CPR algorithm. CPR ezinganeni: i-algorithm. CPR abakhulelwe. CPR kwezimila algorithm kokumisa abadala

Odokotela bonke amakhono kufanele bafundise abanye, futhi bona ukusetshenziswa, ehambisana ne-ukunakekelwa okuphuthumayo futhi ukusindisa ukuphila kwesiguli. Lena into yokuqala ukuthi ubudokotela e-University of ukuzwa. Ngakho-ke, ukunakekelwa okukhethekile ikhokhelwa ukufunda eyala ezifana izinzwa kanye yokusiza umuntu ukuba aphefumule. Abantu abavamile, hhayi eziphathelene nokwelapha, kakhulu, akusho ubuhlungu ukwazi olandelwayo isinyathelo nesimo esisongela ukuphila. Kwazi bani uma kungase singaba usizo kabi.

yokusiza umuntu ukuba aphefumule Cardiopulmonary - yinqubo usizo oluphuthumayo ngokushesha, okuhloswe ngalo ekubuyiseleni nokugcina impilo umzimba lapho kuqala sebefile. Kuhlanganisa izinyathelo ezimbalwa saziso. SRL algorithm kwahlongozwa ngu-Peter Safar, futhi omunye amasu wangisiza isiguli ogama lakhe behlonipha yakhe.

inkinga yokuziphatha

Akusiyo imfihlo ukuthi odokotela njalo bebhekene nenkinga yokukhetha ukuthi yini ezilungele kangcono nesineke sabo. Futhi ngokuvamile kuba isikhubekiso ngoba ezinye izinyathelo ukwelashwa. Kuyefana nasendleleni le CPR. I-algorithm beshintsha kuye ngokuthi izimo usizo ukuqeqeshwa yokusiza umuntu ukuba aphefumule ithimba, ubudala lesiguli kanye nesimo sakhe samanje.

Kwakuwusuku eningi ingxoxo ukuthi kubalulekile ukuba achazele izingane nentsha yezimo zezulu eziyinkimbinkimbi nokushintshashintsha isimo sabo, ucabangela yokuthi abanalo ilungelo lokwenza izinqumo mayelana nokwelashwa yabo. Kwaphakama umbuzo mayelana umnikelo kwezitho kusuka izisulu abathola CPR. I-algorithm kuzimo kufanele ngandlela-thile modified.

Lapho ungenawo enze CPR?

Zokwelapha, kuba khona umuntu ukuba aphefumule is hhayi lwenziwa njengoba akusho lutho, kanye izilonda lesiguli azivumelani ukuphila.

1. Lapho kukhona izimpawu sokufa yemvelo: okukhulu mortis, ukupholisa isidumbu izindawo.
2. Izimpawu ubuchopho ukufa.
3. I sekugcina izifo ezingelapheki.
4. Isigaba sesine komdlavuza ne Ukudlulela.
5. Uma odokotela ukwazi ukuthi emva ukumisa ukuphefumula kwegazi bekulokhu imizuzu engaphezu kuka amabili nanhlanu.

Izimpawu sebefile

Kukhona izinhlamvu ezinkulu nezincane. Ukukhathazeka main:
- Cha ishayela ku imithambo ezinkulu (carotid, femoral, brachial, yesikhashana);
- ukungabi khona lokuphefumula;
- a Ukuvuleka komlomo eziphikelelayo balezi zingane.

Izibonakaliso yesibili zihlanganisa nokulahlekelwa ukwazi, ukuphaphatheka nge Tint bluish, ukungabi ikhaliphe, ukunyakaza yokuzithandela futhi imisipha ithoni, ongaziwa, + ezingezona ezemvelo umzimba isikhundla emkhathini.

esigabeni

CPR algorithm kunemibandela yahlukaniswa ngezigaba ezintathu eziyinhloko. Futhi ngamunye wabo yena, amagatsha ngezigaba.

Isinyathelo sokuqala Kwenziwa ngokushesha futhi iwukuhlale ukuphila ngaleso oxygenation njalo futhi umgudu umoya. It iqeda ukusetshenziswa imishini ephambili nezinqubo yini nokusekela ukuphila kwakhe resuscitative imizamo kuphela Brigade.

Esesibili - a ezikhethekile, injongo yayo - nokusindisa lokho abazange walala abatakuli nokuqinisekisa kwegazi njalo igazi umoya-mpilo umncane. Kuhlanganisa sitholakele inhliziyo, ukusetshenziswa ovuselela, ukusetshenziswa kwezidakamizwa.

