He aha ka "Code Blue" i loko o ka haukapila? E makaʻala kākou i kēia!

Ua hele paha ʻoe i loko o kahi haukapila a lohe i kahi hoʻolaha ulia pōpilikia e like me " Code Blue ... Code Blue ... Surgical ward ... Quick!"? A i ʻole ua ʻike paha ʻoe iā ia ma kahi kiʻiʻoniʻoni a i ʻole nā ​​​​moʻo TV. He mea maʻamau ke manaʻo iki i ka hopohopo a me ka makaʻu i ka manawa e like me ia? Manaʻo ʻoe, "Auē kuʻu Akua, he aha ka mea e hana ʻia?" No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano maoli o kēia "Code Blue", nā mea e hana ʻia ma kahi haukapila i ka wā e hana ʻia ai kēlā hoʻolaha, a me kona ʻano. ʻO ka ʻike ʻana i kēia mau mea e kōkua iā ʻoe e hopohopo ʻole inā lohe ʻoe i kekahi mea e like me ia.

He aha maoli ke ʻano o "Code Blue"?

I ka ʻōlelo maʻalahi, ʻo "Code Blue" kahi huaʻōlelo hōʻailona kūikawā i hoʻohana ʻia e hoʻomaopopo e pili ana i kahi pilikia olakino e hana ʻia ana ma kahi haukapila . He ʻāpana ia o kahi ʻōnaehana hoʻokele pilikia. Hoʻomaopopo ʻia nā pilikia like ʻole e nā kala a me nā huaʻōlelo like ʻole.

Ma nā ʻāina he nui, ʻoi aku hoʻi ma ʻAmelika Hui Pū ʻIa a me Kanada, ʻo ka "Code Blue" kahi pilikia olakino e pili ana i kahi pākeke . No ka laʻana, inā pau koke ka puʻuwai o ke kanaka, kahi kūlana e like me ka hōʻeha puʻuwai, (Cardiac Arrest) , a inā pau loa ka hanu ʻana, (Respiratory Arrest) , a laila hoʻopuka ʻia kahi hoʻolaha "Code Blue". ʻO ia hoʻi, aia ke kanaka i loko o kahi kūlana koʻikoʻi hiki ʻole ke hoʻoneʻe ʻia.

Ke noho ʻoe i loko o ka haukapila, lohe paha ʻoe i kēia hoʻolaha "Code Blue". I kekahi manawa hiki ke hele pū ʻia me kahi leo hōʻike. Eia kekahi, me kēlā hoʻolaha Ua ʻōlelo ʻia kahi kikoʻī o ka pilikia . Eia kekahi laʻana, hiki iā ʻoe ke ʻōlelo "i ka papahele ʻekolu" (`helu papahele`) a i ʻole "i ka Intensive Care Unit (ICU)`".

E hoʻomanaʻo, ʻo kahi pilikia olakino e pili ana i kahi keiki ʻōpiopio ua kapa pinepine ʻia ʻo "Code Pink." No laila ʻo "Code Blue" kahi kelepona pilikia kūikawā no nā pākeke.

Hoʻohana ʻia kēia mau code like ʻole i hiki i nā limahana o ka haukapila ke pane koke a pololei i ka pilikia. He ala maikaʻi kēia e hoʻomaopopo wale i ka poʻe pono me ka ʻole o ka hoʻoweliweli ʻana i nā mea āpau.

He aha ka mea e hana ʻia i ka wā o kahi "Code Blue"?

Ke hoʻolaha ʻia kahi hoʻolaha " Code Blue ", pane koke nā limahana o ka haukapila. Loaʻa i kēlā me kēia haukapila nā pilikia e like me kēia.He mau kulekele kūikawā ko lākou e hana ai me lākou.

Ma kekahi mau haukapila, i ka hoʻomaka ʻana o kēlā me kēia hana, ua hāʻawi mua ʻia nā limahana lapaʻau i nā hana, e like me ka mea nāna e hana inā loaʻa kahi "Code Blue". Ma nā wahi ʻē aʻe, aia paha kekahi lula e pono i kēlā me kēia limahana lapaʻau e kokoke ana i kahi o kahi pilikia ke hōʻike i kahi. Eia kekahi, aia kekahi mau haukapila nui i kahi hui code blue i hoʻolaʻa ʻia a i ʻole hui hoʻōla hou no kēia ʻano pilikia.

ʻO ka loaʻa ʻana o kēia mau code a me nā kaʻina hana like ʻole e hiki ai i nā haukapila ke mākaukau maikaʻi no kekahi pilikia. He mea nui e ʻike pono kēlā me kēia limahana i kā lākou kuleana. Inā he limahana mālama ola ʻoe, ʻoiai inā ʻaʻole ʻoe he lālā o ka hui "Code Blue", he mea nui e ʻike pehea e hana ai i ka cardiopulmonary resuscitation (CPR) a pehea e hoʻohana ai i kahi defibrillator . Wahi a kekahi mau hōʻike, hiki ke hala i ʻekolu a ʻelima mau minuke no nā limahana lapaʻau pilikia e hōʻea i ke kahua. No laila, ʻo ka mālama ʻana i nā mākau o kēlā me kēia kanaka i kēia manawa hiki ke kōkua i ka hoʻopakele ʻana i nā ola.

