I-Ambulensi, ukuhlangulwa ngaphandle kwesibhedlele: Isikali se-AVPU, intsingiselo kunye nembalelwano kunye ne-Glasgow Coma Scale

By UCristiano Antonino On Juni 3, 2022

Igama elithi 'AVPU' kwezamayeza libhekiselele kwisikali sokuvavanya imeko yengqondo yesigulane, esetyenziswa kakhulu kwimeko yokuhlangula ngaphandle kwesibhedlele, umz. xa i-paramedic ingenelela kwindawo yengozi yendlela kwaye ifumene. umntu ongekho zingqondweni

Isikali se-AVPU yenye indlela eyenziwe lula kwi-Glasgow Coma Scale eyaziwa kakhulu

Ambulance abahlanguli basebenzisa isikali esilula nesithe ngqo se-AVPU, ngelixa oogqirha kunye nabongikazi besebenzisa rhoqo Glasgow Coma Scale.

I-AVPU sisishunqulelo esenziwe ngoonobumba abane, nganye ibonisa ubungqongqo besigulane:

i-alert (isigulane esilumkileyo): isigulane sivukile kwaye siyazi; Esi simo sivavanywa ngokufanelekileyo ukuba isigulana sinokuphendula ngokucacileyo imibuzo elula efana no "Ungubani igama lakho?" okanye “Kwenzeke ntoni kuwe?”;
ngomlomo (isigulane ngokuphendula ngomlomo): isigulana sikwaphendula ngokushukumisa amehlo okanye ngezenzo zentshukumo kodwa ngokuvuselela ngamazwi, oko kukuthi, ukuba sibiziwe, kanti ngaphandle kwempembelelo sibonakala esozela okanye sibhidekile;
intlungu (isigulane esisabela kwiintlungu): isigulane asiphenduli kwi-stimuli yomlomo kodwa kuphela kwi-stimuli ebuhlungu ngokungcangcazela (kwisigulane esingenabuhlungu) kunye / okanye ukubethelela isiseko entanyeni.
ongaphenduliyo (isigulane esingaphenduliyo): isigulane asiphenduli kwintetho okanye i-stimuli ebuhlungu, ngaloo ndlela ithathwa njengengekho zingqondweni ngokupheleleyo.

I-AVPU, yenza lula:

isilumkiso sithetha isigulana esisezingqondweni nesinengqondo;
ngomlomo ubhekisa kwisigulana esizingqondweni kwaye sisabela kwintshukumo yelizwi ngokusebeza okanye ngokubethwa;
intlungu ibhekisela kwisigulane esisabela kuphela kwi-stimuli ebuhlungu;
Ukungaphenduli kubhekisa kwisigulana esingekho zingqondweni esingaphenduli kulo naluphi na uhlobo lovuselelo.

Ukusuka ku-A ukuya ku-U ubume bobuqatha buyanda: isigulane 'siqaphile' sesona sibi kakhulu, ngelixa isigulane 'esingaphenduliyo' sisona sinzima kakhulu.

Kwenziwa nini uvavanyo lwemeko ye-AVPU yengqondo?

Ubume be-AVPU bengqondo ngokuqhelekileyo yinto yokuqala (okanye enye yeyokuqala) ukuba ithathelwe ingqalelo ngumhlanguli xa ejongene nexhoba le-trauma elikwimeko yokungazi kakuhle okanye ukungazi.

Siyakhumbuza umfundi ukuba imeko yokuqonda akufanele idideke kunye nemeko yokuqonda: isigulane sinokuqonda kwaye siphendule kodwa singaqapheli, umzekelo, apho akhoyo.

I-AVPU isetyenziselwa ngokukodwa uvavanyo lwe-neurological olwenziwa kwindawo D ye IABCDE umthetho.