Inā maʻi kāu keiki, hāʻule i kekahi wahi a ʻeha, manaʻo koke paha ʻoe e lawe i kāu keiki i ka lumi pilikia, ʻo ia hoʻi, ka "Emergency Room - ER" o ka haukapila, ʻeā? No ka mea, ua ʻike ʻoe hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau ma laila i kēlā me kēia manawa o ka lā, ʻaʻohe mea nui a liʻiliʻi paha ka pilikia o kāu keiki. He ʻoiaʻiʻo kēlā. Akā, e makaʻala iki kākou inā pono kākou e hele i ka "ER" no kēlā me kēia mea liʻiliʻi, a i ʻole he mau mea e noʻonoʻo ai ma mua o kēlā.
I kekahi manawa, hiki ke lilo i pilikia olakino. I kēlā hihia, ʻo ka hele ʻana i ka ER (i kekahi manawa i kapa ʻia ʻo Emergency Department - ED) ka mea kūpono e hana ai. Eia nō naʻe, aia kekahi mau maʻi a me nā ʻeha e hiki ke mālama ʻia ma kahi keʻena mālama wikiwiki a i ʻole ma ke kipa ʻana i ke kauka maʻamau o kāu keiki.
No laila, inā kū mai kahi kūlana kahi e pono ai ʻoe e hele i ka ER, he mea nui loa ia e ʻike ʻoe i ka mea e manaʻo ai a me ka mea e manaʻo ai ke hiki ʻoe i laila.
Āhea mākou e kāhea ai i ka 911 a kiʻi i kahi ambulance?
I kekahi manawa, ʻoi aku ka maikaʻi o ke kāhea ʻana i ka 911 a kiʻi i kahi kaʻa maʻi ma mua o ke kau ʻana i kāu keiki i loko o kāu kaʻa a hele i ka ER. Eia kekahi laʻana, inā pilikia kāu keiki i ka hanu ʻana a ʻike ʻia he uliuli, a inā paha ua komo lākou i kahi ulia kaʻa nui a ua ʻike ʻole ʻia a ʻeha nui paha, ʻoi aku ka palekana o ka hele ʻana ma ka kaʻa maʻi. Ma kēia ʻano, hiki iā ʻoe ke hāʻawi iā lākou i ke kōkua mua e pono ai lākou ma ke ala.
I kēia mau kūlana, pono ʻoe e kāhea i ka 911 :
- Inā pilikia ke keiki i ka hanu ʻana a me he mea lā e polū ana ka ʻili .
- Inā ua komo ʻoe i loko o kahi ulia kaʻa a ua nalowale kou ʻike a ua ʻeha nui paha .
- Inā hele mai kahi maʻi, ʻo ia hoʻi ua loaʻa kahi ʻano maʻi e like me ka hopu ʻana .
- Inā ʻaʻole ʻoe i ʻike a pane ʻole paha .
- Inā manaʻo ʻoe he ʻeha kou ʻāʻī a i ʻole ka iwi kuamoʻo .
- Inā ua nalowale ka ʻike o ke keiki ma muli o kahi ʻeha poʻo , hoʻomau i ka luaʻi, a i ʻole ʻaʻole pane maʻamau.
- Inā nui ke kahe koko , ʻaʻole hiki ke hoʻōki.
- Inā kānalua ʻoe ua make ʻoe a ʻaʻole pane maʻamau kāu keiki a i ʻole ke paʻakikī nei ka hanu ʻana , e kelepona i kahi Poison Control Center (1-800-222-1222) no ka ʻōlelo aʻo. Hiki iā lākou ke kuhikuhi iā ʻoe i ka ER.
Mea nui: He mea paʻakikī ke pale aku i ka hopohopo i ka manawa e like me kēia, akā he mea nui loa ia no ka palekana o kāu keiki e hana i nā mea e pono ai me ka mālie e like me ka hiki.
Pehea mākou e hoʻolālā ai ma mua o ka hele ʻana i ka Emergency Treatment Unit (ETU) ?
Ma mua o ka hiki ʻana mai o kahi pilikia, e kamaʻilio me ke kauka maʻamau o kāu keiki e pili ana i ka mea e hana ai inā he pilikia maoli ia a me ka ER e hele ai. Hiki i kāu kauka ke haʻi aku iā ʻoe e hele i ka ER kokoke loa, a i ʻole e kuhikuhi paha lākou iā ʻoe i kahi ER ma kahi haukapila kahi e ʻike pinepine ai lākou i nā mea maʻi.
He mea maikaʻi anei ke hele i ka lumi pilikia (ETU) o ka haukapila o nā keiki?
