Esibhedlele okanye kwiofisi yegqirha, kulula ukuba abanakekeli baxelele umahluko phakathi kwezigulane kunye namalungu entsapho; ba xelela. Izigulane ziza kwindawo yokumkela kwaye zibhalise njengesigulane. Izigulane zifumana iimbambo ezifuneka zichithwe kwaye zihlolwe kabini rhoqo xa umboneleli wezempilo uya kunika uncedo lwezempilo. Ngokuqhelekileyo, iindwendwe okanye intsapho ziyabhalisa kwaye zifumana ibheji okanye iilebula ukuze wonke umntu azi ukuba abagulane.
Ukuchongwa kwezigulane kwiindawo ezininzi zokunakekelwa kwempilo kunemeko enembileyo yokuba ukuchaza isigulane kwezi ndawo asikwazi ngisho nokuwela iingqondo zabanonophelo abasebenza apho. Ukuchonga isigulane esifanelekileyo , ngakwelinye icala, yinto enkulu. Sifuna ukuqinisekisa ukuba asilawuli iyeza okanye senze utyando kumntu ongafanelekanga. Abahlengikazi kunye noogqirha kwizibhedlele banenkxalabo enkulu malunga nomntu ongalunganga ojikelezayo ekwinkqubo yokungaqwalaselwa. Ingcamango yokuba umntu akanakho ukuba abe isigulane nantoni na, nangona kunjalo, akukho nto ingqalelo.
Izigulane ngaphandle kweSibhedlele
Kuhluke kumphenduli wokuqala. Izigulane azikhethi nje lula. Ngokuqinisekileyo kukho iimeko ezihambelana ngqo: Umntu unentlungu kwaye ubiza 911 . AmaParamedics afika ukuze afumane umntu ekhalaza intlungu aze abuze xa uya kuba esibhedlele. Akungabazeki ukuba ngubani isigulane xa abaphenduli bokuqala befika.
Akusoloko kucaca. Kuthekani ukuba umntu ocinga ukuba isigulane asizange iqale impendulo. Nasi umzekelo: Utyelela umama wakho osekhulile kwaye uxelela ukuba akazange aziva kakuhle kungekudala. Uyabona ukuba uhamba ngokukhawuleza kwaye ubonakala enentlungu. Uphumelela xa emela okanye ehleli.
Ubonakala ngathi liluhlaza. Unquma ukuba ubonakala egula kwaye ucela uncedo.
Ukufuna okanye Ukungafuni
Xa abafaki-mlilo befika kwikhaya likamama, ubaxelela ukuba akafunanga naluphi na uncedo. Uyenqaba ukuthobela uvavanyo lwazo lwangaphandle kwaye akaphenduli impela imibuzo yabo. Xa i-ambulensi ifika, wenqaba ukuthutha esibhedlele.
Ngaba unyoko isiguli? Yiyo ifowuni enzima. Akazange afune unyango lwangonyango, yindlela eyona ndlela inakekelwa ngayo izigulane zabo-ngokuqinisekileyo ukuba isiguli sifuna uncedo. Wenqaba uncedo lwabo xa befika kwaye akazange athathe inxaxheba ekunakekeleni kwakhe. Lo ngumzi wakhe, kungekhona isibhedlele. Wayengeyena isigulane ngaphambi kokuba ubize u-911, kwaye akabizanga.
Ukuba ungumphenduli wokuqala kulo msebenzi, ucinga ntoni? Omnye wayekhathazekile ngokwaneleyo ukuba acele uncedo kwaye angathanda ukuba uhlole "isigulane" ngenkinga yonyango. Kuyinyani ukuba umntu wenqaba ukunakekelwa, kodwa kunjalo ukuba ukuhlaselwa intliziyo okanye ukukhuselwa kwe-septic kungabonakali, kwanomntu ogulayo. Ngaba ngaba ngabaphendulayo bokuqala mabapakishe baze baphindele kwisikhululo okanye bafune ukuba unyoko utyikitye ifomu echaza ukuba wenqaba ukukhathalela malunga neengcebiso zonyango?
Uninzi Uninzi Ukubala
Kuthekani ukuba u- paramedic usebenza kwi-ambulensi kwaye uthunyelwa engozini yemoto echaphazela ibhasi elininzi? Ibhasi yaxabela enye imoto kwisantya esincinci. Akukho mntu ulimele kakhulu. Kukho umntu ebhasini owayemi ngexesha kwaye waxutywa phantsi. Ufuna ukubonwa ngugqirha esibhedlele. Wonke umntu ebhasi ufuna ukubuyela endleleni kwaye uya kuba nomusa ngathi ukuba uphume endleleni.
Ngaba wonke umntu ebhasi isigulane? Abaninzi baye bavakalisa umnqweno wokungahlolisiswanga, kodwa bonke bavalelwa yindlela yokulimala ebalulekileyo ngokwaneleyo ukuze kubonwe umntu oyedwa.
Bonke bebonke abagibeli kwisithuthi esabandakanyeka ekubambisaneni. Ngaba bonke bahlaziyekile ? Omnye ubizwa ngokuba ngu-911, mhlawumbi nakwibhasi enye. Ngaba ngabaphenduli bokuqala kufuneka balethe ibhasti yabancedisi ukuvavanya nokuxoxisana ngemvume enolwazi (okanye ukwala okunolwazi) kuwo wonke umntu ebhasi ngaphambi kokuvumela umqhubi ukuba aqhubeke nendlela yakhe?
