Luluphi uluntu olulindelekileyo kwiinkonzo zeenqwelo zezigulana xa kuqhambuka ubhubhane? Xa yonke imisebenzi yeshishini lokuzonwabisa imisiwe, ngaba i-paramedics inayo uxanduva lobuchule bokusebenza? Isifundo seDyunivesithi yase-Edith Cowan eseOstreliya.

Nge-15 kaJulayi 2020, uCameron Anderson, MD kunye Ambulance Umphenduli wexesha likaxakeka e-Australia, kunye nabanye oogxa bethu bakhuphe uphando kunye neYunivesithi yase-Edith Cowan yase-Australia ngesibophelelo sobungcali se-paramedics ngexesha lesibetho se-COVID-19.

 

Inkonzo ye-ambulensi xa ubhubhane: Zeziphi ii-paramedics ezinokwenza okanye ezinganyanzeliswa ukuba zenze?

I-COVID-19 (SARS-CoV-2) ikwazile ukusenza ukuba siqonde ukhuseleko lobuqu kunye nokuhamba ngokwasentlalweni. Nangona kunjalo, amanani amaninzi eengcali emhlabeni awanakho ukuhlonipha ezi zilumkiso. Nge-Ephreli 2020, amakhulu abasebenzi bezempilo kwihlabathi lonke sele eswelekile [7]. Ingxaki uninzi lweenkqubo ze-EMS kwihlabathi lonke kwafuneka zijongane nazo yayikukunqongophala kokuzikhusela izixhobo (Ii-PPEs) kunye nezixhobo zonyango.

Umbuzo owabuzwa ngabaninzi wawuphakathi kokuba babonelele ngononophelo okanye bayazikhusela. Le yingxaki yokuziphatha efanelekileyo kwaye icelomngeni kwimiceli mingeni malunga noxanduva lobuchule kunye nobungozi bomntu. Kwenzeka nini ukuba ilungelo lokukhusela ngokwakho kumngcipheko omkhulu uphakamisa uxanduva lokuphendula kwizigulana ezifuna uncedo? Akukho ndlela yokufumana xa umngcipheko buqu uba yinxalenye eyamkelekileyo yesibophelelo sobuchule bokuphendula. [8]

Ngokutsho kwabaphandi, uxanduva lobuchwephesha kwii-ambulensi ikakhulu zixhomekeke kuhlolo lwabo lomngcipheko, umbono malunga nomngcipheko, kunye neenkqubo zexabiso lomntu. Uphononongo luveze ukuba iipesenti ezingama-86 zabaza kwenziwa udliwanondlebe zathi uxanduva lobuchule akufuneki luthathwe njengolungenamkhawulo kwaye
ulindelo olupheleleyo. [9]

 

I-Paramedics kunye nenkonzo ye-ambulensi ngexesha lesifo: Yintoni elindelekileyo kuluntu? -Iendlela zophando

Nangona kunjalo, bacinga ntoni aba bantu malunga nenkonzo yeenqwelo yezigulana ngexesha lesibetho? Akukho bungqina bumiselweyo boku kulindelwe ngokukodwa kwimeko yokuphendula ubhubhane. Uphando esiluchazayo kweli nqaku liza kubonelela ngengqondo eyahlukileyo ngendlela abahlali ababezijonga ngayo izibophelelo zobuchule babezimeleyo ngaphambi kokuba kwenzeke ubhubhani. Olu phando lulandelayo yaqhutywa kwiinyanga ezikhokelela kubhubhani we-COVID-19 coronavirus.

Baye bafumana amaqela ekugxilwe kuwo amalungu ase-Australia aneminyaka eli-18 nangaphezulu. Nabani na okwangoku oqeshwe njenge i paramedic ayifakwanga, nangona abanye oochwephesha bezempilo babengekho. Iqela lophando laqulunqa iseti ephambili yemibuzo kunye nemibuzo. Ukuhlahlela idatha, umgaqo-nkqubo wokubhalwa kweekhowudi uphuhlisiwe kusetyenziswa i
indibaniselwano yeendlela ngeendlela zokuhlalutya ezisemgangathweni.

