Kukosha kweBlsd Makosi eKuvandudza Hunhu hweCardiopulmonary Resuscitation
Kudzidza Kunoburitsa Kukosha Kwekudzidziswa kweBLSD Kukwiridzira Runhare CPR muMwoyo Emergency.
Pakutanga-mutariri-akatanga kudzoreredzwa kwemoyo (CPR) yakaratidzwa kuwedzera kaviri kana kuwanda kwehupenyu nemhedzisiro yakanaka yetsinga mushure mekusungwa kwemoyo, saka nhungamiro ichangoburwa inokurudzira kuti 118 Operations Center vanoshanda vanorairidza vanomira kuti vaite foni-inobatsira CPR (T-CPR).
Chinangwa chechidzidzo ichi, chakaburitswa mupepanhau repasi rose Resuscitation, chaive chekuongorora maitiro ekudzidziswa kweBLSD pamhando yeT-CPR.
Chidzidzo, chakagadzirwa uye chinoitiswa na Dr. Fausto D'Agostino, a resuscitative anesthesiologist paPoliclinico "Campus Bio-Medico" muRome, achibatsirwa naProf. Giuseppe Ristagno weYunivhesiti yeMilan, Purofesa Ferri naDesideri veYunivhesiti yeL'Aquila, uye Dr. Pierfrancesco Fusco, vakabatanidza 20 yezvokurapa zvekuzvipira. vadzidzi (22 ± 2 makore ekuzvarwa) vasina kudzidziswa kwakamboitwa muCPR maneuvers, vanga vachitora kosi yeBLSD muRome, muna Gumiguru 2023.
Pamberi pekosi, chiitiko chekusungwa kwemoyo chakafananidzwa nemanikin (QCPR, Laerdal). Vadzidzi (imwe panguva) vakakumbirwa kuita chipfuva compressions (CC) uye defibrillation ine otomatiki yekunze defibrillator, ichitevera mirairo kune maneuvers akapihwa kuburikidza nemaoko-yemahara smartphone yakagadziriswa nemumwe wevarairidzi veBLSD iri mune imwe kamuri. Mumwe murairidzi weBLSD, aripo mukamuri nemudzidzi, akaongorora (pasina kupindira) iko kurongeka uye nguva yemafambisirwo eT-CPR akaitwa. Mamiriro akafanana akazoteedzerwa zvakare mushure mekudzidziswa kweBLSD.
Zvichienderana chete nemirayiridzo yerunhare, vadzidzi vakaisa maoko avo nemazvo kuti vaite matsimba echipfuva uye voisa defibrillator pads pachipfuva mu80% uye 60% yezviitiko, zvichiteerana. Nekudaro, kudzika kweCC uye kuwanda kwaive kwakarurama mu20% chete uye 30% yemakesi, zvichiteerana. Mushure mechikoro, nzvimbo yakarurama yemaoko yakavandudzwa ne100%; kudzika kweCC compression uye AED plate kuiswa kwakaratidzawo kuvandudzwa kwakakosha.
Kunyangwe CC rate yakavandudzwa, yakaramba iri suboptimal mu45% yemakesi. Mushure mekupinda kosi yeBLSD, vadzidzi vakaratidza kukurumidza kukurumidza kweCPR uye kushandiswa kweAED, kutora isingasviki hafu yenguva kupfuura kosi isati yatanga.
Mhedzisiro yacho, saka, inosimbisa kunaka kwekudzidziswa kweBLSD, iyo inovandudza zvakanyanya kunaka kweT-CPR, ichiita kuti ive yakakwana. Naizvozvo, mishandirapamwe yekuzivisa nezveBLSD makosi ekudzidzisa akakosha kuti uwedzere kuvandudza CPR nevasiri nyanzvi vanomira.