He mea kēia e noʻonoʻo ai. He mau wahi kūikawā nā haukapila o nā keiki no nā keiki. No laila, loaʻa paha iā lākou nā limahana pediatric hou aʻe, nā loea pediatric, a me nā pono kūpono no nā keiki . No laila, inā he pilikia maoli ia a aia kahi haukapila o nā keiki kokoke i kou wahi, e noʻonoʻo e hele i laila.
A i ʻole, hiki iā ʻoe ke ʻimi i ke kōkua lapaʻau ma ka haukapila kokoke loa iā ʻoe. Inā no kekahi kumu ʻaʻole hiki ke mālama ʻia ke kūlana kūikawā o kāu keiki ma ia haukapila, e hoʻonohonoho nā kauka ma laila e hoʻoili i kāu keiki i kahi haukapila ʻē aʻe me nā pono kūpono.
Ke koʻikoʻi o ka ʻike ʻana i ka mōʻaukala olakino o kāu keiki
He mea nui loa kēia. Ke holo a puni ʻoe me ka hopohopo, ʻaʻole ʻoe e hoʻomanaʻo i kēia mau mea. No laila, he mea nui loa ia e mālama i ka mōʻaukala olakino piha o kāu keiki i loko o kahi palapala. E mālama i kope o ia mea ma kahi e hiki ai i nā mea a pau o ka hale ke komo maʻalahi. A laila, inā ʻaʻole ʻoe ma laila, hiki i kekahi mea nāna e mālama i ke keiki (no ka laʻana, he kupuna wahine, he kupuna kāne, a i ʻole kekahi mea e hele mai e lawe i ke keiki) ke hāʻawi i kēlā ʻike inā pono lākou e lawe i ke keiki i ka ER.
Eia kekahi mau mea e hoʻokomo i loko o kēlā mōʻaukala lapaʻau:
- Nā ʻano lāʻau lapaʻau a ke keiki e lawe nei (inoa, nui, alapine (pinepine) o ka lawe ʻana).
- Nā maʻi ʻaleka a ke keiki (e like me nā lāʻau lapaʻau a meaʻai paha).
- Inā ua hoʻokomo ʻia ʻoe i ka haukapila ma mua, nā kikoʻī e pili ana i ia mea.
- Nā kikoʻī o nā hana ʻoki mua .
- Loaʻa i ke keiki nā maʻi mau loa a i ʻole nā maʻi lōʻihi ʻē aʻe (e like me ka hānō, ka maʻi diabetes mellitus).
- Nā kikoʻī o nā maʻi koʻikoʻi o ka ʻohana (inā pili) .
- Nā kikoʻī o nā lāʻau pale i hāʻawi ʻia i ke keiki (Mōʻaukala lāʻau pale) .
Eia kekahi, e hoʻokomo pū i ka inoa a me ka helu kelepona o ke kahu mālama mua o kāu keiki , a me ka inoa a me ka helu o ka hale kūʻai lāʻau kahi āu e loaʻa mau ai kāu mau lāʻau lapaʻau.
He aha kā mākou e hoʻomākaukau ai ma mua o ka hele ʻana i ka Emergency Treatment Unit (ETU) ?
Ke hele ʻoe i ka ER me kāu keiki, he mea nui e ʻike pono i ka pilikia o kāu keiki i kēia manawa. Nā mea e like me:
- I ka manawa hea a ma hea i hoʻomaka ai ka pilikia (inā he ʻeha, i ka manawa hea i hana ʻia ai; inā he maʻi, pehea ka lōʻihi o kona noho ʻana).
- He aha nā hōʻailona o ka maʻi a i ʻole ka ʻeha o kēia manawa ? (e.g., kuni, ʻū, luaʻi, ʻeha ʻōpū, ʻeha ma kahi).
- ʻO ʻoeHe aha nā lāʻau lapaʻau a me nā lāʻau lapaʻau i hāʻawi mua ʻia iā ʻoe ma ka home?
- I ka manawa hea i ʻai hope ai a inu paha ke keiki ?
Eia kekahi laʻana, inā e ale kāu keiki i kahi lāʻau lapaʻau a i ʻole ke kemika hale a hele i ka ER, e lawe pū me ʻoe i ka ʻōmole a i ʻole ka ʻeke i loaʻa ka mea i ale ʻia. E kōkua kēia i nā kauka e hoʻomaopopo i ka lāʻau e hāʻawi ai. Inā e ale kāu keiki i kahi mea (e laʻa me kahi ʻāpana kālā, kahi ʻāpana o kahi mea pāʻani), e lawe pū me ʻoe i kekahi o ke ʻano like inā hiki.
He aha ka mea e manaʻo ai ma ka Emergency Treatment Unit (ETU) ?
E hoʻomanaʻo he pono paha ʻoe e kali no kekahi manawa.
