Nadannya additional help with non-eased camps in therapy. Getting the first medical aid in extreme situations - basic rules and algorithm

Angina pectoris.

angina

symptoms:

Medical Nurse Tactics:

1. Syringe head for i / m, p / k ін'єкцій.

2. Preparations: analgin, baralgin abo tramal, sibazon (seduxen, relanium).

3. Mishok Ambu, EKG apparatus.

Assessment reached: 1. Outside the pinned painful vision

2. In case of sparing pain, as well as the first attack (or attack with a stretch of the month), if the first stereotype of the attack is violated - hospitalization is shown in cardiological presentation, reanimation

Note: if you have a strong headache when you receive nitroglycerin, give a tablet to validol sublingually, hot liquor tea, nitromint or molsidomin in the middle.

Gostriy myocardial infarction

Myocardial infarction- tse ischemic necrosis of the heart meat, which develops as a result of impaired coronary blood flow.

Characterized by a retrosternal bile of non-invisible intensity, how to crush, baking, tearing, from an irradiation in the left (one to the right) shoulder, in front of the shoulder, a shoulder blade, a lower slit, an epigastric region, more than 20 years hvilepodіbna (either to do it, then to verse), or to grow; supervise to feel the fear of death, the failure of death. You can be ruined heart rhythmі performance, instability of AT, taking nitroglycerin does not know pain. ob'єactively: shkirnі pokrivi blіdі, abo cyanosis; cold bumps, cold sticky pite, backward weakness, debility (patient underestimation of severity), muscular depressions, heart-like pulse, may be arrhythmic, often absent-minded, deafness, tone

atypov_ form (options):

Ø asthmatic- attack of breath (heart asthma, stuffed legends);

Ø artistic- breaking the rhythm to serve as a single key manifestation

abo reload in the classroom;

Ø cerebrovascular- (to manifest objection, second testimony, raptor death, State neurological symptomatology of the type of insult;

Ø abdominal- b_l in the supracranial area, can come in the back; nudota,

blues, boom, haircut, abdominal growth, tension of the anterior cervical wall

і soreness on palpation in epigastric dileantsi, Shotkina symptom

Blumbergenegative;

Ø asymptomatic (painless) - unimportant vision in the chest, lack of weakness, build-up sluggishness, unreasonable temperature increase;

Ø with atypical irradiation pain in - shiyu, lower slot, teeth, my hand, Shoulder, mіzinets ( upper vertebral, laryngeal - pharyngeal)

When assessing the patient's status, it is necessary to find out the manifestation of the factors in the ІХС risk, appearing in the first place more attacks or changes of children

Medical Nurse Tactics:

Pidgotuvati tools and preparations:

1. System for internal introduction, jgut, electrocardiograph, defibrilator, cardiomonitor, mishok Ambu.

2. According to the drug: analgin 50%, 0.005% fentanil, 0.25% droperidol, promedol 2% 1-2ml, morphine 1% i / v, tramal - for adequate pain relief, relanium, heparin - with the help of prophylaxis repeated blood clots and microcirculation, lidocaine - lidocaine with the help of prevention and treatment of arrhythmias;

Hypertensive crisis

Hypertensive crisis - Rapid admission of individual AT, which is supervised by hypogastric and heart-vascular symptoms (disturbance of cerebral, coronary, nirk blood circulation, autonomic nervous system)

- hyperkinetic (type 1, adrenal): It is characterized by a raptor cob, with the appearance of an intense headache, with a pulsating character, with an important localization in the region, and with foulness. Damage, heart rate, tremor in all til, tremor of the hands, dryness in the mouth, tachycardia, an increase in systolic and pulse clutch. A crisis of triumph from decilkoh hilin to decilkoh years (3-4). Shkira vologa, d'urez of improvement in the crisis.

- hypokinetic (type 2, norepinephrine): It grows in general, from 3-4 years up to 4-5 dib, turbulent headache, "heaviness" in the head, "veil" in front of ochima, drowsiness, blasphemy, ailments of gagging, disorientation, "dzvin" in wuhahs, minuscule , paresthesia, nudota, bloating, to squeeze pain in the area of ​​the heart, the type of angina pectoris (how to squeeze), the swelling of accusations and homosexuals, bradycardia, it is also important to get a distressing squeeze, pulse to decrease. Shkira blida, dry, dyures of changes.

Medical Nurse Tactics:

Prepare preparations:

Nifedipin (corinfar) tab. pid language, ¼ tab. kapoten (captopril) pid language, clonidin (clonidine) tab., amp; anaprilin tab., amp; droperidol (ampoules), furosemid (lasix tab., ampoules), diazepam (relanium, seduxen), dibazol (amp), magnesium sulfate (amp), eufilin amp.

pidgotuvati tools:

Apparatus for vim_ryuvannya arterial vise. Syringes, system for internal infusion, scorching.

assessment of reached: Reduction of scarg, deed (for 1-2 years) decrease of AT to a value that is specific for a sick person

obscurity

obscurity no short-term loss of testimony, so that it can develop as a result of a sharp change in the blood flow to the brain (a few seconds or so)

cause: Perelyak, b_l, type of blood, blood loss, lack of food, hunger, vaginism, intoxication.

Frontal period: a bit tedious, weakness, spoiled, darkening in the eyes, nudity, pithiness, dzvin in wuhah, pozihannya (up to 1-2xv)

unacceptability: visibility of the daytime, blіst shkіri, decreased meat tone, cold symptoms, dichotomy іdke, superficial, weak pulse, bradycardia, AT - normal or lowering, hibernation, slowing down to 1-3-5

Post-fainting period: turnover rate, pulse, AT to normal values , Possibility of weakness and headache (1-2xv - a few years). Patients do not remember how they became.

Medical Nurse Tactics:

Pidgotuvati tools and preparations:

Syringes, golki, cordiamin 25% - 2 ml i.m., coffee solution 10% - 1 ml s / c.

prepare preparations: Euphilin 2.4% 10ml i.v. and atropin 0.1% 1 ml s.c.

Assessment reached:

1. Patients come to the tami, the camp is rotated - consultation of the doctor.

3. The patient's camp instills triviality - viclikati will not help.

collapse

collapse- the chain and the triviality of lowering the arterial grip, in addition to the state of judgment.

reasons: bіl, trauma, massive hemorrhage, myocardial infarction, infection, intoxication, temperature decrease, change of position (insertion), insertion of a patient with hypotensive disorders.

Ø cardiogenic form - with infarction, myocarditis, BODY

Ø Sudin form- at Infectious diseases, Intoxication, critical low temperature, pneumonia (symptoms develop at once with symptoms of intoxication)

Ø hemorrhagic form - with massive blood loss (symptoms develop through a few days of blood loss)

clinika: Zagalny camp is heavy or in the region is heavy. A spate of weakness, zapamorochennya, noise in the head. Turbine sprague, frosty water. Svіdomіst is saved, ale paciєnti zalmovanі, baiduzhі to otochennya. Shkіrnі pokrivi blіdі, vologі, lips cyanotic, acrocyanosis, kіntsіvki cold. ATc less than 80 mm Hg. Art., pulse of parts, nitkopodіbniy ", dikhannya more often, superficially, deafness heart, oliguria, temperature is lowered.

Medical Nurse Tactics:

Pidgotuvati tools and preparations:

Syringes, heads, scorching, disposable systems

cordiamin 25% 2 ml i.m., coffee solution 10% 1 ml s / c, 1% 1 ml mezaton

0.1% 1 ml for adrenaline, 0.2% for norepinephrine, 60-90 mgprednizolone polyglucin, reopoliglucin, physiological breakdown.
Assessment reached:

1. Rolling mill

2. The mill is not polіpshivya - but we prepare it before CPR

shock - camp, when it is meant to grow, progressively lower all life important functions organism.

