How to chop a dicky reanimation like Ambu, boxing in what kind of win. Mishok Ambu cyclone pocket bvm (tactful pump for custom ventilation of the legends) Ventilation algorithm of the Ambu legends

Zupinka dikhannya є one of the critical stanіv, medical aid or the involvement of non-qualified medical personnel. In such a situation, you do not need to have access to reanimation, and the ability to install a new device for piece ventilation lungs. Mishok Ambu is a simple prick, for the help of which you can give a procedure.

Constructive features

The base for the piece ventilation of the legends is a gum elastic pear, which has an inlet valve on one side, and is secured with a special adapter from one side. Mishok Ambu for the help of this adapter can be connected to the mask, and can be connected without an endotracheal tube, fixed in the trachea. The way of storing the deposits of particular features of a particular situation, as well as providing medical assistance.

Its zasosuvannya daniyu pristіy mіtsno won in the field of medicine of critical stanіv, in the machines of high aid and in the form of intensive therapy. Variable obsyag of gum pears, you can choose Ambu for a pediatric practice.

Vikoristannya algorithm

Before the zasosuvannya Mishka Ambu needs to move in the air in the upper dikhalnyh nobles and from the presence of third-party objects in the mouth empty. For the rest of the patient's back, throw his head down and open his mouth with a path to the bottom of the bottom slit of the spike and down. At the same time, the first revision will be built. You will need to get a move and view it again. As soon as in the process of revision it is revealed that there are third-party objects in the empty mouths that are necessary to be seen. Pislya tsiogo mіshok Ambu go to the mask, yaku to cuddle up the patient for an additional promiscuous і great fingers And put your fingers on the brush and put the mask on the board. It is necessary to squeeze the little bear intensively, having passed through the legend, and tidy up the mask from the guise for the vidysennya vidikhu. I will repeat the procedure until quietly, as long as the patient does not appear to be self-conscious with a frequency of no less than 16-18 injected into the chilin. The main criterion is to talk about those, how the ventilation of the legends is carried out efficiently, є the sound of the room.

Vikoristovuchi mіshok Ambu, it is necessary to stitch for more airtightness as the attachment itself, as well as in the area of the mask until it is exposed. Any missed times will reduce the pressure and build up the entire procedure for providing medical assistance. It is also a sign of brutal respect for the return of pears to the patient. Alterations of obsyag, uploads to the legends, can lead to the diagnosis of barotrauma at the need for unadulterated additional help of the people.

Shown to sucking

The main indications are prior to storing є zupinka dikhannya and the need for piece ventilation of the legends. It’s possible, because of the lack of energy to relieve the breath (for example, in case of an attack of bronchial asthma).

Prototype

The piece ventilation of the legends in the Ambu mouse is shown in the case of the presence of external objects, for example, in the mouth empty. At the same time, there is a possibility of aspirations of the remains. In such a case, it is necessary to carefully clean the mouth empty and with ventilation.

visnovok

Become, you are not able to avoid uncomplicated medical assistance and to be guided by a zupinka dichotomy, it is not so easy to do it. Whenever you have an incredible chance to fix someone else's life, if at home or in the car medicine cabinet you have a little Ambu. The price of the outbuilding given does not go up to the area of 1500-2000 rubles in fallow lands from the virobnik.

1. Lay the ailing back on a rough surface, throw your head down, hang down to the lower slot, turn your head to fill and prevent the passage of the upper dichally

2. Mishok abo hutro z'єdnati through a corrugated hose with a mask or an air duct.

3. Press the mask with the great and tough fingers of the right hand on-vich, curling the mouth and nis, and with the other three fingers behind the podboriddya, cut the lower slit.

4. With the other hand, squeeze the bear (Ambu) for a hut, for the purpose of taking the mask out of the individual, and stretching out the hut.

