E noʻonoʻo ʻoe ua loaʻa koke iā ʻoe kahi ulia ma ke alanui, a i ʻole kekahi ma ka home e paʻakikī ana i ka hanu ʻana a maʻi koke. I kēlā manawa, hopohopo mākou a kāhea koke aku i kahi lawelawe ulia pōpilikia e like me ia i ka makahiki 1990, ʻeā? Ma hope o kekahi manawa, hōʻea mai kahi ambulance me ka siren. Holo aku kekahi kanaka i loko o ke kapa komo a hoʻomaka e kōkua i ka mea maʻi. He kauka anei kēia? He kahu maʻi anei? He nīnau kēia a ka poʻe he nui o mākou. ʻOiaʻiʻo, ua kapa ʻia kēia poʻe he mau loea lapaʻau ulia pōpilikia, a i ʻole e like me kā mākou ʻike āpau iā lākou, EMT (Emergency Medical Technician) . ʻO ia ka mea a mākou e kamaʻilio ai ma kēia ʻatikala i kēia lā.
ʻO wai ka EMT maoli?
I ka ʻōlelo maʻalahi, he loea ka EMT i hoʻomaʻamaʻa kūikawā ʻia e hāʻawi i ka mālama olakino ulia pōpilikia a me ke kōkua mua ma waho o ka haukapila, ma ke kahua o kahi ulia a i ʻole i ka wā e lawe ana i kahi maʻi i ka haukapila. ʻO kā lākou hana nui ka pale ʻana i ke ola o ka mea maʻi a hoʻopaʻa i ko lākou kūlana a hiki i ka hiki ʻana i ka haukapila a loaʻa ka mālama olakino kūpono.
Akā eia kekahi mea e pono ai kākou e hoʻomaopopo pono. ʻAʻole he kauka, he kahu maʻi, a he Kōkua Kauka paha ka EMT. Eia kekahi, ʻo kekahi huaʻōlelo a mākou e lohe pinepine ai ʻo 'Paramedic.' ʻElua kānaka ʻokoʻa ka EMT a me ka Paramedic.
He aha ka ʻokoʻa ma waena o kahi EMT a me kahi Paramedic?
He poʻe kōkua kēia mau mea ʻelua iā mākou i nā wā pilikia. Akā, ʻo ka ʻokoʻa nui ma kā lākou hoʻomaʻamaʻa ʻana a me nā ʻano mea like ʻole e hiki ai iā lākou ke hana.
- EMT (Emergency Medical Technician): Loaʻa iā lākou ke aʻo kumu. Hiki iā lākou ke hana i nā hana kumu e like me ka hāʻawi ʻana i ke kōkua mua, ka hāʻawi ʻana i ka oxygen, ke kāʻei ʻana i nā ʻeha, ka hoʻopaʻa ʻana i nā iwi haʻihaʻi, a me ka hana ʻana i ka CPR i nā hihia o ka ʻū ʻana.
- Paramedic: Loaʻa iā lākou ka hoʻomaʻamaʻa holomua ma mua o ka EMT, no laila hiki iā lākou ke hana i nā mea paʻakikī. No ka laʻana, hiki iā lākou ke hoʻokomo i kahi cannula i loko o kahi aa ( IV - Intravenous line ) e hāʻawi i ka saline a i ʻole ka lāʻau lapaʻau, e hāʻawi i kekahi mau lāʻau lapaʻau pilikia, a hoʻohana i nā mīkini e nānā i ka hana o ka puʻuwai (ECG).
I ka ʻōlelo maʻalahi, ua kaupalena ʻia kahi EMT i nā lāʻau lapaʻau maʻamau. ʻO ia hoʻi, ʻaʻole ʻae ʻia lākou e hana i nā kaʻina hana invasive. Eia nō naʻe, aia kekahi mau ʻokoʻa i kēia, e like me ka hāʻawi ʻana i kahi injection epinephrine e hoʻōla ola ai i ka hanana o kahi hopena allergies koʻikoʻi.