Cardiogennip shock to develop as an accelerated state of myocardial infarction.
clinika: a sick person has myocardial infarction thinness, shkira
Blida Vologa, "Marmurova" is cold on the dot, the veins were asleep, the hands and feet were cold, bil. AT is low, systolic close to 90 mm Hg. Art. i lower. The pulse is weak, frequent, "nodular". Dikhannya surface, often, oliguria

Ø reflex form (bolovy collapse)

Ø true cardiac shock

Ø artistic shock

Medical Nurse Tactics:

Pidgotuvati tools and preparations:

Syringes, heads, scorching, disposable systems, cardio-monitor, EKG apparatus, defibrillator, Ambu microscope

0.2% roschin norepinephrine, mezatone 1% 0.5 ml, fiz. roschin, prednizolone 60 mg, rheopo-

liglucin, dopamine, heparin 10,000 OD IV, lidocain 100 mg, narcotic analgesics (promedol 2% 2 ml)
Assessment reached:

The mill is not ruined

Bronchial asthma

Bronchial asthma - chronic igniting process in the bronchi, of a very allergic nature, the main key symptomє an attack of breathlessness (bronchospasm).

For an hour to attack: spasm of smooth muscles of bronchial tubes develop; - stuffing of the mucous membrane of the bronchi; illumination in the bronchi of a viscous, thick, mucous phlegm.

clinika: there are attacks or they are often ignition processes in bronchogenic systems, contact with allergen, stress, meteorological factors. An attack razvivaetsya at any hour dob, often in the night before the wounds. An ailing person has the impression of a "failure of a whirlwind", a loss of position with support on his hands, an expiratory cough, an unproductive cough, in the act of dichanna take care of the fate of the muscles; the retracting of intercostal prominences, the retracting of the intercostal fossa, the retracting over the interclavicular fossa, diffuse cyanosis, revealing puffy, sputum ligament, seeming to force, the noise is noisy, whistling, dry wheezing, In the lungs - weakened dikhannya, dry wheezing.

Medical Nurse Tactics:

Features of the intake of phrionless inhalators (N) - the first dose of vaping into the atmosphere (the price of alcohol, like viparuvavsya in the inngalyatori).

Pidgotuvati tools and preparations:

Syringes, heads, scorching, internal infusion system

Likarski zasobi: 2.4% 10ml euphilinu dosage, prednizolone 30-60mg mg i / m, i / v, phyz.rozchin, adrenaline 0.1% - 0.5 ml s / c, suprastin 2% -2 ml, ephedrine 5% - 1 ml.

assessment of reached:

1. The suffocation changed or it was pushed back, it is possible to enter phlegm.

2. The mill is not polished - prodovzhuvati carry out come before the arrival of the brigade of shvidkoy auxiliary help.

3. Prototype indications: morphine, promedol, pipolphene - bring the reaction

Legeneva bleeding

reasons: chronic disease of the leg (BEB, abscess, tuberculosis, cancer of the leg, emfiza)

clinika: cough with visions of red phlegm with bulbs of povitrya, badness, moss bile with dichanna, decreased arterial grip, shkira blood, vologue, tachycardia.

Medical Nurse Tactics:

Pidgotuvati tools and preparations:

Everything is necessary for the registration of a group of blood.

2. Calcium chloride 10% 10 ml i / v, vikasol 1%, dicinone (sodium etamzylate), 12.5% ​​-2 ml i / m, i / v, aminocaproic acid 5% i / v cap., Polyglyukin, reopoliglyukin

Assessment reached:

Reduction of cough, decrease in blood count in sputum, stabilization of pulse, arterial vise.

pechinkova kolka

clinika: Intense beating in the right pidrabery, epigastric dilyantsi (prickly, ryuchivy, tearing) with irradiation in the right subscapularis, scapula, right shoulder, Clavicle, area of ​​shia, slit. Patients rush about, knock, shout. An attack of supravodzhutsya nudota, bloating (often from the house), feeling of dryness and dryness in the mouth, abdominal swelling. Bіl accepts with inhalation, palpation of the zhovny michur, positive Ortner symptom, subicteric sclera may be subicterous, darkening of the slit, temperature shift

Medical Nurse Tactics:

Pidgotuvati tools and preparations:

1. Syringes, heads, scorching, internal infusion system

2. Antispasmodics: papaverine 2% 2 - 4 ml, ale - shpa 2% 2 - 4 ml i / m, platifilin 0.2% 1 ml s / c, i / m. Bezpeka consumption: analgin 50% 2-4 ml , baralgin 5 ml IV. Narcotic analgesics: Promedol 1% 1 ml or Omnopon 2% 1 ml IV.

It is not possible to enter morphine - wiklikє spasm of the sphinkter Oddi

Nirkova Kolka

Vinikak Raptovo: writing physical exertion, walking, shaking yizdi, ryasniy priyom rіdini.

clinika: small, lively, unbearable beat in the direction of nirok sirradiation along the course to the club area, groin, inner surface of the stegna, last articles organized trivially from decilkoh chilin to decilcoh dibs Hvorі rush into the lіzhku, beat, shout. Dysuria, pollakiuria, hematuria, inodi anuria. Nudota, blues, increased temperature. Reflexive intestinal paresis, constipation, reflexive heartbeat.

When looking around: asymmetry of the transverse area, palpation along the pathway, positive symptom of Pasternatsky, sprains of the mucus of the anterior cervical wall.

Medical Nurse Tactics:

Pidgotuvati tools and preparations:

1. Syringes, heads, scorching, internal infusion system

2. Antispasmodics: papaverine 2% 2 - 4 ml, ale - shpa 2% 2 - 4 ml i / m, platifilin 0.2% 1 ml s / c, i / m.

Bezpeka storage: analgin 50% 2-4 ml, baralgin 5 ml i.v. Narcotic analgesics: Promedol 1% 1 ml or Omnopon 2% 1 ml IV.

Anaphylactic shock.

Anaphylactic shock- the most dangerous classic version of the allergic reaction, which is caused by the introduction of new words. Anaphylactic shock can develop when it enters the body:

a) alien bacteria (immunosuppressants, vaccines, extracts from organs,

sekomikh ...);

b) medicines (antibiotics, sulfanilamides, vitamins group B ...);

c) other allergens (roslin files, microbes, food products: eggs, milk,

riba, soy, mushrooms, tangerines, bananas ...

d) with bites coma, especially bjil;

e) in contact with latex (gloves, catheters, etc.).

Ø bliscavic form to develop after 1-2 minutes after the introduction of the drug

characterized by a strong development classic paintings hostile, ineffective heart, without reanimation help, it will end tragically in the best of ten. Symptoms of the poor: thinness or cyanosis; expansion of zinitsi, visibility of pulse and vice; agonal dikhannya; key death.

Ø shock average gravity , Growing up after 5-7 quilins after the introduction of the drug

Ø important form, It develops in 10-15 minutes, it can be done in 30 minutes after the introduction of the drug.

Most often, the shock develops with a stretch of the first five hilines written by ін'єкції. The shock on the food products takes 2 years to develop.

Clinical options for anaphylactic shock:

1. Typical form: seeing the heat "doused with sprinkles", fear of death, sharp weakness, pokryuvannya, sverbіzh shkіri, denunciations, head, hands; feeling a rush of blood to the head, moving, heaviness behind the sternum or breast cancer; bile in the area of ​​heart, head bile, difficulty in handling, spoiled, tediousness, blues. In case of bliskavichny form of the patient, do not rise up to present the scarg until the loss of evidence.
2. cardial option to manifest itself as signs of a grave judgment of the lack of: weakness, weakness, cold pits, pulse "nitkopodibny", AT rashly falling, in important cases, witness and dichotomy is depressed.
3. Asthmoidiii or asphyxial variant manifests itself for signs of a hostile dysfunctional deficiency, in the basis of which there is bronchospasm or an obstruction of the pharynx and larynx; z'yavlyayutsya vidchuttya squeezed in the breasts, coughing, zadishka, cyanosis.
4. cerebral variant manifests itself for signs of important hypoxia to the brain, sudomy, vision of the child from the mouth, mimicry and defecation.

