CPR algorithm. CPR kubantwana: algorithm. CPR ukhulelwe. CPR nokuphefumla algorithm bokumisa kubantu abadala

Oogqirha zonke amakhono kufuneka bafundise abanye, kwaye ukuba ilawulwe, ezinxulumene ngononophelo olungxamisekileyo nokuhlangula ubomi yesigulane. Nantsi into yokuqala ukuba umfundi lonyango kwiYunivesithi kwetyala. Ngoko ke, ingqalelo ekhethekileyo ihlawulwe ukufunda iinkalo ezifana anesthesiology yokurhaxwa. abantu abaqhelekileyo, hayi anxulumene amayeza, kakhulu, akazi buhlungu ukwazi amanyathelo protocol kwi imeko esisongela ubomi bakho. Ngubani na owaziyo xa Isenokuza lokuposa.

bazamile - yinto ngenkqubo uncedo olungxamisekileyo, ezijolise ukubuyisela nokugcina ubomi kumzimba emva kokuqala lokufa onyango. Oku kuquka amanyathelo aliqela enyanzelekileyo. Srl algorithm yaphakanyiswa yi uPetros Safar, yaye omnye iindlela kokuhlangula yomguli ogama njengentlonipho yokumbulela.

inkinga yokuziphatha

Ngoko ke akukho mfihlakalo ukuba oogqirha senze rhoqo ingxaki yokukhetha oko kulungele nomonde wabo. Kwaye kaninzi iba sisikhubekiso sokuba amanyathelo olunye unyango. Kukwasebenza kwanjalo kuyo CPR. I algorithm iguqulwe kuxhomekeke kwiimeko zoncedo ke uqeqesho iqela ngokumphefumlela, ubudala yomguli kunye nobume yakhe ngoku.

Yaba eninzi ingxoxo yokuba ingaba kuyimfuneko ukuba achaze ukuba abantwana abafikisayo ukuba mbaxa imeko yabo, ucinga ukuba awanalo ilungelo lokwenza izigqibo malunga unyango lwabo. Lo mbuzo wabuzwa malunga umnikelo amalungu ukusuka amaxhoba abafumene CPR. I algorithm kule meko kufuneka ndakha ilungiswe.

Xa musa ukwenza CPR?

Xa yezonyango, kukho iimeko apho bazamile akukho lwenziwa kuba nantsingiselo, nangokujaduka yomguli awahambelani nobomi.

1. Xa kukho iimpawu zokufa yebhayoloji: kalukhuni mortis, okupholisa iindawo isidumbu.
2. Iimpawu yokufa ebuchotsheni.
3. Izigaba zokugqibela nezifo ezinganyangekiyo.
4. Isigaba sesine lomhlaza kunye Ukudlulela.
5. Ukuba oogqirha ndiyamazi kukuba emva ekuyekeni zokuphefumla igazi ejikelezayo sele kwemizuzu ngaphezu kwamashumi amabini anesihlanu.

Iimpawu yokufa clinical

Kukho abalinganiswa ezinkulu nezincinane. Ukukhathazeka:
- Akukho sazi e imithambo ezinkulu (carotid, femoral, brachial, temporal);
- ukungabi respiration;
- a komlomo ezisingisileyo abafundi.

Imiqondiso yesibini ziquka ilahleko osezingqondweni, lisuke labuna kunye ithinti oluhlaza, ukungabikho ikhaliphe, iintshukumo ngokuzithandela kunye kwezihlunu, engaqhelekanga, umzimba kwindawo nemvelo emajukujukwini.

isigaba

CPR algorithm ngokwemibandela yahlulwe ngezigaba ezithathu eziphambili. Yaye ngamnye kubo yena, emasebeni ngezigaba.

Inyathelo lokuqala le ikhutshwa phandle ngoko nangoko kwaye kukugcina ubomi kwi oxygenation rhoqo umgudu ukuze umoya. Akubikho ukusetyenziswa izixhobo ezikhethekileyo kunye nenkxaso ubomi iinzame resuscitative kuphela Brigade.

Inqanaba lesibini - a ezizodwa, injongo yaso - ukugcina into bandiphathe nabancedi kunye nokuqinisekisa ukujikeleza rhoqo igazi neoksijini ubonelelo. Oku kuquka lokufunyaniswa intliziyo, ukusetyenziswa defibrillator, ukusetyenziswa kweziyobisi.

sesithathu - ikhutshwa phandle sele ICU (unit labagula kakhulu). Ijoliswe ukugcinwa kokusebenza kwengqondo, sisindiswe abuyele ubomi obuqhelekileyo babantu.

