Isiganeko esichazwe kulolu cwaningo sifunde kwingingqi yasemaphandleni. Kungenzeka ukuba imeko ingaba nokulawula ngaphandle kwesaziso kwaye ukuba imeko iyancipha, amapolisa anokunceda ekuxazululeni imeko.

Iimeko ezisongela ubomi zihlala zixhaphakile kwiingcali ze-EM. I #UKUKHUSELEKA! Uluntu luqale ngo-2016 luhlalutya iimeko ezithile. Eli libali le- #Crimefriday ukuze ufunde ngcono ukuba ungawusindisa njani umzimba wakho, iqela lakho kunye ne-ambulensi yakho kusuku “olubi eofisini”!

Iimeko ezisongela ubomi: impendulo enobundlobongela ngexesha lovavanyo olungxamisekileyo

"Ndisebenze njenge-EMT (Ingcali yezoNyango kaXakeka) kwi-ambulensi eCanada iminyaka emi-4. Indawo apho kwenzeka khona ityala inee-ambulensi ezi-2 eziqeshiweyo ukugubungela malunga ne-3400 km² zomhlaba. Amaxesha aphakathi okuphendula anokuhluka kakhulu, ukusuka kwimizuzu embalwa ukuya kwimizuzu engama-40, ngokusekwe kumgama wokubonisa umnxeba kunye nokulula kokufikeleleka (uninzi lweendlela alulungwanga).

I-ambulensi enye inabasebenzi kwaye ixhotyiselwe i ALS (Inkxaso Yenkxaso Ephakamileyo), ngelixa elinye liyabasebenzi kwaye lixhotyiselwe BLS (UmNcedisi woBomi obalulekileyot). I-unit ye-ALS ifakwe ngumntu IParamamic kwaye EMT kwaye uyakwazi ukwenza konke ACLS (Inkxaso ephezulu yeCaracac Life) unyango njengoko kuchazwe ngu American Heart Association.

Iyunithi ye-BLS inabasebenzi be-2 EMTs, kwaye ayikwazi ukwenza i-ACLS, kodwa iyakwazi ukubonelela ngeendlela ezahlukeneyo zonyango ezijoliswe ekuphenduleni kokuqala (ezifana ne-IV's, unyango lwe-oxygen, ukubekwa kwe-supraglottic airway, ukubeka iliso kwintliziyo kunye i-defibrillation). Iyunithi ye-BLS inokuthi isebenze iyunithi ye-ALS ukubuyisela, kwaye inamandla okubonisana nogqirha ngefowuni.

Esi siganeko saqala ukuhamba kwiyunithi ye-BLS, kunye neyunithi ye-ALS efika kamva emva koko.

Iiprotoksi zokubanjwa komoya kunye nokuyeka ukuhlaziywa kufakwe apha ngezantsi ukulungiselela:

1. Ukubanjwa kwenqwelo

 2. Yeka iProproscitation Protocol

Kwenzekile kolunye ugcino lweIndiya ngaphakathi kommandla. Ukubhuka yimihlaba ebekelwe bucala ebekelwe bucala ukuba isetyenziselwe iqela elithile (okanye isizwe) sooMthonyama. Zikhona kwaye zisebenza ngokuzimela okuthile kubemi ngokubanzi. Andiyiyo ingcali kubudlelwane bemveli baseCanada, kwaye yinto enomdla kwilizwe lam. Ke ndiyathemba kuphela ukuhambisa indlela oku okusiphembelele ngayo isehlo esenzekileyo, kunye nendlela eyabonakala ngayo kukhuseleko lwemeko.

Iimeko ezisongela ubomi eCanada: iimeko zentlalo zabemi bomthonyama

Iimeko zentlalo ziyahluka phakathi kokungabikho, kodwa ngokomyinge zihluphekile kunabantu bonke. Amanani amanqaku ambalwa okugqamisa eli ngongoma:

• Izinga lokungabikho kwemisebenzi kwiindawo zokugcina izithuba zi malunga namaxesha angama-3 aphezulu kunomyinge wesizwe
• Ama-61% abantu abadala abancinci abangazalanga kwisikolo esiphakamileyo, kwaye i-43.7% abafumani nasiphi na isiqinisekiso semfundo, idiploma okanye idigri.
• Amanani obundlobongela obunobundlobongela obwenziwe kwiindawo ezikhuselekileyo zifana ne-2004: izihlandlo ezisibhozo eziphakamileyo ukuhlaselwa, amaxesha asixhenxe ngaphezulu ukuhlaselwa ngokwesondo kunye nezihlandlo ezithandathu ukuphakanyiswa kwama-homicide kuneentlawulo kuzo zonke iCanada.
• Iirhafu ze impilo Yengqondo iingxaki ziphezulu kakhulu phakathi kwabantu bomthonyama kunabemi ngokubanzi, izinga lokuzibulala liphindwe kayi-2.1 ngaphezu kwabemi baseKhanada abangengabo

