Vanamabasa ekurapa ekukurumidzira vanofanirwa kutarisana nemamiriro ezvinhu akawanda akasiyana, senge murwere wepfungwa pane ambulensi, uyo anogona kuita zvechisimba uye kuoma kubata.

Mabatirwo anoitwa vanobatsira varwere a psychiatric murwere pa amburenzi? The #AMBULANCE! nharaunda yakatanga muna 2016 ichiongorora dzimwe nyaya. Iyi yenyaya ye #Crimefriday kuti udzidze zviri nani nzira yekuchengetedza muviri wako, timu yako uye ambulensi yako kubva pazuva "rakaipa muhofisi"!

Iyo nyaya iri pamusoro pekurapa kwemurwere wepfungwa. Kuoma kwechikwata cheEMS pakurapa mukadzi ane chirwere chepfungwa anowedzera kuita zvechisimba uye nechisimba uye izvo zvakakonzera nyaya dzakawanda kune vashandi.

Ndiri mupi wekare we37 EMT munyika EMS sangano. Sezvo ini ndiriwo nguva yakazara mukoti mudzidzi muyunivhesiti (pamwe chete nomurume nababa), ini ndinongokwanisa chete kuita mavhiki masikati kana kuti ndeyake.

Sezvishoma zvese ruzivo rukuru pamusoro penyika yandiri kuwanikwa (iyo ichange isingazivi zita). Isu takapatsanurwa mumasangano e11. Ruwa rwangu ruzhinji mumuguta, asiwo runopfuurira kune avo vari pedyo. Nharaunda yedu munharaunda yedu yakazara, uye ine nzira shoma shoma. Guta redu rine vagari vemunenge mamiriyoni ega, ane huwandu hwehuwandu hwevanhu vari pedyo ne1500 vanhu pamakiromita akare.

Isu rega ambulensi response time (yekubudiswa) ndeye 9 maminitsi (pane zvishoma 5-13 BLS ambulances uye 4-5 ALS ambulances ari pabasa- zvichienderana nenguva yezuva), kunyange nekuda kweruzhinji rwevanhu vanotanga kupindura, pane kazhinji EMT (ne BLS / ALS midziyo- zvichienderana nehuwandu hwavo kudzidza) vachisvika panzvimbo yacho nemoto yavo yega yega mumaminetsi maviri.

The ambulances vakashanda maererano neAngland-American system: EMTs uye Paramedics vanoshanda amburenzi, nechinangwa chekusimbisa murwere uye kumuendesa kuchipatara, nekupesana nekuva nanachiremba nemanesi ekurapa murwere panzvimbo iyi. Ma ambulensi eBSS anoshandirwa pakati pe2-4 EMTs (mumwe anofambisa amburenzi), uye ALS ambulensi inoshandirwa neinenge imwechete paramedic uye 2-4 EMTs (mumwe anofambisa). Mukati mekero ye8 yeawa inoshandurwa, timu imwe neimwe inogona kusangana pakati pe3-10 kufona.

Isu tinoshumirwa nezvipatara zvikuru zve3, chimwe chazvo chiri chikwata chimwe chetachiona chinotyisa uye inewo chirwere chepfungwa, asi zvinosuruvarisa (nemhaka yekushaya urongwa hwemaguta) ndicho chipatara chiri kure kwazvo muguta, uye kutakura kunogona kutora hafu awa kubva kune dzimwe nzvimbo muguta.

Basa redu nguva dzose rinopindura kugandanga kwegandanga kunze kwechimiro chevanhu vasiri vehondo vanodana chero EMS basa zvaizoitika. Isu, pane zviri nani kana zvakanyanya, takave nehunyanzvi hwekubata nezviitiko. Isu tinonakidzwa neukama hwepedyo nemapurisa epasi rose, mauto, pamwe nemauto ekudzivirira, izvo zvinogona kuwedzera kusawirirana nevamwe vevanhu veko (vanehukama nemasangano emagandanga kana mapoka evapanduki) uye vanotiona semuvengi.

Kazhinji, isu tinotarisirwa kupindura kune mafoni- zvakadaro dzimwe nzvimbo mudunhu redu dzinombodzikiswa (mamwe masangano emunharaunda anogona kuda kuronga nzvimbo iyo murwere anogona kuchinjirwa kwatiri kutakurwa kuenda kuchipatara chakakodzera) kana kuda mapurisa / mauto kuperekedza.

