ari nerima blues.
Kunyange zvazvo yunifomu ikozvino ichiita yakasiyana, isu tichiri kuwanika mumamiriro ezvinhu akaoma, vaparidzi vose vanobatwa sevasi mapurisa (munhu akafuka svondo muhurumende) uye vachimirira tsika yevarwere / vakatarisa, kusarura kwavo kwemba kunogona kushandiswa nyore nyore.
Nekuremekedza kuchengetedzeka, varayiridzi uye firefighters kugamuchira kudzidziswa kwakadzika pamusana pekukosha kwavo asi kudzidziswa zvishoma nekuremekedza kuchengeteka. Mukuwedzera, iwe unogona kunge uchishanda nemumwe wako ane makore mashoma kupfuura 6 akawana uye asina kunyatsogadzira unyanzvi hwemigwagwa. Parizvino, tinoshandisa purogiramu inobvumira kushandiswa pakutsvaga (Kutaurirana kunosanganisira kusapinda munzvimbo yacho zvisinei kuti chii chiri kuitika nemurwere) kana tikanzwa kuti nzvimbo yacho inotyisa, asi kugovera kunosanganisira isu kukwanisa kuona zviitiko uye kuongorora kuchinja kushandiswa kwezvokuchengetedza. Kana mamiriro acho ari kunze, basa racho riri nyore kupfuura kana kudanwa kuri muimba.
Munharaunda yedu tinowana mukana wekuti hapana mhirizhonga pakati pemarudzi, asi varapi vemapurisa vachiri kutarisana nemhando dzakasiyana-siyana dzechisimba zvinogona kusanganisira mabhuti, mapanga, kurwisa, kuparadza zvishandiso, kuzviuraya nemhirizhonga uye kusvibiswa kwemakemikari, makemikari hondo, kudhakwa doro / zvinodhaka, njodzi dzemotokari uye unhu hunotarisana nemamiriro ose ezvinhu.
Mumakore maviri adarika ini neshamwari dzangu takasangana nazvo chikokiyana zvose by doro uye hazvibvumirwi zvinodhaka, zvombo zvakadai sepfuti nemajeko, zvityiso zvemashoko zvekuchengetwa zviripo kana kuti zvisiri kupa. Muenzaniso wekutarisirwa kusati wapiwa unofanirwa kune vamwe varwere vanotsvaga nharo yekutambudzika kwepamarwadzo uye pavanenge vasina kutarisirwa zvichienderana nevanorapwa nehutano hwehutano uyo murwere anotsamwisa zvikuru.
THE CASE - Pakati pese panoshevedzwa edu amburenzi sevhisi inopindurawo, rumwe rudzi runofungidzirwa kuti rwunopera basa kana kuti "stand-by" zvinoreva kuti nharaunda yako iri pedyo newe haisisiri kutarisirwa nekuda kwekushevedza ivhu uye iwe unofanirwa kuenda kune iyo nzvimbo yekugovera. Zvimwe zvinyorwa, mukati mebasa redu rose kunyange ini nemudiwa wangu neni takadzidziswa kusvika kumatunhu akafanana tinoshandura mabasa mushure mekudanwa kwese kubva kumushandi kune mutyairi uye panguva ino, ndakanga ndichityaira.
Chiitiko changu chakaitika pa02: 00 musi weMugovera manheru munaJuly apo kuparidzirwa kwakadzika mukati memunharaunda asi vanhu vanowedzera kwenguva pfupi munzvimbo dzevaraidzo dzakadai semabhadhi / nightclub kubva kune vagari vomunharaunda yakawanda iri pedyo nesu kuenda kunharaunda yedu senzvimbo dzevaraidzo haasi sechinhu chakaoma.
Ini neshamwari yangu takanga tichitaura kune imwe pikisiti patinenge takazviona tamira pamusana mutsvuku mumuganhu wakawanda muguta. Kumusoro kuchamhembe kwakadziva kumakona ibha, kumaodzanyemba kwakadziva kumabvazuva ndiyo McDonalds (fast food restaurant), kumaodzanyemba kwakadziva kumaodzanyemba kune imwe resitorendi / bar uye kumaodzanyemba kumadokero kwekona ndiyo nzvimbo yefasi.