 

Umcimbi wokufikelela kwi-PPEs yee-paramedics ngexesha lobhubhane

Omnye wabahlali ekwenziwe udliwano-ndlebe naye uxele ukuba ukuba i-paramedics ine-PPE, ewe, ndilindele ukuba baphendule ngobhubhani nge-ambulensi, kodwa ukuba akunjalo, kunzima ukuyitsho. Umcimbi yile: abahlali basafuna ukuba kwinkonzo yabemi. Nangona kunjalo, akukhona ukuba oko kuthetha ukuba basengozini enkulu yokugula ngokwabo.

Ukufikelela kwi-PPE ngokuqinisekileyo kuye kwaba ngumcimbi welizwe jikelele ngexesha le-COVID-19 coronavirus bhubhane. [14,15] Ngokweziphumo zophando, ukubonelela nge-PPE, ke impendulo kulindeleke. Ukuba i-PPE iyasilela, emva koko ibuyela kwimibuzo ejikeleze imigangatho eyamkelekileyo yomngcipheko kwaye loo mgaqo uya kuba yintoni kwi-paramedics nganye.

Uvavanyo olwenziwa ngoogqirha abangama-245 baseOstreliya ngo-Epreli 2020 lwabonisa ukuba ama-61% abuva uxinzelelo kwabanye abasebenzi ukuba banganxibi imask kwaye ngaphezulu kwesiqingatha baziva benetyala okanye behlazekile ngokunxiba. Bangama-86% abathe baxela ukuziva benxunguphele ngenqanaba lePPE ababonelelwe kulo bhubhani, kwaye i-83% yayingathembi ukuba izikhokelo zase-Australia zazanele.

Idatha ekhathazayo eye yaphuma kuvavanyo kukuba oogqirha abaninzi baye babhengeza ukusongelwa kwaye belumkisa ngokunxiba i-PPE ngabaqeshi babo. [16] Kungenzeka ukuba ii-paramedics ezidweliswe ngaphambili zizokubamba ngokufanayo
iinkxalabo ngokunjalo. Kwaye ezi zinto zixhalabileyo, zibonakala, zisebenza njengabaninzi abathathi-nxaxheba kolu phando.

Elinye ilungu loluntu eliye lathatha inxaxheba kolu hlolo luthathele ingqalelo uxanduva lweenkonzo zeenqwelo zezigulana kwii-paramedics ngokwazo. Akukholeleki kakhulu ukuba ubathumele ukuba umbutho awunakukhusela. Kukwakho nabathathi-nxaxheba abangakhange balindele ukuba i-paramedics ngexesha bhubhane.

Ukuqukumbela, ipesenti ephezulu yamalungu oluntu athi akafuni kugula abaguli, nangona kunjalo, bafuna iinkonzo zeenqwelo zezigulana xa kukho imeko kaxakeka.

Ukuze ufunde uhlalutyo olucacisiweyo lolu phando, nceda ufumane ikhonkco lefayile epheleleyo ekupheleni kwenqaku.

 

Ukuqukumbela: ingaba olu phando kulindelo lwabahlali lwee-paramedics ngexesha lobhubhani lubangelwa yintoni?

Impendulo ibalulekile kwaye iyingqayizivele ukuqonda. Iziphumo zifumana ukuxhasa uphando oludlulileyo olubonisa ukungabikho kokucacileyo malunga nomxholo woxanduva loqeqesho, ngokukodwa, luqala kwaye luphele phi?

Kungenjalo, kucacile ukuba kufuneka kujongwane nawo njengomba ongxamisekileyo ngophuhliso lwezikhokelo ezicacileyo ezichaza uxanduva lokuphendula phantsi kwemisebenzi yesiqhelo yemihla ngemihla nangexesha lentlekele, njengaxa ubhubhane.

Omnye umxholo ogxininiswe kolu phando yinkolelo eqinileyo yokuba abezonyango bavumelekile ukuba basebenze ngaphandle kwengozi yokwenzakaliswa komzimba kwaye abo bae-paramedics banokwala ukungena kwimeko abayibona ingakhuselekanga. Nangona kunjalo, le nkolelo icelwa umngeni xa kuziswa ingozi yosulelo.

