告急医疗救护常识
(一)若何展开抢救抢救
xianchangchuzhidezhongyaoshimingshiqiangjiuxingming、xuejianshangyuanjiku、xuejianhefangbeishangqingjianqingjichanshengbingfazheng,zhunqueerminjiedibashangbingyuanzhuansongdaobingyuan。
1.抢救步骤
(1)baojing。yidanchanshengzhiyuanshangwang,buyaohuangkongshicuo,dunshiboda120qiangjiudelvfengbaojing。
(2)duishangbingyuanezhixuyaodexianchangchuzhi。
①minjiejiechuzhiminghezhishangshenfen。rubankaiyazaishenshangdezhongwu,chetuizhongduxianchang,ruoshishibucechudian,yingdangjidujiedianyuan;duangenshangbingyuankoubineidenisha、tuniwu、xuekuaihuoqiyuyiwu,jianchihuxidaochangdadeng。
②chachaoshangyuandexingmingtedian。chachaoshangbingyuanhuxi、xintiao、maibohuanjing。ruwuhuxihuoxintiaoezhi,yingdangchanglijizhankaixinfeisuxing。
③zhixue。youchuangshangchuxuezhe,yingminjiebaozhazhixue。zhixueziliaoyidangchangqucai,keyongjiayabaozha、shangzhixuedaihuozhiyazhixuedeng。erhoujiangshangbingyuanjinkuaisongwangbingyuan。
④ruoyoufuqiangzangqituochuhuolunaogouzaopengchu,keyongqingjiemaojin、ruanbuliaohuofalangwandengjiayiyanhu。
⑤youguzhezheyongmubandengguqielaogu。
⑥shentaihundaozhe,weileranbingyinqian,zhuzhongxintiao、huxi、liangcetongkongjuxi。youshehouzhuizhe,yingjiangshetoulachuhuoyongbiezhenchuancilaoguzaikouwai,bimiangengsai。
(3)minjieerzhunquedizhuanyunshangbingyuan。anchabiedeshangqinghebingqing,anbingqingdeqingzhonghuanjitiaoxuanqiadangdedongxiezhizhuanyun。shusongtuzhongyingsuishicunjuanshangbingyuandebingqingbiangeng。
2.受伤简略单纯处置方法
chuxue: nenggoubashenshangdeyifusichengbupian,duichuxuedeshangkouezhibufenjiayazhixue。
guzhe: xianchangnenggouzhaokuaixiaojiaban、shuzhidengwu,duihuanzhiezhibaozhalaogu。
toubuchuangshang: bashangzhedetoufangxiangyibian,buyaoyangzhe,youyuruxuhuiyinfatuni,jiyixingchengshangzhegengsai。
fubuchuangshang: jiangqingjierongqikouzaifubishangchu,bimianchanshengfuqiangzhanran。
huxixintiaoezhi: shishiduishangzheezhikouduikoudeyeshenghuxi,bingezhijianlvedexiongwaianya。
(二)心肺苏醒
1.甚么是心肺苏醒
duihuxixintiaoezhidejizhengweichenerensuozuodeqiangjiuyizhijiaozuoxinfeisuxing。xinfeisuxingdefangzhenshikaifangqidao、zhongxiuhuxihelunhui。renmenzhixuchongshilinghuixinfeisuxingdechangshibingjieguanguocifangmiandelianxihoucainenggouweibierenshixingxinfeisuxing。
xinfeisuxing = (qingsuanhuxidao) + yeshenghuxi + xiongwaianya + houxudezhuanyeyongyao
2.心肺苏醒的工具
shouyaoshibuceshiwuzhongjiantiaohehuxiezhidebingren,erfeixinfeigongxiaoshuaijiehuojuezhengzhongqibinghuan。zainishui、chehuo、leiji、chudian、duqi、yaowuzhongdu、shuaishangdengshiwuzhongzhixuhuanzhehuoshangzheyiezhihuxi、xintiao,jiuyingzaidilinshihouqiangjiu(zuixingkui4fenzhongzhineiqitou)。
3.心肺苏醒的方针
bingbuyincibingrendexianchangqiangjiusuxingweiduyichengbaifangzhen,shouyaofangzhenzaiyushibingrendenaoxibaoyinyouyangyanxugongjierbuzhihuaisi。
4.心肺苏醒抢救步骤
(1)kandaobingren,xianchachaorenshi(paijian、panwenzenyangle)。
zhuzhong
·zaipandingbingrenrenshijinchengzhong,paiyaojianbushushoubuyaotaizhong,yibimianxingchengbingrenyouguzheerjianqingbingqing。
·qiarenzhongxuedeshihoubuyaotaizhang。
·pandingbingrenrenshideshihoubunengkuayue5miaozhong,yibimiandangejiujishihou。
(2)kendingbingrenburenshi,congsuzhuiqiuhouxuchengchi(hanzhengjiua,qingbierenbangzhudadelvfeng120,huhuanjiuhuche)。
(3)diaojibingrentiwei。shibingrenpingtangyuyingdishang。
