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

I-triage yenziwa kanjani emnyangweni wezimo eziphuthumayo? Izindlela zokuQALA kanye ne-CESIRA

By UCristiano Antonino On Kwangathi 12, 2022

I-Triage iwuhlelo olusetshenziswa eMinyangweni Yezingozi Nezimo Eziphuthumayo (EDAs) ukuze kukhethwe labo abahileleke ezingozini ngokwezigaba ezikhulayo zokuphuthuma/eziphuthumayo, ngokusekelwe ebukhulwini bokulimala okuqhubekayo kanye nesithombe sabo somtholampilo.

Indlela yokwenza i-triage?

Inqubo yokuhlola abasebenzisi kufanele ibandakanye ukuqoqa ulwazi, ukuhlonza izimpawu nezimpawu, ukurekhoda imingcele nokucubungula idatha eqoqiwe.

Ukuze enze le nqubo eyinkimbinkimbi yokunakekelwa, umhlengikazi we-triage usebenzisa ikhono lakhe lobuchwepheshe, ulwazi namakhono atholwe ngesikhathi sokufunda nokuqeqeshwa ku-triage kanye nolwazi lwakhe, kanye nabanye ochwepheshe asebenza nabo. uyabambisana futhi uyasebenzisana.

I-Triage ithuthukiswa ngezigaba ezintathu eziyinhloko:

okubukwayo” ukuhlolwa kwesiguli: lokhu ukuhlola okubonwayo okusekelwe endleleni isiguli esizethula ngayo ngaphambi kokuba sisihlole futhi sihlonze isizathu sokufinyelela. Lesi sigaba senza kube nokwenzeka ukuhlonza kusukela lapho isiguli singena emnyangweni wezimo eziphuthumayo isimo esiphuthumayo esidinga ukwelashwa ngokushesha futhi ngokushesha: isiguli esifika emnyangweni wezimo eziphuthumayo siqulekile, nesitho esinqunyiwe nokopha kakhulu, isibonelo, asidingi okuningi. ukuhlolwa okwengeziwe okumele kuthathwe njengokubomvu kwekhodi;
ukuhlola okuzimele kanye nenhloso: uma izimo eziphuthumayo sezikhishiwe, siqhubekela esigabeni sokuqoqwa kwedatha. Ukucatshangelwa kokuqala iminyaka yesiguli: uma isihloko singaphansi kweminyaka engu-16 ubudala, ukuhlolwa kwezingane kuyenziwa. Uma isiguli singaphezu kweminyaka eyi-16, ukuhlolwa kwabantu abadala kuyenziwa. Ukuhlola okuzimele kuhilela umhlengikazi ophenya uphawu oluyinhloko, isenzakalo samanje, ubuhlungu, izimpawu ezihambisanayo kanye nomlando wezokwelapha odlule, konke okufanele kwenziwe ngemibuzo ehlosiwe ye-anamnestic ngokushesha ngangokunokwenzeka. Uma isizathu sokufinyelela kanye nedatha ye-anamnestic isitholakele, ukuhlolwa okuhloswe kwenziwa (ikakhulukazi ngokubheka isiguli), kulinganiswa izimpawu ezibalulekile futhi kufunwa ulwazi oluthile, olungase luthathwe ekuhlolweni kwesifunda somzimba esithintekile ngokuyinhloko. uphawu;
Isinqumo se-triage: Kuleli qophelo, i-triagist kufanele ibe nalo lonke ulwazi oludingekayo ukuze ichaze isiguli ngekhodi yombala. Isinqumo sekhodi enjalo nokho siyinqubo eyinkimbinkimbi kakhulu, encike ezinqumweni ezisheshayo nolwazi.

Isinqumo sika-triagist ngokuvamile sisekelwe kumashadi agelezayo angempela, njengalawo aboniswe phezulu esihlokweni.

Omunye wale midwebo umele “indlela yokuQALA”.

Triage by START indlela

Igama elithi START liyisifinyezo esakhiwe ngu:

Kulula;
I-Triage;
Futhi;
Ngokushesha;
Ukwelashwa.

