Isigulana esisesona sibandakanyeka kwingozi yemoto samfumana ephefumla engakhange abhekise kwintlungu okanye entloko. Unokwaphuka okuvulekileyo kwaye ulahlekelwa ligazi elininzi. Yeyiphi indlela ebalaseleyo yokuhambisa isiguli esibuhlungu?

Ambulance okanye ihelikopta? Iminyaka engama-22 ubudala yindoda eyabethwa yimoto ecaleni kwendlela yedolophu. I-ambulensi yomhlaba ye-EMS (ugqirha, umongikazi osebenzayo), othunyelwe kwindawo yesehlo, fumana isilumkiso sesigulana esixhwalekisayo, esijolise ekuphefumleni ngokukhawuleza. Iimpawu zakhe zezi:
I-GCS 15 , RR 20, SaO2 95, HR 85, SBP 110
Akukho nto ichazwa ngentlungu.
I-Chest ayikho uphawu lwexinzelelo, ukunyuka kwamazwe kunye nokulingana ngokulinganayo kunye nokungena emoyeni.
Uphulo lu namandla.
Unobunyibiliko obunzulu kunye nokulahleka kwezinto kodwa kungabikho ukuphuma kwiplank ekhohlo kwaye akukho ukuphuma kwegazi kwilonda.
Isibilini siyabuhlungu kwaye singanyangeki kwi-flank ekhohlo.
Kukho i-fracture evulekile kwi-tibia (VNS 9).

Iqela lomhlaba, emva kovavanyo lokuqala, lenza ihelikopta yezonyango yendawo. Indawo ikwi-10 k ukusuka kwinqanaba le-1 Centre yoKonzakala kwindlela yasedolophini kwaye ihelikopta ikumgama wokuhamba ngenqwelomoya imizuzu eyi-10. Kukho indawo yokufika ekhuselekileyo kwi-500 mt ukusuka kwindawo yengozi. Isibhedlele esikwiNqanaba 2 (utyando ngokubanzi, ugqirha wamathambo, ugqirha wobulali, iradiyoloji kunye nelabhoratri 24/7) sikumgama we-2 km ukusuka kwindawo yesehlo. Ngaba oku kusebenze ngokufanelekileyo kwe HEMS?
Yiyiphi i-litterature yamazwe ngamazwe athetha malunga neenzuzo zenkonzo yezokwelapha zomoya nesevisi yezokwelapha emhlabeni?

Qhubeka kwi-MEDEST118: IHEMS vs GEMS. Ngamhlaba okanye ngomoya: yeyiphi eyona ndlela yokunyamekela abaguli abonzakeleyo

 

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