Tlhokomeliso e bakoang ke CPR, ho tsosolosoa ha pelo, ke ntho eo mopholosi a lokelang ho e tseba le e hlahisang lipotso mabapi le mekhoa e lokelang ho lateloa.

Lisebelisoa: Etela ZOLL BOOTH AT Expo Emergency

Kelello e susumetsoang ke CPR: mokhoa oa ho sebetsana le mokuli ea etsang metsamao ea boomo?

Ka mor'a ts'ebetso ea ho tsosolosa pelo ea pelo, mokuli ea akhehileng a ka 'na a hlokomela' me a etsa metsamao e ikemiselitseng.

Metsamao ena, e ka 'nang ea bakoa ke ho tšoenyeha le ho tsieleha ha mokuli ea ntseng a thusoa, e ka sitisa mesebetsi ea pholoso, kapa ea senya lisebelisoa tsa bongaka, tse kang endotracheal tube kapa nale e kenang methapong.

Nakong ea ts'ebetso ena ea ho tsosolosa, ho ambulense Kahoo basebetsi ba botsoa ho belaella ho hlaphoheloa hona, le ho nka mehato ea thibelo ho sireletsa mokuli le ts'ebetso ea pholoso e ntseng e tsoela pele.

Ka hona na hoa hlokahala ho thibela mokuli 'meleng?

TLHOKOMELISO EA CARDIOPULOTSI LE PHUTHEHO EA LITLHAKU TSE KHOLO? Etela EMD112 BOOTH AT EXPO EA TŠOHANYETSO HONA JOALE HO ITHUTA HO EKETSEHILENG

Kelello e bakoang ke CPR ke ntho e sa tloaelehang, eo ho leng bohlokoa ho e ela hloko

Ka likhatello tsa boleng bo holimo, phallo ea mali e lekaneng ea boko e ka hlahisoa ho susumetsa maemo a fapaneng a kelello.

Sena se ka 'na sa bonahala ka ho bula mahlo ho itlelang feela, molumo o mocha oa mohlahare, puo kapa ho sisinyeha ha 'mele le lipheletsong tse itlelang feela.1,2

Ketsahalo ea ho hlaphoheloa kelellong e lekanyelitsoe ho 0.7% thutong ea ngoliso ea pele ho sepetlele e phethetsoeng ka 2014.2

Ho boetse ho hlokometsoe hore tlhokomeliso e susumelitsoeng ke CPR e amahanngoa le ho phela ho ntlafetseng le hore palo ea linyeoe tse tlalehiloeng e eketsehile nakong ea thuto ea lilemo tse tšeletseng.

DISTRETCHERS, DIRETI TSA MATSHWARO, DIDULO TSA HO PHELA: LIHLAHISO TSA SPENCER HO DOUBLE BOOTH HO EXPO EMERGENCY

Hona joale, tsamaiso ea kelello e susumelitsoeng ke CPR ha e hlalosoe hantle

Litlaleho tsa litlaleho tsa litokomane ho tloha ho se kenelle, litaelo tsa mantsoe, ho thibela 'mele, ho thibela lik'hemik'hale (ho akarelletsa le ketamine, benzodiazepines, opioids, li-relaxation tsa mesifa) kapa motsoako oa maqheka.1-3

Ho fihlela joale, sampuli e lekanyelitsoeng ea bakuli e kene ts'ebetsong ea ho tsosolosa. 1-3

Ho fihlela joale, boholo ba sampuli e fokolang thutong e le 'ngoe feela e kholo ea ho shebella e thibela kamano leha e le efe ea bohlokoa pakeng tsa khetho ea lik'hemik'hale le liphello tsa ho pholoha.

Leha ho le joalo, ho ea ka pono e sebetsang, tlhokomelo e khethehileng e tlameha ho nkoa pele u sebelisa li-opioid kapa benzodiazepines, ho latela bokhoni ba bona ba ho susumetsa hypotension.

Ka mokhoa o ts'oanang, batho ba shoeleng litho ba na le kotsi ea 'ho shoela litho ba ntse ba tseba', e leng se hlokang hore ho nahanoe ka melao-motheo ea bongaka.

Ka 2016, lengolo le tsoang ho Ofisi ea EMS ea Nebraska le ile la arolelana protocol ea prehospital bakeng sa kelello e susumelitsoeng ke CPR.

Protocol e qalile ka mor'a ho eketseha ha linyeoe tse tlalehiloeng, kamoo ho bonahalang kateng ka mor'a ho kenngoa ha prehospital mechanical CPR.

Protocol e bolela hore phekolo ea pele ke motsoako oa ketamine IV kapa IM le ho khoneha ho sebelisana ha midazolam IV kapa IM.3

Liphuputso tse ling lia hlokahala ho hlahloba mokhoa o motle ka ho fetisisa oa lithethefatsi.

References

Olaussen A, Shepherd M, Nehme Z, et al. Ho khutla ha kelello nakong ea ts'ebetso e tsoelang pele ea cardiopulmonary resuscitation: Tlhahlobo e hlophisitsoeng. Resuscitation. Jan 2015;86:44-48.

Olaussen A, Nehme Z, Shepherd M, et al. Kelello e susumelitsoeng nakong ea ho tsosolosoa ha pelo ea pelo: thuto ea ho shebella. Resuscitation. Mmesa 2017;113:44-50.

Rice DT, Nudell NG, Habrat DA, et al. Tlhokomeliso e susumetsoang ke CPR: Nako ea liprothokholo tsa sedation bakeng sa baahi bana ba ntseng ba eketseha. Resuscitation. Phup 2016;103:e15-e16.

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Source:

RSA