Ma kekahi ER, koe wale nō nā pilikia koʻikoʻi loa, he mea maʻamau no nā poʻe ʻē aʻe ke kali no kekahi manawa. No laila, inā loaʻa iā ʻoe ka manawa ma mua o ka hele ʻana i ka ER, e lawe mai i kahi mea e hana ai ʻoiai ʻoe e kali ana (e laʻa, he puke, he makasina). He manaʻo maikaʻi nō hoʻi e lawe mai i kahi peni a me ka pepa e kākau i nā nīnau āu no ke kauka. Inā ʻaʻole pilikia nui kāu keiki, e lawe mai i kahi mea e pili ana me kāu keiki i kou kali ʻana (e like me nā penikala, nā puke, nā mea pāʻani, a i ʻole kahi holoholona hoʻopihapiha punahele). Inā manaʻo ʻoe e noho kāu keiki ma ka haukapila, he mea naʻauao nō hoʻi e lawe mai i kahi lole hoʻololi nou a me kāu keiki, a me nā mea e like me ka palaki niho.
ʻAʻohe mea hiki ke ʻōlelo pololei i ka lōʻihi o kou kali ʻana ma ka ER. Akā, inā he pilikia olakino koʻikoʻi kāu keiki, hiki iā ʻoe ke maopopo e hāʻawi koke nā kauka i nā lāʻau lapaʻau āpau e pono ai .
ʻIke mua nā kauka i nā ʻeha a me nā maʻi koʻikoʻi loa, no laila inā ʻoe e komo me kahi ʻeha liʻiliʻi, pono paha ʻoe e kali iki. ʻOiai inā ʻaʻohe mea i loko o ka lumi kali, pono paha ʻoe e kali inā piha nā lumi hoʻokolohua, a inā he nui nā kauka a me nā kahu maʻi e mālama ana i ka mea maʻi koʻikoʻi hoʻokahi. Inā manaʻo ʻoe e ʻoi aku ka ʻino o ke kūlana o kāu keiki i kou kali ʻana, e haʻi koke i nā limahana lapaʻau.
Triage a me nā palapala
Ma hope koke iho o kou hōʻea ʻana i ka ER, e hele mai ana kekahi kahu maʻi e ʻike i kāu keiki. E nīnau ʻo ia e pili ana i nā hōʻailona, e nānā i nā hōʻailona koʻikoʻi (ke kuni, ka pulse, ka hanu ʻana, a pēlā aku), a e hana i kahi loiloi wikiwiki. Ua kapa ʻia kēia he triage . Pili kēia i ka hoʻoholo ʻana i ka mea e pono e mālama mua ʻia, ma muli o ke koʻikoʻi o ke kūlana o ke keiki.
A laila pono ʻoe e hele i ke kaʻina hana hoʻopaʻa inoa. Ma laila e noi ʻia ʻoe e kau inoa i nā mea e like me ka ʻae no nā palapala lapaʻau. Inā he ʻinikua olakino kāu, e hōʻoia e lawe pū mai i kēlā kāleka.
He mau mea hou aʻe e ʻike ai
- Nā lawelawe unuhi ma nā ER he nuiAia, a i ʻole hiki iā ʻoe ke loaʻa kekahi e kōkua i ka unuhi ʻana i ka ʻōlelo. Inā ʻaʻole ʻoe e ʻōlelo maikaʻi i ka ʻōlelo Pelekania, he manaʻo maikaʻi e lawe mai i kahi lālā o ka ʻohana a i ʻole hoaaloha e kōkua iā ʻoe.
- I kekahi manawa, ʻaʻole makemake nā kauka e hāʻawi i kāu keiki i kahi mea e ʻai ai a inu paha (inā paha e hana ʻia ana ke ʻoki kino). No laila, ma mua o ka hāʻawi ʻana i kāu keiki i kahi mea e ʻai ai a inu paha, e nīnau pono i nā limahana lapaʻau inā maikaʻi.
- Inā ʻoe e hele i ka ER i ka hopena pule a i ʻole i ka pō, ʻaʻole paha he loea ma laila i kēlā manawa. Akā inā pono, e hoʻonohonoho lākou iā ia e hele mai. Inā pono kahi ʻoki, e hoʻokaʻaʻike aku lākou i kahi kauka ʻoki.
Pehea ʻoe e hoʻomālielie ai i kāu keiki?
Ke kali nei ʻoe ma ka ER, ʻike paha ʻoe a me kāu keiki i nā poʻe e hele mai ana i loko e maʻi nui ana a ʻeha. ʻO ka ʻike ʻana i nā poʻe i ʻeha nui a maʻi, a me ka lohe ʻana i ka walaʻau, hiki ke hopohopo no kahi keiki ʻōpio. I kēlā manawa, e wehewehe i kāu keiki ʻo ka ER kahi maikaʻi loa e kōkua a ho'ōla i ka poʻe pilikia. Inā hiki iā ʻoe, e haʻi mai iaʻu i kahi laʻana o kahi manawa i ʻeha ai kekahi āu i ʻike ai a makaʻu i ia manawa, akā ma hope o ka mālama ʻana o nā kauka iā ia, ua maikaʻi nā mea a pau.