He aha nā kuleana nui o kahi EMT?
He lā paʻahana loa ka lā o kahi EMT a piha i nā hanana i manaʻo ʻole ʻia. ʻO kā lākou kuleana nui ka pane ʻana i kahi kelepona pilikia, hāʻawi i ka lāʻau lapaʻau e hoʻōla ai i ke ola o ka mea e pono ai, a lawe maluhia iā lākou i ka haukapila. E nānā kākou i kā lākou hana.
| Ka hana e hana ʻia nei | I ka ʻōlelo maʻalahi... |
|---|---|
| Ke pane ʻana i nā kelepona pilikia | E like me ka makahiki 1990, i ke kāhea ʻia ʻana o kahi helu pilikia, e hele ana kahi ambulance i kahi kūpono. |
| Ke nānā nei i ke kūlana o ka mea maʻi | Ke loiloi ʻana i ke kūlana o ka mea maʻi ma kahi o ka hanana ma ka nānā ʻana i ka hanu ʻana, ka pulse, a me ka ʻike. |
| Ke hāʻawi nei i ke kōkua mua no ka pilikia | Nā mea e like me ke kāohi ʻana i ke kahe ʻana o ke koko, ka hoʻomaʻemaʻe ʻana a me ke kāhiko ʻana i nā ʻeha, ka hāʻawi ʻana i ka oxygen, a me ka hoʻopaʻa ʻana i nā iwi haʻihaʻi. |
| Ke hāʻawi nei i ka lāʻau lapaʻau e hoʻōla ola ai | Inā pau ka hanu ʻana a i ʻole ka puʻuwai, e hoʻāʻo e hoʻopakele i ke ola ma o ka hāʻawi ʻana i nā lāʻau e like me CPR (Cardiopulmonary Resuscitation) . |
| Ka halihali ʻana i ka haukapila | E lawe i ka mea maʻi i ka Emergency Treatment Unit (ETU) o ka haukapila me ka wikiwiki a me ka palekana e like me ka hiki. |
| Ka hōʻike ʻana i nā limahana lapaʻau | Ma hope o ka hōʻea ʻana i ka haukapila, he mea nui loa ia e hāʻawi i nā kauka a me nā limahana ma ka ETU i kahi moʻolelo piha o ka mea i hana ʻia i ka mea maʻi, ka lāʻau i hāʻawi ʻia, a me ke ʻano o kēia manawa. He mea nui loa kēia. |
He aha nā hōʻoia e pono ai e lilo i EMT?
ʻAʻole maʻalahi ka lilo ʻana i EMT. Pono ia i ka hoʻomaʻamaʻa kūikawā a me ka hoʻolaʻa. ʻO ka maʻamau, pono ʻoe e hoʻopau i nā palapala hoʻonaʻauao kumu (e like me GCE O/L a i ʻole A/L). Ma hope o kēlā,
1. Palapala Hōʻoia CPR: ʻO ka mea mua, pono ʻoe e lawe i kahi papa kumu ma CPR a me ke kōkua mua a loaʻa ka palapala hōʻoia.
2. Papa EMT: ʻO ka mea aʻe, pono ʻoe e lawe i kahi papa hoʻomaʻamaʻa EMT mai kahi ʻoihana kaulana. ʻO ka maʻamau, he 120-150 mau hola kēia.
3. Ke hala ʻana i ka hoʻokolohua: Ma hope o ka papa, pono ʻoe e lawe a hala i kahi hoʻokolohua pae aupuni a i ʻole pae mokuʻāina pili.
4. Laikini hoʻokele: No ka hoʻokele ʻana i kahi kaʻa kaʻa, pono ʻoe i ke aʻo kūikawā a me kahi laikini.
Ma hope o ka hoʻopau ʻana i kēia mau hōʻoia kumu, hiki i kekahi mea hoihoi ke alualu i ka hoʻomaʻamaʻa hou a lilo i Advanced EMT , kahi e hiki ai iā lākou ke hana i nā lāʻau lapaʻau holomua, e like me ka lawelawe ʻana i nā wai IV .
