EMT, which roles and functions in Bangladesh? What salary?

I-triage yenziwa njani kwisebe likaxakeka? I-START kunye ne-CESIRA iindlela

By UCristiano Antonino On Ngamana 12, 2022

I-Triage yinkqubo esetyenziswa kwiCandelo leNgozi kunye ne-Emergency (EDAs) ukukhetha abo babandakanyeka kwiingozi ngokweeklasi ezikhulayo zongxamiseko / ungxamiseko, ngokusekelwe kubunzima bokulimala okuqhubekayo kunye nomfanekiso wabo wekliniki.

Indlela yokwenza i-triage?

Inkqubo yokuvavanya abasebenzisi kufuneka ibandakanye ukuqokelela ulwazi, ukuchonga iimpawu kunye neempawu, iiparamitha zokurekhoda kunye nokucubungula idatha eqokelelweyo.

Ukuze kuqhutywe le nkqubo inzima yokunyamekela, umongikazi we-triage usebenzisa ubuchule bakhe bobuchule, ulwazi kunye nezakhono ezifunyenwe ngexesha lemfundo kunye noqeqesho kwi-triage kunye namava akhe, kunye nezinye iingcali kunye naye. uyasebenzisana kwaye uyanxibelelana.

I-Triage iphuhliswa kwizigaba ezithathu eziphambili:

Uvavanyo olubonakalayo” lwesigulana: olu luvavanyo olubonakalayo olusekwe kwindlela isigulana esizibonakalisa ngayo phambi kokuba sisivavanye kwaye ichonge isizathu sokufikelela. Esi sigaba senza ukuba sikwazi ukuchonga ukususela oko isigulane singena kwisebe likaxakeka imeko engxamisekileyo efuna unyango olukhawulezileyo nolukhawulezileyo: isigulane esifika kwisebe likaxakeka singekho zingqondweni, sinelungu elinqunyuliweyo kunye nokopha okukhulu, umzekelo, akufuni kakhulu. uvandlakanyo olungakumbi luya kuthathwa njengekhowudi ebomvu;
Uvavanyo oluzimeleyo kunye nenjongo: emva kokuba iimeko zongxamiseko zikhutshwe, siqhubela phambili kwisigaba sokuqokelela idatha. Ingqwalasela yokuqala yiminyaka yesigulane: ukuba isifundo singaphantsi kweminyaka eyi-16 ubudala, ukuhlolwa kwabantwana kuyenziwa. Ukuba isigulane singaphezu kweminyaka eyi-16 ubudala, uvavanyo lwabantu abadala luyenziwa. Uvavanyo oluzimeleyo lubandakanya umongikazi ophanda uphawu oluphambili, isiganeko esikhoyo, intlungu, iimpawu ezihambelanayo kunye nembali yonyango edlulileyo, zonke ezo kufuneka zenziwe ngemibuzo ejoliswe kuyo ye-anamnestic ngokukhawuleza. Emva kokuba isizathu sokufikelela kunye nedatha ye-anamnestic ichongiwe, uviwo oluyinjongo luqhutywa (ikakhulukazi ngokuqwalasela isigulane), iimpawu ezibalulekileyo zilinganiswa kwaye ulwazi oluthile lufunwa, olunokuthi luthathwe kuviwo lwesithili somzimba esichaphazelekayo yintloko. uphawu;
Isigqibo se-Triage: Kule ngongoma, i-triagist kufuneka ibe nayo yonke ingcaciso efunekayo ukuchaza isigulane ngekhowudi yombala. Isigqibo sekhowudi enjalo yinkqubo enzima kakhulu, exhomekeke kwizigqibo ezikhawulezayo kunye namava.

Isigqibo sikatriagist sisoloko sisekwe kwiitshati eziqukuqelayo zokwenyani, njengaleyo iboniswe phezulu kwinqaku.

Enye yale mizobo imele "indlela yokuQALA".

Ukuzama nge-START indlela

Isishunqulelo esithi START sisishunqulelo esenziwe ngu:

Lula;
I-Triage;
Kwaye;
Ngokukhawuleza;
Unyango.

