I-Spinal immobilisation sesinye sezakhono ezinkulu ekufuneka igcisa lezonyango likaxakeka kufuneka lilawule. Kwiminyaka emininzi ngoku, onke amaxhoba aye ahlaselwa yintlungu aye angakwazi ukuhamba kwaye, ngenxa yohlobo lwengozi, ngokwemigaqo yengcali, kwakuyimfuneko ukuba kumiswe umgogodla.

Le yayiyiminyaka apho kwakunengqiqo kwaye intuitive ukucinga ukuba naliphi na ixhoba lengozi enkulu ngokwaneleyo, njengokuwa ukusuka kwindawo ephakamileyo, ingozi yemoto okanye isiganeko esifanayo, kufuneka singakwazi ukuhamba ngenxa yokuba kukho umngcipheko wokulimala komgogodla, esimele sikuphephe kuzo zonke iindleko.

Oku kwakubandakanya amaxhoba angashukumiyo angakhange afumane zimpawu zokwenzakala kwalo naluphi na uhlobo, nkqu entanyeni intlungu.

Njengomgaqo oqhelekileyo, siya kukhupha nabani na oye wabandakanyeka engozini, nabani na obandakanyekayo kwimeko enokubangela ukuphuka komgogodla okanye ukulimala kwentambo yomgogodla.

EYONA IBHODI ZOKUGQIBELA? TYELELA I-SPENCER BOOTH KWI-EXPO EXPO

Iziphumo zokunyanzeliswa komgogodla ngokugqithisileyo:

Oku kubangele ukuba izibhedlele zigcwale ngamaxhoba angena ngomnyango kwintsimbi yentamo, engakwazi ukuhamba. ibhodi okanye i-vacuum umatrasi, eye yawisa inkqubo yonke.

Kungekudala, Igumbi loncedo olukhawulezayo abasebenzi bezonyango baqalisa ukuqonda ukuba ukuzibamba ngokugqithiseleyo kwakulonakalisa isebe lesibhedlele likaxakeka.

Oku kukhokelele ekuphuhliseni uthotho lweeprothokholi zokuqinisekisa ukuba izigulane ezihamba ngocango lwegumbi likaxakeka ziye zadibana neendlela zokufumana ubuchule be-radiological ukufumanisa ukuba ngaba banesifo somgogodla.

Ukunyanzeliswa komgogodla: Iiprotokholi ezimbini eziphambili zaphuhliswa, i-Nexus Low Risk Criteria (NLC) kunye neCanada C-Spine Rule (CCR)

Bobabini i-Nexus kunye ne-Canadian protocol bafuna ukungabandakanyi izigulane ezingazange zihlangabezane neendlela zokuxilonga i-radiology yokuxilongwa ngenxa yokuba ukuxilongwa kwabo kweklinikhi kwakungekho ukukrokra okusekelwe kwintambo yomgogodla okanye intambo yomgogodla.

Ezi nqobo zokugweba zakhawuleza zasuka ekubeni yinqobo yesibhedlele, phantse kuphela kwiradiology, ukuya kusetyenziswa kumayeza angaphandle kwesibhedlele ukumisela ukuba zeziphi izigulana ekufuneka zingasebenzi esitratweni kwaye zeziphi ezingafanelekiyo.

Kukwakho nezinye iikhrayitheriya ezikhethekileyo zonxunguphalo olungaphandle kwesibhedlele, olufana nenkqubo ye-PHTLS, zonke zisekelwe kwiikhrayitheriya ezininzi zenzululwazi ezisekelwe kuphando lwamanani okanye uvavanyo lwabantu.

Umzekelo oqhelekileyo luvavanyo apho iqela lezifundo zamavolontiya laye langakwazi ukuhamba ixesha elide, phakathi kwesiqingatha seyure kunye neeyure ezimbini, kwaye emva koko babuza malunga neengxaki ezinokuthi zivele ngenxa yokuthatha ixesha elide. ukungasebenzi.

Emva koko kwafunyaniswa ukuba ukunyanzeliswa kwesigulane kubangele ukuxhalaba kunye nentlungu entanyeni nasemqolo enokuhlala iiyure, kwaye kwezinye iimeko kunokubangela izilonda zesikhumba kwiindawo zenkxaso kunye nebhodi.

Ke ngoko, izikhokelo ezininzi ezisekelwe kubungqina zivele, njengezikhokelo ze-NICE 2 okanye ezifanayo.

Ngo-Agasti 2018, i-American College of Surgeons Committee kwi-Trauma (ACS-COT), i-American College of Emergency Physicians (ECEP) kunye noMbutho weeNkonzo zezoNyango eziNgxamisekileyo (NAEMSP) bafikelele kwindawo edibeneyo kwinto ebizwa ngokuba yi-Spinal Motion. Unyino (SMR) 3.

Ngomnyaka olandelayo inqaku elinomdla livele kwiScandinavian Journal of Trauma, Resuscitation and Emergency Medicine enesihloko esithi "Izikhokelo eziNtsha zeKliniki kwiSithintelo soMgudu weSpinal. Isigulana sokwenzakala kwabantu abadala: imvumelwano kunye nesiseko sobungqina 4”, epapashwe nge-19 ka-Agasti ka-2019.

Sinokuyishwankathela kwiingcebiso zayo ezintlanu ezibalulekileyo, iingcebiso ezine ezisekelwe kubungqina besayensi kunye ne-algorithm enye:

• Kukho ubungqina obuqinileyo besayensi obuchasene nokusebenzisa ukuzinzisa umgogodla kwizigulane ezine-trauma eyodwa yokungena, oku kuthetha ukuba akufanele kwenziwe.
• Inkxaso yenzululwazi yokunyanzeliswa kwesigulane ngesitali IABCDE ngebhodi yomqolo kunye nomqolo oqinileyo ikhola ibuthathaka, engakhuthazwa ukuba yenziwe rhoqo.
• Inkxaso yenzululwazi yokungashukumi kwesigulane kumandlalo wevacuum ukuze sithuthwe ibuthathaka, okt inokwenziwa kodwa buncinane ubungqina obuxhasa oko.
• Kunconywa ukusetyenziswa kwe-algorithm yeklinikhi.

I-BIBLIOGRAPHY

1. García García, JJ Immobilizzazione cervicale selettiva basata sull'evidenza. Ummandla TES 2014(3):1;6-9.
2. Linea Guida NIZZA. Febbraio 2016. Trauma maggiore: erogazione del servizio. https://www.nice.org.uk/guidance/ng40/chapter/Recommendations
3. UPeter E. Fischer, uDebra G. Perina, uTheodore R. Delbridge, uMary E. Fallat, uJeffrey P. Salomone, uJimm Dodd, u-Eileen M. Bulger kunye noMark L. Gestring (2018) Ukunyanzeliswa kwe-Spinal Motion Restriction kwi-Trauma Patient - Una dichiarazione di posizione comune, Assistenza preospedaliera di likaxakeka, 22:6, 659-661, DOI: 10.1080/10903127.2018.1481476. https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1481476
4. Maschmann, Elisabeth Jeppesen, Monika Afzali Rubin kunye noCharlotte Barfod. Nuove linee guida cliniche sulla stabilizzazione spinale dei pazienti omdala con trauma: consenso e prove basate. I-Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019: (27): 77. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-019-0655-x

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