I ka manawa hea e pono ai ke kōkua o kahi EMT?
Pono ʻoe i ke kōkua o kahi EMT i ka wā pilikia olakino. I ia mau hihia, e kāhea i nā lawelawe pilikia me ka noʻonoʻo ʻole.
E hoʻomanaʻo, ʻoiai inā he mea liʻiliʻi ia, he mea naʻauao mau ke kāhea aku i nā lawelawe ulia pōpilikia inā ʻaʻole ʻoe maopopo. ʻOi aku ka maikaʻi o ka lohi ma mua o ke kaumaha.
Aia ma lalo iho kekahi mau kūlana kahi e pono ai ke kōkua o kahi EMT.
| Pilikia | ʻo kahi laʻana... |
|---|---|
| Maʻi hohola | ʻEha nui koke ma waenakonu o ka umauma, ʻeha e pālahalaha ana i ka lima hema, pilikia ka hanu ʻana, a me ka hou nui. |
| Nā ʻeha ulia pōpilikia | Nā ʻeha koʻikoʻi, ke kahe ʻana o ke koko, a i ʻole nā haki mai kahi ulia kaʻa, hāʻule ʻana mai kahi kiʻekiʻe, a i ʻole ke kuʻi ʻana i kahi mea. |
| Paʻakikī ka hanu ʻana | Ka hoʻonui ʻana o ka hānō, kahi mea i paʻa i ka puʻu, a i ʻole ka hiki ʻole ke hanu no kekahi kumu ʻē aʻe. |
| Ka hopena maʻi ʻaleka koʻikoʻi (Anaphylaxis) | He ʻulaʻula ma ke kino holoʻokoʻa, he pehu nā maka a me ka waha, a he paʻakikī ke hanu ma muli o ka meaʻai, ka lāʻau lapaʻau, a i ʻole ka nahu ʻia ʻana e nā pepeke. |
| Nā pilikia koke o ka maʻi diabetes | Hiki i ke kanaka me ka maʻi diabetes ke loaʻa i nā pae kō koko haʻahaʻa loa (hypoglycemia) a nalowale paha ka ʻike a loaʻa paha nā ʻōʻili. |
I kekahi kūlana e like me kēia, ʻo kahi lawelawe ambulance me nā EMT kāu laina pale mua. E hana lākou i nā mea āpau e hiki ai iā lākou ke lawe palekana iā ʻoe i ke kauka ma ka haukapila.
Leka Lawe-Home
- ʻO kahi EMT kekahi kanaka i hoʻomaʻamaʻa ʻia e hāʻawi iā ʻoe i ka mālama olakino maʻamau ma mua o ka lawe ʻana iā ʻoe i ka haukapila i kahi pilikia. ʻAʻole lākou he mau kauka.
- Loaʻa i kahi paramedic ka hoʻomaʻamaʻa hou aku a me ka hiki ke hana i nā lāʻau lapaʻau paʻakikī ma mua o ka EMT.
- I ka hanana o kekahi pilikia olakino, e like me kahi ulia pōpilikia, hōʻeha puʻuwai, a i ʻole ka paʻakikī o ka hanu ʻana, mai kānalua e kāhea aku i kahi lawelawe pilikia e like me 1990.
- Ke hōʻea mai kahi EMT, he mea kōkua nui ia no lākou ke kōkua iā ʻoe, me ka ʻole o ka hopohopo, a e wehewehe pono i ka mea i hana ʻia a me ke kūlana o ka mea maʻi.
- ʻO kā lākou hana ka mālama ʻana iā ʻoe a hiki i ka wā e hiki ai iā ʻoe ke lawe palekana ʻia i ke kauka ma ka haukapila.
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