Paanenge akagara kumativi echitarisiko achimirira chiedza chichinje kuve chitubu, redhiyo yedu yakatorwa kubva panzvimbo yedu yekukurukura inodana nhamba yedu yerori. Vakakumbira kuti tipinde runhare rukuru nokuti kurwisana kunoenderera mberi munzvimbo yepakiti yekuputi uye kuti mapurisa nemoto zvaizovawo kupinda pamba. Dambudziko rinosuruvarisa nderekuti bhari yaiva nechekuchamhembe kwakadziva kumadokero kwekona kwatakanga takaita uye takaona kuparadzanisa kwaive pedyo ne200 vanhu mairi uye pasina mamwe masangano akapoteredza.
Sezvo muitiro wakazara, ini nemudiwa neni takakurudzira kuti takanga tiri pachiitiko asi takamirira mapurisa nekuda kwehuwandu hwevanhu vari munzvimbo yekupaka. Uyezve, apo vanhu vakationa isu, vakatanga kumhanya nenzira dzakasiyana-siyana. Maminetsi mashomanana gare gare, redhiyo yedu yakatsvaga zvakare nezvarudzo zvakatanga sa 1 munhu akabatwa, chiitiko chinotevera chaiva ipapo 2 yakarova uye isingazivikanwi kana varwi vari pachitarisiko uye 2 ichibaya uye imwe inorohwa nemotokari.
Sezvatakanga tichiwana zvigadziriswa, kwakanga kusina hurumende dzehurumende pachiitiko uye vanhu vakatanga kutamhanyira kumotokari yedu inopa mazano e kukuvadzwa. Sezvataikurudzira kuti takanga takamirira mapurisa kuti asvike uye akachengetedza mamiriro acho ezvinhu, taive nekusanganiswa kwemashoko kubva kune vamiririri iyo yakabva kune "Ah, hongu" kune "iwe kuva musarura uye uchivarega vachifa nechinangwa".
Ini neshamwari yangu takaramba tiri mumotokari yedu uye tavandudza nzvimbo yedu yekukurukurirana. Inenge maminitsi 4 mushure mokutanga kutumira, mapurisa akatanga kusvika uye akachengetedza nzvimbo. Sezvo mapurisa maviri okutanga apurisa akasvika, takaenda kunzvimbo yekutanga kuongorora nokutarisira varwere. Takatungamirirwa kune chirwere chekutanga chekurwara apo mumwe wangu akatanga kutarisira maererano nehutano hwemurwere apo ini ndakaongorora zvakasara zvepakisi yepamusoro kune vamwe varwere uye kuongorora hakuna munhu akakuvara mubha.
Pose ndakawana 10 varwere mune zvose, 4 inorwisana nehondo, 1 yakaroverwa nemotokari inokurumidza uye 5 stabbings kubva pachironda chiduku kusvika kubhokisi, kupora mavanga kusvika pamimba uye kuvhura. Mukuwedzera kune varwere ve10, murwere mumwe nomumwe aive ne 2-4 vanhu vane utsinye avo vakavapoteredza uye vakanga vachiri pedyo ne100 vanhu vachifamba vachikandira nzvimbo yekupaka.
Saka, sekuvandudzwa, varwere ve10 vane pedyo nevanenge makumi matatu vevanoshamwaridzana neshamwari dzakakomberedza, vanhu vane 100 vanovhiringidza uye vachiedza kupindira, mapurisa e4 nevarapi vemedambudziko. Sezvo yechipiri uye yechitatu ambulensi yakasvika ndakavaendesa kuvarwere vanotevera vakanyanya.
Panguva iyoyo, the Vakatarisana vakatanga kutsamwa nokuti vaifunga kuti vanhu vakaipa vakanga vari kutarisirwa kutanga uye kuti shamwari dzavo / vamwe vanofanira kuva mberi kwevamwe vose, pasinei nekukuvara. Sezvo nguva ichifambira mberi mukudanwa, masangano emoto akauya uye mamwe mapurisa akazosvika ayo aisanganisira mahofisi ehurumende, VaK9 vakuru uye tactical officers.
Vashandi vemunharaunda munharaunda yedu vanofananidza nemapurisa ane ane mapurisa ane basa guru rekuchengetedzwa kwenzvimbo, moto unobatanidza vane moto we 4 (2 inokwanisa kubatsira nekutarisa kwevarwere sezvo mumwe munhu akachengetedza motokari yavo uye mumwe ari mukuru wegori) uye inogona kubatsira nekutarisira kurapa pa EMR level uye paramedic unit iyo ine vaviri veparamedic.
