Xa ukwimeko enobungozi, kwaye okubi kakhulu, kwindawo yemfazwe intshukumo nganye kunye nentshukumo ibalulekile kuwe kunye nesigulana sakho. Kuthekani ngenkonzo yeenqwelo yezigulana engafumanekiyo kwindawo enobungozi? Siqokelele ubungqina be Umongikazi wezempilo / EMT owayesebenza eBaghdad Iraq kwinkampani yaseBritane ephethe isikhululo seenqwelomoya eBaghdad.

I #UKUKHUSELEKA! Uluntu luqale ngo-2016 luhlalutya ezinye iimeko. Eli libali # leCrimefriday ukuze ufunde ngcono ukuba ungawusindisa njani umzimba wakho, iqela lakho kunye neambulensi yakho "ngosuku olubi eofisini"! Ingqina esilikhankanye ngasentla lisebenzela inkampani ebonelela ngeenqwelomoya zasekuhlaleni nezomkhosi kulo lonke elase-Iraq. Ufumene ukungafumaneki okungalindelekanga kwee-ambulensi zomoya kwimeko eyingozi kwindawo yemfazwe eyenzeka ngo-Epreli 2016. Kweli nqaku siza kuhlalutya ibali lakhe.

INDAWO-Isikhululo seenqwelomoya saseBaghdad kunye nokufumaneka kwe-ambulensi yomoya ekuvuseleleni imeko

Ukusebenza eIraq njengomphambukeli kwiindawo zasentshona ngakumbi abangaphakathi indawo eluhlaza, (indawo elawulwa ngokukhuselekileyo) abavunyelwe ukuba baphume ngaphandle kweNdawo eluhlaza, (ngaphakathi kwezibonelelo ezikhuselekileyo). Yingakho kukho amayeza okulinda kunye nekliniki yangasese ekhoyo ALS standard kwaye izixhobo in ukudluliselwa kwesibhedlele ngethuba loxinzelelo. Nangona kunjalo, kukho Akukho sibhedlele ngaphakathi Isikhululo seenqwelomoya eBaghdad, Yingakho sinakho ISOS mhlawumbi ku ngxakeko ukudlulisela izigulane kwisibhedlele esiseduze njenge-Dubai, i-Kuwait, iBrara.
Ngezantsi kwesi siganeko siphendula i-SOP.

Kulo hlobo lendawo, yokhuseleko Ulawulo lwesithupha kwintlangano yethu. Sinamanethiwekhi ezinkampani zokukhusela ezithumela uvavanyo oludlulileyo kwindawo leyo kwaye siyithumela ingxelo rhoqo, ngeveki, ngenyanga kunye nokuba kukho vavanyo lo mngcipheko siyifumana ingxelo kwimeko ngokukhawuleza xa kunokwenzeka umzekelo we-24 / 7, ukuba unayo ixesha lokujonga ingxelo eqhotyoshelwe yiqela lokhuseleko lwe-Intelligence.

Ndabizwa ngumnye wabaphathi ufuna unyango kumntu okhononda kakhulu intloko kunye nokunyaniseka. Kwakukho ngo-Ephreli 2016, ngomhla we-3, esi sigulane esinesigxina seminyaka eyi-62 enembali ye-4 yenhliziyo edlulileyo kunyaka ophelileyo Oktobha 2015 kunye nohlobo lwe-2 DM umntu oxhomekeke kwi-insulin enobudlova obudlulileyo kunye nokusetyenziswa kwamanzi otywala.

Ndambona eklinikhi kwi-3: 20 ntsikhalazo esintloko yesikhumba esixinzelelekileyo esikhatywayo kwimiba engasekhohlo, kunye nokuphambana nombono kwiso lakhe lasekhohlo, okulandelayo okanye inkqubo yokuthatha amanyathelo kunye neempawu ezibalulekileyo kunye nokuhlola V / S ibonisa i-BP 215 / I-145mmhg temp: i-SPO2 eqhelekileyo: I-87percent saturation nenani lentliziyo ngu-110 bpm. Ndibiza umnxeba wam ukuba le ndoda ibhekene nesifo.

 

Isikhululo seenqwelomoya iBaghdad kunye ne-ambulensi yomoya ekufumaneni imeko: iimeko zongxamiseko ezisongela ubomi

As ababoneleli ngononophelo, silandela iiprotoksi okanye imiyalelo yokuma xa kwenzeka zengxaki ezisongela ubomi, ngoko ndilandele yonke inkqubo kunye nokugcina isigulane kwisigxina se-90 nge-o2 unyango kunye nokutshintshwa ngokukhawuleza.

Ndikwazisa ngokuthe ngqo umcebisi wethu oseBasrah iAraq ngaloo xesha ngoko ndiyathwala umyalelo ngefowuni kwaye ndilungiselele I-ISOS / i-ambulensi yomoya ye-evaporation yonyango ngokukhawuleza kunokwenzeka ndoloze lo mgulane ubomi okanye ukunciphisa umngcipheko wokuba yindoda engumzimba okanye eyona nto.