5. Repeat the action until the spontaneous action appears at a rate of 18 for the hvili.

Enter the view for an hour, squeezing the mishka or khutra (in the middle it is possible 400-1500 ml of food), they see them passively into the atmosphere. When you see the teddy bear, you will be spontaneously zapovnyutsya by yourself, and hutro for the rakhunok stretching out with your hands. Vidih is guilty of butti twice as much as the vidih.

Conducting a closed heart massage:

1. Place the ailing one with his back on a rough surface і znyaty odyag, so squeeze.

2. By the way, from the right side of the patient, the proximal part of the unbent hand is placed on the lower third of the sternum to the left;

3. On rosіgnuti in lіktyovyh slopes hands, vikoristovuyuchi vlasnu masu tila, push on the chest pad at the viglyadi posttovhu, deflecting the front surface breast cancer 2-5 cm.

4. Send your hands to the door, so as not to overshoot the expansion of the breast cancer

5. The onslaught is repeated at a frequency of 60 times per hour until there is a pulse on the backward sleepy artery.

6. When one reanimator visits one reanimator, the number of blows: the pressure to become 2:15, two reanimators: 1: 5.

TECHNIKA VIKONANNYA FIRST

HIRURGICHNIY TREATMENT OF WOUNDS

Pull on sterile gloves.

Take a tweezers and a swab, soak it with ethereal or liquid ammonia, clean the skin near the wound from the obstruction.

With a dry swab or a swab, soaked with water peroxide (furacilin), if it is free-lying in the early side room and blood clots.

With a swab, soaked with iodonate (alcoholic solution to chlorhexidine), sprinkle the operating field from the center to the periphery.

Provide the operative field with a sterile bliss.

With a swab, soaked with iodonate (alcoholic solution to chlorhexidine), cover the operating field.

With the help of a scalpel, a wound was discovered on the arm.

See, if possible, the edge, the walls and the bottom of the wound, see all the waste, obstruction, seeping blood tissue.

Replace mittens.

The wound is separated by a sterile prostrate.

Replace tools.

Really bandage the bleeding of the judges, the great ones - sew.

Virishity food about the sewing thread:

a) put on the first sewing thread (sew the wound with threads, make the edges of the wound, tie the threads);

b) put on the first-line stitching (stitch the wound with threads, do not create the edges of the wound, do not tie the threads, bandage with an antiseptic).

Spread the field with a tampon, soaked with iodonate (alcoholic solution to chlorhexidine).

Apply a dry aseptic bandage.

TECHNIKA ZNYATTYA SHKIRNIKH sewing

Lay the sick person on a couch, operats_ynyy steel.

Tie a bandage with a pair of pincers.

For the additional help of a sterile tweezers, sprinkle the seam with a sterile sack with an antiseptic solution (iodonate, alcohol solution, chlorhexidine).

Having grabbed the vuzol of the seam with a pair of pincers, lightly pulling a part of the thread white color on the vidminu from our part of the dark color).

Having given the gostr to the branch of sterile knives for a part of the thread, rozsіkti її bіlya the surface of the shkіri.

The seam is visible.

Put a seam of leather on a handrail, open a small servet, for the sake of all the seams, you need to pick it up with a pincer and throw it into a basin with a brute material.

The line of seams is covered with an antiseptic solution (iodonate, alcoholic solution to chlorhexidine).

On the line of seams for a sterile servet.

TECHNIKA VIKONANNYA dressing of the wound

Lay the sick person on a couch, operats_ynyy steel.

Take with a pair of pincers, pristine dry bag shkіru Cover the top of the bandage, throw it into the kidney-shaped tray. I will dry the bandage in a sack, soak it in 3% solution to water peroxide.

For the scent of the surface balls of the dressing, cleanly wipe the inner ball with a 3% solution to the peroxide of water. Soaked servetka should be protected with pincers.

Pour the skin near the wound with a bag, soak it in an antiseptic (alcoholic solution to chlorhexidine) from the edge of the wound to the periphery.