5. Abdominal option manifest itself as nudota, blues, attacks of pain in
belly, dіareєyu.

On the shkiri there is a sprinkler, at the same time you get angry and transformed into a witch swelling - swelling Kvinke.

Medical Nurse Tactics:

Pidgotuvati tools and preparations:

dzhgut, apparatus SHVL, set for intubation of trachea, mishhok Ambu.

2. Standard set of drugs "Anaphylactic shock" (0.1% solutions for adrenaline, 0.2% norepinephrine, 1% solutions for mezatone, prednisolone, 2% solutions for suprastin, 0.05% solutions for strophanthin, 2.4% solutions for epinephrine, fiz . razchin, razchin albumin)

Medication for additional help with anaphylactic shots without a drug:

1. Intrashnyovenna introduction of adrenaline 0.1% - 0.5 ml per fiz. solutions.

After 10 hours, the adrenaline administration can be repeated.

When there is a venous access, adrenaline
0.1% -0.5 ml can be injected into the root of the tongue or the internal tongue.

дії:

Ø adrenaline according to the strength of the heart is fast, the frequency of the heart is too fast, the sound of the judgment and such a rank gives rise to the arterial grip;

Ø adrenaline is known spasm of bronchial smooth muscles;

Ø adrenaline is confident in seeing the histamine from fat cells, to fight against the allergic reaction.

2. Make sure that internal access is secured and for the time being introduced

size grows> 1 liter, for children - 20 ml per kg) - reserve the amount

births in vessels і advances AT.

3. The introduction of prednisolone 90-120 mg IV.

For the recognition of the lykar:

4. Pisle of stabilization of the arterial vise (AT vische 90 mm Hg) - antihistamines:

5. In case of bronchospastic form eufilin 2.4% - 10 i / v. On a physical solution. when on-
obviousness of cyanosis, dry wheezing during acid therapy. you can sing

alupenta

6. In case of sudom and strong anxiety - IV sedeuxen

7. When adding legends - diuretics (lasix, furosemid), heart glycosidi (strophanthin,

korglikon)

Pislya vivedennya from the shock of ailments hospitalized for 10-12 days.

Assessment reached:

1. Stabilization of AT, heart rhythm.

2. Renovation of the property.

Kropiv'yanka, Kvinke embankment

kropiv'yanka: allergic disease , characterized by the visipanemna of the papillary puffs (nodule of the papillary ball of the shkiri) and eritemi.

reasons: liquor preparations, syrovatki, food products ...

Anxiety to obey the unbearable itching on small dalyanok tila, in some on all surfaces of the tile (on tulips, kintzivka, in some valleys and toddlers). Pukhiri stumble over the surface of the dust, from dotted shapes to even great ones, the stench gets angry, setting the elements of a small form with uneven clear edges. Hanging out can take one month for a long period of time, then get to know and again appear in one second.

It may be due to temperature adjustment (38 - 39 0), headache, weakness. Iakshcho zvoryuvannya trivaє more than 5-6 years, then go to chronic form and are characterized by a weak-like interruption.

lykuvannya: hospitalization drugs(Pinch contact with the allergen), starvation, repeated cleansing, salt, assets not vugilla, Polіpefan in the middle.

Antihistamines: diphenhydramine, suprastin, Tavig, fenkarol, ketotefen, diazolin, telfast ... all in the middle or parenterally

For change of sverbezh - i / v solution of sodium hydroxide 30% -10ml.

Hypoallergenic design. Create a badge on the title arch of the outpatient card.

Conversation with a patient about the speed of self-indulgence; for honey. The auxiliary patient is guilty of the medical staff about drug intolerance.

Nabryak Kvinke- characterized by a swelling of small baby balls in the muscles, from the fluffy baby balls and on the mucous membranes (in case of pressure, the holes do not get covered): on the tables, lips, cheeks, and the sides of the body pidnebynnya, migdalin, nasopharynx, shlunkovo-intestinal tract (clinic stubborn belly). When the larynx becomes larynx, asphyxia may develop (late, swelling of the face and shia, growing hoarseness of the voice, "barking" cough, difficulty in stridoroid dysfunctions, trouble with the development of the process, brain disease in the individual) ...

Medical Nurse Tactics:

Pidgotuvati tools and preparations:

1. System for internal infusions, syringes and heads for i / m and n / a
jgut, apparatus SHVL, set for intubation of the trachea, golku Dufo, laryngoscope, mishok Ambu.

2. Adrenaline 0.1% 0.5 ml, prednisolone 30-60 mg; antihistamines preparations 2% - 2 ml of suprastinum, pipolphene 2.5% - 1 ml, diphenhydramine 1% - 1 ml; shvidkodyuchі sechogіnnі zasobi: lasix 40-60mg i.v. strumenevo, manitol 30-60 mg i.v. drip

Inhalers salbutamol, alupent

3. Hospitalization in ENT

Dolikarska dopoga for non-fixed mills and gostrykh zhvoryuvannyas

Angina pectoris.

angina- tse one of the ІХС forms, the reasons for which can be: spasm, atherosclerosis, thrombosis of coronary artery disease.

symptoms: paroxysmal, squeezing, or to press the b_l behind the breastbone, navantazhennya, trivayut up to 10 khvili (inodi up to 20 khvili), but to pass when pinched nabotazhennya or sent to receive nitroglycerin. Bіl irradіyu in lіve (inodі right) shoulder, frontal, hand, scapula, in the shia, lower slit, epigastric region. It can be manifested by atypical impressions in the eyes of the instability, in the presence of an important explanation, prickly pains.

Medical Nurse Tactics:

Unavailable medical assistance- a complex of entry into a medical nature, directing to the liking of life-threatening stan_v.

Basic steps and methods of providing non-intrusive medical aid

Uninvolved medical help can be pressured whether people are prepared: from the list of specialties to the professional services, internal help. Prior to them, paramedics and specially trained volunteers were trained.

Nadannya self-help, so it can be included in the home stage. Ale, the official medical aid will be used only for the Vyskovs.

An ear of extra medical help can be bought. The main criterion є, except for the most patient by nature, the appearance of one who is prepared for the whole people.

In the process of providing uncomplicated medical assistance, you see a little bit of rivniv. For superstitious situations and catastrophes, the stench looks like a stage.

• persha dopogoda. It is carried out by non-medical personnel, preparing for the whole: emergency, police, emergency-ryatuvalny service, specially navcheni volunteers.
• persha dolіkarska dopoga. We have young and average medical staff. Prior to them, paramedics.
• persha lykarska dopoga. In the hope of taking on the fate of the wide-ranging specialties. The most frequent are doctors of medical aid and reanimatologists.
• specialty likarska additional help - likars of higher specialties.

Legal documents and legislation

In Russia, as it is practically all over the world, it is not very easy to get medical help to rely on a free basis.

At the first stages, repaired from the end of the 19th century, the prerogative of the bulwark at the private residence community organizations Such as a chervony chrest, a suspension of mercy, and so on. P. Tilka at the dawn of the last century state structures from the provision of non-intrusive medical assistance. I tse buli kareti shvidkoy help. On the ear of the stench of a paramedic and a sanitary doctor, and then also the lykarsky staff.

Pislya of the First Holy Spirit and Revolution, in the Radiansk Russia the bullets were created by the first staffed by the children of the "Shvydkoi". And the door to the Other Svitovoi vilivsya at the root of the stage of providing non-intrinsic medical assistance. Ale, until the ear of the last ten years of the past century, there was not a single document, which would be bi-regulated by an unavailable help.

The regulation of the federal law on medical aid, in Chapter 39, about "... Inappropriate medical aid" was written by the first legal norms, which served as the basis for the future bills. In addition, the law about the protection of the health of the hulks Russian Federation from 2012.

