I-ambulensi, ukuhlenga ngaphandle kwesibhedlela: Isikali se-AVPU, incazelo kanye nokuxhumana ne-Glasgow Coma Scale
Igama elithi 'AVPU' kwezokwelapha libhekisela esikalini sokuhlola isimo sokuphaphama kwesiguli, esisetshenziswa kakhulu esimweni sokuhlenga ngaphandle kwasesibhedlela, isb. umuntu oqulekile
Isikali se-AVPU siyindlela eyenziwe lula ye-Glasgow Coma Scale edume kakhulu
Ambulance abatakuli ngokuvamile basebenzisa isikali se-AVPU esilula nesiqondile, kuyilapho odokotela nabahlengikazi bevame ukusebenzisa isikali I-Glasgow Coma Scale.
I-AVPU isifinyezo esakhiwe ngezinhlamvu ezine, ngayinye ebonisa ukuqina kwesiguli:
- uqaphile (isiguli esiqaphile): isiguli siphapheme futhi siyazi; lesi simo sihlolwa kahle uma isiguli singaphendula ngokucacile imibuzo elula njengokuthi “Ungubani igama lakho?” noma “Kwenzekeni kuwe?”;
- ngomlomo (isiguli esiphendula ngomlomo): isiguli siphinde siphendule ngokunyakazisa amehlo noma ngesenzo sokunyakaza komzimba kodwa ngokushukunyiswa ngamazwi kuphela, okungukuthi uma sibizwa, kanti ngaphandle kokushukunyiswa sibonakala sisozela noma sididekile;
- ubuhlungu (isiguli esisabela ezinhlungwini): isiguli asiphenduli ekushukunyisweni ngamazwi kodwa kuphela ekushukumiseni okubuhlungu ngokuqhaqhazela (esigulini esingahlukumezekile) kanye/noma ukumpintsha isisekelo intamo.
- ongaphenduli (isiguli esingaphenduli): isiguli asiphenduli ekushukunyisweni ngamazwi noma okubuhlungu, ngaleyo ndlela kubhekwe njengokungazi lutho ngokuphelele.
I-AVPU, yenza lula:
- ukuqapha kusho isiguli esiphaphamele futhi esinolwazi;
- ngomlomo kubhekisela esigulini esizizwa kancane futhi sisabela ekushukunyisweni kwezwi ngokuhleba noma ngokushaya;
- ubuhlungu bubhekisela esigulini esisabela kuphela ekushukumiseni okubuhlungu;
- Ukungaphenduli kubhekisela esigulini esiqulekile esingaphenduli kunoma yiluphi uhlobo lwesikhuthazo.
Ukusuka ku-A kuye ku-U isimo sokuqina siyakhuphuka: isiguli 'esiqaphile' yisona esibi kakhulu, kuyilapho isiguli 'esingaphenduli' yisona esinzima kakhulu.
Kwenziwa nini ukuhlolwa kwesimo sokuqaphela se-AVPU?
Isimo sokuphaphama se-AVPU ngokuvamile siyisici sokuqala (noma esokuqala) okufanele icatshangelwe umhlengi lapho ebhekene nesisulu sokuhlukumezeka esisesimweni sokwazi ingxenye noma sokuqulekile.
Sikhumbuza umfundi ukuthi isimo sokuqaphela akufanele kudidaniswe nesimo sokuqwashisa: isiguli singase siqaphele futhi siphendule kodwa singaqapheli, isibonelo, lapho sikhona.
I-AVPU isetshenziselwa ikakhulukazi ukuhlolwa kwemizwa eyenziwa endaweni D ye- A B C D E ukubusa.
Amabanga amane ahlukene esikali se-AVPU ahambisana nesikolo se-Glasgow Scale esihlukile:
isiguli "esiqaphile" sihambisana nesiguli esine-Glasgow Coma Scale score 14-15
isiguli “esikhulunywayo” sihambisana nesiguli esine-Glasgow Coma Scale score 11-13
isiguli "esibuhlungu" sihambisana nesiguli esine-Glasgow Coma Scale score 6-10
isiguli "esingaphenduli" sihambisana nesiguli esine-Glasgow Coma Scale score 3-5.
Funda Futhi:
Ukuphathwa Kwezinga Lokushisa Kwangemva Kokuboshwa Ezinganeni
ICincinnati Prehospital Stroke Scale. Indima Yayo Emnyangweni Ophuthumayo
I-Cerebral Hemorrhage, Yiziphi Izimpawu Ezisolisayo? Olunye Ulwazi Lwesakhamuzi Esivamile
I-ABC, ABCD kanye Nomthetho we-ABCDE Emithi Yezimo Eziphuthumayo: Lokho Umhlengi Okufanele Akwenze
Ukunciphisa Ukucindezelwa Kwegazi Ngeziguli Eziphethe Ukushisa Kwama-Intracerebral Acute
Ukungena nokufinyelela ngaphakathi: ukuphathwa kwegazi okukhulu
Ungasibona kanjani isiguli esibuhlungu esisheshayo esimweni sangaphambi kokubeletha?
Isikolo se-GCS: Kusho ukuthini?
I-Glasgow Coma Scale (GCS): Sihlolwa Kanjani Isikolo?