Kuyini "i-Code Blue" esibhedlela? Masiqaphele lokhu!

Wake waba sesibhedlela wezwa isimemezelo esiphuthumayo njengokuthi " Ikhodi Eluhlaza Okwesibhakabhaka ... Ikhodi Eluhlaza Okwesibhakabhaka ... Iwadi Yokuhlinzwa ... Ngokushesha!"? Noma mhlawumbe uke wakubona ku-movie noma ochungechungeni lwe-TV. Kuvamile ukuzizwa ukhathazekile futhi wesaba ngesikhathi esinjengaleso? Ucabanga ukuthi, "Hawu Nkulunkulu wami, kuzokwenzekani?" Ngakho-ke, namuhla sizokhuluma ngokuthi le "Ikhodi Eluhlaza Okwesibhakabhaka" isho ukuthini ngempela, ukuthi kwenzekani esibhedlela lapho kwenziwa isimemezelo esinjalo, nokuthi sisho ukuthini. Ukwazi lezi zinto kuzokusiza ukuthi ungesabi ngokungadingekile uma uke wezwa into efana naleyo.

Kuyini ngempela "i-Code Blue"?

Kalula nje, igama elithi "Code Blue" liyigama elikhethekile elisetshenziselwa ukwazisa ngesimo esiphuthumayo sezokwelapha esenzeka esibhedlela . Liyingxenye yohlelo lokuphatha izimo eziphuthumayo. Izimo eziphuthumayo ezahlukene zibonakala ngemibala namagama ahlukene.

Emazweni amaningi, ikakhulukazi e-United States naseCanada, i-"Code Blue" iyisimo esiphuthumayo sezokwelapha esihilela umuntu omdala . Isibonelo, uma inhliziyo yomuntu iyeka ukushaya ngokuzumayo, isimo esifana nokuhlaselwa yinhliziyo, (Cardiac Arrest) , noma uma ukuphefumula kuyeka ngokuphelele, (Respiratory Arrest) , khona-ke kukhishwa isimemezelo se-"Code Blue". Lokhu kusho ukuthi umuntu usesimweni esibucayi esingenakunyakaziswa.

Uma usesibhedlela, ungase uzwe lesi simemezelo esithi "Code Blue". Ngezinye izikhathi singase sihambisane nomsindo wesexwayiso. Futhi, kanye naleso simemezelo Indawo eqondile yesimo esiphuthumayo ishiwo . Isibonelo, ungathi "esitezi sesithathu" (`inombolo yesitezi`) noma "eYunithi Yokunakekelwa Okujulile (ICU)`".

Khumbula, isimo esiphuthumayo sezokwelapha esihilela ingane encane sivame ukubizwa ngokuthi "i-Code Pink." Ngakho-ke "i-Code Blue" ucingo oluphuthumayo oluqondene nabantu abadala.

Lawa makhodi ahlukene asetshenziswa ukuze abasebenzi basesibhedlela bakwazi ukusabela ngokushesha nangokunembile esimweni esiphuthumayo. Lena indlela enhle yokuxwayisa abantu abadingekayo kuphela ngaphandle kokwethusa wonke umuntu.

Kwenzekani ngesikhathi se-"Code Blue"?

Uma kwenziwa isimemezelo esithi " Code Blue ", abasebenzi besibhedlela basabela ngokushesha okukhulu. Zonke izibhedlela zinezimo eziphuthumayo ezinjengalesi.Banezinqubomgomo zabo ezihlukile zokubhekana nazo.

Kwezinye izibhedlela, ekuqaleni kweshifti ngayinye, abasebenzi bezokwelapha babelwa imisebenzi kusenesikhathi, njengokuthi ubani ozokwenzani uma kuvela "i-Code Blue". Kwezinye izindawo, kungase kube nomthetho wokuthi wonke amalungu ezisebenzi zezokwelapha aseduze nendawo yesimo esiphuthumayo kumele abike endaweni yesigameko. Futhi, ezinye izibhedlela ezinkulu zineqembu elizinikele le-code blue noma ithimba lokuvuselela abantu kulezi zinhlobo zezimo eziphuthumayo.