Ukusebenzisa le nqubo yomthetho, i-triagist kufanele ibuze imibuzo emine elula futhi enze amasu amabili kuphela uma kunesidingo, ukuphazanyiswa kwendlela yomoya kanye nokumisa ukopha okukhulu kwangaphandle.

Imibuzo emine yenza ishadi eligelezayo futhi yilena:

isiguli siyahamba? YEBO=ikhodi eluhlaza; uma AKUHAMBI ngibuza umbuzo olandelayo;
isiguli siyaphefumula? CHA= ukuphazamiseka kwendlela yokuphefumula; uma zingakwazi ukuphazanyiswa = ikhodi emnyama (isiguli esingasindisi); uma bephefumula ngihlola izinga lokuphefumula: uma >30 izenzo zokuphefumula/ngomzuzu noma <10/minute = ikhodi ebomvu
uma izinga lokuphefumula liphakathi kuka-10 no-30 wokuphefumula, ngidlulela embuzweni olandelayo:
ingabe i-radial pulse ikhona? CHA=ikhodi ebomvu; uma ukushaya kwenhliziyo kukhona, yiya embuzweni olandelayo:
ingabe isiguli siyaphila? uma enza imiyalo elula = ikhodi ephuzi
uma ungenzi imiyalo elula = ikhodi ebomvu.

Manje ake sibheke imibuzo emine yendlela yokuQALA ngayodwana:

1 INGABE ISIGULI ANGAKUHAMBA?

Uma isiguli sihamba, kufanele sibhekwe njengohlaza, okungukuthi ngokungabalulekile kakhulu ekutakuleni, bese sidlulela kolandelayo olimele.

Uma engahambi, dlulela embuzweni wesibili.

2 INGABE ISIBEKEZELO SIYAPHEFUMLA? LIYINI IZINGA LAKHE LOKUPHEFUMLA?

Uma kungekho ukuphefumula, zama ukuvuleka kwendlela yomoya kanye nokubeka i-oropharyngeal cannula.

Uma ukuphefumula kungakabikho, kuyazanywa ukuthi kuphazamiseke futhi uma lokhu kuhluleka isiguli sithathwa njengokungalungiseki (code black). Uma, ngakolunye uhlangothi, ukuphefumula kuqala futhi ngemva kokungabikho kuphefumula okwesikhashana, kubhekwa njengekhodi ebomvu.

Uma isilinganiso sikhulu kunokuphefumula okungu-30/ngomzuzu, kuthathwa njengekhodi ebomvu.

Uma ingaphansi kokuphefumula okungu-10/ngomzuzu, kuthathwa njengekhodi ebomvu.

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Uma izinga liphakathi kokuphefumula okungu-30 no-10, ngiqhubekela embuzweni olandelayo.

3 INGABE I-RADIAL PULSE IKHONA?

Ukungabikho kokushaya kwenhliziyo kusho i-hypotension ngenxa yezici ezihlukahlukene, ngokuwohloka kwenhliziyo nemithambo yegazi, ngakho-ke isiguli sithathwa njengobomvu, sibekwe endaweni yokuzamazama okuphathelene nokuhambisana komgogodla.

Uma i-radial pulse ingekho futhi ingaphinde ivele, kuthathwa njengekhodi ebomvu. Uma ukushaya kwenhliziyo kuphinde kuvele kusathathwa njengobomvu.

Uma i-radial pulse ikhona, ingcindezi ye-systolic okungenani engu-80mmHg ingabhekwa esigulini, ngakho ngiqhubekela embuzweni olandelayo.

4 INGABE ISIGULIWE SIYAZIWA?

Uma isiguli siphendula izicelo ezilula njengokuthi: vula amehlo akho noma ukhiphe ulimi lwakho, umsebenzi wobuchopho ukhona ngokwanele futhi ubhekwa njengophuzi.

Uma isiguli singaphenduli ezicelweni, sihlukaniswa njengobomvu futhi sibekwe endaweni ephephile ye-lateral ngokuhlonipha ukulungiswa komgogodla.