Take a sterile tweezers.

Carry out the toilet of the wound: with a tweezers or a sterile bag of vidality, pry the wound with an antiseptic solution (3% peroxide, Furacilin), dry with a sterile bag.

Place a pincer on the wound of a sterile servette in a dispensary (in the fallow state from the stage to the wound process).

Close the bandage behind the help of the bandage, glue or leukoplastyr.

Persha dopoga at opіk

In pershu chergu, butti nadana is guilty of assistance with clutter up the life pathological camps (the turn of the destruction of life due to electrical injuries, the importance of organ_v dikhannya, Otrunnya toxic products of the furnace, heat collapse, glibokі opіki ponad 20% of the surface of thyl).

It is important to evaluate the body of the organisation. When an individual is identified by a half-mum, it is often the case of the mucous membrane of the upper dichal noses. In case of important exercises, the glybin and the rhythm of the dichotomy, inodi, and even worse, develop, and the lack of stenosis of the larynx develops. At the point of trauma, I would like to assess the area and depth of an opiate wound, and in order to assess anti-shock therapy on the pre-hospital stage.

Algorithm for detecting: 1.When terms of reference it is necessary, persh for everything, to securely pin the high-temperature hostile agent, thermal viprominuvannya and vidaliti sufferer from an unsafe zone. As soon as you can’t let it go, you’ll just quench it half-way, scintillating the scorching dilenka with a carpet, or the patient’s mind to lie down on the ground, or if it’s over the surface, squeezing the scorching mind down to it. You can beat half of the mind, roll on the ground, extinguish it with a stream of water, and as if ordered with water, albeit іnsha mnіst, it is reminiscent of water, zanitenu urazhenu dіlyanka or a part of til in the water. In any case, it doesn’t go to bed in an ignited dress, to beat half of it with unprotected hands.

Cool the dilyanka with a water jet, applying cold objects and in. In case of overgrowth, it is necessary to grow up or sleep (in warm weather), lay ice on your head or a cold compress.

Apply dry sterile dressings, also cotton-gauze, to the opik wound. When there are sterile dressings, you can vikoristovuvati be-yak clean fabric (towel, stretched)

In case of hand detection, it is necessary to take the fingers beforehand, as the finger can be brought to the side through the development. Odyag from burnt areas is not known, but distributed at the seams and carefully seen. Know the whole thing, especially in cold weather, do not follow, have suffered with great opics, and without that, feel a bit cold.

All types of blame have been introduced (Promedol, pantopon).

If the toxic products of the mine and the damaged organs are removed, it is necessary to first of all to prevent the access of the fresh food.

It is important to update and adjust the passage of the dysfunctional nobles, for whom, when detecting the exposure and the upper dysfunctional nobles, it is most often to reach the sight of the mucus and blunt masks from the empty mouth and the throat, so that it’s possible to enter the westernization.

Visible third-party objects ІЗ NOSE

The side of the nose emptying of the nose is very versatile and is very important for children from 2 to 5 years, however, they can be found in any occasion.

Razrіznyayut such groups of third parties til empty the nose:

introduced into the empty nose by the patients themselves, often the stink of children (gudziki, bags, shmatki paperu, nasinnya, coins, namistinki, etc.);

insertion into the empty nose of the nose by someone else's hand - for an hour, with lykarskie manipulations (cotton wool, tampons, ulamki of surgical instruments);

they were drunk in the nasal empty space (through the entrance to the nis, through the choani with blues, as well as gostriki, ascaris, p'yavki);

wasted on the empty nose in case of injury, if the integrity of the empty glasses was damaged

In children, in the empty nose, teeth may appear (growths and teeth), which grow from tooth germs as a result of their inversions (heterotropy).

In most cases, the side of the body grows out in the lower nasal passage, even though they were not afraid to try it out, in the front part of the empty nose. At the back side there are external objects that were drunk in the nasopharynx side (for example, with blues).

