Aloha! Inā maʻi koke kāu keiki liʻiliʻi, a inā paha he ulia liʻiliʻi, he mea maʻamau loa ia no ʻoe ma ke ʻano he makua ke hopohopo, ʻeā? I kēlā mau manawa, holo koke ko mākou manaʻo i ka lumi pilikia o ka haukapila, ʻo ia hoʻi, ka ER (Emergency Room) . No ka mea, ʻike mākou inā mākou e hele i laila, hiki iā mākou ke loaʻa ka lāʻau lapaʻau i kēlā me kēia manawa o ka lā, me ka nānā ʻole i ke ʻano o ke keiki. Akā, pono anei mākou e hele i ka ER no kēlā me kēia maʻi liʻiliʻi a i ʻole ka ʻeha? I kekahi manawa, aia nā manawa e hiki ai iā ʻoe ke loaʻa ka hoʻomaha mai kāu kauka ʻohana a i ʻole ke kikowaena lapaʻau maʻamau. E kamaʻilio kākou e pili ana i kēia mau mea a pau i kēia lā.
Pono maoli anei au e hele i ka ER? A i ʻole hiki iaʻu ke loaʻa ke kōkua ma kahi ʻē aʻe?
Eia ka mea, i kekahi manawa hiki ke lilo i pilikia olakino maoli. I ia hihia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke lawe i kāu keiki i ka ER (Emergency Room) (kapa pū kekahi poʻe i kēia ʻo ED - Emergency Department ).
Eia nō naʻe, aia kekahi mau maʻi a me nā pōpilikia liʻiliʻi e hiki ke mālama ʻia ma ka ʻike ʻana i kāu kauka ʻohana a me ka loaʻa ʻana o ka lāʻau lapaʻau, a i ʻole ma ka ʻimi ʻana i ka lāʻau lapaʻau ma kahi keʻena mālama wikiwiki (ma Sri Lanka, loaʻa pinepine kēia mau mea ma nā haukapila pilikino, a i ʻole kekahi mau kikowaena channeling o nā kauka e hāʻawi pū i ia mau lawelawe).
No laila, inā pono mākou e hele i ka ER, he mea nui loa ia e ʻike i ka mea e manaʻo ai ke hiki mākou i laila a me nā mea e pono ai mākou e hoʻomākaukau ai.
Āhea ʻoe e kāhea ai iā 1990 e kāhea i kahi ambulance?
Aia kekahi mau kūlana kahi ʻoi aku ka palekana o ke kāhea ʻana i kahi ambulance ma mua o ka lawe ʻana i kāu keiki i ka ER ma kāu kaʻa. Ma Sri Lanka, hiki iā mākou ke kāhea aku i ka 1990 Suwaseriya Ambulance Service . Eia kekahi mau kūlana kahi e pono ai ʻoe e kāhea aku i kahi ambulance:
- Inā pilikia ke keiki i ka hanu ʻana a ʻike ʻia ka ʻili he polū .
- Inā ua komo ʻoe i loko o kahi ulia kaʻa a nalowale kou ʻike, a inā paha ua ʻeha nui ʻoe.
- Inā loaʻa i ke keiki ka maʻi epilepsy a i ʻole kahi hopu .
- Inā ʻike ʻole ke keiki a pane ʻole paha i ka ʻōlelo.
- Inā he kānalua ua loaʻa i ke keiki kahi ʻeha ʻāʻī a i ʻole ka iwi kuamoʻo .
- Inā ua nalowale kou ʻike ma hope o kahi ʻeha poʻo , e hoʻomau i ka luaʻi ʻana, a i ʻole ʻaʻole ʻoe e pane maʻamau.
- Inā ʻoe e kahe koko ana me ka hiki ʻole ke kāohi .
- Inā ʻaʻole pane maʻamau ke keiki a i ʻole pilikia paha ka hanu ʻana ma muli o ka lāʻau make . ʻO ka mea nui loa, inā manaʻo ʻoe ua lāʻau make ʻoe, e kelepona koke i ke Kikowaena ʻIke Lāʻau Make ma 0112686143 no ka ʻōlelo aʻoaʻo.Hiki paha iā lākou ke kuhikuhi iā ʻoe i ka ER.
Mea nui: He mea paʻakikī ke pale aku i ka hopohopo i ke kūlana e like me kēia, akā e hana i nā hana e pono ai me ka mālie e like me ka hiki.