Indawo yeso siganeko kubonise amaninzi ala manani. Inomlinganiselo ongenakubalwa wobuhlwempu, ubundlobongela, impilo yengqondo kunye neengxaki zomlutha.

I-Canada ikwanembali ende yobukoloniyali, ebibandakanya urhulumente ukuba anyanzelise ukwenziwa kwabomthonyama. Ngenxa yoko, kukho imeko engapheliyo yokungathembani kurhulumente kwindawo yogcino.

Iimeko ezisongela ubomi: ityala

Njengoko i-EMS kunye nabanye abaphenduli bokuqala banxulunyaniswa nabasebenzi bakarhulumente oku kunokudala isithintelo ekunikezeleni ngononophelo. Ukubeka ngokufutshane, ukunxiba iyunifomu ngamanye amaxesha sisimemo esivulekileyo sobutshaba.

ISICELO - Siphendule kwinto engaziwayo 'indoda phantsiimeko kwindawo ekude yaseIndiya. Ngelixa kwindlela yokuhlaziywa kwendlela ebonelelwe kwimeko yesigulana yayidida, kwaye ingadibani. Olona lwazi lufumanekayo lubonakalisile ukuba umntu obhinqileyo oneminyaka engama-50 wafunyanwa engazi nto kusapho. Iinqununu ezininzi zithunyelwe kulo mcimbi, nangona ngenxa yokuba kude kwaye ukungafikeleleki kuya kuba malunga nemizuzu engama-20 emva kwethu.

Kulo mcimbi, safumanisa isigulane sasinjalo ukubanjwa kwe-cardiac, yaye CPR yaqaliswa yintsapho. Sa qhubeka ukuhlaziywa iinzame ngelixa ulinde ukubuyela umva. Ngeli xesha ulwazi oluthe kratya lwafumaneka kusapho, ubungqina obubonisa ukuba isigulana asinakuphumelela Isibhedlele esikufutshane kwimizuzu engama-45, isiguli sifumene i-CPR kangangemizuzu engama-30, kwaye yaqinisekisa i-asystole kangangemizuzu engama-20- iiprothokholi zethu zivunyelwe ukupheliswa kokuvuselelwa . Sibonisene ne ugqirha ngefowuni, kwaye wavuma ukuyeka i-CPR, kwaye wabhengeza ukufa kwindawo leyo.

Icandelo lesibini lalifikile ngeli xesha. Saqhagamshelana namapolisa ngokwenkqubo yesiqhelo yokufa okungalindelekanga ekhaya. Usapho lwe6 lwahlangana kwigumbi eliqhelekileyo kwelinye icala lendlu ukuzila. Njengoko siqokelelele yethu izixhobo, Ndeva ukubetheka nokuhamba okuvela kwigumbi lokulala ngqo ngapha kwegumbi apho umzimba wawulele khona. Umlingane wam ngeli xesha wandixelela ukuba ngelixa sasisebenza ikhowudi, wayebone indoda enkulu ikhuphe intloko ngaphandle kwegumbi lokulala ukuze ibukele ngokufutshane. Le ndoda ke ibuye yangena egumbini yavala umnyango. Kwakule ndawo saye saqonda, ukuba sinomntu okwisimo esingaxelwanga.

Sifumene isimilo sale ndoda ngokukhethekileyo ngeendlela ezininzi. Inyani yokuba wayekufuphi emzimbeni, kodwa xa sasifikile ekuqaleni, wayengekho phakathi kwamalungu osapho azama ukubonelela ngoncedo okanye ukunceda i-CPR nangayiphi na indlela. Okwesibini ukuba ukhethe ukwahlulahlula phakathi kosapho lonke olusentlungwini. Okwesithathu ukuba akenzanga nzuzo yokutyhila ubukho bakhe kuthi. Umlingane wam kunye nam ndixoxe ngokufutshane ngaphandle kokuzama ukutsala ingqalelo kwincoko yethu. Nangona sifumene le meko ingaqhelekanga, asikhange sifumane nto ikrokrisayo ngokugqithisileyo okanye simisele iinjongo ezithile eziyingozi egameni lale ndoda- ke siye savuma ukuhlala siphaphile ngakumbi kwaye sigcina unxibelelwano olubonakalayo kunye nomzimba ngeli xesha.