Le mibuzo iyingozi kubaphenduli bokuqala, ngakumbi eMelika. Abaninzi bavumela abaphenduli bokuqala ukuba baxoxwe ngenxa yokunyaniseka okanye ukushiywa xa beshiya umguli osengozini okanye ogulayo emva kokunyamekela. Umthetho wecala lononophelo lwezempilo unokwakhiwa ngokubanzi kumagqirha kunye nabongikazi abakwenzayo kwindawo yokuhlala. Yintoni esekelwe kwiinkonzo zonyango ezingxamisekileyo kwaye zisoloko zingabonakali iziganeko eziyinkimbinkimbi ezijongene neziphazamiso ezijongene nayo yonke imihla.
Ngubani ohlawulayo?
Kwakhona, ingxaki yaseMerika ixabiso . Ngaphandle kokunakekelwa kwezempilo jikelele kwintlanga ezininzi ezikhungathekileyo, izigulane zaseUnited States zidla ukuhlawula ukunyamekela kwazo ngaphandle kwepokothini. Ezinye iindawo zihlawuliswa kuphela xa isigulane sithunyelwa kwisibhedlele, kodwa ininzi yezikhundla zokuvavanya izigulane kwintsimi, kungakhathaliseki ukuba yintoni, ukuba kukho na, unyango lunikeziwe.
Ukuba umama uphambukela ekugatheni konke ukunakekelwa kwaye angathatheli esibhedlele, ngaba kulungile ukumthumela ibhilikhwe yovavanyo olunikeziwe? Omnye wabiza u-911 ngenxa yakhe kuba wayebonakala enesidingo. Ababoneleli abaqeqeshekileyo nabaqeqeshiweyo bonyango baphendule kwaye banikezela uvavanyo lokuqala, oluya kubangela ukuba unyango olungasindisa ubomi luye lwabonisa ngendlela eyingozi. Nangona kunjalo, akazange afune ukuzinyamekela, ngoko kufuneka ukuba abe nexanduva lokujongana neendleko?
Iphutha kwiCandelo loCwayiso
Xa ubhekene nale meko, ukhetho olungcono lwe-paramedic kukuqwalasela iinjongo zokusebenzisana nomama wakho. I-paramedic ifuna ukubonelela ngononophelo lwonyango olungenayo ngaphandle kokugxininisa kumalungelo omntu ngamnye. Yintoni eyona nto ihamba phambili? Mshiye umbuzo weendleko kulo ngoku, kuba impendulo kwinto ekufuneka yenziwe ngekliniki kwaye kufuneka yenziwe ntoni ngemali ayisoloko ihambelaniswe, kwaye yenza imeko ingabalulekanga.
Uvavanyo oluncinci lunokwenziwa ngokukhawuleza. Izibonakaliso zesikhumba , ingakumbi umbala kunye nomswakama, kuya kufakwa ngaphandle kokuqhagamshelana nomzimba. Ukuhamba, iimpendulo ezifanelekileyo kwimibandela, ukuqina-konke kungabonwa ukusuka kwigumbi. Ukuba umxholo wefowuni ukuya ku-911 (ngokukodwa ungamthiyi isigulane ) kubonakala ngathi yinkxalabo yonyango, ngokuqinisekileyo kuya kuba ngabaphenduli ngokunyathela. Iimviwo ezipheleleyo kunye ezipheleleyo zibalulekile.
Kufuneka aphathwe njengesigulane kumaxwebhu, nokuba uyayiphika inqanaba. Ukurekhoda yonke into ibalulekile kokusemthethweni nangokliniki. Ukuba, ngokwenene, kukho ingxaki yonyango eqhubekayo, ukuqwalaselwa okwenziwa ngabaphenduli bokuqala bokuqala kunokuncedisa ukuxilongwa ngokugqibeleni, nangona kungekho unyango lwenziwe ngexesha lokuqala.
Ityala lebhasi linzima kakhulu. Inkqubo yokulimala ngokuqinisekileyo ikhona kwaye kukho ingxoxo efanelekileyo yokuba ukuphazamiseka okwaneleyo okwenzakalisa umntu onokuhlala enokubangela ukulimala kwabanye. Ngelishwa, i-slope ehambayo. Abaphenduli bayazitholela inceba yabo babesemzini ukuze bancede bachonge izigulane zinyani xa kubandakanywa abantu abaninzi. Indawo ekhuselekileyo ukusuka kwindawo ejongene nayo kukuphatha bonke abantu ngebhasi njengezigulane ezingenakho kwaye benze zonke iifowuni zisayinwa. Kwiinkqubo ezininzi ze-EMS, akukho ndlela yokufumana amaxwebhu angqinqutyisiweyo ukukunceda nge-caseload enkulu engayenza.
Ngelishwa, akukho ndlela elula yokuchonga kalula izigulane kwi-prehospital setting. Kukho ukuxhomekeka okunzulu kwiinkcukacha zokukhathalela kunye neemeko. Ukugcina ukhathalelo lwempilo lwegulane olungenako ukugqithiswa kwengqondo, into ebaluleke kakhulu ukuba uyikhumbule kukuba abanye abantu abafuni unyango lwezokwelapha kude kube sekwephuzile.
> Imithombo:
> Evans K, Warner J, Jackson E. Bangakanani abasebenzi bezempilo abasesikhatyeni abazi malunga nomthamo kunye nemvume? Emerg Med J. 2007 Juni; 24 (6): 391-3.
> Moore, G., Moffett, P., Fider, C., & Moore, M. (2014). Ziziphi iiNgcali ezizimeleyo ezifanele ziyazi malunga neMvume yokuLawulwa kweMvume: iiNkundla zoLimo, iiNkundla, kunye neCaveats. I-Medicine yoLimo oluPhezulu , 21 (8), 922-927. i-doi: 10.1111 / acem.12429