Ukusebenzisa le protocol, i-triagist kufuneka ibuze imibuzo emine elula kwaye yenze iimanewuva ezimbini kuphela ukuba kuyimfuneko, ukuphazamiseka kwendlela yomoya kunye nokumisa ukopha okukhulu kwangaphandle.

Imibuzo emine yenza iflowutshati kwaye yile:

isigulana siyahamba? EWE=ikhowudi eluhlaza; ukuba AKUHAMBI ndibuza umbuzo olandelayo;
isigulana siyaphefumla? HAYI= ukuphazamiseka kwendlela yomoya; ukuba abanako ukuphazanyiswa = ikhowudi emnyama (isigulane esingasindiyo); ukuba bayaphefumla ndivavanya izinga lokuphefumla: ukuba ngaba > 30 izenzo zokuphefumula / umzuzu okanye <10 / umzuzu = ikhowudi ebomvu
ukuba izinga lokuphefumla liphakathi kwe-10 kunye ne-30 yokuphefumla, ndiqhubela phambili kumbuzo olandelayo:
ingaba i-radial pulse ikhona? NO= ikhowudi ebomvu; ukuba i-pulse ikhona, yiya kumbuzo olandelayo:
ngaba umguli usezingqondweni? ukuba wenza imiyalelo elula = ikhowudi etyheli
ukuba awuphumeli imiyalelo elula = ikhowudi ebomvu.

Ngoku makhe sijonge imibuzo emine yendlela yokuQALA ngokwahlukeneyo:

1 INGABA UMguli ANGAHAMBA?

Ukuba isigulana siyahamba, kufuneka sithathwe sibe luhlaza, oko kukuthi, ngokubaluleka okuphantsi kokuhlangulwa, kwaye sidlulele kumntu olandelayo owenzakeleyo.

Ukuba akahambi, dlulela kumbuzo wesibini.

2 INGABA UMNDENZE UPHEFUMLA? LIYINTONI izinga lakhe lokuphefumla?

Ukuba akukho kuphefumla, zama ukucoca indlela yomoya kunye nokubekwa kwecannula ye-oropharyngeal.

Ukuba akusekho ukuphefumla, ukuphazamisa kuyazanywa kwaye ukuba oku akuphumeleli isigulane sithathwa njengento engafanelekanga (ikhowudi emnyama). Ukuba, ngakolunye uhlangothi, ukuphefumla kuphinda kuqalise emva kokungabikho kokuphefumula okwethutyana, kuthathwa njengekhowudi ebomvu.

Ukuba izinga lingaphezulu kwe-30 yokuphefumula / umzuzu, kuthathwa njengekhowudi ebomvu.

Ukuba ingaphantsi kwe-10 ukuphefumula / umzuzu, kuthathwa njengekhowudi ebomvu.

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Ukuba izinga liphakathi kwe-30 kunye ne-10 yokuphefumula, ndiqhubela phambili kumbuzo olandelayo.

3 INGABA I-RADIAL pulse ikhona?

Ukungabikho kwe-pulse kuthetha i-hypotension ngenxa yezinto ezahlukeneyo, kunye nokuchithwa kwe-cardiovascular, ngoko ke isigulane sithathwa njengebomvu, sibekwe kwi-antishock ngokumalunga nokulungelelaniswa komqolo.

Ukuba i-radial pulse ayikho kwaye ayiphindi ibonakale, ithathwa njengekhowudi ebomvu. Ukuba i-pulse iphinda ivele isathathwa njengebomvu.

Ukuba i-pulse ye-radial ikhona, uxinzelelo lwe-systolic ubuncinane lwe-80mmHg lunokuthi lufakwe kwisigulane, ngoko ke ndiqhubela phambili kumbuzo olandelayo.

4 NGABA UMNDENZE UYIZIPHASI?

Ukuba isigulane siphendula izicelo ezilula ezifana: vula amehlo akho okanye ukhuphe ulwimi lwakho, umsebenzi wengqondo ukhona ngokwaneleyo kwaye uthathwa njengophuzi.

Ukuba isigulane asiphenduli kwizicelo, sihlelwa njengobomvu kwaye sibekwe kwindawo ekhuselekileyo esecaleni ngokuhlonipha ukulungelelaniswa komqolo.