Maparamedics anorohwa zvakajairika. Kunetseka kwangu kwekuchengetedza kwakauya pandakanga ndichiongorora zvangu triage kuronga uye kuona kuti vangani varwere vandakanga ndasara. Ndakanga ndichiongorora hurongwa hwangu, ndichishandisa hood ye ambulensi sedhesiki rangu uye ndakaisa musana wangu kune boka revanhu sezvo ndainzwa kuti nzvimbo yacho yakachengeteka nekuda kwehuwandu hwevapindura panzvimbo. Ndichiri kuvandudza nzvimbo yedu yekukurukurirana ndakabatwa nekukasira kubva pabasa rangu nemumwe munhu aive akashatirwa aive akasimudzwa chibhakera chake akati titarisire shamwari yake nekukasira uye kuti tirege kutarisira vamwe kutanga.
Ndinofara kuti ndaiva neruoko rwangu pachitinhira changu chemashizha uye ndakakwanisa kukurumidza kuendesa chigunwe changu uye kuita shanje inokurumidzira paredhiyo. Kamwe kamberi yacho yakashandurwa, zvose ems radios pachiitiko chimed alarm inokurumidzira iyo yakakonzera vose vanobatsira varapi kuti vamise basa ravo uye vanotarisa kuona kuti ndiani akashandisa alamu. Zvaiita sezvinogara nokusingaperi asi ndisati ndava kukwanisa kutaura chero chinhu paredhiyo, munhu wacho akabatwa pasi pasi nemapurisa akachenjera uye akaiswa pasi pekusungwa.
Pashure pemaminitsi mashomanana kuti ndibvise mafungiro angu, takaenderera mberi nekutarisira kwedu uye takaita kuti varwere vose vaitarisirwe zvakakodzera uye zvepamusoro, pasinei nokuti vakanga vasina mhosva kana kuti varwi.
ANALYSIS - Ndakanga ndisati ndakagadzirirwa izvo zvakaitika uye ndakava asina hanya nemamiriro acho ezvinhu sezvo ndaisa musana wangu pachiitiko uye ndakatarisa pane basa riripo. Zvose izvi zvakaitika nokukurumidza, zvakanga zvakaoma kutarisa zvimwe zviito zvangu ini kana vamwe. Izvo chete ndeyekuti makore angu ekudzidzira uye ruzivo akandibvumira kuti ndigadzirire mhirizhonga yangu yekukurumidzira kunze kwechipiri-kutarisa zvinodiwa kuti iite kana kuti kunetseka kwe "chii chichafunga vamwe".
Sezvo chiitiko chacho chichidzikisa, ndinoyeuka kushandisa imwe tsanangudzo inotsanangura iyo inenge isiri yedzidzo uye nesangano remazuva ano re videotaping zvinhu zvose uye kuisa pahuwandu hwemagariro evanhu hazvingarati zvakanaka nezvangu, sangano rangu kana basa rangu.
Pachiitiko, munhu wose akanga akabatikana kuita basa raive pedyo. Kana uine mukana wekugara pasi nekufunga nezvezvinhu, iwe unoziva kuti kushanda kune murwere / chiitiko nemusoro wako pasi 99.9% yenguva yakachengeteka uye inogamuchirwa, asi kuti 0.01% yenguva ndiyo inogona kupedza yako basa.
Mushure mokunge chiitiko chacho chapera uye varwere vose vaitungamirirwa uye vakatamisa vatungamiri vedu vakuru vakabudisa vedu Chiitiko Chinokonzera Kushungurudzika Kwepfungwa (CIS) Team kuti vaone kuti vose vakabatanidzwa vakanga vakanaka. Kwete zvakananga kune chimwe chinhu chechiitiko chacho asi kune chiitiko chacho sechose. Sezvo boka racho rakataura, rakava rakajeka kuti boka rimwe nerimwe revapindura rakanga riri kushanda mumubvuri wayo uye kwete kuziva nzvimbo yose yakavapoteredza.
