Isigameko esichazwe kulolu cwaningo senzeke endaweni engasemaphandleni. Kungenzeka ukuthi isimo singakwazi ukulawula ngaphandle kwesaziso futhi uma kwenzeka isimo sishaya, amaphoyisa angasiza ekuxazululeni isimo.

Izimo ezisongela impilo zivame futhi zivamile kubasebenzi be-EM. I- #UKUKHANYA! umphakathi uqale ngonyaka ka-2016 ehlaziya amanye amacala. Le yindaba ye- #Crimefriday ukuze ufunde kangcono ukuthi ungawusindisa kanjani umzimba wakho, iqembu lakho ne-ambulensi yakho “ngosuku olubi ehhovisi”!

Izimo ezisongela impilo: ukusabela okunodlame ngesikhathi socwaningo oluphuthumayo

"Ngisebenze njenge-EMT (Emergency Medical Technician) kwi-ambulensi eCanada iminyaka engu-4. Isifunda lapho kwenzeka khona leli cala sinama-ambulensi ama-2 aqashwe ukumboza cishe ama-3400 km² wezwe. Izikhathi zokuphendula ezimaphakathi zingahluka kakhulu, kusuka emizuzwini embalwa kuye kumizuzu engama-40, ngokususelwa ebangeni lesigcawu socingo kanye nokutholakala kokutholakala kalula (iningi lemigwaqo yemigwaqo ayiphakelwe).

I-ambulensi eyodwa inabasebenzi futhi ihlonyiselwe i I-ALS (Ukusekela okuPhezulu kokuPhila), ngenkathi enye isebenza futhi ifakwe ku-a BLS (Umsizi Wokuphila Okuyisisekelot) izinga. I-ALS iyunithi a I-Paramedic futhi I-EMT futhi uyakwazi ukwenza konke ACLS (Advanced Cardiac Life Support) zokwelapha njengoba kuchazwe yi American Heart Association.

Iyunithi ye-BLS inabasebenzi abangu-2 EMTs, futhi ayikwazi ukwenza i-ACLS, kodwa iyakwazi ukuhlinzeka ngezinhlobonhlobo zezinye izindlela zokwelapha ezihloselwe ukuphendula ekuqaleni (njenge-IV's, i-oxygen therapy, ukubekwa kwe-supraglottic airway, ukuqapha inhliziyo kanye i-defibrillation). Iyunithi ye-BLS ingase futhi yenze iyunithi ye-ALS isebenze ukuze yenze ikhophi yasenqolobaneni, futhi inekhono lokuthintana nodokotela ngocingo.

Lo mcimbi ekuqaleni wawuhambelana neyunithi ye-BLS, neyunithi ye-ALS efika kamuva emuva.

Amaprosesa wokubopha inhliziyo futhi ukuyeka ukuvuselela kufakwe ngezansi ukuze kubhekiswe:

1. Ukuboshwa kwe-cardiac protocol

 2. Yeka uhlelo lokuvuselela kabusha

Kwenzeke kokunye Ukubhuka kwamaNdiya okuningana ngaphakathi esifundeni. Ukubhuka kungamazwe aqokiwe ngokomfelandawonye abekelwe eceleni ukusetshenziswa kweqembu elithile (noma isizwe) sabomdabu. Zikhona futhi zisebenza ngokuzimela okuthile kubantu abaningi. Angisiye neze uchwepheshe wobudlelwano bomdabu eCanada, futhi kuyindaba enokubanga ezweni lami. Ngakho-ke ngithemba kuphela ukudlulisa ukuthi lokhu kusithonye kanjani isigameko esenzekile, nokuthi sibonakala kanjani ekuphepheni kwesimo.

Izimo ezisongela impilo eCanada: izimo zenhlalo zabomdabu

Izimo zomphakathi ziyahlukahluka phakathi kokubhuka, kodwa ngokwesilinganiso zihluphekile kunabantu abaningi. Izibalo ezimbalwa nje ezimfushane zokugqamisa leli phuzu:

• Izinga lokungaqashi ukubhuka cishe izikhathi ezingu-3 eziphakeme kunezinga elilinganiselwa kuzwelonke
• Ama-61% abantu abasha abomdabu base-Australia abasiphothuli isikole, kanti ama-43.7% awatholi isitifiketi semfundo, idiploma noma iziqu
• Amanani wobugebengu obunobudlova owenziwe ezigciniwe befana ne-2004: izikhathi eziyisishiyagalombili eziphakeme ukuhlaselwa, izikhathi eziyisikhombisa eziphakeme zokuhlaselwa ngokocansi kanye nokuphindwe kasithupha ngokubulala abantu kunamazinga kulo lonke elaseCanada
• Amanani we- Impilo yengqondo izinkinga ziphakeme kakhulu phakathi kwabantu bomdabu kunasemphakathini uwonke, izinga lokuzibulala liphakeme ngokuphindwe izikhathi ezingu-2.1 kunabaseCanada okungebona abomdabu.