Isinyathelo sesithathu - Kwenziwa usuvele ICU (labagula iyunithi). It ihlose kulondolozwe imisebenzi ubuchopho, ekusimameni futhi Ukuphindukuzalwa abajwayelekile.

isinyathelo Inqubo

Ngo-2010 yasungulwa jikelele algorithm CPR esigabeni sokuqala, esakhiwa ngezigaba eziningana.

• A - umgudu - noma umoya permeability. Lifeguard uhlola umgudu zangaphandle, susa konke kuvimbela ukudlula evamile air: isihlabathi, ukuhlanza, ulwelwe, amanzi. Ukuze wenze lokhu, yenza a kathathu reception Safar: utshekisa ikhanda emuva, ibenze umhlathi ongezansi bese uvula umlomo.
• Ngo - Breathing - moya owawusele kuyo. Ngaphambili, kuphakanyiswe ukuqhuba yokufakelwa kwezimila amasu "umlomo nomlomo" noma "umlomo-to-ekhaleni", kodwa manje ngenxa usongo anda ukutheleleka, emoyeni isisulu uwela kuphela ngokusebenzisa isikhwama AMBU.
• C - Ukusakazwa - kwegazi noma esifubeni compressions. Kahle kahle, isigqi ompompi phezu kwesifuba kufanele kube 120 ngomzuzu, khona-ke ubuchopho uzothola umthamo ubuncane oxygen. Kuphazamisekile hhayi Kunconywa ngoba ngesikhathi ekushayweni emoyeni kuyinto ukuboshwa yesikhashana kwegazi.
• D - Izidakamizwa - izidakamizwa ukuthi asetshenziswa isinyathelo ukunakekelwa okukhethekile ukuthuthukisa kwegazi, nokugcinwa inhliziyo noma igazi rheology izinga.
• E - electrocardiogram. Kunenkolelo ukuhlola inhliziyo yakho futhi ukuhlola imphumelelo yekungenelela.

ominzayo

Kukhona ezinye izici ukugwiliza CPR. I-algorithm siyahlukahluka kancane, ukwenza ushintsho ukuze zezemvelo. Ngokuyinhloko, umkhululi Kumelwe niqaphele ukususa usongo ekuphileni kwakhe siqu, futhi uma kungenzeka, ungangeni emzimbeni amanzi, bese uyazama ukuletha isisulu waya ogwini.

Uma usabakhatsalela inikezwe amanzi, umkhululi Kumelwe ukhumbule ukuthi indoda ominzayo akulawuli ukunyakaza kwakhe, ngakho udinga ukubhukuda emuva. Into esemqoka - ukugcina ekhanda lale ndoda ngenhla amanzi: izinwele, wacosha nge emakhwapheni futhi aphonswe emuva emhlane wakhe.

Into engcono kakhulu ukuthi umkhululi angayenzela ominzayo - uwukuqala afuthwe ngomoya ngqo emanzini ngaphandle kokulinda ezokuthutha kuleli chweba. Kodwa ngokomthetho kuba umuntu emzimbeni futhi abaqeqeshiwe kuphela etholakalayo.

Njengoba masinyane njengoba you ukususa lesi sisulu amanzi, kudingeka uhlole inhliziyo yakhe ishaya ngamandla khona ukuphefumula nokuguqulwa. Uma kungekho izimpawu zokuphila, futhi kubalulekile ukuba ngokushesha saqala yokusiza umuntu ukuba aphefumule. Kufanele ukuqhuba ngaphansi imithetho jikelele baye imizamo kwaba ukususa amanzi kusukela wamaphaphu ngokuvamile kuholele nomphumela ohlukile futhi babhebhethekisa nokulimala kobuchopho ngenxa umoya-mpilo yokulamba zobuchopho.

Esinye isici yisikhathi sokuphumula. Ungenciki evamile imizuzu 25 njengoba izinqubo amanzi abandayo kuthiwa behlisa ijubane, bakhathala futhi ukulimala kobuchopho kwenzeka kancane kakhulu. Ikakhulukazi uma isisulu - ingane.

Misa yokusiza umuntu ukuba aphefumule kungenzeka kuphela ngemva kokubuyiselwa kwezimila nokuguqulwa nokugeleza kwegazi, noma ngemva kokufika kwabakhi crew ambulensi, ezizohlinzeka ukuphila ukwesekwa professional.