Clinical picture and diagnostics of third-party nasal emptying. Diagnostics is carried out at the time of taking a report anamnesis, anterior rhinoscopy, palpation of the side body with a metal probe, if necessary - endoscopic obstruction of the nasal and nasopharyngeal emptying, radiography.

With the presence of foreign matter in the empty nose (often a one-sided process), it means a difficulty in the nasal movement through the opening half of the nose, vision with her, changnya, slozotecha... When you know in the nose of small smooth alien tones you can be out of sight inappropriate views... Nadal, as a result of the intake of calcium salts near the side of the body, a stone is formed (rinolit). Gostri or swelling of third-party objects (peas, kvassol) cause pain in the nose, headache, nosebleeds. When there is a known foreign body in the middle of the nose emptying, one should be careful to waste the scent.

It is not easy to establish a diagnosis in quiet conditions, if the mucous membrane of the empty nose has swollen and bleed, or if the granulation has already taken place, it is possible to make the alien sober.

Metal and other contrasting side objects can be seen in X-ray, as, if necessary, to be displayed in two or three projections.

The removal of foreign body in the empty nose can lead to such expedited:

aspiration of alien body;

gostry gn_yny rinit with characteristic unacceptable smell, Yakiy obumovaniya rozvitkom anaerobic flora;

gostry abo chronic middle otitis media;

gostry abo chronic sinusitis;

osteomyelitis.

Visibility of alien body from the nose you can try it out shakannya abo blown with a balloon by Politzer through the half of the nose (in children older than 5 years). If such a path does not reach the bazhany result, then it is shown instrumental visualization.

In order to see the side of the nose, it is necessary to carry out anemization (by the pressure of adrenaline or by those of the epinephrine) and anesthesia (by the pressure of lidocaine, wildness and іn.) Of the mucous membrane. A knight of alien til is unacceptable, it is unacceptable to cause and take injuries, bleeding, and prostitution in the nasopharynx, which is not tied with a certain aspect.

With the sight of an alien body in a child, he needs a good fiksuvati. Do not see only a rounded shape with a pair of tweezers (when the jaws of the instrument are wicked, it’s not easy to seep into the grip). Plain-sided surfaces, like soft objects: cotton pouches, papyr and іn.

The rounded sides are seen with a hooked probe, bent at the end, with a bulbous probe (Fig. 1). When using anterior rhinoscopy, wind the instrument over the object, directing the tip of the probe to the bottom of the nose emptying behind the object, and pushing it, when it burns down, it is in the hand of the probe and the other side is flashing it in front of.

Fig. 1. Visibility of alien body from the nose

Wedge third-party objects great razmіrіv and rhinoliths need to be seen for the zealous sickness, in front of the distribution of them and vitiaguvati in parts. P'yavok, see ascaris with forceps or tweezers. Gostrikiv, who was drunk in the empty nose from the slunk, znizuyut a way to smear the mucous membrane of the empty nose with menthol oil, for which to use a pincer. Magnetic storage can be used for visualization of large objects.

for prophylaxis foreign objects of the nose must be included in the life of young children and other objects. Fathers and children of the senior age need roses and need to drink outside of the nose. To improve the appearance of third parties during operational involvement in the emptying of the nose, it is necessary to protect and respect the surgeon and the nurse.

Front tampon on empty nose

Anterior tamponade of the nasal emptying is carried out with nasal bleeding.

Nasal bleeding is an enlargement of the pathological stanchion, an acceleration of overloading the disease.

Bezposrednyaya cause of bleeding є deterioration of the integrity of the mucous membrane of the empty nose. The causes of nasal bleeding can be muscular and scalp.