Indawo yesehlakalo yabonisa eziningi zalezi zibalo. Unomthelela omkhulu wokuhlupheka, udlame, impilo yengqondo, kanye nokubheja ngokweqile.

ICanada nayo inomlando omude wokwenziwa kwamakoloni, lokho ngokomlando kwakuhilela uhulumeni ukugcizelela ukwenziwa kwabomdabu. Ngenxa yalokho, kunezimo ezihlala njalo zokungamethembi uhulumeni ngezindawo ezibekiwe.

Izimo ezisongela impilo: icala

Njengoba i-EMS nabanye abaphenduli bokuqala behlotshaniswa njengezisebenzi zikahulumeni lokhu kungadala isithiyo ekunikezeni ukunakekelwa. Ukukubeka kafushane, ukugqoka umfaniswano kwesinye isikhathi kuyisimemo esivulekile sobutha.

ISICELO - Siphendule engaziwa 'umuntu phansiisimo endaweni ebekelwe kude yaseNdiya. Ngenkathi ukuvuselelwa kwemizila okunikezwe ngesimo sesiguli bekudida, futhi kungahlangani. Ulwazi oluhamba phambili olukhombisa ukuthi owesifazane oneminyaka engama-50 utholwe ngumndeni equlekile. Amayunithi amaningi ayethunyelwe kulo mcimbi, yize ngenxa yokuba kude nokufinyeleleka kungaba imizuzu engama-20 ngemuva kwethu.

Esikhathini sendawo, sithole ukuthi isiguli sasikhona ukuboshwa komzimba, Futhi CPR kwase kuqalwe umndeni. Saqhubeka ukuvuselelwa imizamo ngenkathi kusalindwe ukwenziwa isipele. Ngalesi sikhathi imininingwane eminingi yatholakala ivela emndenini, ngobufakazi obukhombisa ukuthi isiguli asinakuphunyuka Njengoba isibhedlela esiseduze sekusele imizuzu engu-45, isiguli sithole i-CPR imizuzu engama-30, futhi saqinisekisa i-asystole imizuzu engama-20 – imigomo yethu yavumela ukuvalwa kokuvuselelwa . Sibonisane ne-a udokotela ngocingo, futhi ngavuma ukumisa i-CPR, futhi ngamemezela ukufa endaweni yesehlakalo.

Uphiko lwesibili lwalufikile ngalesi sikhathi. Sithinte amaphoyisa ngokwenqubo ejwayelekile yokufa okungalindelekile ekhaya. Umndeni wabangu-6 ubuthene egumbini elijwayelekile ngaphesheya kwendlu ukuzokhalisa. Njengoba siqoqe eyethu imishini, Ngezwa ukuqubuka nokunyakaza kuvela ekamelweni lokulala ngqo ngale kwegumbi lapho kwakulele khona isidumbu. Umlingani wami ngalesi sikhathi wangitshela ukuthi ngenkathi sisebenza ikhodi, wayebone indoda enkulu ikhipha ikhanda layo ngaphandle kwaleli kamelo ukuze ibukele kafushane. Le ndoda bese ihlehlele ekamelweni yavala umnyango. Kungalesi sikhathi lapho sabona khona, ukuthi sinomuntu endaweni yesehlakalo engatholakali.

Sithole indlela aziphatha ngayo lo mlisa ngokukhethekile ngezindlela eziningana. Iqiniso lokuthi wayeseduze kakhulu nesidumbu, kepha ngenkathi sifika ekuqaleni, wayengekho phakathi kwamalungu omndeni ayezama ukusiza noma ukusiza i-CPR nganoma iyiphi indlela. Okwesibili ukuthi ukhetha ukuzihlukanisa nawo wonke umndeni ososizini. Okwesithathu ukuthi akazange azame ukudalula ubukhona bakhe kithina. Mina nomlingani wami siyixoxe kafushane ngaphandle kokuzama ukunaka kakhulu ingxoxo yethu. Yize sathola ukuthi lesi simo siyinqaba, asitholanga lutho olusolisayo ngokweqile noma ukuthola noma iyiphi inhloso ethile enonya egameni lale ndoda – ngakho-ke savumelana ngokuthi sihlale siqaphile kakhulu futhi sigcine ukuxhumana okubonakalayo nomzimba kanye nomunye ngalesi sikhathi.