Basic non-folding beds

The main criterion for a non-flexible stance is є hour before the fatal result. In case of non-erect camps, no medical assistance can be brought to death in the closest years and days.

Prior to the main non-insertable mills, carry:

• otrunnya.
• traumas significant for the body organs.
• hospri zhvoryuvannya living organs.

Do not get medical help

From the provision of non-intrusive medical assistance to special (persons) goitre (s) from cerebration to criminal damage.

I know only two situations, as long as the individual can not put pressure on the necessary medical help:

• people are not in the snake of some kind of, not fallen for any reason, to vikonayut their obedience. Tse may be injuries of the "ryatuvalnik" himself, or his own camp, as he does not allow him to vikonuvat his posadovy obyazyatki.
• Thermal stan- dards, victories with important illnesses and injuries that are not total with life. It’s a peaceful hour, a terminal camp for oncological ailments from 4 clinical group. It remains to be put up to superficial situations and disasters, if there is a great number of sufferers on one unit, as they provide medical help, to reimagine the functional possibilities. Given the world was adopted for more effective robots of medical workers in the midst of a catastrophe.

Dolikarska dopoga in case of incapacitated camps can vryatuvati life of people. Persh nіzh talk about the sight of an inconspicuous camp, then speak an important moment, and the very understanding of the cih of the stanіv themselves. For the name of the designation it is clear that they are called non-removable camps, if a sick person needs medical help, it cannot be done for a second, because everything can be nailed to health, and in an hour the life of the people.

Such stan- dards are divided into categories, according to the problem itself.

• Injury. Before injuries, there are fractures, diagnoses and damage to the leg. Krym tsyogo, trauma vvazhaєnja pozhkogennya elektrikoy, frostbite. There is also a wide range of injuries to the organs of organs, which can be of vital importance - the brain, heart, legends, nirki and liver. The specialty is that the stinks come through most often through the interaction with small objects, so that in addition to what kind of furnishings or objects.
• Otrunnya. Otruunnya can be rendered not only through їzhu, dichny organiі wounds... Likewise, otkryut can penetrate through the veins і shkіrnі pokrivi. The peculiarity of the detachment is in the fact that it is not visible with an unrelenting eye. Otruunnya against vseredinі organіzmu on kіtinnomі pіvnі.
• hospri zhvoryuvannya internal organs. Prior to such, there is an insult, an infarction, a legenevius nabryak, peritonitis, a state of nirkova or a pechinka lack. Such stan- dards are not safe in the region and must be produced to the point of wasting forces and increasing the strength of internal organs.
• Krim perahovanih vische group bite from otvetnye coma, attack ailments, injuries as a result of disasters, etc.

All the children I will be able to easily break into groups, the main specialty is the threat of life and term in the hands of people!

Principles of providing additional assistance for non-fixed mills

As a matter of fact, it is necessary for the nobility to rule on the first aid and to be able to fix it in practice in every need. Likewise, the main zavdannya people leaning on the order of the victims - zberіgati spokіy and inaccurately viclіcati medical help. For a complete set, trim the telephone number of the ekstrenikh services by hand or in the telephone record book. Do not let the patient be naughty, do your best to ensure that he is not rude. Yaksho vi bachite, how the shvidka doesn’t come, rob the reanimation of the work independently.

Persha dopoga

Algorithm for the provision of first medical aid for non-emergency camps

• Epilepsia. Tse a seizure, with any ailment, it consumes evidence, a type of convulsive ruha. Besides, a new one has a pina s company. To help a sick person, he needs to lay his hands on his tongue, but not to catch his tongue, and trim his arms and legs before convulsing for an hour. Likari vicoristovuyut aminazine and magnesium sulfate, in order to take a sick person to a medical mortgage.
• Unpretentiousness.
• Bleeding.
• Strumming.
• Otrunnya.

Piece dikhannya

Yak nadati will help children

Children, as well as older people, do not have a bed. Ale bida is that children may not be able to ward off unkindness, as well as see more, posters and grow up may simply not be able to believe. The price is great, for that there is a good chance that you can help out the life of a child, and if you have lost your speed with a rapt, make sure to phone the lykar. Even a child's body has not changed yet, and a country inconvenient help slid terminovo lіkvіduvati.

• For a cob, calm down the child, not crying, not shtovkhavsya, not shaving and not being afraid of likars. Describe everything that has become more accurate, reports and shvidshe. Roskazhit, whichever liquor was given to you, you probably got an allergic reaction from the child.
• Before the arrival of the doctor, prepare antiseptics, clean clothes and fresh food in the room with a comfortable temperature, sob baby good dyhav. Yaksho vi bachite, how will it be quick to burn, fix reanimation diy, heart massage, dikhannya piece. Also, adjust the temperature and do not let the children fall asleep until the doctor arrives.
• If the car arrives, I will be amazed at the robot of internal organs, the robot of the heart and pulse. Krym, when staging a diagnosis of wine, it is energized, like a child, his appetite and behavior. Chi did not have any symptoms in the past. The deyaki fathers do not all agree on the lykar, for some simple reason, it is absolutely impossible to do anything, even if I’m guilty of my mother, I’ll tell you a picture about the life and dignity of your child, so I’ll tell you everything in more detail and more precisely.

Standards for first aid for non-slip mills

• Unpretentiousness. It is necessary to head down and trim in such a position on a fresh occasion, and also to bring a sick cotton swab with ammonia. Keep the sick person calm and quiet, and also eliminate stress.
• Bleeding. Do not allow blood to be wasted in the magnificent quantities required її zupiniti. As soon as there is arterial bleeding, tobto the roof with a fountain, zupiniti її will be folded. Apply a tight bandage or a jgut, and then write an hour of the application! Yakshcho tsyogo not zrobit, є risik vrati kіntsіvki.
• Strumming. The stage of the battle with the strum can be quite rich, and it can even be stored away from it, since we took the opportunity to spend an hour with it. Here, beforehand, it is necessary to tidy up the battle itself, behind the aid of a tree club. Before the arrival of a shvidkoi, it is necessary to reconsider the necessary indicators of pulse, dichotomy, and evidence.
• Otrunnya. In order to help people in times of frustration, it is necessary to reduce the amount of discard in their organisms, and in life. Rinse the drain and the intestines, give it smart, and secretly call the phone until you get help!

side room

Alien tilo of the calling wuh As a rule, they are not safe for the sick and not in the sense of the term vision. Nezpechny nevmіlі try to see outside body... Pick up a tweezers for seeing round objects, with a pincer you can see only a third-party object podovzhenoi form (syrnik). In case of living outsiders, it is recommended to infuse into the latest rumors about the passage of this sonny or vaseline olia, so that it can lead to coma to bend. Before the vidalennya of the boiled side til (peas, kvassol) for їх vodnennya, pour a sprinkle of drops of 70 ° ethyl alcohol into the vuho. The visualization of the alien body is carried out with warm water or disinfestation (permanganate kaliyu, furacilinu) from the syringe Janet or the gum balloon. The line of the line is directed along the upper-posterior stage of the external auditory canal, at once from the line you can see a stranger. For the hour of prominence, the head is guilty of being well fixed. The production of vuha is contraindicated in perforation of the drum overflow, in the case of obturation of the ear canal with a third body, third-party objects of the form (metal shavings).