Ukulindeleka kwabathathi-nxaxheba kukuba i-ambulensi iya kufumaneka kubo kwaye phi kwaye phi
eyimfuneko, kunye nokuba inkonzo yeenqwelo yezigulana inokuthatha ukhathalelo lwazo naziphi na iimpembelelo zokhuseleko ezivela kusengozini yosulelo. Siyakhumbuza ukuba olu phononongo lwenziwe kwinyanga yokuqala yobhubhani we-COVID-19, phambi kweencopho eziphakamileyo zentsholongwane, ke abantu babenombono owahlukileyo kunangoku. Kuya kubalulekile ukubona ukuba la mathemba avela njani ngoku ukuba abathathi-nxaxheba baya kuphila bokwenene-kwihlabathi
amava obhubhane.

 

ABASEBENZI

UCameron Anderson, MDis & EmergResp: Isikolo sezoNyango nezeMpilo, iYunivesithi yase-Edith Cowan, iJoondalup, WA, Australia

UJulie Ann PooleyI-PhD: kunye neSikolo sezoBugcisa kunye noLuntu, iYunivesithi yase-Edith Cowan, Joondalup, WA, Australia

I-Brennen Mills, I-PhD: iSikolo seNzululwazi ngezoNyango kunye nezeMpilo, iYunivesithi i-Edith Cowan, Joondalup, WA, Australia

U-Emma AndersonI-LLB: Isikolo seNzululwazi yezeNyango kunye nezeMpilo, iYunivesithi i-Edith Cowan, Joondalup, WA, Australia

U-Erin C. Smith, I-PhD, i-MPH, i-MClinEpi: iSikolo seNzululwazi ngezoNyango kunye nezeMpilo, iYunivesithi i-Edith Cowan, Joondalup, WA, Australia

 

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10. USmith E, Burkle FM Jr, Gebbie K, et al. Izithintelo ezamkelekileyo kwimisebenzi ye-paramedic yokunyanga ngexesha lentlekele: ukuhlola okumiselweyo. Intlekele ye-Prehosp iMed. NgoJulayi 2018; 33 (5): 466-470 doi: 10.1017 / S1049023X18000857
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12. IQonga lezonyango (i-US) kwiForamu yoNyango lwezoNyango kunye nezeMpilo yoLuntu yezehlo zeNtlekele. Imigangatho yoKhathalelo lweNtlekele: Isishwankathelo soHlelo lweNdibano IWashington, DC: I-National Pressies Press; 2010. B, Isishwankathelo sesikhokelo sokumisela imigangatho yeengxaki zokukhathalela ukusetyenziswa kweemeko zentlekele: ingxelo yeleta. https://www.ncbi.nlm.nih.gov/books/NBK32748/. Ifikeleleke ngo-Epreli 15, 2020.
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FUNDA KUNYE

I-Population Vs Paramedics: I-Indonesians Ngokuchasene neNtsholongwane yexhoba leProtocol yokuThutha i-Ambulansi

Ngaba i-Uganda inayo i-EMS? Isifundo esixoxa ngeziXhobo zeAmbulensi kunye neeNgcali eziNgcali 

Ngaba abagqirha baseMaphandleni kunye neeParamedics banokuphendula kwiimfuno zempilo eziNzima?

Ii-Paramedics Nabasebenzi bezempilo eMexico kufuneka baphathwe ngentlonipho, ngakumbi ngeXeshana

Ii-EMTs ezingama-500 kunye nee-Paramedics ezikhokelela kwi-NY Ukujoyina umlo ngokuchasene ne-COVID-19 Pandemic

 

SOURCES

Ngaba ii-Paramedics zinoxanduva lwakho lobuNgcali ukuba lusebenze ngexesha leNtsholongwane? UHlolo oluSebenzayo loLindelo lweLungu loLuntu

Ukukhutshwa ngokusemthethweni kweECU

URhulumente wase-Australia: iSebe lezeMpilo: iCoronavirus