Ngemuva kokushaqeka kokuqala ukufa kwememezelo ngishonile kancane, ngaya ukukhuluma nomndeni mayelana nomuntu oshonile. Nganginemibuzo embalwa evamile yemibuzo mayelana nobufakazi bokuthi ungubani nokuthi yibuphi ubufakazi bokugula noma imbangela ecacile yokufa. Umndeni, nakuba ubuhlungu, bebambisana kakhulu futhi bevulekele ukuba khona kwami ​​nemibuzo. Kodwa-ke, lapho ngicela ngomuntu owayefihla ekamelweni lokulala, baqala ukungabaza ukunikeza ulwazi ngaye. Bayaphika ukuthi bayazi isibongo sakhe futhi bebengasho kahle ukuthi ubuhlobo bakhe bungani kubo noma oshonile.

Benqabile ukuya egumbini lakhe lokulala, futhi bathi 'kungcono ukumshiya yedwa'. Kwakungalesi sikhathi ngisaxoxa nomndeni, ngabona isithwebuli somsakazo siqapha buthule iziteshi zamaphoyisa eshalofini lasekhishini. Sekukaningi ngihlangana nezikena zomsakazo ezindaweni zokuhlala ezizimele esiqiwini, kodwa ngokwami ​​ukubona, kuvame ukukhombisa ukuthi kukhona umuntu osendlini ozama ukugwema ukuxhumana namaphoyisa (mhlawumbe kungenxa yemvume yokuboshwa esilele noma ngenxa yokubandakanyeka ezintweni ezingekho emthethweni). Ngiphinde ngabona ukuthi i-TV ibikhombisa okuphakelayo kusuka kumakhamera ezokuphepha azungeze leyo ndawo. Izinyathelo ezinjalo zokuphepha azijwayelekile futhi azihambelani komndeni omncane, onemali ephansi, wasemakhaya.

Ngalesi sikhathi i I-ambulensi yesibili yafika. Ngabatshela ukuthi kwakukhona ubufakazi bezimimo ezisolisayo endaweni yesehlakalo. Ngababuza ukuthi nakuba bekungenalutho abangakwenza, ukuhlala endaweni yesehlakalo nathi ukuphepha ngezibalo kuze kufika amaphoyisa. Bavumelana ngokugcwele. Ngabe sengisakaza i-my dispatcher for an I-ETA yamaphoyisa. Kodwa-ke, ngoba amaphoyisa kanye ne-EMS basebenzisa izikhungo zokuxhumana ezihlukene ze-2, ngangazi ukuthi ngisho nokuthola lolu lwazi kungathatha isikhathi esiningi.

Ngenkathi sisalinde amaphoyisa, lo muntu owayecashe egumbini elingemuva weza ngaphambili, wazethula njengomyeni kamufi, wasiyala ngolaka ukuba ashiye leyo ndawo ngokushesha. Uphinde wagcizelela ukuthi afinyelele ngokushesha emzimbeni. Ngizamile ukuchaza ngomoya ophansi isikhathi sethu samanje nezinqubo ezizokwenzeka manje. Ngiphinde ngakhomba ngokusobala ukuthi amaphoyisa abesendleleni eya endaweni yesigameko. Wayengenayo intshisekelo yokulalela, waqhubeka nokungikhalela ngokufunga lapho ngikhuluma. Ube esebuyela egumbini lakhe lokulala wathula.

Ngemuva kwemizuzu engu-5 ubuye waphuma futhi waphinda inqubo efanayo. Lapho ebuyela ekamelweni lakhe lokulala, ngacela elinye lamalungu elinye iqembu ukuba lizame ukuthola umugqa oqonde ngqo emaphoyiseni. Futhi naphezu kwemizamo yami engcono yokuqeda lesi simo, ngokwesithathu, waqala ukungicindezela odongeni futhi ememeza izihlamba. Unginikezi iziyalezo ezicacile okufanele ngizihambe emizuzwini emibili ezayo kungenjalo ingozi izongifikela. Uthe 'umhlaba wokulimala uyeza kimi' futhi 'angazi ukuthi yini engishayile'. Wabe esekhafulela amabhuzu ami, waphindela egumbini lakhe lokulala, futhi. Ngalesi sikhathi ngasakaza ikhodi, ekhombisa i ukuphendula okuphuthumayo kwamaphoyisa kwadingeka ukuthi ibonakale.