Loaʻa i kekahi mau haukapila nā loea ola keiki . Hiki iā lākou ke kōkua i nā keiki e hoʻomanawanui i ke kaumaha o ka noho ʻana ma ka ER, hoʻomākaukau iā lākou no nā ʻano hana lapaʻau like ʻole, a aʻo i nā ʻano hana hoʻokele ʻeha ʻaʻole pharmacological, a hiki i nā keiki ʻōpio.
E hoʻomanaʻo, ʻo ka ʻoi aku o kou mālie a me kou wiwo ʻole, ʻo ka emi ʻana o ka makaʻu o kāu keiki. ʻO kou mālie he ikaika nui ia no kāu keiki.
Nā mea e pono ai ʻoe e hoʻomaopopo ma ka ER
E ho'āʻo e kākau i nā ʻike koʻikoʻi āu e lohe ai ma ka ER. ʻAʻole ʻoe e hoʻomanaʻo i nā mea āpau ke kaumaha ʻoe. Eia kekahi mau mea e hoʻomanaʻo ai:
- ʻO nā inoa o nā kauka nāna i mālama i ke keiki.
- ʻO kā lākou e ʻōlelo ai e pili ana i ka maʻi a i ʻole ka ʻeha o ke keiki (e like me ka hōʻailona, ke koʻikoʻi o ke kūlana).
- He aha nā lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau e hāʻawi ʻia i ke keiki?
- Nā mea e hana ai ma hope o kou hoʻi ʻana i ka home a i ʻole nā kuhikuhi no ka mālama ma hope .
He mea pono loa ke kākau ʻana i kēia mau mea i kou hele ʻana e ʻike i kāu kauka maʻamau ma hope aku, a i ʻole i kou mālama ʻana i kāu keiki ma ka home.
He aha ka mea e hana ʻia ma hope o ka haʻalele ʻana i ka Emergency Treatment Unit (ETU) ?
Ke hoʻokuʻu ʻia kāu pēpē mai ka haukapila, e hōʻoia e maopopo iā ʻoe nā kuhikuhi i hāʻawi ʻia iā ʻoe e pili ana i ke ʻano o ka mālama ʻana i kāu pēpē ma ka home. Inā he mea āu i maopopo ʻole ai, mai makaʻu e nīnau hou.
I ka hapanui o nā hihia, e hoʻokaʻaʻike aku ke kauka nāna i mālama i kāu keiki ma ka ER i kāu kauka mālama mua. Inā ua komo kāu keiki i ka haukapila, e hoʻomaopopo ke kauka o ka lumi pilikia i kāu kauka .
Hāʻawi kekahi mau ER i nā palapala i kākau ʻia a i ʻole uila paha o ke kipa. Hoʻokomo kekahi i nā kikoʻī a hoʻouna iā lākou i kāu kauka mālama mua. E mālama i kope o nā palapala āu e loaʻa ai ke haʻalele ʻoe i ka haukapila a hāʻawi i kāu kauka no nā kipa hahai .
He leka lawe i ka home
He mea maʻamau ka hopohopo i ka wā pilikia. Eia nō naʻe, hiki i kahi hoʻomākaukau liʻiliʻi ke kōkua nui iā ʻoe a me kāu keiki e hoʻomanawanui i nā manawa paʻakikī.
- E loaʻa kahi manaʻo maʻamau no ka wā e kāhea ai i ka 911 a me ka wā e hele ai i ka ER.
- E hoʻopaʻa i ka mōʻaukala olakino o kāu keiki a mālama iā ia ma kahi e hiki ai ke loaʻa.
- E noʻonoʻo mua i nā mea āu e manaʻo ai e pono ai ʻoe i ka wā e hele ai i ka ER (e like me ka ʻike o kāu keiki, nā puke, a me nā lole).
- E hoʻomanaʻo he manawa pōkole paha e kali ai ma ka ER, a e ho'āʻo e hoʻomālielie i ke keiki.
- E hoʻolohe pono i ka ʻōlelo a ke kauka a me nā kuhikuhi a lākou e hāʻawi ai, a e kākau i nā memo inā hiki. Inā ʻaʻole ʻoe e maopopo, e nīnau hou.
Inā ʻoe e hoʻomanaʻo i kēia mau mea, e hiki iā ʻoe ke hana maʻalahi iki a me ka ʻike nui aʻe, ʻoiai i ka wā pilikia. Ke makemake nei i kāu keiki e ho'ōla koke!
Mālama pilikia , ER, olakino o nā keiki, 911, mōʻaukala olakino, nā pilikia, nā haukapila o nā keiki











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