Fövqəladə hallarda ilk tibbi yardım

2021 ◽  
Vol 15 (10) ◽  
pp. 9-13
Author(s):  
Рена Агамирза гызы Алиева ◽  
◽  
Севиндж Закир гызы Оруджева ◽  
Keyword(s):  

First aid is a set of measures aimed at maintaining human life and health, used before the provision of specialized medical care to victims of accidents, injuries, poisoning and other conditions and diseases, threatening their life and health, used by participants in the provision of first aid. Anyone who is close to the victim can become a participant in the first aid. Keywords: poisoning, suffocation, first aid, causes, emergencies

Author(s):  
P. Volianskyi ◽  
M. Dolhyi ◽  
N. Drozdenko ◽  
V. Kushnir ◽  
A. Makarenko ◽  
...  

When providing the prehospital aid the most important factor is time. The more time expires from the moment of receiving injury until delivery to a hospital, the worse forecast becomes for a victim. Mortality grows geometrically. So, for example, in cases of transport injuries if medical care was provided within 30 minutes – 1 hour, then mortality among injured did not exceed 30%. If this time increases, then the mortality reaches 60-80%, and growth in a geometrical progression takes place. In general, it becomes clear that even two injured from three ones who died in city streets, could be saved if they received the help in due time [2]. Ministry of Education and Science of Ukraine registered in the Verkhovna Rada of Ukraine the project of the Law of Ukraine about full general secondary education dated April 5, 2019 № 10204. This project of the Law provides that all teachers will take courses on the prehospital help. It has to reduce the quantity of death of children during lessons. Protection of children’s health is one of the mandatory functions of the educational organization. If it is necessary, the first aid at school is to be given to the child both professionally and in time.  Teachers, studying a profession in higher education institution, have to be trained on providing the prehospital help. There is nothing more important, than rendering the prehospital help to the child during the first minutes after a trauma or in the event of a symptom hazardous to health, for example, epilepsy [3]. The purpose of the article is to highlight the importance of teaching teachers and students the skills of rendering the prehospital help. According to the Law of Ukraine “About the Emergency Medical Care”, persons who have no medical education, but according to their the official duties they have to provide the first aid and to manage main practical skills on rescue and preservation a human life for those who require that, have to be the first who study the prehospital help [4]. And based on the project of the Law of the Ministry of Education and Science of Ukraine mentioned above teachers can also be referred to the category of persons who have no medical education and are obliged to provide the prehospital help though it is not included into their official duties. Except the planned training of the teachers of the prehospital help, to our opinion, there should be also started a training of pupils on the program of the first level [5] which first of all provides obtaining practical skills of rendering the prehospital help to the injured at cardiac arrest and breath before arrival of the emergency medical care. The training program “Protection of the Fatherland” for pupils of 10-11 classes is introducted for gradual increasing of the number of the citizens in the system of secondary education, who manage the skills of the prehospital help [7]. Such a program, in the question of pre-hospital help, combines teaching theoretical knowledge with a practical training with use of dummies and other other visual materials. Every year All-Ukrainian gathering and competition of young rescuers “School of Safety” is also provided where the pupils, who are 12 years old and older show their abilities on providing the pre-hospital help to the injured. The last two years we had an opportunity to compare theoretical knowledge and practical skills of the prehospital help of pupils who finished the 11th class and studied according to the program “Protection of the Fatherland” and pupils of the 8-9 classes who were trained by the “School of Safety”. It turned out to be that the pupils of 8-9 classes, in the majority, prevail on the level of knowledge of the prehospital help the graduates of high school. In our opinion, it is expedient to develop and implement at secondary school the program of training of rendering help to injured who are in emergency, for pupils, starting from the fifth class. Anybody, irrespective of a profession, is able to be trained and to manage the skills of the prehospital aid. The trauma or accident can happen at any time. Not only success of further treatment, but sometimes human life depends on prehospital help provided timely and correctly. In certain cases the victim has to render prehospital help to himself - to stop bleeding, to put the bandage etc. That all is not difficult, but it is necessary to take the corresponding training for mastering skills of rendering the prehospital help. In our opinion, in modern conditions it is compulsory to: introduce the permanent prehospital help training for tutors and nurses of preschool institutions; introduce the permanent prehospital help training in schools for children, starting from the age 12 years old and older.


2020 ◽  
pp. 48-52
Author(s):  
Stanislav Leonidovich Manerov

Who can provide first aid, how to act when a victim is found, what actions should be taken first of all before providing medical care - these issues were considered at a practical conference as part of the work improvement program. The speaker of the conference was an expert in the field of labor protection, director of the National Council for First Aid Manerov Stanislav Leonidovich.


2020 ◽  
pp. 105-108
Author(s):  
Elvira Zinurovna Sakaeva

The author presents an organizational system of federal, regional, municipal and market services aimed at providing prompt medical care as a way to achieve the preservation of public health in case of sudden acute diseases, conditions, exacerbation of chronic diseases that pose a threat to human life or without obvious signs of a threat to human life. Methods of providing prompt medical care are analyzed on the example of the Republic of Bashkortostan.