Occurrence alien body in nizdryu zakryvayut protylezhnyu nizdryu and ask the child, work hard, hang. As the stranger only lost it, then the sight of it from the empty nose viroblyaє only the lycar. Repeatedly trying to see the third-party object and instrumental involvement in the pre-hospital stage of evidence, so that you can bring third-party objects to the lower parts of the respiratory tract, which are clogged and cerebral.

when hit side room in the lower house ditini early vik overturn the burn with a drig, fix it by the legs, wiggle to panic to the ruch, magayuchis to see a foreign object. For older children, as long as they do not get into the air when they cough, they should use one of the following methods:

To lay the baby down with his stomach on the bend of the older one, lower the patient's head down and tap lightly on the back with his hand;

The patient is hunting with his left hand on the ribs of the costal arch and applying 3-4 blows with his right hand on the ridge with the shoulder blades;

Dorosly hunted the child from the side of the back with his hands, to bring his hands to the lock and expand the trochas below the costal arch, then sharply press the patient to himself, try to squeeze as much as possible on the epigastric day;

As a patient without witness, they turn it over to the side, hit 3-4 quick and strong blows along the ridge with the shoulder blades.

Anyone who has a vipad needs a vicious license.

stenotic laryngotracheitis

The non-adolescent additional help for pristenosing laryngotracheitis is based on the renewal of the passage of the dysfunctional paths. Nagayutsya znyati about changing the manifestation of stenosis of the larynx for the help of optional procedures. To spend puddles abo steam, Warm scissors and hand baths (temperature from 37 ° C with incremental adjustments up to 40 ° C), hot water or alcohol-based compresses for the same area litkovyh m'yaziv... When the temperature is out of the day, it is necessary to carry out a hot bath at the end of all foreign visits. Give warm puddles of pitta in small portions. Provide access to fresh food.

Piece ventilation of legends

One of the minds of the successful implementation of the piece work є the prevention of the passing of the dickheads. The child is laid on his back, sounding from the clothes, squeezing, breast tissue and the patient is living, growing up, reminding. Empty company zvіlnyayut from slug, slug, bluing weight. We lift one hand to the victim's temporal area, put a hand on the other's hand and throw the child's head as much as possible. As the slit of the patient is closed, the mouth is open, hanging forward to the lower slit and pushing forward with your fingers on the wheel.

With the victorian method "Z company in nis" The child’s mouth is closed with a dolley, and for a deep breath, they’re energized vidyh, obhopivi lips nis patient. In case of zasosuvanny way "Z company to mouth" with great and good fingers, squeeze the sick person, inhale deeply, tightly press their mouth to the child's company, go to see them in the patient’s mouth, covering him with gauze or nasal spine. We can see the mouth and the patient's mouth, for whom to see the passive kind of sick person. A piece of work is carried out by newcomers at a frequency of 40 inhalations for sickness, for children of an early age - 30, for children of an older age - 20.

When carried out piece ventilation lungs Holger-Nilsen method children are laid to live, push with their hands on the shoulder blades of the sick person (vidikh), we can pull the hands of the injured person (inhale). Piece dikhannya Sylvester's way vikonuyut in the position of the child on the back, the patient's hands clasp on the chest claws and push them on the sternum (vidih), then the patient's hands are straightened (vidih).

Indirect heart massage

The patient should be laid on a solid surface, covered with clothes, and the belt should be removed. By straightening in lіktyovyh slopes with your hands, push on the lower third of the sternum of the baby (on two transverse fingers of the sword-like protuberance). Zdavlyuvannya vikonuyut dolonn_ part of the hand, poklavl one dolon on іnshu, fingers of both hands pіdvat. Newborn children of indirect heart massage should be carried out with two thumbs of both hands or with the middle and middle finger of one hand. The onslaught on the sternum zd_d_ysnyuyut with quick rhythmic postures. The force of the healing is to blame for the prevention of the replacement of the sternum right up to the ridge in newborn babies by 1-2 cm, in early pregnancy children - 3-4 cm, in older children - 4-5 cm.

Legenevo-heart reanimation

Etapi of the legendary heart reanimation;

Stage I - renewal of the passing of the dichal nobles;

Stage II - piece ventilation of legends;

Stage III - indirect massage of the heart.

As the Legendary-heart reanimation of the vicon is one lyudin, then after 15 pressure on the chest cell of the viroblya of 2 piece vidihu. How to reanimate two spivvidnoshennya legeneva ventilation / massage of the heart of the warehouse 1: 5.

Criteria for the effectiveness of the heart-lung reanimation є:

The appearance of a reaction to light (sound);

Renovation of pulsation on sleepy, exchange, stegnum arteries;

Advancing an arterial grip;

The emergence of self-styled dyhal rukhiv;

Renovation of the normal color of the skin curves and mucous membranes;

Turning of the evidence.

obscurity

If the child is uncomfortable, put a horizontal position with a lowered head and raised legs with the help of blood flow to the brain. Zvіlnyayut vіdyagu, scho stikuє, razstіbaut komіr, belt. Make sure you have access to new food, open windows and doors widely, or win a child on a weekly basis. Brimming with cold water, splashing on the cheeks. Give a sniff of cotton wool, soaked with ammonia.

collapse

Come on the necessary additional help when collapsing, before the arrival of the doctor, transfer the child's horizontal position on the back with the raised lower edges, wrapped in a warm carpet, filled with grillers.

paroxysmal cardiac

For the nobility, an attack of paroxysmal tachycardia is victorious to take priyomy, and how to get rid of the bloody nerve. Naybіlsh effective ways є stressing the child at the height of the deep breath (Valsavi test), pouring on the carotid sinus zone, pressing on the apple (Ashner's reflex), blocking the blues.

internal bleeding

we are sick hemoptysis and legendary bleeding nadayut posodennya napivsidyachi with lowered legs, zaboronyayut collapse, razmovlyati, straining. They sound out of the way, so that they squeeze, they will not be able to get the rush of fresh food, for which they are widely seen. Children recommend drinking cold water in small portions. Put the michur with ice on the breast plate.

at slunk-intestinal bleeding priznachayut a strict post_lny regime, zaboronyayut reception їzhі and і rіdini. Put michur with ice on the abdomen. Conduct continuous monitoring of frequency and pulse rate, arterial vise level.

The term of the hospital is shown.

callous bleeding

baby s nasal bleeding nadaut position for sitting. Zaboronyayut shakatisya. At the front of the nose, inject a cotton bag, soaked with 3% water peroxide, or a hemostatic sponge. Crimp the nose to the nasal septum. On occasion, I will be able to help the ice, or the gauze soaked in cold water.

Head non-slip entry at annoying traumatic bleedingє timchasova zupinka bleeding. Arterial hemorrhage from the upper bladder lower kintzivok zupinyayut in two stages: from a chunk of press the artwork from a miscellaneous to a brush whistle, then to apply a standard gum or improvised jgut.

To clench the shoulder artery, press the fist in the groin and press the hand to the tulub. Timchasova zupinka bleeding from the arteries before reaching the lining of the roller (packing the bandage) in the lіktyovy zgin and the maximum length of the hand in the lіktyovy slope. In case of severe stigma artery, push the upper third of the stigma with a fist in the area of ​​the groin (pupartovoy) ligament. Squeezing the arteries of the gum and the feet, the contributions to the paddle area of ​​the roller (bandage packing) and the maximum leg lengths in the wadded slope.

Schob vibrati bazhane arter_y proceed to put on a jgut, which is to put on top of odyagu, towels, braids, gauze shmatka. To scorch to give the impression of being hurt, to stretch it strongly, without changing the tension, to tighten it up to the point, to fix it. Yaksho jgut is applied correctly, bleeding from the wound to creep up, the pulse on the exchange artery, or the artery of the foot, is distal views kintzivki blіd. A slide of memory, which overwhelmingly tightening the jgut, especially on the shoulders, can be paralleled in peripheral types of symptoms in the case of the earning of nerve stumps. From the jgut add a note from the time indicated by the jgut. After 20-30 minutes, the grip of the jgut can be relaxed. Scorching, laying on a gasket, is not guilty of perebuvati for kintzivki more than 1 year.

Arterial bleeding from the arteries of the hand and foot is not in the form of the ligamentous lining of the jgut. Bring a tight roller of sterile servet (a pack of sterile bandage) to the point of injury and nadati to the top of the camp. To burn down only with great multiple wounds and wounds of the hand and foot. Injury of digital arteries is covered with tight bandage.