Landela zonke umgca womyalelo ukudluliselwa nge-ISOS okanye i-ambulensi yomoya, yintoni indawo emhlabeni ukuba akukho naliphi na indiza ekhoyo ekhona ngexesha kunye nokufumaneka ku-3 ngomhla olandelayo. Ngenxa yokuba i-ambulensi yomoya njenge-ISOS charter iindiza ziinkampani ezizimeleyo ukuba xa kunesidingo sokukhutshwa kongxamiseko, kufuneka siqhagamshelane ne-ISOS esondeleyo kwindawo ekuphumayo kwaye kuya kuthatha ubuncinane beeyure ze-1 kwaye ngokukhawuleza emva kokukwaziswa.

Ngoko ndiyazi ukuba ndiyimeko apho ndifuna ukugqiba ngaphandle kwebhokisi. Ukubiza abaphathi kunye nabaphathi bezokukhusela ukuba eli gulane likhona imeko e mngcipheko kwaye kufuneka simthumelele ngaphaya kwedolophu yaseBaghdad kwisibhedlele esiseduze ukuba singeniswe kuyo ngxakeko / i-ICU ngokukhawuleza kunokwenzeka, nangona asivunyelwe ukuba siphume ngaphandle kwendawo eluhlaza.

Icala: inxalenye 2 - Isikhululo senqwelomoya eBaghdad kunye nokufumaneka kwe-ambulensi yomoya ekuvuseleleni imeko

Ixesha le-15: I-00 - Sithunywe yi-PSD okanye i-private convoys ukuya kwidolophu yaseBagdad, ngelixa isigulane sisesimo esifanayo siyabona kwaye sidibene kwaye ndiyathemba ukuba kukho isikhungo esibhedlele kwaye oku xa ndiqala ukuphuma ngaphandle kwendawo eluhlaza, (Indawo engabikhoyo yingozi).
Sifike esibhedlele kwaye ngokubhekisele kwokhuseleko lwase-Iraq elungileyo esibhedlele, Ndithetha ne ugqirha malunga noko kwenzekayo kunye imeko yesigulane kunye no-DX oyintloko. Ukuhlola, bathabatha iisampuli zegazi RBS, ECG, kunye nokuhlolwa kwesisu, kwaye emva koko asiphelelanga nanye i-CT / MRI scan kwaye akukho naziphi na iimeko zokuqwalasela ukuba zivunywe kwisibhedlele esibhedlele ikakhulukazi kubahlali basemzini ngenxa yokuba loo ndawo ayingozi kakhulu kwaye akukho namnye amazwe angenayo okanye angaphathwa esibhedlele ( thintela u kuthathwa).

Ngoko kuthetha ukuba ngokwe-GP yendawo ugqirha waseIraqui ukuba ukuxilongwa kwakhe akusiyo isifo kodwa isifo soxinzelelo oluphezulu esinokubangela ukuphazamiseka, yingakho wanika i-S / L i-anti-spraying medicine kwaye sivumele ukuba sibuyele kwakhona, ekuqondeni kwam ndilapha imeko yokuba ndiza kuba nomsebenzi wam, ukuba kukho into engalunganga eyenzekayo, ndikwazisa yethu kwi-call udokotela kwaye ndagqiba ekubeni ndibuyiselwe isigulane kwinkampu ndimbeke ekliniki ukuze ndibone okokubona ukuba akayi kuba nzima kunokuba sibe i-ambulensi yomoya ngenxa yezizathu zokhuseleko siya kubuya kwinkampu yethu, sihlolisise zonke iimpawu zakhe ezibalulekileyo kwiiyure, ndiyazi ukuba xa yakhe ifuthe legazi Kuya kulawulwa yinto endiyidingayo ukuba ndiyenze yona kunye nogqirha ngaphesheya kwefowuni. Ndiqhubeka ndithandaza ngethemba lokuba uzinzile.

 

Icala: inxalenye 3 - Isikhululo senqwelomoya eBaghdad kunye nokufumaneka kwe-ambulensi yomoya ekuvuseleleni imeko

Ixesha le20: I-00 - Ukujonga i-V / S ibonisa ukuba i-BP yakhe iyashintsha kwaye ifikelele kwi250 / 130mmgh, i-saturation 87, i-Pr: 122bpm eyazi ukuba i-ambulensi yomoya iya kufinyelela kwi-3, ngoko umcebisi wethu kunye nam kuye nitroglycerin ifakwe kwi-saline evamile kwi-40mgtts / min kunye neenqwelo zokubeka esweni njengoko ndidibanisa naye kwi-monitor monitor, enethemba lokuba akayi kuba nomthwalo wokunyameka kwenhliziyo njengoko sifaka i-nitroglycerin ukunciphisa iBP yakhe ukukhusela nayiphi ukubola kusuka kwingqondo. Oko kungamenza paraplegia Okona kubi.