Ke hōʻea mai ka hui "Code Blue", hoʻohana lākou i nā ʻano āpau e hoʻopakele i ke ola o ka mea maʻi. Pono kēia mau mea āpau i nā lako pono a me nā Aia kahi kaʻa lawe kūikawā ('crash cart') me nā lāʻau lapaʻau . Lawe koke ʻia ia i kahi kūpono.

He aha nā ʻano hana nui i hoʻohana ʻia e mālama ai i nā ola?

Aia kekahi mau ʻano hana nui i hoʻohana ʻia e hoʻopakele i kahi mea maʻi i ka wā o ka "Code Blue". E nānā iki kākou iā lākou.

He aha ka Cardiopulmonary Resuscitation (CPR)?

Ua lohe paha ʻoe i ka CPR. ʻO kēia kekahi o nā mea nui āu e hana ai i ka wā o ka "Code Blue." ʻO ka ʻāpana nui o ka CPR nā kaomi ʻana i ka umauma . ʻO kēia ke hoʻomau i ke kahe ʻana o ke koko i ka lolo a me nā ʻōpū koʻikoʻi ʻē aʻe a hiki i ka wā e hoʻomaka hou ai ka puʻuwai e kuʻi.

Hoʻopili ke kanaka e hana ana i ka CPR i nā manamana lima o nā lima ʻelua, e kau iā lākou ma waenakonu o ka umauma o ke kanaka i kū kona puʻuwai a hanu paha, a hāʻawi i nā kaomi paʻa a kāohi ʻia ma kahi mele kikoʻī . Ua ʻōlelo ʻia ma ka hāʻawi ʻana i ka CPR ma kēia ʻano, hiki ke pāpālua a ʻekolu paha ka manawa e hoʻopakele ai i ke ola o ke kanaka. ʻO ia ke kumu he mea nui loa ia.

No ke aha a pehea e hana ʻia ai ka intubation?

Inā ʻaʻole hiki i kekahi ke hanu pono, ʻo ia hoʻi, inā ua pau ko lākou hanu ʻana, hana nā kauka i kahi hana i kapa ʻia ʻo "intubation." ʻO kēia ke kau ʻana o ke kauka i kahi ʻōmole kūikawā ("tube") ma o ka waha (i kekahi manawa ma o ka ihu) i loko o ka ʻōpū hanu o ka mea maʻi (``trachea``) .

Mālama kēia paipu i ke ala ea e wehe ai, e ʻae ana i ka ea e kahe i loko o nā māmā. A laila hiki ke hāʻawi ʻia i ka mea maʻi i ka hanu ʻana ma ka hoʻopili ʻana i kahi ʻeke lima (`ʻeke`) a i ʻole kahi mīkini e hāʻawi ana i ka oxygen (`ventilator`). Ma mua a i ka wā o ka ``intubation``, i kekahi manawa kau kekahi limahana lapaʻau i kahi ``mask`` ma ka maka a kōkua i ka hanu ʻana ma o ka ʻeke.

No ke aha e hoʻohana ai i kahi defibrillator?

Hoʻohana pinepine ka hui "Code Blue" i kahi defibrillator . Ua lohe paha ʻoe i kahi mea i kapa ʻia ʻo AED (Automated External Defibrillator) . ʻO kēia ia. He mea nui loa kēia.

I kekahi mau hihia kahi e kuʻi ai ka puʻuwai i ka manawa kūpono ʻole a me ka wikiwiki loa (e like me ka 'ventricular fibrillation'), a i ʻole i kekahi mau hihia kahi i pau ai ka kuʻi ʻana o ka puʻuwai, hiki i kahi haʻalulu uila i hoʻopuka ʻia e kēia mīkini ke hoʻihoʻi i ka mele o ka puʻuwai. He hana hoʻōla ola ia.

I kēia mau lā, ua hoʻokomo ʻia kēia mau mīkini `(AED)` i nā wahi lehulehu he nui (e like me nā kahua mokulele a me nā hale kūʻai kūʻai). No ka mea, ua hoʻolālā ʻia lākou i ke ʻano e hiki ai i kahi kanaka i aʻo ʻole ʻia ke hoʻohana. Ua maopopo loa nā kuhikuhi ma luna o lākou, a hāʻawi kekahi mau mīkini i nā kuhikuhi ma ke kamaʻilio ʻana. Eia kekahi, inā ʻoe e kāhea i kahi helu pilikia (ma ko mākou ʻāina, ua like ia me 1990), kōkua lākou a aʻo iā ʻoe pehea e hoʻohana ai.

He aha nā lāʻau lapaʻau kūikawā i hāʻawi ʻia i kēia manawa?

I kekahi mau hihia "Code Blue", hoʻohana ka hui lapaʻau i nā lāʻau lapaʻau kūikawā. ʻO nā mea i hoʻohana pinepine ʻia ʻo ia ka epinephrine a me ka amiodarone .