Emva kokutshatyalaliswa kokuqala yesibhengezo sokufa Nditshitshise kancinci, ndaya kuthetha nentsapho malunga nomfi. Ndineempendulo ezimbalwa eziqhelekileyo ngokuphathelele ubungqina besazisi kunye naluphina ubungqina bokugula okanye isizathu esibangela ukufa. Intsapho, nangona ibuhlungu, yayibambisana kwaye ivuleleke kubakho nam mibuzo. Nangona kunjalo, xa ndabuza malunga nendoda efihlekile egumbini lokulala, baxhalaba kakhulu ukunika ulwazi ngaye. Babengafuni ukufumana igama lakhe kwaye babengayi kuthetha ngokucacileyo ukuba ubuhlobo bakhe babuphi na kubo okanye oshonile.

Bayalile ukuya kwigumbi lakhe lokulala, kwaye bathi 'kungcono ukushiya yedwa'. Kwakungelo xesha ngelixesha ndandiqhuba udliwanondlebe nosapho, ndabona iskena somsakazo sijonga ngocoselelo amajelo amapolisa kwishelufa lasekhitshini. Ndihlala ndifumana izikena zerediyo kwindawo yokuhlala yabucala kwindawo yokugcina abantu, kodwa kumava am, ihlala ibonisa ukuba umntu othile ngaphakathi endlwini uzama ukunqanda ukuqhakamshelana namapolisa (nokuba kungenxa yemvume yokubanjwa engekenziwa okanye ngenxa yokuzibandakanya nezinto ezingekho mthethweni). Ndiqaphele ukuba iTV ibonakalisa ukutya kwiikhamera zokhuselo ezijikeleze ipropathi. Amanyathelo okhuseleko anje ngokungaqhelekanga kwaye akahambelani kumakhaya amancinci, aphantsi, kumakhaya asezilalini.

Ngeli xesha yesibini iigulane. Ndabalumkisa ukuba kukho ubungqina beemeko ezinokukrokra kwimeko. Ndababuza ukuba nangona bekungekho nto abanokuyenza, ukuba bahlale kwindawo esihlala kuyo yokhuseleko ngamanani ade afumane amapolisa. Bavumelana ngokupheleleyo. Emva koko ndatshilozisa wam umthumeli ukuba I-ETA yamapolisa. Nangona kunjalo, kuba amapolisa kunye ne-EMS basebenzisa ii-2 zokuxhumana ezihlukeneyo, ndazi ukuba nokuba le nkcazelo iza kuthatha ixesha elide.

Ngelixa silinde amapolisa, umntu owayezimele kwigumbi elingasemva weza ngaphambili, wazazisa njengomyeni womfi, kwaye wasiyalela ngomsindo ukuba simke kuloo ndawo kwangoko. Uye wanyanzelisa ukuba afikelele kwangoko emzimbeni. Ndizamile ukucacisa ngokuzolileyo okwangoku kunye neenkqubo eziza kwenzeka ngoku. Ndikwachaze ngokucacileyo ukuba amapolisa ayesendleleni eya kwindawo yesehlakalo. Wayengenamdla wokumamela, waqhubeka nokundingxolisa ngokufunga xa ndithetha. Uye wabuyela kwigumbi lakhe lokulala wathula.

Emva kweminye imizuzu emi-5 ubuyile waphuma waphinda into efanayo. Xa ebuyela kwigumbi lakhe lokulala, ndacela elinye ilungu labasebenzi ukuba bazame ukufikelela ngqo emapoliseni. Kwaye ngaphandle kwemizamo yam yokuphelisa le meko, okwesihlandlo sesithathu, waqala ukundityhalela eludongeni ekhwaza izithuko. Undinike imiyalelo ecacileyo yokuba kufuneka ndihambe kwimizuzu emibini elandelayo okanye ingozi iza kum. Uthe 'ilizwe leentlungu liza ngendlela yam' kwaye andazi ukuba yintoni endibethileyo. Emva koko wanditshica ngeebhutsi zam, wabuyela kwigumbi lakhe lokulala, kwakhona. Ngeli xesha ndasasaza ikhowudi, ebonisa impendulo engxamisekileyo yamapolisa kwafuneka ukuba yenzeke.