Pehea mākou e hoʻomākaukau ai ma mua o ka hele ʻana i kahi ER? (E hoʻolālā ma mua)
He mea maʻamau ke hopohopo i ka wā e pono ai ʻoe e hele i ka ER me kahi keiki. Akā, ʻo ka hoʻomākaukau iki ʻana ma mua e hiki ke kōkua i ka hōʻemi ʻana i kēlā hopohopo.
E kamaʻilio me ke kauka maʻamau o kāu keiki e ʻike i ka mea e hana ai i kahi pilikia a me ka ER e hele ai. Hiki paha i kāu kauka ke haʻi iā ʻoe e pili ana 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.
Pono anei au e lawe i kaʻu keiki i ka ER ma kahi haukapila o nā keiki?
I ka ʻōlelo maʻalahi, ʻo nā haukapila o nā keiki he mau wahi i loea i ka mālama ʻana i nā keiki. Loaʻa paha iā lākou nā loea pediatric hou aʻe, nā kahu maʻi, a me nā hale i hoʻolālā kūikawā ʻia no kēlā kumu. No laila, inā he pilikia a aia kahi haukapila o nā keiki kokoke (no ka laʻana, ʻo ka Halemai o nā Keiki ʻo Lady Ridgeway), makemake paha ʻoe e noʻonoʻo e hele i laila.
A i ʻole, hiki iā ʻoe ke ʻimi i ke kōkua lapaʻau ma ka ER o ka haukapila aupuni a pilikino paha kokoke loa iā ʻoe. Inā no kekahi kumu ʻaʻole hiki ke mālama ʻia ke kūlana kikoʻī o kāu keiki ma ia haukapila, e hoʻonohonoho nā kauka ma laila e hoʻoili i kāu keiki i kahi hale me nā pono kūpono.
Pono anei mākou e kākau i ka mōʻaukala olakino o ke keiki ma kahi ʻāpana pepa?
He mea nui loa kēia. I ka wā wela o kahi pilikia, hiki ke paʻakikī ke hoʻomanaʻo i nā kikoʻī e pili ana i nā maʻi a me nā lāʻau lapaʻau o kāu keiki. No laila, he mea pono loa ke kākau i ka mōʻaukala olakino o kāu keiki. E mālama iā ia ma kahi e hiki ai i nā mea a pau o ka hale ke ʻike. He mea pono kēia inā pono kekahi e mālama ana i kāu keiki (e laʻa me kahi kahu hānai, he kupuna) e lawe i kāu keiki i ka ER i kahi pilikia.
Eia kekahi mau mea e hoʻohui i kēlā mōʻaukala lapaʻau :
- Nā lāʻau lapaʻau a ke keiki e lawe nei (nā inoa a me nā dosages).
- Nā maʻi ʻaleka i loaʻa i ke keiki (i nā lāʻau lapaʻau, nā meaʻai, a pēlā aku).
- Inā ua hoʻokomo ʻia ʻoe i ka haukapila ma mua, e ʻoluʻolu e hāʻawi mai i nā kikoʻī.
- Nā ʻoki kino ma mua.
- Nā maʻi mau loa i loaʻa i ke keiki (e like me ka hānō, ka maʻi diabetes).
- Nā maʻi koʻikoʻi i loko o ka ʻohana (e like me ka maʻi puʻuwai, ke kanesa).
- He hōʻike e pili ana i ka mōʻaukala pale ʻana o ke keiki.
Eia kekahi, e kākau i lalo i ka inoa a me ka helu kelepona o ka Luna Hoʻolako Mālama Ola mua o kāu keiki (ʻo ia hoʻi, kāu kauka ʻohana), 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 kāu e hoʻomanaʻo ai i ka wā e hoʻomākaukau ai e hele i ka ER?
Ke hele ʻoe i ka ER me kāu keiki, he mea nui e ʻike pono i ka pilikia o kāu keiki i kēia manawa.
- I ka manawa hea/i ka manawa hea i hoʻomaka ai ka pilikia?(Inā he ʻeha, ka manawa, inā he maʻi, pehea ka lōʻihi o ia mea).
- He aha nā hōʻailona o kēia manawa?
- He aha nā lāʻau lapaʻau a me nā lāʻau lapaʻau āu i hoʻāʻo mua ai ?
- I ka manawa hea/i ka manawa hea i ʻai hope ai a inu paha ke keiki i kekahi mea ?