Ukuba nalezi zimiso nezinqubo ezahlukene kuvumela izibhedlela ukuthi zilungiselele kahle noma yisiphi isimo esiphuthumayo. Kubalulekile ukuthi wonke amalungu abasebenzi azi kahle ukuthi iyini indima yabo. Uma ungumsebenzi wezempilo, noma ngabe awulona ilungu leqembu le-"Code Blue", kubalulekile ukwazi ukuthi ungayenza kanjani i-cardiopulmonary resuscitation (CPR) nokuthi ungayisebenzisa kanjani i-defibrillator . Ngokweminye imibiko, kungathatha imizuzu emithathu kuya kwemihlanu ukuthi abasebenzi bezokwelapha abaphuthumayo bafike endaweni yesehlakalo. Ngakho-ke, ukugcina amakhono abo bonke esesikhathini kungasiza ekusindiseni izimpilo.

Lapho ithimba le-"Code Blue" lifika, lisebenzisa zonke izindlela ukusindisa impilo yesiguli. Konke lokhu kudinga imishini kanye Kukhona inqola ekhethekile ('inqola yokuphahlazeka') enemithi . Ilethwa endaweni efanele ngokushesha okukhulu.

Yiziphi izindlela eziyinhloko ezisetshenziswa ukusindisa izimpilo?

Kunezindlela eziningana eziyinhloko ezisetshenziswa ukusindisa isiguli ngesikhathi se-"Code Blue". Ake sizibheke kafushane.

Kuyini Ukuvuselelwa Kwenhliziyo Nezinso (CPR)?

Cishe uke wezwa nge-CPR. Lena enye yezinto eziyinhloko ozenzayo ngesikhathi "se-Code Blue." Ingxenye eyinhloko ye-CPR ukucindezelwa kwesifuba . Lokhu kwenzelwa ukugcina igazi ligeleza liye ebuchosheni nakwezinye izitho ezibalulekile kuze kube yilapho inhliziyo iqala ukushaya futhi.

Umuntu owenza i-CPR ubeka iminwe yezandla zombili ndawonye, ​​ayibeke phakathi nesifuba somuntu onenhliziyo noma ukuphefumula okuye kwayeka, bese ekhipha ukucindezela okuqinile, okulawulwayo ngesigqi esithile . Kuthiwa ngokunikeza i-CPR ngale ndlela, amathuba okusindisa impilo yomuntu angaphindeka kabili noma kathathu. Yingakho kubaluleke kangaka.

Kungani futhi kwenziwa kanjani ukufakwa kwe-intubation?

Uma umuntu engakwazi ukuphefumula kahle, okungukuthi, uma ukuphefumula kwakhe kumile, odokotela benza inqubo ebizwa ngokuthi "intubation." Lokhu kuhilela udokotela ukufaka ithubhu ekhethekile (``tube``) ngomlomo (ngezinye izikhathi ngekhala) epayipini lomoya lesiguli (``trachea``) .

Leli payipi ligcina indlela yokuphefumula ivulekile, livumela umoya ukuthi ugeleze emaphashini. Isiguli singabe sesinikwa ukuphefumula ngokuxhuma isikhwama esiphathwa ngesandla (`isikhwama`) noma umshini ohlinzeka nge-oxygen (`i-ventilator`). Ngaphambi nangesikhathi ``sokufakwa``, ngezinye izikhathi esinye isisebenzi sezokwelapha sibeka ``imaski`` ebusweni futhi sisize ukuphefumula ngesikhwama.

Kungani usebenzisa i-defibrillator?

Ithimba le-"Code Blue" livame ukusebenzisa i -defibrillator . Kungenzeka ukuthi uke wezwa ngedivayisi ebizwa ngokuthi i-AED (Automated External Defibrillator) . Yiyo le. Lena yidivayisi ebaluleke kakhulu.

Kwezinye izimo lapho inhliziyo ishaya ngokungajwayelekile nangokushesha kakhulu (njenge-'ventricular fibrillation'), noma kwezinye izimo lapho inhliziyo iyeke ukushaya, ukushaqeka kukagesi okulethwa yilo mshini kungabuyisela isigqi senhliziyo. Kuyindlela yokungenelela esindisa impilo.

Namuhla, izindawo eziningi zomphakathi (njengezikhumulo zezindiza kanye nezitolo ezinkulu) zifake le mishini ethi `(AED)`. Ngoba, yaklanywa ngendlela yokuthi ngisho nomuntu ongaqeqeshiwe angayisebenzisa. Imiyalelo ekuyo icacile kakhulu, futhi eminye imishini inikeza imiyalelo ngokukhuluma. Futhi, noma ngabe ushayela inombolo ephuthumayo (ezweni lakithi, kufana no-1990), iyakusiza futhi ikufundise ukuthi uyisebenzisa kanjani.

Yimiphi imithi ekhethekile enikezwayo ngalesi sikhathi?