"Isu takabata ma ambulensi, uye vashandi vedu vakarongedzerwa masutu / maheti ekudzivirira kana vachipindura mamiriro ekuchengetedza. Ini pachangu handina kupindura kupfura / kubhomba, nezvimwewo, panguva yangu yekudyidzana neEMS sangano (kunyangwe zvakati wandei zvakaitika pandanga ndiri pakudaidzira- timu yangu yakanga ichingopindura kufona kwevanhu panguva iyoyo). Sezvo ini pachangu ndisina kubatanidzwa muchiitiko chakadai kwemakore matatu apfuura, uye zvakare kuita kuti nyaya yangu inyatsoenderana nemasangano ayo (nekutenda) chete achirwa nehupenyu hwevashandi, ini ndichange ndichirondedzera nyaya muhupenyu hwevashandi vanosanganisira chisimba. pane a murwere psychiatric. "

Kurapa murwere wepfungwa pane ambulensi: nyaya yacho

“Sangano redu rine vashanyi vanowanzo famba. Vamwe vanhu (zvinosuruvarisa) vanongoita tsaona-kana kuita zvakasiyana kurapwa kwemamiriro izvo zvinoita kuti zvive zvishoma nezvishoma. Vamwe varwere vane mitemo yakasiyana-siyana yepfungwa dzinoita kuti varambe vachikumbira rubatsiro rwezvechiremba. Dunhu redu rinenge rine mumwe murwere akadai-muduku 60 wemakore murwere wepfungwa, uyo anogona nyore kutakurwa kuenda kuchipatara kazhinji pane imwe shanduko. Chinhu chinowanzoitwa ndeyekuti anotaura kuti ari kutengesa, anotakurwa kuenda kuchipatara, akabudiswa, anotanga kuenda kumba (asi dzimwe nguva anongokwanisa kuyambuka mumugwagwa), asati ashevedza imwe ambulensi kumutora kuchipatara chakasiyana kuti aongorore.

Izvi zvisati zvamboitika, ini pachake ndakamutora kuchipatara kakawanda munguva yakapfuura. Aiva murwere akaoma, sezvaaiwanzoita vanoramba kuramba vakagara naye bhandi rake rechigaro rakasungirirwa pasina chekudzidzira, haaiti kuti tive pedyo naye ne sphygmomanometer (kuyera blood pressure), uye inogona kuva nemashoko Utsinye.

Rinenge dunhu rese raimuziva, uye kana kudaidza kwaizouya, zvaizoitika kunge, 'aiwa kwete, ndiJane Doe (zita rekunyepedzera) zvakare' kana 'Zvinofadza kuti ponesa upenyu, asi rakawanda basa redu reEMS rinotakura ese Jane Anoenda uko… 'Murwere haana kurapwa muchipatara chevarwere vepfungwa, sezvo asina kuzviisa panjodzi kwaari kana kunharaunda- tiri kuenda kure kubva pakuita kana kuvarwere varwere. (kunyangwe ndine chokwadi chekuti angadai akaiswa muchipatara chepfungwa kana aigara muchizvarwa chakasiyana).

Muchiitiko ichocho, ndiri kufunga-- 'Jane Doe' akadana ambulensi pedyo neusiku husiku- iyo ambulensi yakapoteredza- ALS team- akatumirwa kumba kwake, asi ivo vakadzosera iyo call kuBSS. Panguva iyo murwere wepfungwa aipfuudzwa, uya wezveutano akatiudza kuti akateerera mapapu ake, izvo zvaive pachena uye kuti tinofanirwa kumuendesa kuchipatara chiri pedyo. Chikonzero iyo ALS timu yakadzora kufona ingangoita kaviri: Paive nekumwe kufona kuri kuuya kwaida ALS kupindira- kana ndikayeuka, yaive yemwana mudiki aive mune chimiro epileptics uye nekukurumidza kuva hypoxic- asi pamwe vaisada kubata na 'Jane Doe'.

Ndakanga ndakagara pachigaro chepamberi cheAmbulance yeBSS nemutyairi, asi EMT yevakadzi yainge yakagara kumashure pedyo nemurwere. (Kazhinji, ini handina kugara muchigaro chevatambi apo pane murwere mu ambulensi.Asi zvakadaro, pandakaona 'Jane Doe' akanga akapfeka miniskirt asina micheka yepurasitiki paainge achipinda mu ambulensi, ini ndakagara pasi pamberi kurongedza kudzivisa chero zvikwanganiso zvinogona kuitika zvinogona kuparadza nyore nyore hupenyu hwangu / unhu hwemhizha.)