Arterial bleeding in the area of ​​the hairy part of the head (skrone artery), on the shoulder (sleepy artery) and tulub (pidclavicular and club artery), use a tight tamponadi of the wound. With a pincer, or by clamping the wound, tampon tightly with servet, from the top of which it is possible to attach an unburned bandage from a sterile package and as much as possible to tighten it.

Venous and capillary bleeding should be covered with a tight bandage applied behind the aid, which should be pressed. In case of a great magistral vein, it is possible to make a tamponade of the wound, or to put on a blood-spine jgut.

Gostra zatrimka sechі

Unavailable assistance during the hospitality of the battlefield in the yaknaishvid battlefield sectional mikhura... Self-contained sechovipuskannya spriyayut the noise of the water, go from the tap, growing the state organs with warm water. When out of sight, a testimony to the pubic area should be given to the warmth of the grilka or to put the child in a warm bath. In case of ineffectiveness of meaningful entry, it should be inserted before catheterization of the cuticle.

hyperthermia

At the period of maximum temperature adjustment, the child often follows and clearly sees: give a difference in fruit juices, fruit juices, mineral waters. When the temperature is adjusted to 37 ° C per skin degree, it is necessary to add 10 ml of ridini per 1 kg of mass of ditini. Trischini on the lips cover with vaseline or іnshim oil. Zd_yisnyuyut retelny look at the empty company.

In case of a "bled" type of feverish woman, the child has a chill, shkirny pokrivi blidi, kintsivka cold. The ailing one should be warmed up beforehand, put in a warm carpet, put on the grillers, give warmth to the pitty.

For the "red" type of feverish person, it is characteristic to see heat, shkіrnі pokrivi warm, vologі, rum'yanets on the cheeks. In such cases, for the improvement of heat supply, the physical methods of lowering the temperature of the child are used: the child is unstacked, the bath is carried out, the skin is wiped off with an alcoholic rose, or the stove of the table temperature, the area of ​​the cold

Overgrowth (heatstroke) You can be found in a child who is in a filthy ventilated environment with a high temperature due to the high temperature, with intensive physical robots in a suffocating environment. Take overgrowth of warmth odeag, nedotrimannya nutritional regime, overwhelming. In breastfeeding children, heatstroke can occur when wrapped in the warmth of a warmer, when a child's bed (or a stroller) is used, when a central heating battery or a stove is used.

Signs of a heatstroke lie in the manifestation of that stage of hyperthermia. With an overgrowth of a light step, the mill is overwhelmed. The heat temperature is not adjusted. Hvorі skary on head b_l, Weakness, zapamorochennya, noise in the vuhah, sprague. Shkіrni pokrivi vologі. Dikhannya and pulse accelerated, arterial vise between the norms.

If the world is overheated, there is a strong headache, often a nuisance, bloating. Can be a short time loss of svidomostі. Shkirni pokrivi vologi. Dikhannya and pulse accelerated, arterial grip of movement. The temperature reaches 39-40 ° С.

An important stage of overheating is characterized by an increase in temperature up to 40 ° С and food. Patients are ruined, mossy madder, psychomotor disturbances, the contact of difficulties with them. In children of the breast, it is not easy to see a blow, blues, the rice becomes stiff when it is exposed, the zagalny camp is swiftly swollen, it’s moody, it’s comatose. characteristic familiar a difficult step of overloading є increasing the visibility, shkіrnі pokrivіvologі vologі dry. Dikhannya more often, superficially. Can zupinka dikhannya. Pulse of rapid accelerations, arterial grip of lowering.

When there is a sign of a heat stroke of a bad term, it is worth picking up at a cold place, and you will have access to fresh food. Ditina razdyagayut, give a cold drink, put a cold compress on his head. In more important vipads, it is shown that it is crooked with a stretched, soaking cold water, doused with cold water, applied ice to the head and groin area, hospitalization.

sleepy stroke visit children, who spend a trivial hour on a trip. In this hour, the understanding of the "warmth" and the "sleepy" blow does not come, as in both cases, there are changes, zooms to the overheated organisms.

Unavoidable additional help when sleepy stroke analogous to help, as we get sick with heatstroke. In important vipadkakh the term of the hospitalization is shown.

cold strike develop in the winter climatic zones. The problem is especially urgent for the districts of the Extreme Pivnochia and Siberia, however, cold injury can occur in areas with a generally high average temperature. The cold can put pressure on the child's body and mind. The spirit of cold is brought to the development of the cold-store (freezing), and the midst of the week is brought to the ice-cream.

Zagalne chilled or chilled- such a camp to the organisms of people, when there is an inflow of unwelcoming callous minds, the temperature drops to + 35 ° С and lower. When the temperature is lowered (hypothermia) in the body, the functional range of functions is developed with a small set of all living functions, right up to the point of being completely extinguished.

All those who suffered right along the steps of the cold store were guilty of being hospitalized. Slid vrahovuvati, who suffered with a light step of freezing can be seen from the hospital, as it is inadequate to assess their camp. The main principle of lіkuvannya in out-of-town cooling є zіgrіvannya. On the pre-hospital stage, the first step is to keep the cold of the victim away for everything. For the whole child, at once bring in the warmth of the house or into the car, cover the wet oats, cover them with carpet, cover them with grains, give hot liquor tea. In any case, it is impossible to leave the victim on the street, rub it with a drink, live alcoholic drinks. When there is a sign of blood circulation and blood circulation in the pre-hospital stage, the whole complex of heart-legends reanimation is carried out on the background of the development of the victim.

ice cream infusion in case of muscular trivial injection of low temperatures. Naybils are often at odds with parts of the matter (nis, wuh) and kintzivka. There is a breakdown in blood circulation, a sprinkle of shkiri, and because of deep-lying tissues, necrosis develops. Falling down from the severity of the problem is the development of some steps in the process of freezing. The first step is characterized by the appearance of a fringe and hyperemia with a cyanotic appearance. At the II stage, plump is established, reminiscent of svitlim exudate. The third stage of freezing is characterized by the appearance of bulbs with hemorrhagic space. In case of IV frostbite of a step, move all the balls of the shkiri, m'yak_ fabric and kistki.

The afflicted child bring in the warmth of the warmth, know the swelling, the mittens. Apply a heat-insulating aseptic bandage to the urazhena of the nose and shell. Wipe the ice-cream with a dry cloth with a dry cloth, then put it in a basin with warm (32-34 ° C) water. With a stretch of 10 minutes, bring the temperature to 40-45 ° C. When warming up, when warming up, it’s easy to pass the temperature, the fingers look like they look like they’re swollen, the sensitivity of the winding up - to wipe the wine dry, wipe it dry, wipe it dry for mittens. As soon as a supervising child is born, she will accept pain, her fingers will become cold and sick, and she will be reminded of the glib foot of the ice cream - the victimized child will be hospitalized.

detachment

The provision of first aid to children with hospitable children is aimed at accelerating the introduction of toxic words to the body. At the same time, I stimulate the blues, flush the drain and the intestines, and force the urine output. Stimulation of blues is only good for children who are in good health. To get the maximum possible amount of water and wiggle the back of the throat with a finger or a spoon. Stimulation of the blues and the implantation of a warm rose kitchen salt(1 tablespoon per vodi bottle). The procedure is repeated until the house is recovered and clean water appears. The cleaning of the slunker є the head approach of the introduction of toxic speech and the introduction of the yakomoga earlier. When taking in the middle of the mineral acids (sirchan, hydrochloric acid, nitric acid, oxalic acid, scrub), wash the slurry with cold water behind the aid of a probe, covered with vaseline oil. When the meadows are cut off (ammonia, ammonia, chlorine vapno and in.) slizovі vіdvari, milk) or sodium hydrocarbonate. For cleansing the intestines, vikoristovyt salivary, vikonuyut purify cleansing. Forsuvannya dyuresu at the pre-hospital stage to reach the signs of ryasny pitta.