E noʻonoʻo ua ale kāu keiki i kekahi lāʻau lapaʻau a i ʻole kahi wai āu e hoʻohana ai ma ka home. Ke hele ʻoe i ka ER, e lawe i ka ʻōmole a i ʻole ka ʻeke i loaʻa ka mea inu. Ma kēlā ala, hiki i nā kauka ke hoʻomaopopo pono i ke ʻano o ka lāʻau e hāʻawi ai. Inā ua ale kāu keiki i kahi mea liʻiliʻi (e laʻa me kahi ʻāpana kālā, kahi ʻāpana o kahi mea pāʻani), e lawe pū me ʻoe i kekahi o kēlā mau mea inā hiki.
He aha kāu e manaʻo ai ke hele ʻoe i ka ER?
E kali iki.
Ma kekahi ER, koe wale nō ka pilikia koʻikoʻi loa, e manaʻo e kali iki . Inā loaʻa iā ʻoe ka manawa ma mua o ka hele ʻana i ka ER, e lawe mai i kahi mea e heluhelu ai, e like me ka puke a i ʻole ka makasina. He manaʻo maikaʻi nō hoʻi e lawe mai i kahi peni a me ka pepa e kākau i nā nīnau āu e loaʻa ai no ke kauka. Inā ʻaʻole pilikia nui kāu keiki, e lawe mai i kahi mea liʻiliʻi e pāʻani ai (e like me nā penikala, nā puke, nā mea pāʻani, kahi pea teddy punahele). Inā manaʻo ʻoe e pono paha kāu keiki e noho i ka haukapila, he manaʻo maikaʻi nō hoʻi e lawe mai i kahi lole hoʻololi a me kahi palaki niho nou a me kāu keiki.
ʻAʻohe ala e ʻike pono ai i ka lōʻihi o kou noho ʻana ma ka ER. Akā inā he pilikia olakino koʻikoʻi kāu keiki, hiki iā ʻoe ke maopopo e hāʻawi koke nā kauka i ka lāʻau e pono ai.
ʻIke mua nā kauka i nā ʻeha a me nā maʻi koʻikoʻi loa , no laila inā ʻoe e hele me kahi ʻeha liʻiliʻi, pono paha ʻoe e kali iki. Pono paha ʻoe e kali ʻoiai inā ʻaʻohe mea i loko o ka lumi kali, inā piha nā lumi hoʻokolohua, a inā he nui nā kauka a me nā kahu maʻi e mālama ana i hoʻokahi maʻi koʻikoʻi. ʻO ka mea nui loa, inā manaʻo ʻoe e ʻoi aku ka ʻino o ke kūlana o kāu keiki i kou kali ʻana e ʻike i ke kauka, e haʻi koke i nā limahana lapaʻau ma laila.
He aha ka Triage? E aʻo pū kākou e pili ana i nā palapala ʻē aʻe
Ma hope koke iho o ka hōʻea ʻana i ka ER, e hele mai kahi kahu maʻi e ʻike i ke keiki. E nīnau ʻo ia e pili ana i nā hōʻailona, e nānā i nā hōʻailona koʻikoʻi (e like me ke kuni, ka helu pulse, a me ka helu hanu), a hana i kahi loiloi wikiwiki. Ua kapa ʻia kēia he triage . I ka ʻōlelo maʻalahi, ʻo ia ke kaʻina hana o ka hoʻonohonoho ʻana i nā pono olakino o ke keiki ma muli o ke koʻikoʻi o ko lākou kūlana.
A laila e hele ʻoe ma ke kaʻina hana hoʻopaʻa inoa.E kuhikuhi lākou iā ʻoe. E noi ʻia ʻoe e kau inoa i nā Palapala ʻAe no ka Lapaʻau. Inā he ʻinikua olakino kāu, e lawe pū me ʻoe i kēlā kāleka. (Ma kahi haukapila aupuni ma Sri Lanka, ʻaʻole pili kēia mau koi ʻinikua, akā ma kahi haukapila pilikino, he mea nui kēia).
Nā mea hou aku e ʻike ai:
- He nui nā ER e loaʻa ana nā lawelawe unuhi a i ʻole kekahi e hiki ke kōkua me ka unuhi ʻana. Inā ʻaʻole ʻoe e ʻōlelo maikaʻi i ka ʻōlelo Sinhala (e.g., inā ʻoe e ʻōlelo Tamil a i ʻole Pelekania), he manaʻo maikaʻi e lawe mai i kahi lālā o ka ʻohana a i ʻole hoaaloha e hiki ke kōkua iā ʻoe.