Ukumjonga ngexesha elingaphezulu kweeyure ezi-5 kunye nesigulana esinobungozi kakhulu bokuba neschemia kunye nomsebenzi wam, ndisazi ukuba akukho gqirha ujikeleze kwaye ndifumana ii-odolo ngomnxeba, akwamkelekanga kwiprothokholi. Ndiyazi ukuba ukuba kukho into engalunganga ndiya kuba sengxakini enkulu yokuba ndingalahla ilayisensi yam kunye nayo yonke into endinayo ngokwenza izinto eziwinayo ekufuneka nizenzile, kuba awunayo ukhetho nje ukugcina ubomi baloo mntu. Andikho kwindawo efanelekileyo yokwenza ukunyuswa kwiklinikhi ngaphandle koogqirha ngaphandle kwangazi ukuba imbali yakhe yangaphambili yezokwelapha, Unentliziyo yakhe ehlulekayo kwaye i-4th yakhe idlulile ngonyaka owedlule.

Ixesha le02: I-30 - Ngenhlanhla, uxinzelelo lwegazi lwesigulane luzinzile kwaye usenokwazi kodwa ukhononda ngeentloko ezinzima, (isikali se-5 / 5). Ukuze i-ambulensi yomoya (ISOS) ifike kwi-3: 30 kwaye ndiyithumele kuye Isibhedlela saseMelika saseMelika.

Ukulandela imeko yakhe kuba ndinexhala kakhulu malunga nokwenzekayo uyamkelwa kwaye aqonde kwi-ICU, i-MRI, i-CT scan yenziwe ebonisa ukuba kukho inxenye yengqondo enobungozi njengoko enesifo sokuhlaselwa sisibetho kwaye ukuba uxinzelelo lwegazi alulawulwa ngokogqirha wakhe unokuba nengxaki yokonzakala kwengqondo ngenxa yokopha. Isiphumo separaplegia ukuba uxinzelelo lwegazi alulawulwa ngalo mzuzu.

Isikhululo seenqwelomoya iBaghdad kunye ne-ambulensi yomoya efumanekayo kwimeko ye-riscky-ukuqukumbela

• Khu seleko kuqala
• Landela inkqubo yomyalelo wenkundla yomcimbi ngexesha elifanelekileyo
• Cinga ngaphandle kwebhokisi kwiimeko eziphuthumayo xa kufuneka
• Ukulungisa izigqibo
• Ukuphononongwa kokuhlolwa kokusetyenziswa kwetafile emva kweganeko elenzelwe ukuphuculwa kwexesha elixakekileyo xa kwenzeka kwakhona.
• Ukuphuculwa kuphunyeziweyo oku kufuneka kubekho udokotela osebenzayo 24 / 7
• Ukufumaneka kwe-ambulensi yomoya ye-ISP yongxamiseko ye-24 / 7 ngokukhawuleza.

Emva kokuba imeko yenzeke, umbutho uhlela isetyenziswe kwipilati ngokuphathelele kwesi siganeko. Njengelungu leqela leempendulo zempikiswano kwaye imeko yindlela yokukhutshwa ngonyango kwaye izinto ziye zanda, njengokuba umboneleli wezempilo Siyakhathalela ubomi kwaye siyazi ukuba ufuna ngokwenene ukwenza okuthile kwaye ungahlali kwaye ulinde into ethile. Yingakho ndagqiba kwelokuba ndinyuse imeko kwaye ndilethe umntu osemntla Baghdad.
Isisombululo sokuthi sisitshintshe yinkampani ifumaneka ukufikelela kwisibhedlele esisekelwe kumkhosi kubantu abasentshona xa kukho imeko engxamisekileyo emva kokuba kwenzeka isiganeko.

Kwaye ukuba kuya kwenzeka kwakhona kwixesha elizayo ukuba kufuneka ukhulise le meko, andiyi kuphinda ndiyicinge ngokuphindwe kabini xa unako ukusindisa ubomi bomntu.

Ukwenza into kakuhle kwaye fumana Ukubulela okulula kwizinto ozenzileyo kukukhuthaza kakhulu bonke abasensimini efanayo nathi.

 

EMINYE IMIQATHANGO YEKHOLO

Abakhathaleli kunye nabaphenduli bokuqala baba semngciphekweni wokufa kwimishini yokunceda abantu

Ubundlobongela kubanikezeli be-EMS-Abahlaseli be-Paramedics bahlaselwa kwimeko yokugwaza

Ingozi yendlela-Isihlwele esinomsindo sicinga ukukhetha isigulana ukuba sinyange kuqala

Umphakathi ochaphazelekayo we-ebola onqabileyo unqabile unyango lwe-Red Cross - I-ambulensi isengozini yokutsha

 

 

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