• Kōkua ka lāʻau adrenaline (epinephrine) i ka ʻūmiʻi ʻana o nā ʻiʻo o ka puʻuwai a kōkua pū kekahi i ka hoʻonui ʻana i nā ala ea.
• He lāʻau lapaʻau ʻo Amiodarone e kōkua ai i ka kaohi ʻana i nā puʻuwai puʻuwai kūpono ʻole (arrhythmias) a hoʻihoʻi i ka puʻuwai i kahi mele palekana.

Ma waho aʻe o kēia, i kekahi manawa hiki ke hoʻohana ʻia nā lāʻau lapaʻau e like me Vasopressin lāua ʻo Lidocaine . Ma muli o ke kūlana o kēlā me kēia maʻi, hiki i nā kauka ke hoʻohana i nā lāʻau lapaʻau ʻē aʻe.

Pili wale nō anei nā leka hoʻomaopopo "Code Blue" i nā maʻi?

ʻAʻole. Inā lohe ʻoe i kahi hoʻolaha "Code Blue" i kou wā ma ka haukapila, ʻaʻole ia he manaʻo wale nō he mea maʻi e mālama ʻia ana ma ka haukapila. Hiki paha i kahi mea maʻi, he malihini, a i ʻole kekahi e hana ana ma ka haukapila . Ua ʻike ʻia nā noiʻi ma kahi o 1% o nā hopu puʻuwai ma nā haukapila e hana ʻia i nā poʻe ʻaʻole he poʻe maʻi - ʻo ia hoʻi hiki ke hana ʻia i nā malihini, nā limahana, a i ʻole ma nā wahi kaʻa.

ʻO ke ʻano o "Code Blue" ke ʻano ua make kekahi?

He manaʻo kuhihewa kēia i ka poʻe he nui.ʻAʻole manaʻo ka hoʻolaha "Code Blue" ua make kekahi. Eia naʻe, ʻo ia hoʻi ke pilikia nui nei kekahi i ka make ʻana . ʻO ia hoʻi, pono ke kōkua koke ʻana o ke kauka e hoʻopakele i ke ola o kēlā kanaka. Ke hoʻāʻo nei ka hui lapaʻau e hoʻopakele i kēlā ola i kēlā manawa.

Aia kekahi mau code ulia pōpilikia ʻē aʻe e like me kēia ma nā haukapila?

ʻAe, aia nō. ʻO "Code Blue" hoʻokahi wale nō. Hoʻohana nā haukapila i nā code like ʻole e wehewehe i nā pilikia like ʻole. No ka laʻana, hiki ke lilo ʻo "Code Red" i ahi, hiki ke lilo ʻo "Code White" i hanana ʻino, a hiki ke lilo ʻo "Code Yellow" i pōʻino o waho. Hiki ke ʻokoʻa iki kēia mau code mai kēlā ʻāina a kēia ʻāina, a mai kēlā haukapila a kēia haukapila i loko o ka ʻāina hoʻokahi.

ʻO ke kumu nui o ka hoʻohana ʻana i kēia mau code, ʻo ia ke hoʻomaopopo i ka poʻe e pono e ʻike e pili ana i kahi pilikia (ʻo ia hoʻi nā limahana) me ka ʻole o ka hoʻoweliweli pono ʻole i nā mea maʻi a me nā malihini. E hoʻomaopopo nā limahana olakino ma kou wahi iā ʻoe inā he mea āu e pono ai e ʻike.

ʻOiai he nui nā haukapila ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, Kanada, ʻAukekulelia, a me Aotearoa e hoʻohana ana i nā kala like no nā mea like, ʻaʻohe ʻōnaehana coding maʻamau ma nā wahi āpau. Akā, like ka manaʻo nui ma nā wahi āpau: he pane wikiwiki a kūpono hoʻi!

He leka hope loa e lawe ʻia i ka home

No laila, ʻo ka lohe ʻana i kahi hoʻolaha "Code Blue" ma kahi haukapila a i ʻole kahi hale mālama ola kino ʻē aʻe hiki ke lilo i mea hoʻohoka iki. Eia nō naʻe, manaʻo wau e lawe mai ia iā ʻoe i kahi hōʻoluʻolu i ka ʻike ʻana e hele mai ana kahi hui o nā loea lapaʻau akamai a aʻo ʻia e kōkua koke i ka mea i nīnau ʻia . ʻO ka ʻike ʻana i kēia mau mea e kōkua iā mākou e pale aku i ka makaʻu pono ʻole. Pono mākou e hoʻomanaʻo i loko o kahi pilikia e like me kēia, he mea nui kēlā me kēia kekona, a ke hana nei kā mākou mau kauka, nā kahu maʻi, a me nā limahana ʻē aʻe i nā mōhai nui no kēlā.

ʻO ke Code Blue, pilikia olakino, nā code haukapila, hoʻōla puʻuwai, CPR, defibrillator, intubation, mālama pilikia