Munguva yekufamba, murwere wepfungwa akagutsikana kuti isu taimuseka (chimwe chinhu 'Jane Doe' chaiwanzove nehanya nazvo, uye isu tese taiziva kuramba takadzikama), uye akatanga kutuka kwemashoko kurwisana nesu, zvikurukuru EMT yevakadzi vagere pedyo naye. Kunyange zvazvo takamuvimbisa kuti hatisi kuseka kwaari, akawedzera kunyanya kushungurudzika, uye akarova maoko emaEEMT. Apo mamiriro acho akawedzera kusvika chisimba chenyama, iyo EMT iyo yakarwiswa yakatamira kune chigaro chechigaro pamusoro pemusoro wemurwere, uko yaisagona kusvika.

Pakangobuda EMT kubva pamutsara wemurwere, iye akadzikama zvishoma, uye isu takakwanisa kuenderera mberi nekuendeswa kuchipatara chiri kure (neiyo psychiatric wadhi) mukunyarara kudzivisa kumwe kufadza. Akazoitwa musangano (handina chokwadi kana chakazokonzerwa nekufona uku) uye zvinosiririsa kuti akafa nekukasira. "

Kuongorora maitiro ekurapa murwere wepfungwa pane ambulensi

"Ichi chiitiko chakajairika chemumwe munhu anonyatsoda rubatsiro rwedu, asi achitirwisa, nekudaro zvichiita kuti zvive zvakaoma kwatiri kuti tivabatsire. Mamiriro ezvinhu akafanana anogona kuitika neimwe murwere psychiatric, kana vanhu vari pasi pesimba re doro, kana zvinodhaka zvisina kukodzera.
ichi chiitiko ndakamutsa mibvunzo yakawanda mupfungwa dzangu:

• Tinofanira kuwedzera uyu muchengeti kune "usapindura" rondedzero here? Heino murwere wepfungwa akaunganidza mazana ezviuru emadhora muchikwereti kune asina kubhadharwa ambulensi bhiri. Anotidana kakawanda, uye dzimwe nguva anogona kuita zvechisimba. Kana iri nyaya yenheyo, sangano rangu harina kushevedza vafambi; zvinokwanisika kuti mumwe munhu anoshevedza EMS mazana mazhinji, imwe nguva angave ari munjodzi yekuisa njodzi. Uye zvakare, isu tinofanira kuramba mabasa ekurapa kune mumwe munhu here nekuti ane chikwereti chakasiyana? Zvekare, kushayikwa kwekubhadhara hakufanirwe kuve chikonzero chekurega murwere achifa- dzimwe nzira dzepamutemo dzinofanira kutsvaga.

 

• Tinofanira kuomerera kumapurisa / neuto rekuperekedza tisati tabata murwere wepfungwa here? Mapurisa anogara achitumirwa mune mamwe mamiriro, sekunge pane mamwe mafoni (semuenzaniso, mhirizhonga mudzimba). Saizvozvo, munharaunda dzine njodzi, isu tinongopinda nemuperekedzi wekuperekedza, asi, sekuziva kwangu, hatina matairesi chaiwo patinongwarira zvakanyanya. (Mukadzi uyu haagare munharaunda inoratidzwa semhirizhonga kana ine njodzi.) Pane dambudziko retsika rinosanganisirwa nekumirira mapurisa / mauto kuti asvike kuzotiperekedza kunzvimbo- sezvo nguva yakaoma inogona kurasika. Panguva imwecheteyo, kupinda munzvimbo ine hukama pasina anoperekedza kunoisa timu panjodzi- pachinzvimbo chenguvo imwe chete (wataizobata), panogona kuve nemanarmics akakuvara zvakare (uye pamwe nekubiwa ambulances, nezvimwewo) - as isu takadzidza, "Kuchengetedza pekutanga ..." Sezvo achigara achifona, uye sezvinoitika ave kuita zvechisimba dzimwe nguva, zvingave zvine musoro kuti titange kuva nerondedzero yemakero chaiwo apo tinomirira kumisikidza Ini ndakachinjisa varwere vepfungwa apo mapurisa akateedzera kumashure kwe ambulensi, vakagadzirira kupindira kana zvichidikanwa. Zvichida ichocho chingave chiri nhanho chinonzwisisika kutora muuzhinji- zvinoda vashandi vakawandisa uye kashoma kudiwa.

 

• Ndeipi chiyero chakanaka kana uchibata nevarwere vasiri mukutonga kwezvavanoita, kunge murwere wepfungwa? Kugadzirira mapurisa kana masimba ekuchengetedza kuti tiende nesu zvingatichengetedza zvakachengeteka kana murwere achirega kusateerera, asi kuvapo kwavo kunogona kufadza murwere, nekuita kuti vave nechisimba.