Enwetshiwe CPR algorithm owenziwa ukusebenzisa imithi kuhlanganisa ephefumula 100% oksijini, intubation futhi mechanical ukupholisa wamaphaphu. Ngaphezu kwalokho, asetshenziselwa Antioxidants, lo ukumnika eziwuketshezi ukuvimbela iconsi uhlelo ingcindezi futhi retransmission inhliziyo, isisu, ukugwema edema yamaphaphu, futhi ngenkuthalo ukufudumala isisulu, ukuze igazi nombala basakaza wonke umzimba.

ukuboshwa zokuphefumula

CPR algorithm ukuboshwa zokuphefumula e abadala kuhlanganisa zonke izigaba uphephele esifubeni compressions. Lokhu kusiza umsebenzi abahambisi bosizo, ngoba umzimba ngokwawo uyovumela ukusabalalisa oxygen engenayo.

Kukhona izindlela ezimbili ukupholisa mechanical ngaphandle amathuluzi atholakalayo:

- umlomo nomlomo;
- umlomo-to-ekhaleni.

Ngokufinyelela kangcono emoyeni kutuswa utshekisa inhloko isisulu, ibenze umhlathi ongezansi ikhulule yomoya ka isikhwehlela, ubuhlanzo isihlabathi. Abatakuli kufanele futhi unakekele impilo nokuphepha kwabo, ngakho-ke efiselekayo ukuba bafeze lo zokukhwabanisa ngokusebenzisa iduku elihlanzekile noma gauze ukugwema ukuthintana ngegazi noma amathe isiguli.

Mkhululi Eluma ekhaleni lakhe, izindebe zakhe uvalwe ezisonga izindebe isisulu futhi exhales. Kulokhu, kudingeka ubheke ukubona uma esifundeni epigastric is Ayihaba. Uma impendulo ngoyebo, kusho ukuthi umoya esithathwayo zingene esiswini bese hhayi emaphashini, nabahle lokhu kungekho reanimation. Phakathi umoya udinga ukuthatha amakhefu emizuzwaneni embalwa.

Phakathi ukupholisa wemishini washukumiseleka ukuba athi qualitatively esifubeni uhambo.

stop kwegazi

Uma ucabangisisa, algorithm CPR ngoba asystole izobandakanya konke ngaphandle komoya. Uma isisulu is ukuphefumula ngokwayo, akudingekile ukuhumusha ibe kwimodi yokufakelwa. Lokhu inkimbinkimbi umsebenzi odokotela esikhathini esizayo.

Legumbi ilungelo inhliziyo massage yindlela izandla Imbondela kanye nomsebenzi esihlelwe lomzimba umkhululi sika. Kokucindezela senziwa kumila entendeni, hhayi esihlakaleni, hhayi iminwe. Izandla yokusiza umuntu ukuba aphefumule okufanele kuqonde, kanye kokucindezelwa wenziwa ngokutshekisa umzimba. Izandla ezibekwe perpendicular sternum, bangakwazi ayiswe engu- castle noma amanga entendeni (butterfly). Iminwe ningathinti ebusweni nasesifubeni. CPR algorithm kanje: amathathu ompompi - nomoya emibili, amalunga yokusiza umuntu ukuba aphefumule Kwenziwa abantu ababili. Uma umkhululi ingenye, it is eyenziwe compressions nanhlanu nokukodwa umoya, njengoba kwekhefu elide ngaphandle kwegazi kungalimaza ubuchopho.

yokusiza umuntu ukuba aphefumule abakhulelwe

It has izici zayo siqu futhi CPR abakhulelwe. I-algorithm kuhlanganisa insindiso hhayi kuphela umama kodwa umntwana waxhuma esiswini sakhe. Udokotela noma obukelayo, enikela usizo lokuqala ukuba umama okhulelwe kumele sikhumbule ukuthi kukhona izinto eziningi lesi Izibikezelo okusinda:

- anda-mpilo ukusetshenziswa okusheshayo ayenalo;
- encishisiwe wamaphaphu umthamo ngenxa yokucinana kwesibeletho okhulelweyo;
- amathuba eliphezulu nenshisekelo lokuqukethwe esiswini;
- wokwehla indawo ukupholisa, njengoba lakhulisiwe nezindlala mammary kanye diaphragm ophakamayo ngokwandisa esiswini.

Uma ungeyena udokotela ke into kuphela ongayenza owesifazane okhulelwe ukuze asindise ukuphila kwakhe - uzagxamuza-ke ohlangothini lwesobunxele ukuze emuva kwakhe kwaba i-engela mayelana amathathu degrees. Futhi ukulihambisa esiswini ngakwesokunxele. Lokhu kuzokwehlisa ingcindezi emaphashini futhi ukwandisa komoya. Qiniseka ukuthi uqale esifubeni compressions futhi ungayeki ingakapheli iqembu eziphuthumayo ifika noma ingafiki kodwa noma iluphi usizo.

