'D' nokuda kwevakafa, 'C' nokuda kwehupenyu! - Kuzvidzivirira uye kufungidzirwa mune zvepachirwere varwere
Kuzvidzora kunofungidzirwa seitiro inoponesa upenyu. Asi, wakambofunga here kuti kudzvinyirira ndeye tsika yevakafa?
Zvinoratidzika kunge zvisina musoro, zvisinei, ndizvo zvazviri! Defibrillation: iwe defibrillate mumwe munhu anenge anenge afa. Hapana mweya, hapana kupisa ... hupenyu huchibhururuka kure. Saka, se Pedi-Ed-Trics inoshuma, iyo webhusaiti yakagadzirwa nemurezi nyanzvi Scott DeBoer, mune yake MaParera Maparera: "Kuzvidzivirira kunotanga ne "D" uye ndeyevanhu vakafa ... kwete mamiriro edu anodikanwa. ” (zvinobatanidza pakupera kwechinyorwa).
'C' inouya pamberi 'D': defibrillation maitiro
Kunyanya, iyo nyaya iyo Dr DeBoer inoratidzira ndeyekuti yedu murwere ndingade imwe tsika pamberi pa defibrillation.
Dr DeBoer inoshuma izvo zvinobatsira kana murwere wako ari mucricular fibrillation (V-fib). Uye kana isu tichifunga nezve chaiyo muchina uye kushandiswa kwemagetsi, isu tinofanirwa kuyeuka kuti 'C', sepamhepoioversion, inouya pamberi 'D' mune mavara. Saka, chii chaunoita kana murwere wako asiri muV-fib, asi ari mu supraventricular tachycardia (SVT) ine mwero iyo iri pachena nekukurumidza zvakanyanya?
Kana ivo vachiziva uye vachikwanisa kuti, 'Ndokumbira usaise madhedhi aya pachipfuva changu,' pamwe havadi kuti matanga aiswe pa chest yavo. Muchiitiko ichocho, zvingave zvakakodzera kwazvo kufunga nezve'imwe 'D' mune lexicon yedu ... zvinodhaka (adenosine, diltiazem, nezvimwewo). Uye kunyangwe murwere wako asingagadzikane, asi achiri kuziva, zvinodhaka zvekufungidzira zvinofanirwa kutariswa zvakanyanya pamberi pek Cardioversion. Kupfura magetsi kuburikidza nechipfuva chaiko haisi chiitiko chinonakidza!
'C' inouya pamberi 'D': Cardioversion
Iyo poindi ndeyekuti: kana munhu achiita kunge ari kurovera pamberi pako, asi achiri mupenyu aine kupisa uye kumanikidza, chinogadziriswa cardioversion inoratidzwa.
Cardioversion inotanga ne "C" uye ndeyevatano vari "C" rashing. Kana murwere wako asina kufa, asi chete "hafu-yakafa," simba rekuvhengana nehafu inenge hafu yezvinoshandiswa muzinga (2j / kg) uye zvinoreva 1j / kg.
Kusvibiswa kweVS Zvinodhaka? Sekureva kwaDr DeBoer, mune zvimwe zviitiko zvevane cardioversion pavana, nguva nenguva shandisa dosi yakadzika kunge 0.25-0.5j / kg. Nekudaro, mune iyo ER, hafu yemunhu akafa dofo iri nyore kwazvo kuyeuka.
Mumwana mudiki chaizvo, zvinokwanisika kuti iwe haugone kufona mune "chaiyo" dhigirii kana imwe defibrillation kana Cardioversion. Iwe unowanzo wira pakati pehuwandu pane dial. Kana sarudzo dze dial dziri 15j uye 20j, asi iwe unoda 18j, enda hombe (20j) kana enda kumba! Ita shuwa kuti iwe wopfuura kwete pasi.
Zvakafanana nechekare 'Mutengo wakarurama' muto apo iwe unoda kuswedera pedyo, usina kuenda pasi, chiyero chemurairi.
Muitiro we cardioversion ndewemurwere anoramba ane rwiyo rukuru uye apo iwe unoda kuti magetsi anunurwe panguva yakarurama yemhepo yepfungwa kuti arege kutyisa mwoyo muV-fib.
Zvakakosha kurangarira kugunha 'Sync ' bhatani risati rapera gumbo rimwe nerimwe kuedza kuratidza kuti cardioversion, kwete defibrillation, yaitwa. Murwere wako ane chirwere, rhythm, uye chinetso cheQRS; ichangobva kuitika nokukurumidza.
Kuzvidzivirira SVT kunogona kuvhiringidza QRS complexes uye kukonzera kusungwa zvakakwana. Izvi zvinotarisa zvakashata chaizvo (uye zvinowanikwawo mamwe mapepa).