 

• Chisarudzo changu chekugara pamberi pe ambulensi chaive chekufunga kwechikonzero chemugadziri asingagadziki anondipomera zvekuita kwepabonde. Zvinosuruvarisa kuti pane zviitiko zvevasina maturo vanopa utano-vachida kungwarira pane isu. Kuisa CCTV (yakavharwa-terevhizheni terevhizheni makamera) pamakambani- kunyange kudzivirira yakawanda yemigumisiro yenguva refu yekupomerwa zvenhema, kwaizoramba ichikonzera kukuvadza kukuru kusvikira zvisizvo zvingave zvichinyorwa, Makamera hupenyu hunogonawo kuunza nyaya dzehupfumi huchafanira kuva yakashandiswa nemutemo.

 

• Sangano redu harina Protocol yekushandisa kudzora kwechiedza uye pachinzvimbo ichi vanovimba nemauto ekuchengetedza kuti atore murwere asina kurongeka wepfungwa. Izvo zvingave zvakakosha kugadzira protocol yekuzvidzora kana kupa kuzvidzivirira kwekudzidzira kune nhengo dzechikwata chedu.

 

• Kunyange zvazvo tine kadhi yeMayday yekuti iyo ambulance team iri mukati pakutambudzika; iyo protocol haina kuvhurwa. Patinoendesa kodhi kune dispatcher, zvikwata zveSWAT zvinotumirwa kuburitsa timu yedu kubva munjodzi. Muchiitiko ichi, zvichida yaionekwa seyakawandisa kuva nezvikwata zveSWAT zvichipindura kune kachembere; zvakare, sezvo akadzikama kamwe EMT yatama, zvainge zvisingachadiwi kutsvaga rubatsiro rwakawedzerwa.

 

• Patiri kuendesa murwere wedu wepfungwa, isu tanga tisiri kuvanyomba. Nekudaro, zvinokwanisika kuti akagona kutora nemafungiro edu ekudzinga. Ndinoona kuti mushure mekufona zvakanyanya kunetsa, tinofanirwa kurega imwe mota, uye handifunge kuti ndini ndega ndinopindura "oh kwete, kwete ... .. zvakare." Ini ndinoshamisika kana paine imwe nzira yatinogona kusunungura kusawirirana (iyo yakakosha zvakanyanya pakugara kwedu zvakanaka uye kugona kwedu kuramba tichibatsira nharaunda) munzira ine hutano nenzira isina mukana wevatengi vedu kunhonga chero chinhu chinosemesa.

 

• Chimwe chidzidzo chandakayemura zvikuru chaiva kukosha kwekugadzirisa zvinetso zvemu murwere nemafungiro angu-uye kunyatsongwarira kuti ndirege kupa chero maonero ekuseka. Vhiki mbiri yapfuura, ndakava nemukana wekutora chirwere, kusuruvara, kunyengera, uye kuzviuraya kuchipatara. Kunyangwe zvaive zvakaoma zvikuru pane dzimwe nguva kuchengeta chiso chakajeka, ndakakwanisa kuita nhoroondo yehutano uye kuchengetedza murwere kuti agare akanyarara panguva dzose kutora uye kusvikira taigona kuonekwa nemukoti wepfungwa pachipatara. Pose pataidzoka, ndaive ndichiyeuka nyaya iyi yekudzidza uye nemigumisiro yemurwere inonzwa kuti haisi kutorwa zvakanyanya.

Ndingakurudzira kuti sangano redu rinobatanidza kudzidziswa kwakawanda mukukurukurirana nevarwere vepfungwa sechikamu chedzidzo yacho. Nepo isu tichidzidza zvakawanda nezve mhando dzakasiyana dzehurwere hwemuviri, hapana kusimbiswa zvakanyanya kune chirwere chepfungwa / chendangariro. Yakawanda yedzidziso yedu yekukurukurirana ndeye nezve kutora nhoroondo yehutano, ine basic pojekesa dzakadai sekutaura pamaziso, etc. Zvinobatsira kubatsira kudzidza kubata nemurwere wepfungwa anogutsikana kuti ndiye mambo wenyika , kuti vanogona kutamba Mwari, vanotya FBI neKGB vari kuvadzingirira, uye vari kutyisidzira kusvetuka (pfupiso yemurwere wepasvondo rapfuura). "

 

#CRIMEFRIDAY - HERE DZIMWE STORI:

 

• Chisimba uye fungidziro yekushungurudzika kushungurudzika panguva yeongororo yekukurumidza

• Paramedics Inotyisidzirwa panguva yeku Kubvunda

• Paramedic yakarwiswa naMurwere muDhipatimendi reEmergency