Londoloza izingane

CPR has izici zayo siqu ezinganeni. I-algorithm sifana omdala, kodwa ngenxa izici bokuphila kunzima ukuba afeze, ikakhulukazi izinsana. Ungakwazi bahlukanise yokusiza umuntu ukuba aphefumule izingane ngobudala: enyakeni owodwa futhi kuze kube iminyaka eyisishiyagalombili. Bonke abadala, uthole esilinganayo usizo kanye nabantu abadala.

1. Udinga ukubiza i-ambulensi ngemuva ezinhlanu akuphumelelanga yokusiza umuntu ukuba aphefumule imijikelezo. Uma umkhululi has abasizi, kubalulekile ukuphathisa ke kubo ngokushesha. Lo mthetho usebenza kuphela uma umuntu kusikhuthaze.
2. Shona aphonse emuva ngisho esolwa entanyeni ekulimaleni ngenxa emishinini yokuphefumula kuphambili ezinhlelweni zikaHulumeni.
3. Kuzoqalwa nge-mpilo umoya ezimbili 1 yesibili.
4. Okwamanje kumele kwenziwe ukuze umoya amabili.
5. Lapho ukuvaleka umgudu nomzimba angaphandle ingane iyoshaya emuva noma hit esifubeni.
6. Ukuba khona ishayela kungaba ihlolwe hhayi kuphela ngesikhathi ukuwozela, kodwa futhi ehlombe nokuvaleka kwemithambo femoral, ngoba isikhumba sengane kuba ohlabayo.
7. Lapho efeza esifubeni compressions ngokucindezela izinhliziyo kufanele kube ngezansi nje ingono umugqa, kusukela inhliziyo kancane kunaleyo abadala.
8. Cindezela phansi sternum ngesisekelo ngesandla esisodwa (uma kudlwengulwe ingane) noma iminwe emibili (uma ingane).
9. Amandla ngokucindezelwa - okwesithathu kokudaliweyo okwakuselwandle ukujiya kwesifuba (kodwa hhayi ngemali engaphezu kwengxenye).

imithetho Jikelele

Konke abadala kudingeka wazi nokuthi bayifeze kanjani CPR eziyisisekelo. Algorithms kube lula ngempela ukuba akhumbule ini futhi baqonde. Kungasindisa impilo yomunye umuntu.

Kukhona imithetho eziningana esingenza lula ukusebenza wokutakula ngumuntu ongaqeqeshiwe.

1. Ngemva imijikelezo ezinhlanu CPR isisulu kungenziwa kwesokunxele ushayele abezimo eziphuthumayo, kodwa ngaphansi kombandela wokuthi umuntu osiza - eyodwa.
2. Ukunqunywa izimpawu sokufa emitholampilo akufanele bathathe ngemizuzwana engaphezu kwengu-10.
3. Ukuphefumula lokuqala lebekiwe ibe nesisindo.
4. Uma emva umoya lokuqala kwaba akukho ukunyakaza esifubeni, kufanele futhi aphonse emuva ikhanda lohlaselwayo.

Ezinye izindaba zika-izincomo owenziwa CPR algorithm sezivele ethulwa ngenhla. Impumelelo yokusiza umuntu ukuba aphefumule futhi eminye wathinta izinga ekuphileni kuxhomeke kokuthile ofakazi ngokushesha kangakanani eMpumalanga, nendlela uzokwazi ukusiza. Ngakho abazigwemi kusukela izifundo, chaza CPR. I-algorithm ulula, ikakhulukazi uma khumbula ku indlwana angokoqobo (FAA), efana odokotela abaningi.

Ngo izincwadi eziningi ezibhalwe ukuthi kudingeka ayeke CPR, emva kwemizuzu amane yokusiza umuntu ukuba aphefumule akuphumelelanga, kodwa eqinisweni kuphela izimpawu sokufa begazi kungaba umbandela onokwethenjelwa ukungabi khona kokuphila. Khumbula: kuyilapho wena kuntengantengise inhliziyo yakho, igazi uyaqhubeka ukuncelisa ubuchopho, okusho ukuthi umuntu usaphila. Into esemqoka - ukulinda ambulensi noma wokutakula. Believe me, bayoba siyabonga umsebenzi onzima.