Kwezinye izimo ze-"Code Blue", ithimba lezokwelapha lisebenzisa imithi ekhethekile. Esetshenziswa kakhulu yi -epinephrine kanye ne-amiodarone .

• Isidakamizwa i-adrenaline (i-epinephrine) sisiza imisipha yenhliziyo ukuthi ifinyele futhi sisiza nokwandisa imigudu yokuphefumula.
• I-Amiodarone iwumuthi osiza ukulawula ukushaya kwenhliziyo okungajwayelekile (i-arrhythmias) nokubuyisela inhliziyo esigqini esiphephile.

Ngaphezu kwalokhu, ngezinye izikhathi imithi efana neVasopressin neLidocaine ingasetshenziswa. Kuye ngesimo sesiguli ngasinye, odokotela bangasebenzisa neminye imithi.

Ingabe izaziso ze-"Code Blue" zisebenza ezigulini kuphela?

Cha. Uma uzwa isimemezelo esithi "Code Blue" ngenkathi usesibhedlela, akusho nje ukuthi isiguli siyalashwa esibhedlela. Kungaba isiguli, isivakashi, noma othile osebenza esibhedlela . Izifundo zithole ukuthi cishe u-1% wokuma kwenhliziyo ezibhedlela kwenzeka kubantu abangebona iziguli - lokho kusho ukuthi kungenzeka ezivakashini, kubasebenzi, noma ngisho nasezindaweni zokupaka.

Ingabe "i-Code Blue" isho ukuthi othile ufile?

Lokhu kuyiphutha abantu abaningi abanalo.Isimemezelo esithi "Code Blue" asisho ukuthi othile ufile. Kodwa-ke, sisho ukuthi othile usengozini enkulu yokufa . Sisho ukuthi kudingeka ukungenelela kwezokwelapha ngokushesha ukuze kusindiswe impilo yalowo muntu. Ithimba lezokwelapha lizama ukusindisa leyo mpilo ngaleso sikhathi.

Ingabe zikhona ezinye izikhodi zezimo eziphuthumayo ezifana nalezi ezibhedlela?

Yebo, ikhona. I-"Code Blue" ingenye nje. Izibhedlela zisebenzisa amakhodi ahlukene ukuchaza izimo eziphuthumayo ezahlukene. Isibonelo, i-"Code Red" ingaba umlilo, i-"Code White" ingaba isigameko sobudlova, kanti i-"Code Yellow" ingaba inhlekelele yangaphandle. Lawa makhodi angahluka kancane kuye ngezwe, ngisho nakwesibhedlela kuya kwesinye ngaphakathi kwezwe elifanayo.

Inhloso eyinhloko yokusebenzisa la makhodi ukwazisa labo abadinga ukwazi ngesimo esiphuthumayo (okungukuthi abasebenzi) ngaphandle kokwethusa iziguli nezivakashi ngokungadingekile. Abasebenzi bezempilo endaweni yakini bazokwazisa uma kukhona okudingeka ukwazi ngakho.

Nakuba izibhedlela eziningi emazweni afana ne-US, Canada, Australia, kanye ne-New Zealand zisebenzisa imibala efanayo ezintweni ezifanayo, ayikho indlela ejwayelekile yokufaka amakhodi yonke indawo. Kodwa umqondo oyisisekelo uyafana yonke indawo: impendulo esheshayo nephumelelayo!

Umyalezo wokugcina okufanele uwuthathe uye ekhaya

Ngakho-ke, ukuzwa isimemezelo esithi "Code Blue" esibhedlela noma kwesinye isikhungo sezempilo kungaba yinto eshaqisayo. Kodwa-ke, ngicabanga ukuthi kuzokulethela induduzo ethile ukwazi ukuthi ithimba lochwepheshe bezokwelapha abanamakhono nabaqeqeshwe lisendleleni yokuzosiza umuntu okukhulunywa ngaye ngokushesha okukhulu . Ukuqaphela lezi zinto kusisiza sigweme ukwesaba okungadingekile. Sidinga futhi ukukhumbula ukuthi esimweni esiphuthumayo esinjengalesi, umzuzwana ngamunye ubalulekile, nokuthi odokotela bethu, abahlengikazi, kanye nabanye abasebenzi benza imihlatshelo emikhulu ngalokho.

Ikhodi Eluhlaza Okwesibhakabhaka, isimo esiphuthumayo sezokwelapha, amakhodi esibhedlela, ukuvuselelwa kwenhliziyo namaphaphu, i-CPR, i-defibrillator, i-intubation, ukunakekelwa okuphuthumayo