Takavimba nemunhu wese kuti ave nechokwadi chekuchengeteka kwedu asi haana kufunga nezvekuparadzanisa kwakakura kwenhamba pakati pevanopindura nevanomira. Nekuremekedza zvirevo zvinotarisirwa zvehutano hunogamuchirwa, ndinotenda isu tose tanga tiri. Munhu wose ari kutarisira prehospital anoziva njodzi uye tinoshanda zvakanaka pakuona kuti takachengeteka.
Asi kushamwaridzana nevezera rako uye maonero anotarisirwa ane nzira yakaipa yekubata kana iwe uine vaparidzi vane ruzivo rwakasiyana-siyana. Chiitiko changu chinogona kundibvumira zvakasiyana-siyana kutarisira uye kuongorora mamiriro ezvinhu kana zvichienzaniswa nemumwe munhu ave achingove kwenguva pfupi.
Chimwe chezvinhu zvinopesana nezvinotinetsa zvatiinazvo ndezvisina kururama kwemashoko edu ekupindura. Munharaunda yangu, sangano rimwe rinodzora communication centre, apo sangano repiri rinodzora chikamu chekupindura. Kwemakore akawanda tave tichishandise ku chokwadi chekuti nzvimbo yedu yekukurukurirana haitombotipa iyo yese mashoko nenzira yakarurama uye ine kuoma kutarisira misiyano iri kunze kwebhokisi apo chiitiko ichi chiri kuitika.
Ndinonzwisisa kuti ivo vanongoperera kune ruzivo rwavanopiwa uye mitemo / SOG inodzivirira kuti vasafunga kunze kwebhokisi. Nekutaura nezvekudanwa uku, vakafunga kuti tine varwere vatatu chete uye taive nekuoma kutarisana nechiitiko chevarwere vane gumi zvino kuwedzera pakugadzirisa dzimwe nhare munzvimbo iyi.
Paunofunga nezvezviitiko zvekare, kwegore rinopfuura rakapfuura, imwe nzvimbo yekupaka, imwecheteyo, imwe nguva yezuva. Kuparadzana chete ndiko kwakarwa kwakaguma a kupfura hwevanhu vaviri uye ruzivo rwakauya sehupfuro pane kungoita hondo.Sezvandinoongorora chiitiko ichi uye vamwe kuti vandinoshanda navo vakagamuchirawo, chimwe chinhu chakazoonekwa zvakajeka ndechekuyerera kwekusagadzikana kwese isu tinotsungirira. Chiitiko chinoitika uye pfungwa dzako dzinowedzera uye nzira yaunotarisira nayo yese foni mushure mekunge kuchinja. Sezvo nguva ichipfuura uye hapana zviitiko zvinowanikwa mukati mebasa rako, pfungwa dzako dzinoderera uye iwe unodzokera zvakare munharaunda yekunetseka mamiriro ekugadzirisa uye murwere ane hanya.
Ko kutinonoka kwedu pakutanga kutarisa kwehutano chimwe chinhu chiri mukudanwa here? Ndinonzwa kuti yakafanana nekuwedzera kwekuzvidya mwoyo kwevaya vakatarisana nevarwere uye vazhinji vakauya kutongwa kwakatarwa. Kunyange ini ndine chokwadi chokuti kunonoka kunowedzera kuzvidya mwoyo, ndingadai ndisinganyatsozivi kuti ndinganonoka sei kunonoka semupepeti wekuchengetedza unotangira kupfuura zvimwe zvose.
Ko kudzidziswa kwedu kwakagadzirira isu, hongu uye kwete? Kunyatsosvika kunharaunda yedu, tinodzidzisa zvakanaka pamusana mumwe wemumiri ekufambisa kodhi asi usadzidzisa zvakanaka pane varwere vakawanda / vakatarisa, zvakanyanya kushanya. Munguva yakapfuura, takakumbira Post Incident Reviews (PIR) pane zviitiko zvinosanganisira varwere vakawanda uye munguva yakapfuura, boka revatungamiri vedu vakapindura ne "Hapana chidimbu. Hapana chakadai icho chichaitikazve ". Sezvo vatungamiri vekare vatiza uye vatungamiri vaduku vanotora nzvimbo yavo, ndinovimba kuti vose vachachinja kune idzi nhanho dzinosimba sezvo isu tiri vakanaka kwazvo pane zvigadzirwa asi tinoda kuita zvisiri izvo uye zvisati zvave sekuguma kwekuenda kune mumwe waanoshanda naye.