Ukunganyakazi komgogodla kungenye yamakhono amahle uchwepheshe wezokwelapha eziphuthumayo okufanele awazi kahle. Sekuyiminyaka eminingi manje, zonke izisulu ezihlukumezekile bezingakwazi ukuhamba futhi, ngenxa yohlobo lwengozi, ngokwemigomo kachwepheshe, kwakudingeka ukuthi kumiswe umgogodla.

Lena kwakuyiminyaka lapho kwakunengqondo futhi kunengqondo ukucabanga ukuthi noma yisiphi isisulu sengozi enkulu ngokwanele, njengokuwa endaweni ephakeme, ingozi yemoto noma isenzakalo esifanayo, kufanele singakwazi ukuhamba ngoba kwakukhona ingozi yokulimala komgogodla, okufanele sikugweme ngazo zonke izindlela.

Lokhu kwakuhlanganisa izisulu ezinganyakazi ezingazange zibe nezimpawu zokuhlukumezeka kwanoma yiluphi uhlobo, ngisho intamo izinhlungu.

Njengomthetho ojwayelekile, singavimbela noma ubani ohileleke engozini, noma ubani ohileleke esimweni esingase sibangele ukuphuka komgogodla noma ukulimala komgogodla.

AMABHODI OMKHUMBA AMAHLE? VAKASHELA I-SPENCER BOOTH KU-EXPO EZIPHUTHUMAYO

Imiphumela ye-immobilisation yomgogodla eyeqile:

Lokhu kudale ukuthi izibhedlela zigcwale izisulu zingena emnyango zifakwe insimbi entanyeni, zingakwazi ukuhamba. ibhodi noma umatilasi we-vacuum, owehlise isistimu yonke iphahlazeka.

Maduze, igumbi lokuphuthumayo abasebenzi bezokwelapha baqala ukuqaphela ukuthi ukuzithiba ngokweqile kwakulimaza umnyango wezimo eziphuthumayo esibhedlela.

Lokhu kuholele ekuthuthukisweni kochungechunge lwezivumelwano zokunquma ukuthi iziguli ezihamba ngomnyango wegumbi lezimo eziphuthumayo ziyahlangabezana yini nenqubo yokubhekana namasu e-radiological ukuze zinqume ukuthi zazinomgogodla yini.

Ukunganyakazi komgogodla: Kwathuthukiswa amaphrothokholi amabili amakhulu, i-Nexus Low Risk Criteria (NLC) kanye ne-Canadian C-Spine Rule (CCR)

Kokubili i-Nexus ne-Canadian protocol bafuna ukungabandakanyi iziguli ezingazange zihlangabezane nenqubo yokuhlolwa kwe-radiology yokuxilonga ngenxa yokuthi ukuxilongwa kwabo emtholampilo kwakungenayo izinsolo ezisekelwe kahle zomgogodla noma ukulimala komgogodla.

Le mibandela yasheshe yasuka ekubeni yimibandela yesibhedlela, cishe ngokukhethekile eye-radiology, yaya ekusetshenzisweni emithini yangaphandle kwesibhedlela ukuze kunqunywe ukuthi yiziphi iziguli okufanele zingakwazi ukuhamba emgwaqweni nokuthi yiziphi okungafanele zihambe.

Kukhona futhi ezinye izindlela eziqondile zezimo eziphuthumayo zangaphandle kwesibhedlela, njengemibandela ye-PHTLS, konke okusekelwe kunqubo yesayensi yobuningi esekelwe ocwaningweni lwezibalo noma ekuhlolweni komuntu.

Isibonelo sakudala ukuhlola lapho iqembu lezifundo zokuzithandela lalingakwazi ukuhamba isikhathi eside, phakathi kwesigamu sehora namahora amabili, lase libuza mayelana nezinkinga ezingaba khona ngenxa yalokhu ukungasebenzi.

Kwabe sekutholakala ukuthi ukungakwazi ukuhamba kwesiguli kudala ukukhathazeka nobuhlungu entanyeni nasemhlane okungahlala amahora, futhi kwezinye izimo kungabangela izilonda zesikhumba ezindaweni zokusekela ngebhodi.

Ngakho-ke, kwavela imihlahlandlela eminingi esekelwe ebufakazini, njengemihlahlandlela ye-NICE 2 noma efanayo.

Ngo-Agasti 2018, i-American College of Surgeons Committee on Trauma (ACS-COT), i-American College of Emergency Physicians (ECEP) kanye ne-Association of Emergency Medical Services Physicians (NAEMSP) bafinyelele isikhundla esihlanganyelwe kulokho osekubizwa ngokuthi i-Spinal Motion. Umkhawulo (SMR) 3.

Ngonyaka olandelayo kwavela isihloko esithakazelisayo ku-Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine enesihloko esithi “New Clinical Guidelines on Spinal Motion Restriction. Isiguli esikhulile esihlukumezekile: isisekelo sokuvumelana kanye nobufakazi 4”, eshicilelwe ngomhla ka-19 Agasti 2019.

Singakufingqa ngezincomo zayo ezinhlanu ezibaluleke kakhulu, izincomo ezine ezisekelwe ebufakazini besayensi kanye ne-algorithm eyodwa:

• Kunobufakazi obuqinile besayensi obumelene nokusetshenziswa kokuqiniswa komgogodla ezigulini ezinokuhlukumezeka okukodwa kokungena, okusho ukuthi akufanele kwenziwe.
• Ukwesekwa kwesayensi kokunganyakazi kwesiguli ngesitebele A B C D E ngebhodi lomgogodla kanye nomgogodla oqinile ikhola ibuthakathaka, okunganconywa ukuba yenziwe njalo.
• Ukwesekwa kwesayensi kokungakwazi ukunyakazisa isiguli kumatilasi we-vacuum ukuze sithuthwe akunamandla, okungukuthi kungenziwa kodwa kunobufakazi obuncane obuvuna lokho.
• Kunconywa ukusetshenziswa kwe-algorithm yomtholampilo.

lwezincwadi

1. García García, JJ Immobilizzazione cervicale selettiva basata sull'evidenza. Indawo 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. U-Peter E. Fischer, u-Debra G. Perina, u-Theodore R. Delbridge, uMary E. Fallat, uJeffrey P. Salomone, uJimm Dodd, u-Eileen M. Bulger no-Mark L. Gestring (2018) Ukuvinjelwa Kokunyakaza Komgogodla Esigulini Esihlukumezekile - Una dichiarazione di posizione comune, Assistenza preospedaliera di eziphuthumayo, 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 kanye noCharlotte Barfod. I-Nuove linee guida cliniche sulla stabilizzazione spinale dei pazienti olderi 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

Funda Futhi:

Ukuphila Kwezimo Eziphuthumayo Ngisho Kakhulu...Bukhoma: Landa Uhlelo Olusha Lwamahhala Lwephephandaba Lakho Olwe-IOS Ne-Android

I-Spinal Immobilization: Ukwelashwa Noma Ukulimala?

Izinyathelo Ezi-10 Zokwenza Ukukhubazeka Komgogodla Okulungile Kwesiguli Esihlukumezekile

Ukulimala Kwekholomu Yomgogodla, Ivelu YeRock Pin / Rock Pin Max Spine Board

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