Procedure isenzo

Ngo-2010 laye iphuhlise CPR algorithm jikelele kwinqanaba lokuqala, equka izigaba ezininzi.

• A - ngokuma - okanye permeability umoya. Lifeguard uhlola umgudu yangaphandle, susa yonke into ethintela indlela eqhelekileyo umoya: isanti, ukugabha, ulele, amanzi. Ukuze wenze oku, yenza i ulwamkelo Safar ezintathu: zithambekele intloko emva, tyhala umhlathi ezisezantsi uvule umlomo.
• In - Ukuphefumla - ukuphefumla. Ngaphambili, kwandululwa ukuba baqhube ngumntu nokuphefumla ubuchule 'umlomo kumlomo "okanye" umlomo-to-impumlo ", kodwa ngoku ngenxa koloyiko losulelo, umoya ixhoba iwela kuphela ngokusebenzisa bag AMBU.
• C - Circulation - kwegazi okanye esifubeni compressions. Ngokusesikweni, kwisingqi kwiimpompo phezu kwesifuba kufuneka 120 uqumba ngomzuzu, ngoko ke ingqondo uya kufumana idosi ubuncinane oksijini. Kuphazamiseka akunconywa ngenxa ngexesha umoya kuvuthuza yi ukumbopha kwegazi yexeshana.
• D - Iziyobisi - amachiza asetyenziswe inyathelo care ezikhethekileyo ukuphucula kwegazi, ukugcinwa kwezinga kwentliziyo okanye rheology igazi.
• E - electrocardiogram. Kukholelwa ukuba ukujonga intliziyo yakho ukuvavanya ukusebenza zongenelelo.

ukumka

Kukho ezinye iinkalo ukumka CPR. I algorithm yohluka thile, ukunyenyisa iimeko zokusingqongileyo. Okokuqala, umkhululi Nize nikunyamekele ukususa isoyikiso kubomi bakhe, kwaye ukuba kunokwenzeka, musa ukungena umzimba emanzini, uze uzame ukuba ixhoba elunxwemeni.

Ukuba usafuna inkathalo lunikiwe emanzini, umkhululi kufuneka ukhumbule ukuba umntu orhaxwa akayilawuli iintshukumo bakhe, ngoko ke kufuneka ukuba idade umva. Eyona nto ibalulekileyo - ukugcina intloko le ndoda ngaphezu kwamanzi: iinwele, yathatha yi emakhwapheni ize iphoswe umva emqolo.

Eyona nto ilungileyo ukuba umkhululi angenza ntoni kuba ukumka - kukuba uqale ukuvuthela umoya ngqo emanzini ngaphandle kokulinda ukuba zothutho ukuya elunxwemeni. Kodwa enyanisweni ke ifumaneka kuphela umntu wayesenamandla baze baqeqeshwe.

Kwathi kamsinya nje ususa ixhoba emanzini, kufuneka ukuba ukujonga izinga yakhe intliziyo kunye nobukho nokuphefumla ezizenzekelayo. Ukuba akukho zimpawu zokuphila, kuyimfuneko ukuba baqalise kwangoko yokurhaxwa. Kufuneka ukuqhuba phantsi imithetho ngokubanzi iinzame kuye ukususa amanzi lung idla kukhokelela nomkhwezeli kwaye ekuthobeni umonakalo luvo ngenxa mpilo yindlala ebuchotsheni.

Enye into lixesha lekhefu. Musa ukuthembela kwi eqhelekileyo imizuzu 25 kwiinkqubo yamanzi abandayo sele kuhlile noko, kunye ukonakala kwengqondo kwenzeka kakhulu ngokucothayo. Ingakumbi ukuba ixhoba - umntwana.

Misa bazamile kunokwenzeka kuphela emva kokuba nokubuyiselwa internal ezizenzekelayo ukujikeleza, okanye emva kokufika crew zezigulane, nto leyo eza kunika ubomi ngenkxaso yobungcali.