2010 ◽  
Vol 59 (6) ◽  
Author(s):  
Simona Giardina ◽  
Andrea Virdis ◽  
Antonio G. Spagnolo

L’articolo mette in luce la dimensione etico-antropologica della storia della medicina. Nel passato possiamo ritrovare quegli elementi di rilevanza etica che sono in stretta continuità con il presente. Fin dalle origini il medico ha sperimentato il conflitto tra mondo del desiderio e mondo del limite. La cura dei malati comincia da lì, dalla consapevolezza di condividere lo stesso desiderio, lo stesso limite, lo stesso destino. L’articolo guarda alla storia della medicina come storia dell’umanità; dentro vi è tutta la vita umana, secondo la definizione dello storico Fielding Garrison (1913). In questa prospettiva la dimensione etico-antropologica emerge soprattutto nelle molte figure di medici esemplari contraddistinti da valori quali il coraggio, la dedizione, l’empatia, ma soprattutto da un grande senso di umanità e di solidarietà per i propri malati. Infine, una lettura etico-sociale può emergere dall’arte e dalla letteratura. Esse sono non solo testimonianza di un’epoca (documenti storici) ma anche un sismografo delle dimensioni etiche della medicina. ---------- This article highlights the ethical-anthropological level of the history of medicine. It explores the close connection between past and present regarding those elements of ethical relevance in medicine. Since the beginning, the physician experienced the conflict between hopes and limits. Medical care springs exactly from the awareness of sharing the same desire, the same limit, the same destiny. This article regards the history of medicine as history of mankind; according to the historian Fielding Garrison, the history of medicine embodies the entire human life (1913). In this perspective, the ethical-anthropological dimension emerges particularly in many exemplary figures of physicians, distinguished for courage, commitment, empathy, humanity and solidarity towards their patients. Finally, arts and literature can be regarded as instruments to get a cultural perspective, as well as guidelines for social and ethical key of interpretation. They are not only historical documents, but also a seismograph, registering the fundamental historical and ethical dimension of medicine.


Author(s):  
Vincenzo Gullà ◽  
Corrado Cancellotti

Emergency events are always very critical to manage as in most cases there is a human life risk. Such events could become even more serious when occurring in remote areas not equipped with adequate healthcare facilities, able to manage life risk. This is the case in many rural geographical areas. In such scenarios telemedicine can play a very important and determinant role. This is mainly the basis of the experience described in the following chapter about telemedicine application in a small hospital located in the town of Branca, near Gubbio Italy. The first aid department, responsible for emergency support in a territory where distances between houses and hospital is quite important and the lack of healthcare structures and speedways connections makes it even more difficult, has decided to use telemedicine solutions to face the emergency events. The experience has shown how the use of Videocommunication based telemedicine systems has improved the service and what procedural impact the adoption of such technology has required. A brief description of the experience and highlights of the service still under experimentation will be shown in the following.


2012 ◽  
Vol 27 (1) ◽  
pp. 71-74 ◽  
Author(s):  
Jan Krul ◽  
Björn Sanou ◽  
Eleonara L Swart ◽  
Armand R J Girbes

AbstractObjective: The objective of this study was to develop comprehensive guidelines for medical care during mass gatherings based on the experience of providing medical support during rave parties.Methods: Study design was a prospective, observational study of self-referred patients who reported to First Aid Stations (FASs) during Dutch rave parties. All users of medical care were registered on an existing standard questionnaire. Health problems were categorized as medical, trauma, psychological, or miscellaneous. Severity was assessed based on the Emergency Severity Index. Qualified nurses, paramedics, and doctors conducted the study after training in the use of the study questionnaire. Total number of visitors was reported by type of event.Results: During the 2006–2010 study period, 7,089 persons presented to FASs for medical aid during rave parties. Most of the problems (91.1%) were categorized as medical or trauma, and classified as mild. The most common medical complaints were general unwell-being, nausea, dizziness, and vomiting. Contusions, strains and sprains, wounds, lacerations, and blisters were the most common traumas. A small portion (2.4%) of the emergency aid was classified as moderate (professional medical care required), including two cases (0.03%) that were considered life-threatening. Hospital admission occurred in 2.2% of the patients. Fewer than half of all patients presenting for aid were transported by ambulance. More than a quarter of all cases (27.4%) were related to recreational drugs.Conclusions: During a five-year field research period at rave dance parties, most presentations on-site for medical evaluation were for mild conditions. A medical team of six healthcare workers for every 10,000 rave party visitors is recommended. On-site medical staff should consist primarily of first aid providers, along with nurses who have event-specific training on advanced life support, event-specific injuries and incidents, health education related to self-care deficits, interventions for psychological distress, infection control, and disaster medicine. Protocols should be available for treating common injuries and other minor medical problems, and for registration, triage, environmental surveillance and catastrophe management and response.