Using antidote therapy to change the metabolism of bran speech in the body and reduce its toxicity. Yak is an antidote for organophosphorus spilucks (chlorophos, dichlorophos, carbofos and other) (chlorophos, dichlorophos, carbofos and other).

In case of іngalyatsіynymi toxic spews (gasoline, gas), oxide in carbon (foul gas), children wines from being pruned, to prevent access to fresh food, to carry out oxygen therapy.

An unavoidable help is provided for the removal of bran mushrooms by means of the preparation of the slurry and intestines with the introduction of a salt-bearing, suspension of interosorbent. In case of a fly agaric otrunnya dodatkovo inject atropin.

opikas

at thermal opykakh shkiri it is necessary to pin the thermal agent. When igniting the clothes, the most efficient and effective way is to extinguish є pouring water over the patient or throwing over a tarpaulin, cover, etc. Odyag s pokojenih dilyanok tila carefully mark (cut with knives, do not stick out the surface of the wound). Shchilno stuck to the burnt shkiri part of the clothes neatly form. I will protect the dilyanka with cold running water, or freeze the mikhur with ice. Razkrivati ​​abo see michuri not slid. Prototype shows ointments, sticks, oils. Apply aseptic dry or loose bandages on the opik surface. When the dressing material is out, wrap the cloth with a clean cloth. Sufferers with great illnesses are hospitalized.

at in the chemistry of the shkiri, Acid meadows, the most versatile and the most effective way of providing the dolikarskoy help є the trivial prominence of the scorched dilyanka with a great amount of flowing water. Shvidko knows odeas, leaks by a chemical agent, prodovuyuchi podvivaty covered the surface of the shkiri. Contact with water of contraindications in case of opioids, unquenchable vapors and organic spills of aluminum. When opikov meadow, wash the wounds with a weak solution of ocetic or citric acid. As an agent, ushkozhubula acid, then for the treatment of vicorist it is a weak solution to sodium bicarbonate.

electrical injury

Persha will help you with an electric strum of a polyaga in a usunenny shkidlivaya struma. Termynovo vimikayut the switch, re-cut, cut or drop darts, vikoristovuchi for ts'go object with a wooden handle. With a childish child, in the flow of an electric strum, I’ll wait until I’m safe, I don’t stick to the critical parts of the patient’s body, it’s necessary to wrap it up with gum mittens, or wrap the wood around the hands with dry handballs, rub the car. When the child is away from her heart and soul, it is inaccurate to start before the individual ventilation of the legends and indirect massage of the heart. Apply a sterile bandage to the burn wound.

drowning

The sufferer of the child is victorious in the lead. Successful reanimation visits are abundant in what lies in the correct and timely conduct. Bazhano, the stench was repaired mute on the birch, and even on the water, for an hour the child was towed to the shore. To build a number of piece experiences, carried out in the whole period, signifi- cantly increase the vitality of a given potion drowning.

Bilsh thoroughly helped the victim can be found in the chambers (sloops, boats) or on the birch trees. When there is a child of svidosti, a little spared the spirit of heart and soul, be intertwined with the sentiments of the patient, as well as the stiffness and consumption of salty alcohol. The visibility of the independent spirit and the heart's worth is the result of the secret presentation of the piece ventilation of the legends and the indirect massage of the heart. In front of the empty company, clean out all the pins, slimes, squeaks, mules. For the sake of vividness, I poured the child in a dizzy way, and lay the child with her belly on a bend in a knee-shaped slope. Above, with sharp shtovho-like ruffs, they squeeze the biches of the breast tissue (lasting 10-15 seconds), forcing the child to turn on his back again. Appointments of preparation, come in to carry out as quickly as possible, then start before carrying out a piece of work and indirect massage of the heart.

Bite the snakes

With the bites of the bran snakes, they see from the wounds of the first drops of blood, then until the moment the bite is applied to the cold. It is necessary that the picture has become unstable, the fragments of the ruins will help the lymphs and accelerate the necessary way to turn the circulation into the backbone. The patient will get a little bit calm, the patient will be able to fix it with a tire or a handful. Do not put a bite on a bite, cut it off with some kind of drugs, bandage it against a bite, bite it, and so on. The term of the hospital is shown in the nyblizhchu lykarnya.

bite coma

With coma bites (bjoli, axes, jmeli), a coma sting is seen from the wound behind the help of a pincer (with fingers). Misce bite sniff with alcohol, apply cold. Carry out lykarska therapy according to the sign of a lykar.

CONTROL FOOD

Who can help if foreign bodies get in the nose and go out of their way?

Yaka is guilty of buty dolikarska help with stenosis of the larynx?

What are the methods of piece ventilation of legends?

If you come in, do you need to see if you have a heart?

Begin the end of the day at the visit of the Legendary Heart Reanimation.

Do you come in and let the child be brought in because I will become obscene?

Yaka nevidkladna help nadaєtsya when deprived?

Yak come in to see off at the reception?

How do you know about the timing of the lasting bleeding?

What are the ways to lower the temperature of the fire?

Who has help with ice cream?

Can I help yak dolikarska at termiches?

How can you help children with electrical injuries?

Do you need to come in if you are drowned?

Who has help with coma and snake bites?

Article 11 Federal Law No. 323-FZ dated 21.11.2011"About the basics of protecting the health of the huge people in the Russian Federation" (hereinafter referred to in the text - FZ No. 323) to talk about those who, in the extreme form, appear as medical organization and medical advisor the bulk of the non-profitable and without koshtovno. Vidmov should not be allowed in the country. It is similar to the formulation of the bully in the old days of the Fundamentals of Legislation on the Protection of the Health of Huge People in the Russian Federation (the closure of the RF Legislative Assembly on July 22, 1993 N 5487-1, expired from 01.01.2012), though in the new figure the witness "". Well, is it an extraordinary medical aid and information about a non-operational form?

Beforehand, officials of the Ministry of Health Protection of Russia (from May 2012 -) have tried to get some medical help from us. To that, from about 2007 we can talk about the ear of the deyakogo vidokremlennya, how to understand the “ekstrina” that is “inappropriate” to help the legislator.

However, in the glossy vocabularies of the Russian language, there are clear indications of the meaning of the categories of German. Non-investment - the one that cannot be made; terms. Ekstreniy - term_novy, superstitious, non-intrusive. ФЗ № 323 by placing the residual speck in the whole feed, hardening three різні form Providing medical assistance: extravagantly, unavailable and planned.

ekstrina

Medical help is needed to get overwhelmed with raptus hospitality illnesses, camps, stinging chronic illnesses, and become a threat to the life of a patient.

Invisible

Medical help is needed to be fed up with rapt gostry sickness, camps, stinging chronic illnesses without obvious signs of contaminating the life of the patient.

plan

Medical assistance, as it appears during prophylactic visits, when you are ill or sick, and you don’t need to be overwhelmed by the threat of a patient’s life, as you don’t require extraordinary medical help, but you’ll have to wait for the wrong time. I'm healthy.

Yak can be overturned, unavailable that extra medicine can be helped one to one. At the current moment, absolutely be-as-a-medical organization of goiters is tied without kostetno and not very easy to give only extra medical help. So how do you know how to understand the suttas of the two discussed?

The head vidminnistyu є those who EMP appear in case of falls, how to become threat to life people, but not useful - obstruct your life without obvious signs... However, the problem is that the legislation does not clearly stipulate that I will take into account the threat, but not. Moreover, it is not clear, why should we use an obvious threat? There are no descriptions of ill health, pathological conditions, signs that indicate the very threat of life. Chi does not mean the mechanism of the meaning of the contamination. Besides the Ussiy one, the camp may not be a threat to life in a concrete slack, albeit not given additional help in a camp that is far from being safe for life.