- I kekahi mau hihia, makemake paha ke kauka ʻaʻole e ʻai a inu paha ke keiki i kekahi mea. No laila, ma mua o ka hāʻawi ʻana i ke keiki i kekahi mea e ʻai ai a inu paha, e nīnau i ke limahana lapaʻau inā ua 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 e lawe mai iā ia. Inā pono ke ʻoki ʻana, e hoʻokaʻaʻike aku lākou i kahi kauka ʻoki.
Pehea e hōʻoluʻolu ai i kāu keiki? (Ke hōʻoluʻolu nei i kāu keiki)
ʻOiai ʻoe e kali ana i loko o ka ER, ʻike paha ʻoe a me kāu keiki i nā poʻe maʻi loa a i ʻeha paha. He mea maʻamau no kahi keiki liʻiliʻi ke makaʻu i ka ʻike ʻana a i ʻole ka lohe ʻana i nā mea e like me ia. No laila, e haʻi aku i kāu keiki ʻo ka ER kahi maikaʻi loa no ka poʻe maʻi e noho ai, a na nā kauka ma ʻaneʻi e hoʻomaikaʻi iā lākou. Inā hiki, e hāʻawi i kahi laʻana o kahi manawa i ʻeha ai kekahi āu i ʻike ai a makaʻu i ia manawa, akā ua ola ma hope o ka mālama ʻana o nā kauka iā lākou.
Loaʻa i kekahi mau haukapila nui nā Kauka Lapaʻau Ola Keiki hiki ke kōkua i nā keiki e hoʻoponopono i ke kaumaha o ka noho ʻana ma ka ER, hoʻomākaukau iā lākou no nā kaʻina hana lapaʻau, a aʻo iā lākou i nā ʻano hana hoʻokele ʻeha ʻaʻole pharmacological.
Nā Mea e Mālama Ai
ʻOiai ʻoe ma ka ER, e hoʻāʻo e kākau i ka ʻike koʻikoʻi āu e lohe ai.
- Nā inoa o nā kauka.
- ʻO kā lākou e ʻōlelo ai e pili ana i ka maʻi a i ʻole ka ʻeha.
- Lāʻau lapaʻau a lāʻau lapaʻau paha i hāʻawi ʻia i ke keiki.
- Nā kuhikuhi no ka mea e hana ai ma ka home (Hoʻomaʻamaʻa a Mālama paha ma ka Home) .
He aha kāu e ʻike ai i ka wā e hoʻi ai i ka home mai ka ER? (Ke haʻalele nei i ka ER)
Inā hoʻokuʻu ʻia kāu keiki mai ka ER, e hōʻoia ua maopopo iā ʻoe nā ʻōlelo kuhikuhi mālama home. Inā ʻaʻole ʻoe e maopopo i kekahi mea, mai kānalua e nīnau.
I ka hapanui o nā hihia, e kamaʻilio ke kauka nāna i mālama i kāu keiki ma ka ER me kāu kauka ʻohana. Inā ua komo kāu keiki i ka haukapila, e hoʻomaopopo ke kauka ER i kāu kauka .
E hāʻawi kekahi mau ER iā ʻoe i nā palapala i kākau ʻia a i ʻole nā palapala uila o ka mea i ʻike ʻia, aʻo nā mea ʻē aʻe e paʻi a hoʻouna aku i kāu kauka ʻohana. E mālama i kope o nā pepa āu e loaʻa ai ke hoʻokuʻu ʻia kāu keiki, a e lawe pū me ʻoe ke hele ʻoe e ʻike i ke kauka ma hope.
ʻO ka mea hope loa, leka lawe i ka home:
Hiki i ka hele ʻana i ka ER me kahi keiki ke lilo i mea hopohopo. Eia nō naʻe, inā ʻaʻole ʻoe e hopohopo, ua mākaukau iki, a ua maopopo iki i nā mea e hana ʻia ana ma ka ER, hiki iā ʻoe ke hoʻomaʻalahi iki i kēlā manawa paʻakikī.
E hoʻomanaʻo: ʻO ka palekana a me ke olakino o kāu keiki nā mea nui loa. Mai kānalua e kiʻi i ke kōkua i ka wā a me kahi āu e pono ai. He manaʻo maikaʻi nō hoʻi e kamaʻilio pinepine me kāu kauka e pili ana i kēia mau mea.
Ke makemake nei iā ʻoukou a pau i ke olakino maikaʻi!
Mālama ulia pōpilikia, ER, Lumi ulia pōpilikia, Ola kino o nā keiki, lawelawe Ambulance, Mōʻaukala lapaʻau, Triage, lawelawe olakino ma Sri Lanka











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