Ubhalo CPR algorithm oluqhutywa ngokusebenzisa iyeza iquka inhalation ka 100% ioksijini, ekumfakeni mechanical umoya semiphunga. Ngaphezu koko, antioxidants asetyenziswa, nokuhlanganiswa ulwelo ukuthintela ukuhla xi nkqubo kunye retransmission kwentliziyo, umchamo, ukuphepha nokudumba yemiphunga, ngenkuthalo esotha ixhoba, ukuba igazi isasazwa ngokufanayo wonke umzimba.

ukubanjwa zemigudu

CPR algorithm ukubanjwa yokuphefumla abadala iquka zonke izigaba Usigcine compressions esifubeni. Oku lula umsebenzi nabancedi, ngenxa yokuba umzimba ngokwawo uya isasaze ioksijini ozayo.

Kukho iindlela ezimbini yomatshini ngaphandle izixhobo ezikhoyo:

- umlomo emlonyeni;
- umlomo-to-impumlo.

Kuba ufikelelo olungcono komoya kucetyiswa ukuba zithambekele intloko ixhoba, tyhala umhlathi ezisezantsi akhulule yomoya yencindi, emhlanzweni nesanti. Nabancedi kufuneka uthathe unonophelo impilo yabo kunye nokhuseleko, ngoko ke kunqweneleka ukwenza oku usetyenziso ngokusebenzisa itshefu okanye igozi ecocekileyo ukunqanda ukuqhagamshelana ngegazi okanye amathe malunga nesigulane eso.

Ono- pinches impumlo, imilebe yakhe ngokuqinileyo usonga imilebe kwixhoba exhales. Kulo mzekelo, kufuneka ukhangele ukuze ubone ukuba ummandla epigastric into lisenomoya. Ukuba impendulo ngu-Affirmative, oko kuthetha ukuba umoya lingeniswa esiswini hayi imiphunga, yaye ezilungileyo oku kungekho reanimation. Phakathi Ukuphefumla kufuneka uthathe ikhefu imizuzwana embalwa.

Ngexesha yomatshini waphawula ngokomgangatho esifubeni uhambo olufutshane.

stop yegazi

Ngokusengqiqweni, algorithm CPR for asystole iza kubandakanya zonke ngaphandle umoya. Ukuba ixhoba uphefumla ngokwayo, akukho mfuneko ukuguqulela ibe imo ngumntu. Oku nzima umsebenzi oogqirha kwixesha elizayo.

Lilitye lesiseko intliziyo ekunene yokuthanjiswa yindlela izandla eyalekeneyo kunye nomsebenzi elungelelanisiweyo yomzimba umkhululi lowo. Ucinezelo yenziwe isiseko entendeni, hayi, iwotshi, kungekhona iminwe. Izandla bazamile kufuneka ngqo, kwaye ucinezelo lwenziwa yi tilting umzimba. Izandla zibekwe aa Incopho kwentamo, ukuba asiwe emnqamlezweni nqaba okanye ubuxoki wesundu (ibhabhathane). Iminwe ningayichukumisi phezu esifubeni. CPR algorithm ngolu hlobo lulandelayo: i-amathathu iitephu - phefumla ezimbini, phantsi kwelungiselelo elithi bazamile yenziwa ngabantu ababini. Ukuba umkhululi mnye, nto yenziwa compressions elinesihlanu mnye umoya, njengoko ikhefu elide ngaphandle ejikeleza kunokuyonakalisa ingqondo.

bazamile okhulelweyo

It uneempawu zawo kunye CPR okhulelweyo. I algorithm iquka usindiso kuphela unina kodwa usana esizalweni sakhe. Ugqirha okanye wombukeli, ekunikeleni uncedo ukuze umama okhulelweyo wokuqala kufuneka akhumbule ukuba kukho izinto ezininzi zimbi ALS lokusinda:

- anda mpilo kunye fast nokulahla bakhe;
- umthamo lung ngenxa ucinezelo ye isibeleko okhulelweyo;
- okuba eliphezulu ngeminqweno imixholo esiswini;
- ukuncitshiswa ndawo yokuphefumla, njengoko amadlala ezandisiweyo mammary kwaye uvalo uvuka ngokwandisa isisu.