2020 ◽  
Vol 9 (3) ◽  
pp. 417-421
Author(s):  
A. V. Baranov

Relevance. Most of the victims of road accidents die prior to the arrival of medical staff, therefore, providing first aid to injured people in the first minutes after receiving injuries is very important for saving human life and health. Timely and skillful provision of first aid to victims of road accidents prevents further deterioration of the state of the human body and can positively affect the entire process of its further treatment and rehabilitation.Aim of study. To characterize the delivery of first aid to victims of road traffic accidents at the present stage and to outline possible ways for its improvement.Material and methods. To achieve this goal, an analysis was made of the results of domestic and foreign scientific research and regulatory legal acts on the issue of providing first aid to victims of road accidents. The literature search was carried out in specialized scientific search engines eLibrary, PubMed, Scopus using the keywords: first aid, prehospital stage, road traffic injuries, road traffic accidents. For the analysis, scientific articles published between 1980 and 2020 were selected. Resources with outdated or inaccurate information were excluded, some scientific papers were found by links to articles. The state of the problem of providing first aid to victims of road traffic injuries, for the most part, reflects scientific publications over the past ten years.


2021 ◽  
Vol 29 (5) ◽  
pp. 17-24
Author(s):  
Aleksandr Nikolaevich Grebenyuk ◽  
Vladimir Nikolaevich Bykov

Introduction. Carbon monoxide (CO) is one of the most common causes of chemical injuries and the main toxic factor in the people death in fires. The mechanism of the toxic effect of CO, associated with the formation of carboxyhemoglobin and the development of hypoxia, determines the rapid development of the clinical picture of acute intoxication and the need for emergency first aid and medical care to the poisoned. Material and methods. Literature sources, summarized in the bibliographic databases eLIBRARY.RU, PubMed and Scopus, were the material for analysis. Results. First aid is based on quickly removing the victim from the fire zone or other area with a high concentration of CO and providing him with oxygen as soon as possible. During medical evacuation, it is necessary to carry out continuous inhalation of 80-100% oxygen, to ensure rest and warmth of the victim. In the emergency department of the hospital, oxygen inhalation and maintenance therapy should be continued, clinical and laboratory diagnostic measures aimed at assessing the severity of intoxication, identifying complications and concomitant pathology should be performed. In the case of severe CO poisoning, medical care continues to be provided to the victims in the intensive care unit or in the oxygen-barotherapy unit. The main antidote for CO poisoning is oxygen, which can be used in two versions - normobaric or hyperbaric oxygenation. As a pharmacological antidote to CO, zinc bisvinylimidazole diacetate (acizol) which can accelerate the breakdown of carboxyhemoglobin, improve the oxygen-binding and gas-transport properties of blood, as well as the dissociation of oxyhemoglobin in tissues is used. Along with antidotes, an important role in the treatment of CO poisoning is played by pathogenetic and symptomatic therapy aimed at the prevention and treatment of toxic encephalopathy, brain edema, cognitive dysfunction, toxic myocardiodystrophy and arrhythmia, prevention of pneumonia, correction of the acid-base state, compensation of the energy needs of the body, etc. Conclusion. Further improvement of existing means and methods for the treatment of intoxication, the development and introduction of new antidots into medical practice will increase the effectiveness of therapeutic measures, reduce the number of deaths and disabilities after acute poisoning with carbon monoxide.


1996 ◽  
Vol 11 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Arthas Flabouris ◽  
Franklin Bridgewater

AbstractIntroduction:First aid is the initial care of the ill or injured. It aims to preserve and protect life, prevent further injury or deterioration of illness, and help promote recovery. At major public events, there is a large gathering of people, physical spectacles, and equipment within a concentrated area, where organized first-aid care is provided.Objective:To analyze the demand for primary medical care at a public event by identifying the patients and initial symptoms that may predict that demand, and to use such information to improve the efficiency and delivery of medical care.Methods:A questionnaire was completed by St. John Operations Branch personnel after each patient consultation and a retrospective analysis of the data was conducted.Results:A total of 1,276 questionnaires were returned. Mean patient presentation rate (PPR) was 1.9±0.47 per 1,000 show attendees. This correlated best with the maximum daily temperature (r = 0.715, p <0.02) and show day (r = 0.615, p <0.05). There was poor correlation with daily attendance (r = −0.235, p >0.54). Mean presentation time was 15:13 h. Of those whose gender was recorded, 58.4% were females, and 41.6% were males. The most frequent age group was 13 to 20 years. The nature and number of initial symptoms are listed. Basic first-aid skills were used for 96.7% of symptoms; 2.4% of patients were referred to the hospital.Conclusions:Temperature and show day significantly contributed to variability of PPR. These factors, together with an estimated PPR and predicted attendance, can be used to forecast demand. Most cases required only basic first-aid skills. Guidelines are suggested for management by nonmedical personnel. A medical officer's role is not reliably defined, but involvement in consultation is suggested.


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