(4)tongshunhuxidao(yishouzhangxiayabingrenqiane,lingwaiyishoumuzhiyushizhichengshouqiangxingtaixiaba)。
(5)kan、ting、ganyoubuhuxi。kanbingrenxiongbuyoubushengchen,yierduoqiejinbingshengchibi,tingyoubuhuxisheng,yimianjiaganshouyoubuchuqi。
(6)chachaobingrenmaibo。yongshizhijizhongzhizhaodaobingrenjingbuzhongxindiweihoulongchu,yanzheyicexiahua1.5~2limichu,weiyalaiganshoubingrenshibushiyoumaibo。
(7)ruowumaibo,zexuzhankaixiongwaianya。
5.胸外按压操纵步骤
zhunquedexiongwaianyadiwei:
youbingrendexiongbu(jinshijiuzhece),zhaoxunleiguxiayuan,yanleiguyuanxiangshanghuadong,zhileiguyuxionggujiaohuidexiongwochu,jiweianyadiwei。
jiangzhongzhizhiyuxinwochu,shizhijinkaozhongzhi,zhiyuxionggushangdingwei。
jianglingwaiyizhangdezhanggenjinkaozaiyidingweideshizhipang,shizhanggendediweiqiahaofangzaixionggudezhongxianshang。
zhanggenfanghaodiweihou,lingwaiyishouduidieyuqishang。
jiangliangshoudeshouzhihukouhuoqiaoqi,yibimianzhaquleiguxingchengguzhe。
youshuniuyanzheweibierenshixingxiongwaianyashi,shijiuzhezunzhaotuyi、er、sandezuofa,yishouzhanggenfanghaodiweihou,yilingwaiyishoujinwocishoudeshouduanbu。
dingweixiongwaianyadediweixiaoqiaomen:
jiujizheweiyubingrenyoubian,jiangyoushouzhangpingshen,shouzhijintiebingrenhoububingzhixianghoubu,pingfangbingrenxiongqian,yuemozhanggendidiandiweijiweianyadechusuo。ruxujiangshouzhangxiangwainiuzhuan90du,zuoshoudiefangzaidingweideshoushang,liangzhishouchuancha,shouzhiqiaoqi,ezhianya。
shijiuzhemianxiangbingrenguizhe,liangtuifankai,yujiantongkuan,jianbangzaishanghuanxionggudezhengshangfang,shuangbeiquansuo,yongtizhongdeqili,jianjiexiaya,yalituizhixionggushang。
meicixiayashi,yingjiangxiongguyaxia4~5limi,zhuajinshi,shoubushiyali,danbukenuodongshoudediwei。
yifenzhonghou
ezhixiongwaianyayuyeshenghuxi:
xianchixu15cianyahou,jiezhe2ciyeshenghuxi。
zhu: anyasulv80~100xia/fenzhong,yeshenghuximei5miaoyici。meicianyadouyaoshushuyigongtonganyasulv,koujue: yixia——shixia,nian“yi”shibuxiaya,nian“xia”shishouzhuajin,nian“er”shibuxiaya,nian“xia”shishouzhuajin,rusijiaohunianzhi10xia。shiyi,“shi”ya,“yi”song,“shi”ya,“er”song……ruxuniandaoshiwu。
yueyifenzhonghou(ru8fanfusici),chachaomaibodeyoubu。
ruo
注重
·bixukendingbingrenyiluokongzhijue,caikeshixingxinfeisuxing。
·shijiuzhuzhonglikaifengxiandiqu。
·bingrendetiweiyaochuyuyangwowei。xuweiyuyingbanchuanghuokongzhongshang,yiquebaoanyashibingrenbudongyao。
·kouduikouyeshenghuxishichuiyuliangyingshichengnianrenshenhuxiyibanliang。
·zhuzhongjianchibingrendehuxidaochangda。zhuzhongduangenhuxidaozhongdepaixiewu、nishadeng。youxiebingrenshehouju,duzhuqidao,yingdangbashetoulachulai。
·ruobingrendaiyoujiaya,yeshenghuxiqianyingquxia。
·yingyouerkoubibinikaojin,zuihaojiangyingyouerkoubiyilubaoluoezhiyeshenghuxi。
·zuoyeshenghuxiqian,weibimianjibingzhanran,keyongshoupa、zhijindengfuzaibingrenzuishangezhiduanjue。
·anyadezishi。shuangbeiquansuo,liyongshencaidefenliangpingjundianya。anyayaoyoujilv,buyaobaibuniunie,yebuchongyaojisideanya。anyadepincichengrenshi100ci/fenzhong,anyadelidubianshixiongguxiaxian4~5limi。
·xiongwaixinzanganyayingyuyeshenghuxitongbuezhi。xianzuo2ciyeshenghuxi,zaizuo15cianya,rusileitui。
·shishiqiangjiu,xuyixiangzuodaoyouhuxijiyoumaibohuohouxuchengchidadaoweizhi。
·ruhuanzherenshiyisuxing,caiyongceshenxiexizishi,qidaihouxuchengchidadaohuosongyiyizhi。
·bujingliderenshiwanwanbuyaosuiyiweibierenzuoxinfeisuxing。