Miscellaneous causes of nosebleeds:

All types of injuries to the nose and internal nasal structures, including trauma to the mucous membrane (if there is a third-party injury, surgery, or injuries in case of medical diagnostics in the opening of the nose: puncture and catheterization of the nasal cavity)

Processes, scho wiklyayut the mucous membrane of the nasal emptying (state and chronic rhinitis, sinusitis, adenoid vegetation);

Dystrophic changes in the mucous membrane of the nasal emptying (atrophic form rhinitis, swelling or perforation of the nasal septum);

New nasal emptying or nasopharynx (angiomy, angiofibromi, bleeding polyp of the nasal septum, malignant swelling, specific granulomas).

Provide good reasons extravagant character, May lead to nosebleeds.

Major causes of nosebleeds:

Zagvoryuvannya hearty - court system (hypertensive ailment and symptomatic hypertension, heart defects and abnormalities of the abnormalities of the blood vessels in the head and neck, atherosclerosis).

Coagulopathies, hemorrhagic diseases and incapacitation of the blood system, hypo-and avitaminosis.

Hyperthermia as a result of hospitals and infectious diseases, heat and sleepy shock, in case of overheating.

Pathology, as a result of the result sharp drops barometric vise (lotchiks, divers, alpine and inn.).

Deyakі hormonal imbalances (juvenile and acute bleeding with vaginosis).

Appointments local officials in children with ailments, it can be increased in different variants.

Clinical picture of nosebleeds:

Direct signs of bleeding - visually, there is a rise in blood flow from the nasopharynx into the oropharynx, which appears during pharyngoscopy.

Symptoms of a causal pathology (imaging a turn, stage and form of illness or injury).

Signs of grievous blood loss, which lie in the peculiarities of bleeding (localization, intensity), the amount of blood consumed, the premorbid camp, and the status of the patient.

Nose bleeding by localization can be anterior and posterior.

Anterior bleeding most often occurs from the anterior viddiliv of the nasal emptying, from the zone of Kisselbach. Another most widened localization is the anterior viddili of the inferior nasal concha.

Posterior bleeding occurs from the posterior portions of the nasal emptying or the nasopharynx - the inferior nasal concha for the opening of the nasal opening.

Zalezhno about obsyagu steps of blood loss with nasal bleeding pidrozdilayut insignificant, light, medium-heavy, important or massive.

Diagnosis of nosebleeds includes:

Dani ob'ktivnogo obezhennya (turn to respect for the number of small curves and mucous, mill of the heart-vascular system, AT)

Rino - and pharyngoscopy - for the establishment of bleeding and the nature of changes in the empty nose

One of the principles of medical aid for nasal bleeding is yaknaishvidsha zupinka bleeding to prevent increased blood loss.

Indicated for front nasal tamponadi serve:

Dose for "back" bleeding.

Ineffectiveness of the simplest methods of zupinki "front" nasal bleeding with a stretch of 15 chilines.

Anterior tamponade is carried out with a gauze tampon 1 cm wide, with a length of 60 - 90 cm. Vikoristovuchi in the nasal mirror, a gauze tampon should be injected behind the help of a bell-shaped tweezers into the empty nose of the bridle bottom and the nasal septum to a depth of 6-7 cm.

It is necessary to quit, so that the tip of the tweezers is straightened parallel to the bottom of the emptying of the nose, and not the crypt (tobto the gratuitous payment). Tweeze tweezers from the empty nose, swallow a tampon, coming out of the front by 6-7 cm, and let the bridle of the bottom of the nose and nasal septum pass through, repeat with the tip of the tampon. An excess of a tampon, which does not take place in the empty nose, is visible. Apply a sling-like bandage on n_s. de

Front swab in empty nose trim for 24-48 years.

Krim gauze tampons for the front tamponadi, empty the nose, make a pneumatic tampon, which can be stored from two gum balloons; an elastic tampon, which can be folded from the finger like a gum mitt, filled with foam rubber; sinus - YAMIK catheter.

When carrying out an anterior tamponade for the emptying of the nose, it is necessary to assess the effectiveness, in order to know how to serve as a visibility of bleeding, not just named, but on the back of the pharynx (reconverted).