Sounding on the tse, winners are fully listening to the power supply: in order to recognize the situation, if the very need for additional help, in which order to draw the line between the extraordinary and uncomplicated help. An excellent butt of the visibility of the extraordinary and inconsequential help of the meanings in the statti of Professor A.A. Mokhov "Special features of the legislative regulation of the provision of extraordinary and non-practical assistance in Russia":

It’s a pity, it’s too bad. In this nutrition, we cannot do without the participation of our "legislators". The solution of the problem is necessary not only for theory, but also for “practice”. One of the reasons, as it was already said earlier, is that I will provide medical assistance in extravagant forms for the skin medical organization of pressure, in that hour, as an unavailable help, you can get help on paid ambushes.

It is important to note that the "image" of the extraordinary medical aid is still becoming "zbirnim". One of the reasons is the price territorial programs of state guarantees of a non-staple provision of medical assistance to the community of citizens (dal - TPGG), such as to revenge (or not to revenge) the situation in order to improve the order of the minds of the EMP, the criteria for the extraordinary, in order to improve the situation.

For example, TPGG 2018 means to the fate of the Sverdlovsk region that the medical assistance in the extreme form is guilty of the criteria for the emergency: Raptovist, Gostre Stan, Threat of Life... Deyaki TPGG guesses about the criteria of extravagance, following the Order of the Ministry of Health of the Russian Federation dated 24.04.2008 No. 194n “About hardened medical criteria the sign of the gravity of the school, after the health of the people ”(dal - Order No. 194n). For example, TPGG 2018 marks the fate of the Perm Territory, as the criterion for the extraordinary medical assistance є the manifestation of the threatening for life stanivs, which are important for:

• p. 6.1 Order No. 194n (Skoda is healthy, not safe for the life of a people, which, due to its character, without a forerunner will open up a threat to life, and also Shkoda is healthy, scho wiklikav development I will load my life I will, but the same: head wound; hammer shyny viddilu spinal cord with impaired function, etc. *);
• p. 6.2 Order No. 194n (Skoda is healthy, not safe for the life of a people, but a wicked person to the life of important functions to the body of a people, as it cannot be compensated by the organism of an individual, and if you want to end up in death, and the third guest: іs too much blood loss, etc. *).

* A new change of values ​​in the Order No. 194n.

On the thought of the officials of the ministry, it is not very medical help to hope for that problem, as the obvious pathological changes in the patient are not safe for life. A few of the latest regulatory legal acts of the Ministry of Health Protection of Russia, as well as some of the other information about the extraordinary and non-practical medical assistance.

Deyaki TPGG will provide medical assistance in an extraordinary form. standards for providing medical aid, By reaffirming the orders of the Ministry of Health of Russia, according to countries, syndromes, ill health. And, for example, TPGG 2018 will mean the fate of the Sverdlovsk region extra help stay in outpatient, inpatient and day-to-day hospitals in the coming weeks:

• when a patient is diagnosed with an emergency on the territory of a medical organization (when a patient is hospitalized for a medical aid in a planned form, for conducting diagnostics, consultations);
• in case of an independent bestiality of a patient, or the delivery of him to the medical organization (as nayblyzhchu) by relatives or persons in case of an emergency;
• in case of an emergency stance at the patient at the time of the treatment in the medical organization, carried out by the other planned manipulations, operations, doslidzhen.

Besides, it is important to see that when a huge man is healthy, that he will receive medical assistance in an extreme form, look around the huge man and come in good health, come back to the hospital for the last time.

It is a pity that FZ No. 323 is to take revenge on the lack of the analyst himself without “distributing” the analyst of the criterion. Riddling on the price, there are a number of problems, the main one is the complexity of the value on the practical manifestation of the burden for life. As a legacy of a gostr's wine, the need for a clear description of ailments and pathological conditions, a sign of a threat to the life of a sick person, behind the blame is most obvious (for example, penetrating injuries to the breast cancer, black empty). It is unclear who is to blame for the mechanism of contamination.

Order of the Ministry of Health of Ukraine dated 06/20/2013 No. 388n "About the consolidated order of providing high-quality, including high-quality special medical assistance," it allows me to tell the deeds of my life, to inform me about the threat to my life. The order is to speak, as a drive for Wiklik, extreme formє raptus hospitality, I will, stinging chronic ailments, as a threat to the life of the patient, including:

• deterioration of svidomostі;
• ruinous dikhannya;
• damage to the blood circulation system;
• psychotic problems, which are supervised by the children of the patient, which are not safe for them;
• pain syndrome;
• traumas, be it ethology, detachment, injury (which is supervised by bleeding, which put a threat to life, or even to internal organs);
• thermal and chemical opics;
• bleeding be-like ethology;
• curtains, the threat of overturning vaginosti.

It can be remembered, for the rest of the approximate change, it is important to protect me, but I can be victorious for the analogy with the provision of medical assistance (not soon).

However, from the analyzed acts of viplivanie, it is not often about the manifestation of contamination for life to rob, either the patient himself, or the dispatcher of high-quality assistance, who are abused on the sub-active duma and assess the fact that I think it’s special. In such a situation, it is possible that the revaluation is not safe for life, so there is a clear underestimation of the importance of becoming a patient.

I would like to be encouraged that the most important details will not be bargained for in more "general" descriptions in the acts. At the current moment, medical organizations, it’s not safe to ignore the extremes of the situation, in the obvious way, spoil the life of the patient and the news of the day. In the medical organization, in the general order (or, more precisely, in the strongly recommendatory order), the local instructions for the urgent provision of medical assistance on the territory of the organization, due to the responsibility of all medical information, have been broken.

Article 20 of the Law No. 323-FZ to say that it is necessary in advance of the mind of a medical specialist to provide information on voluntary age (given - IDS) from a citizen of any legal representative for medical assistance in the form of information provided by a medical officer. , tied with them a risik, there are options for medical involvement, about his inheritance, as well as about transferring the results of medical aid.

However, the situation of providing medical aid in extreme form(As well as engaging in medical involvement) And it is itself allowed to be medically involved without an individual for extracts shown for usunenny to pollute the life of the people, since the country does not allow the will to hang on, for all the legal representatives are present (paragraph 1 of part 9 of article 20 of the Federal Law No. 323). It is similar to the submission for the distribution of licenses without a patient (clause 1 of part 4 of article 13 of the Federal Law No. 323).

According to clause 10 of article 83 of the Federal Law No. 323 vitrati, related to the donations of large people without medical assistance in the extreme form of medical organization, including medical organization in the private system and protection of health. Read about the delivery of vitrat to the delivery of the EMP in our article: Delivery of the vitrat to the delivery of non-medical medical assistance in the extreme form.

Will come into force Order of the Ministry of Health of Ukraine dated 11.03.2013 No. 121n"About the hardened Vimog before the organization and vikonannya robit (service) with the provision of the first medical and sanitary, special (including high technological) ..." must be included in the medical license. view medical service"Invisible medical help" Resolutions of the Uryad of the Russian Federation dated 04/16/2012 No. 291"About licensing of medical activity".

However, the Ministry of Health of the Russian Federation in its Sheets No. 12-3 / 10 / 2-5338 dated July 23, 2013, when there was an uprising on the topic: given to the robot(Service) introduced for the licensing of the activities of medical organizations, as before part 7 of Article 33 of the Federal Law N 323-FZ, they were installed in their structures for the provision of primary medical and sanitary additional aid in In the last cases of providing medical aid in non-operational form, it is not necessary to reject a license, as it is not necessary to transfer a message from a non-operational medical aid. "

In such a rank, the type of medical service "inappropriate medical assistance" medical organizations, In the structures of which, according to statti 33 of the Federal Law No. 323, there are adolescents for medical aid, which are meant to be provided in an unavailable form.

Statistical materials from the statti Mokhov A.A. Particularities of providing extraordinary and non-practical help in Russia // Legal nutrition in the protection of health. 2011. No. 9.

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