Xa amapolisa afikayo lo mntu wathotywa ngoko nangoko kwaye wazithoba, eguqukela kubuntu obahluke ngokupheleleyo. Waphuma ezolile egumbini lakhe xa eyalelwe ngamapolisa. Wayenembeko nembeko kwelo gosa wada wacela uxolo kum ngesenzo sakhe. Ubeke ityala ngokuziphatha kwakhe ndlongo kwi Ndezelo yokubona umfazi wakhe esweleka.

Kamva siphinde sihlolisise umnxeba kunye namagosa amapolisa abandakanyekayo. Baxelele ukuba lo mntu wayekade eboshwe ngenxa yobugebengu obundlobongela. Wayevuma ukuba amapolisa ukuba ulaka lwakhe lwe-EMS lwaluvela kwintlungu yakhe yokukhathazeka. Wayeqiniseka ngokuqinisekileyo, ngelo xesha, ukuba irekhodi lakhe elidlulileyo uya kuthathwa njengetyala xa ebulawa ngumfazi wakhe. Ngokwazi kwam, umfazi udlulile kwiinkcenkcesha zonyango.

ISICWANGCISO - Le fowuni yayinomdla kwimigangatho emininzi, nangona ngelo xesha yayimangalisa gqitha. Ukunyanzelisa kwakuncinane kakhulu, andizange ndiphathwe kakubi ngokwenyama. Ukusongela nokufunga kwakungekho nto endingazange ndiyive ngaphambili. Ukutshiza kwakunzima kodwa kwakungekho nengozi yangempela ye-biohazard. Kodwa uxinzelelo oludibeneyo lwalo lonke lwasithintela kwaye lwandichitha ukuzithemba kwam ekusebenzelaneni nezivakalisi zokufa ixesha elithile.

Kwakukho izifundo ezininzi ezifunyenwe kule siganeko:

Ukuqalisa kwamapolisa kunye noKwaneliseka

Ukusebenza kwamapolisa okuqala kubalulekile kwiindawo ezikude nakwiindawo ezisemaphandleni. Xa ndijonga ngasemva, xa ulwazi lokuqala lokuthumela lwalungqubana kwaye ludideka, bekufanele ukuba ndikrokre ngakumbi. Kuya kwamkeleka ngokugqibeleleyo ukucela amapolisa ukuba eze kule fowuni ngelixa sisendleleni. Ukuvuselelwa kwamapolisa kwangoko bekusoloko kukhuthazwa kumbutho wethu, kwaye bendisazi ngeli xesha lesigameko. Yayingumbandela nje wokungoneliseki, ekuhambeni kwexesha bendiqhele ukuphendula iifowuni ngolwazi oluncinci okanye oluphikisanayo (ngaphandle kwesiphumo esincinci okanye akukho siphumo).

Ukuchaza ingozi eyamkelekileyo

​Nangona sihlala sixelelwa eyona nto iphambili kuthi lwethu ukhuseleko, enyanisweni kubasebenzi abaphambili, kunokuba ngumzabalazo phakathi kokhuseleko olugqibeleleyo kunye nokusebenza okunokwenzeka. Ndifumene kule fowuni eyona nto iphembelele isigwebo sam sokuba yeyiphi ingozi eyamkelekileyo yayingamava am, kunye namava am. Amava am angaphambili andikhokelela ekubeni ndiyikrokrele le ndoda kwizenzo zayo zokuqala kwindawo yesehlo (xa wayezifihle kwigumbi lokulala kuthi), kunye nendlela usapho awayenxibelelana ngayo naye. Ikwakhokelele ekubeni ndikrokre ulwaphulo mthetho xa ndibona iskena somsakazo kunye nezixhobo zokhuseleko. Kodwa inyani yayikukuba, nangona ndabona ukuba umngcipheko uyenyuka, ndaqhubeka ndiziva ukuba kungaphakathi komqobo owamkelekileyo mhlawumbi ngenxa yokungabi namava. Ukungabi namava kwam ukugweba kwam imeko kuchatshazelwe zizimvo ezininzi ezazigxile ngakumbi kuluvo loontanga bam kunye nolindelo, endaweni yoko kwenzekayo. Ezinye zeengcinga ezaziqhubeka entlokweni yam zezi:

• Andikwazi ukufumana ipolisa. Kodwa andinakusebenzisa ikhowudi yomshuwalense wekhowudi yexakeka, yimiba enzima kuphela. Njengoko ubudlova bezobubini sele buye kwenzeka kwi-practitioner, kunene?
• Amapolisa ayaphendula ukusuka kude. Baya kuqhuba ezinye izinto eziphambili. Ndiyakulinda.
• Kuthiwani ukuba loo mntu wenza izinto ezingaqhelekanga. Andiyidingi ukukhupha iingxaki ezininzi, ngenxa yokuba ndicinga ukuba 'uyacima'

Ndicinga ukuba indlela yonyani yendlela yokulwa nalo hlobo lwenjongo kukuba ukwakha inkxaso engcono yontanga, phakathi kwabasebenzi kunye kunye noontanga kwinqanaba lee-multi-agency. Akwanele ukuqeqesha ukuba 'ukhuseleko lusephambili'. Sidinga ukwandisa ngakumbi ukuqonda ukubandakanya into yokuba umgca wengozi wonk 'ubani uya kuhluka. Kodwa, kungakhathaliseki ukuba kunjalo, nangona umntu echaza umqobo wakhe uya kuxhaswa yiontanga kunye namapolisa.

Ulwabelana ngeNkqubo yosizi

Uqeqesho lwethu khange lusilungiselele ukujongana kakuhle nesi sehlo. Isibhengezo sokusweleka ayisosihloko esigutyungelwa ngokubanzi kwisilabhasi ye-EMT. Ndineeyure ezi-3 zoqeqesho kule ndawo, abaninzi endisebenza nabo abanalo. Sasihlala siyalelwa ukuba luxanduva lwamapolisa ukuphatha, kwaye ayisiyiyo into ekufuneka siyazi kakhulu ngayo. Oku kusebenza kakuhle kwimimandla yedolophu, kodwa kwiindawo ezisemaphandleni, akuqhelekanga ukuba usapho okanye abahlobo bomntu ofileyo bafike kwindawo ngaphambi kokuba amapolisa akwazi.

Ndiyakholwa ukuba oku kuchaphazela kakhulu izenzo zethu ngeli xesha. Inkqubo edibeneyo yokubhengeza ukufa kunye nenkxaso yentsapho eliliwayo, kodwa ingazi ngokwenene ukuba, ngokwenene ikhokelela kuthi ukuba singaqinisekanga ngendlela yokugweba izenzo kunye nokuziphatha komntu. Kwakhona kwasenza sikwazi ukunyanzelisa ubunako bokukhawuleza ngokukhawuleza kwindlobongela.

Emva kwesi siganeko, ndathetha nabo nabasebenzi bam kwaye ndafumanisa ukuba kunomdla omkhulu kwisigqibo sam sokuqhubeka nokuqeqeshwa kule ndawo. Sifikelele kwiinkonzo zamatyala (i-subunit yamapolisa exhasa amaxhoba olwaphulo-mthetho okanye intlekele) kwaye ilungiselelwe iseshoni yoqeqesho kwiindlela ezifanelekileyo zokumemezela ukufa, izaziso zentsapho, ukunyamezela, kunye neenkqubo zamapolisa ezibandakanyeka ekufeni okungalindelekanga ekhaya .

Kunyaka ophelileyo, umba wobukho bosapho ngexesha lokuvuselelwa (i-FPDR) ibe sisihloko esivelayo kwinkqubo yethu yokhathalelo lwempilo. Eminye imibutho emikhulu (efana neAmerican Heart Association) ikhuthaza i-FPDR, ukuxela ukuba lilungelo elisisiseko kwaye inceda kakhulu kwinkqubo yokulila. Ayisiyonto iqhelekileyo leyo, kwaye inye kuphela indawo enkulu yoxinzelelo kwindawo yethu ekhuthaza i-FPDR. Kwaxoxwa ngalo nyaka kwisimpoziyam yeeklinikhi ye-EMS, kwaye ngokubanzi kufunyaniswe ukuba kuyindlela elungileyo, nangona uninzi lweengcali zazingaqinisekanga ukuba zingazalisekiswa njani ngaphandle kokuyekisa kunyango lwesigulana okanye ukhuseleko lwabasebenzi.

Ekugqibeleni isigqibo sokufa, isaziso esilandelayo esilandelayo, kunye nokusingqongileyo ngokubhekiselele ekubukeleni kwentlungu akuyona into eyenziwe kakuhle kwinkqubo yethu ye-EMS. Kodwa kungekudala kukho iqhinga lokulungisa loo nto.