Vidalennya side til Z VUKHA

The side of the ear canal is most often found in children, if it’s an hour they don’t put in some odd objects: goodziki, paper bags, peas, small bottles, papyr and іn.

Most of the third-party ones are localized in the earliest ear canal (often in the membranous-cartilaginous appearance, or in the middle of the transition of the whole visitor to the cystic - in the middle of the earliest age),

Someone else can be an object that allows you to penetrate into the rumor of a passage, including a coma alive. In the middle of the third party, it is easy to lie down and hammer in, and also put all the pressure on the walls of the ear canal (swell the grains of peas, corn, etc.).

All third-party items are possible divided into three categories:

alive - coma, as they penetrate into the rumors of the passage from the hour to sleep (targani, goose bumps, pawuk, etc.);

roslinnogo pokazhennya - nasinnya, grain of cereal crops, beans and ін.;

іnshі side objects - sіrniki, cotton wool, papіr, foam rubber, gudziki, namistinki, bags, including metal and іn.

A clear picture of the presence of alien body in the ear canal: If there is evidence of third-party sound in the ear canal, there may be a lingering of the ear, hearing loss, noise in the ear, feeling a squeeze, pain, and sometimes seeing blood from the ear canal. Live side by side makes a loud noise in front of you, not seeing gloss ("dance on the drum"). With the localization of the extraneous body in the empty drum, there may be signs of a breakdown or a labyrinth, paresis of the facial nerve, severe bleeding їх vuha.

Diagnosis is established on the basis of anamnestic tributes, ailments and otoscopy. When otoscopy appears alien til, its localization, it may be insignificant change in the ear canal: the hypothesis is altered and the bulge.

Visible sideways from the outer ear canal. The main and most unhealthy way is to see the outside of the ear canal є prominence... Promivannya is carried out with warm water at the temperature of a syringe from Janet with a volume of 100-150 ml. If the sick person has a history of being ill, then the treatment should be carried out with a warm razchin furacilina 1: 500 or an antiseptic (Fig. 1-4). To remind Janet's syringe with a mark. A kidney-shaped tray is presented to the sick person. With a single hand, the lykar straightened the rumors of the passage, pulled back into the shell and burned. Introduce the syringe into the hearing aid. The streak of the child is guided between the alien body and the posterior-upper wall of the ear canal, the differences are consumed for the alien only, and the visibility of your child is 2-3 times.

In case of ineffectiveness of the treatment instrumental visualization... They saw that they had consumed objects in vuho, it was necessary for the retaliation of the healthy control, including from the microscope. Here are some of the features of the third-party til vicoristovyuyt special ear hooks, tweezers and pincers. In case of manifestation of the ignition of the outer ear canal, it is sometimes partially eliminated or changed. ignition process medication, and then saw the side tilo.

To unite to drive in the ear canal, or to insert foreign objects in the middle of the ear, you need to remember two rules:

Rounded and spherical aliens see prominence, or a little bit;

Side by side, in those who re-mix the line, they see it with a pincer.

When foreign body is seen with a slack, before the hour of otoscopy, the slider is inserted into the auditory passage, and it penetrates through the alien body and wall of the auditory canal (Fig. 5.). If a gadget appears behind an alien body, turn it so that it can be caught and a foreign object. Do not go to the wraparound ruffs with the bent end of the hitch.

If it’s a foreigner, it’s not possible to see through the ringing rumors of the passage, or, if it’s a foreigner only to be in the empty middle world, then it’s because of the callous surgical access.

Changing the size of the heavily fixed third-party materials can be re-infused into the rumored passage of 96% ethyl alcohol, which will lie farther away from the promises.

Vividness of the living side people of the specialties. In front of the coma, they kill, they bury it in the latest rumors about the passage of oil or alcohol, which is consumed (Fig. 6.).