Ukuba akunguye ngugqirha, ngoko ekuphela kwento onokuyenza ukuze umfazi okhulelweyo ukusindisa ubomi bakhe - ukuba wasibeka kwicala lasekhohlo kangangokuba emva wakhe kwi-engile izidanga malunga namashumi amathathu. Kwaye Ungayisusa kwi esisu ekhohlo. Oku kuya kunciphisa uxinzelelo emiphungeni nokunyusa ukungena komoya. Qiniseka ukuba ukuqalisa compressions esifubeni kwaye musa siyeke de iqela olungxamisekileyo ifika okanye ingafiki kodwa naluphi na uncedo.

Gcina abantwana

CPR uneempawu zawo ebantwaneni. I algorithm kufana abadala, kodwa ngenxa yeempawu komzimba kunzima ukuphumeza, ingakumbi kubelekwa. Ungayohlula bazamile kwabantwana ubudala: ukuya kunyaka omnye ukuya kutsho kwiminyaka esibhozo. Bonke abo badala, uzakufumana isixa esilinganayo uncedo kwakunye nabantu abadala.

1. Kufuneka ubize inqwelo emva kwimijikelo ezintlanu yokurhaxwa aluphumelelanga. Ukuba umkhululi na abancedisi, kuyimfuneko ukuba bayigcinise kubo ngoko nangoko. Lo mthetho isebenza kuphela xa umntu siyavuka.
2. Head ulahle ububi entanyeni nokuba orhanelwa ngokuba nokuphefumla yinto ephambili.
3. Ukususela Ukuphefumla ezimbini mpilo 1 yesibini.
4. Okwangoku kufuneka kwenziwe Ukuphefumla mabini.
5. Xa ukuvaleka ngokuma liqumrhu langaphandle usana babetha ngasemva okanye ukubetha esifubeni.
6. Ubukho ubume ingatshekishwa singajonganga sleepy, kodwa emagxeni kunye imithambo femoral, kuba ulusu umntwana ukubhitya.
7. Ekwenzeni compressions zesifuba nokucofa iintliziyo kufuneka ibe ngaphantsi nje umgca ingono ke, ekubeni intliziyo engaphezulwana nje kancinane kune abadala.
8. Cinizela phantsi ngokwesiseko kwentamo wesandla omnye (ukuba ixhoba elivisayo) okanye iminwe emibini (ukuba umntwana).
9. Amandla embi - sesithathu Ebubanzini esifubeni (kodwa hayi ngaphezulu kwesiqingatha).

imithetho jikelele

abadala yonke into kufuneka ukwazi ukwenza njani ngaphandle CPR esisiseko. Ubuchule kulula kakhulu ukuba ukukhumbula nokuqonda. Isenokuba ukusindisa ubomi bomntu.

Kukho imithetho eziliqela esinokwenza lula ukusebenza yokuhlangula ngokuthi ngumntu abangaqeqeshelwanga.

1. Emva kwemijikelo ezintlanu CPR ixhoba kungashiywa ukubiza iinkonzo likaxakeka, kodwa kuphela phantsi komqathango wokuba umntu oncedisa - nye.
2. Ukuzimisela kweempawu zokufa lwezonyango kufuneka uthathe imizuzwana ngaphezulu kwe-10.
3. Umoya yokuqala eyenziwe ngumntu ukuba nzulu.
4. Ukuba emva kokuba umoya yokuqala kwakungekho intshukumo esifubeni, kufuneka kwakhona kuphosa umva intloko yexhoba.

Ezinye izindululo kwi oluqhutywa CPR algorithm sele uchazwe apha ngasentla. Impumelelo ngokumphefumlela ngakumbi abachaphazelekayo umgangatho wobomi zizakuxhomekeka kwindlela ngokukhawuleza amangqina baseMpuma, nendlela kakuhle baza kukwazi ukunceda. Ngoko ke musa soyike kwizifundo, chaza CPR. I algorithm ilula, ingakumbi xa ukhumbula kwi yosana wokoqobo (faa), ezifana oogqirha abaninzi.

Kwiincwadi ezininzi ezibhaliweyo ezifuna ukuyeka CPR, emva kwemizuzu zamashumi mane bazamile akuphumelelanga, kodwa eneneni kuphela iimpawu ukufa zebhayoloji ingummiselo enokuthenjwa ukungabikho ebomini. Khumbula: xa uhlunguzele intliziyo yakho, igazi usaqhubeka sondle ingqondo, oko kuthetha ukuba umntu usahleli. Eyona nto ibalulekileyo - silinde ambulensi okanye zohlangulo. Ndikholelwe, baya ndikubulele ngomsebenzi onzima.