Lapho amaphoyisa efika lo muntu wathobeka ngokushesha futhi wazithoba, washintsha waba ubuntu obuhluke ngokuphelele. Waphuma ngomoya ophansi ekamelweni lakhe lapho eyalelwe amaphoyisa. Wayenesizotha futhi ehlonipha isikhulu futhi waze waxolisa kimi ngesenzo sakhe. Usole ukuziphatha kwakhe okunolaka ku- Ukucindezeleka yokubona umkakhe edlula emhlabeni.

Kamuva siphinde sibuyekeze ucingo namaphoyisa ahilelekile. Basitshela ukuthi lo muntu wayekade eboshwe ngamacala obugebengu. Ubeke wavuma emaphoyiseni ukuthi ukuhlukumezeka kwakhe ku-EMS kwavela ekuzizweni kwakhe kokukhathazeka okukhulu. Wayeqinisekisiwe ngaleso sikhathi ukuthi ngerekhodi lakhe elidlule wayezocatshangwa enecala ekufeni komkakhe. Ngolwazi lwami, umkami wadlulela ezinkingeni zezokwelapha.

ANALYSIS - Le kholi yayithakazelisayo emazingeni amaningana, nakuba ngaleso sikhathi yayingesabeka kakhulu kimi. Ukuxoshwa kwakuncane kakhulu, angizange ngilimale kabi ngokomzimba. Izinsongo nokufunga kwakungeyona into engazange ngiyizwe ngaphambilini. Ukupaka kwakunzima kodwa akuzange kubonise ingozi yangempela ye-biohazard. Kodwa ukucindezeleka okuhlangene nakho konke kwaba nomthelela kimi futhi kwangcolisa ukuzethemba kwami ​​ekubhekaneni nokumemezela kokufa isikhathi esithile.

Kwakukhona izifundo eziningana ezifundwe kuleso sigameko:

Ukuqaliswa Kwamaphoyisa Kwakuqala Nokuzethemba

Ukusebenza kwamaphoyisa okuqala kubalulekile ezindaweni ezikude nasezindaweni zasemakhaya. Uma ngibheka emuva, lapho imininingwane yokuqala yokuthumela iba yimpikiswano futhi idideka, bekufanele ngabe ngisola kakhulu. Bekungamukeleka ngokuphelele ukucela ukuthi amaphoyisa abe khona kule kholi sisendleleni. Ukuqaliswa kwamaphoyisa kusenesikhathi bekulokhu kukhuthazwa enhlanganweni yethu, futhi ngangikwazi lokhu ngesikhathi sesigameko. Kwakumane kuyindaba yokunganaki, ukuthi ngokuhamba kwesikhathi ngase ngijwayele ukuphendula izingcingo ezinolwazi oluncane noma oluphikisanayo (ngemiphumela emincane noma engekho nhlobo).

Ukuchaza Ingozi Emukelekayo

AYize sihlale sitshelwa ukuthi okusemqoka kakhulu kithi ukuthi ukuphepha kwethu, eqinisweni kubasebenzi abaphambili, kungaba ngumzabalazo phakathi kwezokuphepha ngokuphelele nalokho empeleni okusebenzayo. Ngithole kule kholi okube nomthelela omkhulu ekwahluleleni kwami ​​ngengozi eyamukelekayo kwaba isipiliyoni sami, kanye nokuhlangenwe nakho kwami. Okuhlangenwe nakho kwami ​​kwangaphambilini kwangiholela ekubeni ngisole le ndoda kusukela ezenzweni zayo zokuqala endaweni yesehlakalo (lapho icasha kithi ekamelweni), kanye nendlela umndeni wayo owawuxhumana ngayo nayo. Kuphinde kwaholela ekutheni ngisole into yobugebengu lapho ngibona isithwebuli somsakazo nemishini yokuphepha. Kepha iqiniso laliwukuthi, yize ngabona ukuthi ingozi yayikhuphuka, ngaqhubeka nokuzwa ukuthi kwakusemngceleni owamukelekayo mhlawumbe ngenxa yokungabi nalwazi kwami. Ukungabi nalwazi kwami ​​kuvumela ukwahlulela kwami ​​kwalesi simo ukuthi kuthonywe yimibono eminingi ebigxile kakhulu emibonweni nakwakulindelwe ontanga yami, kunokuthi kwenzekani empeleni. Eminye yemicabango ebiyenzeka ekhanda lami yile:

• Angikwazi ukubamba amaphoyisa. Kodwa angikwazi ukusebenzisa ikhodi yomsakazo wekhodi ephuthumayo, okuyizimo ezibucayi kuphela. Njengalapho ubudlova obungokwenyama sekuvele kwenzeka kumsebenzi, kulungile?
• Amaphoyisa asabela kusuka kude. Bangase bahlanganyele kwezinye izinto eziza kuqala. Ngingalinda.
• Ngakho-ke kuthiwani uma umfana enza okungavamile. Akudingeki ukuba ngiphakamise izinkinga eziningi, ngoba nje ngicabanga ukuthi 'uyahamba'

Ngicabanga indlela engokoqobo yokulwa nalolu hlobo lwenkanuko ukudala ukwesekwa kontanga okungcono, phakathi kwabasebenzi kanye nabontanga kwizinga lezinhlangano eziningi. Akukwanele ukuqeqesha ukuthi 'ukuphepha kuqala kuqala'. Sidinga ukukhulisa kakhulu ukuqonda okunye okufaka phakathi ukuthi umgwamanda wengozi wonke uzohluka. Kodwa, kungakhathaliseki ukuthi yikuphi, noma ngabe ngubani ochaza umnyango wabo uzosekelwa oontanga nabo ngamaphoyisa.

Ukuzijwayeza ngeNqubo Yosizi

Ukuqeqeshwa kwethu akusilungiselelanga ukubhekana kahle nalesi sehlakalo. Isimemezelo sokufa akusona isihloko esivame ukumbozwa kwisilabhasi ye-EMT. Ngibe namahora ama-3 wokuqeqeshwa kule ndawo, abaningi engisebenza nabo abanalo. Sasiyalwa njalo ukuthi kungumsebenzi wamaphoyisa ukuphatha, hhayi into esidinga ukwazi okuningi ngayo. Lokhu kusebenza kahle ezindaweni ezisemadolobheni amakhulu, kepha emiphakathini yasemakhaya, akuvamile ukuthi umndeni noma labo osondelene nabo kamufi bafike endaweni yesehlakalo ngaphambi kokuba amaphoyisa akwazi.

Ngikholwa ukuthi lokhu kwathinteka kakhulu izenzo zethu phakathi nalesi sigameko. Ukuhlangana okuhlangene kokumemezela ukufa nokusekela umndeni osizi, kodwa hhayi ngempela ukwazi ukuthi, ukuholela kanjani ngempela kithi kungabi nakanjani ukuthi singazigweba kanjani izenzo nokuziphatha kwalowo muntu. Kwaphinde kwasenza sibheke phansi amathuba okukhula okusheshayo ekubhekaneni nobudlova.

Ngemuva kwalesi sigameko, ngixoxisane nabasebenzi bami futhi ngathola ukuthi kunesithakazelo esikhulu esinqumweni sami sokuphishekela ukuqeqeshwa kule ndawo. Sifinyelele ezinsizakalweni zezigameko (i-subunit yamaphoyisa esekela izisulu zobugebengu noma izinhlekelele) futhi ihlelwe iseshini yokuqeqesha ngezindlela ezinhle zokumemezela ukufa, izaziso zomndeni, ukusabela kosizi, nezinqubo zamaphoyisa ezihilelekile ekufeni okungalindelekile ekhaya .

Ngonyaka odlule, udaba lokuba khona komndeni ngesikhathi sokuvuselelwa (i-FPDR) lube yisihloko esivelayo ohlelweni lwethu lokunakekelwa kwezempilo. Ezinye izinhlangano ezinkulu (njenge-American Heart Association) zikhuthaza i-FPDR, ukubika ukuthi kuyilungelo eliyisisekelo nokusiza kakhulu enqubweni yosizi. Akusiwona umkhuba ojwayelekile, futhi isikhungo esisodwa kuphela sokwehlukumezeka endaweni yethu esikhuthaza i-FPDR ngenkuthalo. Kuxoxwe ngakho ochungechungeni lomtholampilo walo nyaka we-EMS, futhi ngokuvamile kutholakala ukuthi kuwumkhuba onenzuzo, yize iningi labasebenzi belingaqiniseki ukuthi lingakusebenzisa kanjani kangcono ngaphandle kokuyekethisa ekwelashweni kweziguli noma ekuphepheni kwabasebenzi.

Ekuphetheni ukufa kwesifungo, isaziso esilandelayo somndeni, futhi jikelele okubhekana nokubhekana nokudabuka akuyona into eyenziwe kahle ohlelweni lwethu lwe-EMS. Kodwa maduze kunokunye isinyathelo sokulungisa lokho.