Small. 2. The position of the shell

when prompted

Small. 1. The position of the patient before the wuh promotion

Small. 3. The position of the fingers

lіkarya when promising

ear canal

Small. 4. Promivannya of the ear canal (diagram)

Small. 5. Visibility of the outside body from the outer ear canal

Small. 6. Visibility of coma from the outer ear canal

VISIBLE surface side tiles

Conjunctivi and OCHI

Whether it’s a side-by-side conjunctiva and eye horns become a potential threat to the development of young children (conjunctivitis, keratitis, horny twisting) at the time of the day of the doctor - ophthalmologist.

Algorithm for doing with visible third-party til with conjunct and tweaking of the eye: Obscene aliens to the conjunctiva and symptoms of sufferers are caused by the symptoms of discomfort in the assessment, sickness, fear of the disease and laziness, the eye of the patient and the sight of a third party is guilty of an anxiety. When throwing into the conjunctival emptying of the traumatized eye, it is necessary to drop 1-2 drops of 2% - 5% of the range of novokain, or 2% of the range of lidoka, with an interval of 1-2 hvili.

After 3-5 hilines, look around the conjunctiva of the capital and full-time apple, Rogіvku method zvnіshnogo look. Even if there is a lot of foreign matter, it’s not far away - it’s necessary to look at the meanings of the eye for an additional bifocal method using two loops (in + 20.0 and +13.0 diopters) and real lamps. Appointment loupes є in the warehouse part of the ophthalmological set, which is included in the set of medical equipment, whether it is a personal device, repaired from the FAP.

If the aliens are not very well-worn on the surface and did not get involved in the balls of the conjunctiva anyway. If you want to see the outside world, drip into the eye of disinfecting drops (20% of the solution to albucide) and recommend to the patient to continue using the drops in the home wash 3 times a day for 2-3 days.

If the stranger didn’t see it far away, then it’s necessary to drop an eye of disinfecting dots in it, put a bandage on the eye, and send the patient to a close-up of a doctor’s mortgage.

Conjunctival emptying of OCHI

A whole view of giving the first medical help can be known from a person who is not an ophthalmologic profile (in the case of a person who is a doctor) if he falls into the eye of a third person, or if he is caught in the eyes of a person who is not an ophthalmologic person (at the same time)

Algorithm for making conjugate promising: If it falls into the eye of a third person, or a suspicion of a risk to the genesis of the disease, discomfort, ailment, hypoxia, and laxity are seen. To that the patient's eye and the need for additional help is guilty of overhanging the superficial (epibulbar) anesthesia. Ultracain) 2 3 times with an interval of 1-2 chilini.

After 3-5 hilings, look at the conjunctiva of the capital and intramural apple, look at the conjunctiva of the capital of the intramural apple; manganese-sour kaliyu, boric acid), physiological discernment for the help of a 20-50-gram syringe or a small enema. I tried to see the side of the body (including - I was consumed in the conjunctival emptying when detecting very vapnom, manganese, grains of acids) for the help of a tight vologo, cotton turunda and knowingly promising conjunctival deterioration. Pislya ts'go in the eye slid kilka raziv zapati 20% roschin albucid, antibiotics wide range dii, lie in the conjunctival empty ointment s antibiotic. At the battle of the eye, put on a bandage and direct the patient to any one who is located at the hospital, de lykar-oculist. At the time of the diagnosis of the middle and severe stage of the victim, it is necessary to direct the patient's term immediately to the ophthalmological hospital.

ZAVDANNYA FOR post-classroom PREPARATION OF STUDENTS

DIAGNOSTICS THAT FIRST HELP

FOR NON-FUNCTIONAL MILLS

1. Lay the ailing back on a rough surface, throw your head down, hang down to the lower slot, turn your head to fill and prevent the passage of the upper dichally

2. Mishok abo hutro z'єdnati through a corrugated hose with a mask or an air duct.

3. Press the mask with the great and tough fingers of the right hand on-vich, curling the mouth and nis, and with the other three fingers behind the podboriddya, cut the lower slit.

4. With the other hand, squeeze the bear (Ambu) for a hut, for the purpose of taking the mask out of the individual, and stretching out the hut.

5. Repeat the action until the spontaneous action appears at a rate of 18 for the hvili.

ALGORITHM FOR RINSING THE STOMACH

The slurry should be pruned when the slunk is cut off, the unkind snacks are implanted, and the slurry is stenotic (stenosis).

contraindicatedє hosprі stravohodu and shlunkovі bleeding, important chemistry descriptions mucous membrane of the pharynx і stravohodu, myocardial infarction, impaired cerebral circulation.

To wash the shlunks, install a vsty shlunkovy probe (diameter 10-13 mm and 1-1.5 m) and a funnel. To carry out the qiu manipulation more beautifully in the position of the ailing sedentary. In case of an important and unaccountable stance of the sickly prominence, the slunk is wobbled into the position of its lying position.

In case of manifestation, they will take out the sick ones with prostheses!

Algorithm for carrying out the manipulation:

1. ailment sits on the stile, kilka nahiliv head forward, between yogo nig put mnist (pelvis abo vidro);

2. a likar with one hand to treat a sick person, who started to insert a probe, soak it with water to the root of the tongue;

3. the patient should ask for the size of the coffin rods, for which the probe can be easily carried out into the stravohid and into the slurry (the probe should be inserted up to the mark 40 cm);

4. the funnel is trimmed on the level of the sick person, reminiscent of it with boiled water, a weak crack of the calium permanganate, the physiological breakdown of sodium chloride and the food of the sick man's mouth;

5.when the slope is known, lower the funnel below the slurry level (it almost comes back to the rіdina rіdina at once with the slurry worm);

6. Empty the funnel into the compartment.

The procedure of washing is repeated until quiet times, and then it is not cleaned back from the slunk ridin. From 8 to 10 years at a time. The first portion of industrial water, if necessary, is sent to the laboratory.

When the probe is open:

1. ailments popped shvidko vipivaє 6-8 flasks rinse ridini;

2. to wick the blues (teasing the root of the tongue).

I will repeat the procedure for the next step.

THE ORDER OF THE VICONANNY ІН'ЄКЦІЙ

Is it correct and on the submission of any normative documents to cut a dizzy reanimation like Ambu, boxing in what kind of win (can be on the set) and reanimation masks?

vidpovid

as a sign of virobu (clause 2.3)

from material and constructive features of virob, meaning virobnik (clause 2.5, clause 2.16)

Falsely from the sign, virobi wrote the victorious podlyagayut:

disinfection
disinfection, PSO and sterilization.

Vimogi until the next cycle of processing the virob is guided in section 2.15:

"Sterilization is used to provide all the virobi of medical significance, so that they contact the wound surface, blood (in the patient's body, or injected into a new one) or / or with drugs, as well as okremi vidi medical instruments, which, in the process of exploitation, are stuck with a mucous membrane and can be tested.

For information about the processing of anesthetic-dyshal devices and important details before them, it was established by clause 2.7 of the Sanitary Rules and Regulations, which should be carried out on the basis of recommendations made in accordance with the validity of the model of the device (specifically for the operation of the model of the device). Aware of the details of the device will not be able to diagnose as much as a medical feature of the type of materials.

For the skin type of the device, the important details before the new virobnik, specific methods are used, methods and modes of processing. Single methods, including and including sterilization and disinfection of virobes of the medical sign, are approved by the order of the Ministry of Health Protection of Ukraine from 10 worms 1985 p No. 770 and methodical instructions from 30th March 1998 No. 287-113.

The standards of information provision by the virobnik virobiv of the medical sign, which allow for repeated sampling

Bagatorazi dyshalny mishok, dyhalny hoses, masks, like virobi, do not stick to mucous patients.

Read without koshtov in the system of the head nurse: