Wilderness Medicine Reference
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Okudawunilodiwe
Wonke umuntu
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Mayelana nalolu hlelo lokusebenza
Okuningi okuqukethwe okuyinhloko kwalolu hlelo lokusebenza kugxile ekufundiseni nasekuvikeleni amasu okunciphisa izingozi zezifo ezithile noma izehlakalo ezihlukumezayo. Ukuhlolwa okujwayelekile kwezokwelapha, ukuxilongwa, ukwelashwa, kanye nokucatshangelwa okuthile kokukhishwa kwezifo eziningi ezihlukumezayo, ezokwelapha nezemvelo okuhlangana nazo kaningi ngenkathi kusezweni elingemuva nakho kwethulwa ngokuphelele.
Ngaphezu kwalokho, okuqukethwe okubanzi ngamaphutha okwenza izinqumo ngokuzimela, izincomo zosizo lokuqala, ukuhlolwa kwesiguli, imishanguzo nokuphathwa kobuhlungu, imisebenzi yohlu lokuhlola, nokuphathwa kokuboshwa kwenhliziyo kufakiwe.
Izingozi eziningi ezweni langemuva zingagwenywa, futhi okugxilwe kakhulu kulolu hlelo lokusebenza ngamasu okuvikela. Okuqukethwe okuphawulekayo okuhlukile kulolu hlelo lokusebenza ukufakwa "kohlu lokuhlola izinhlu". Izinhlu zokuhlola zisetshenziswe isikhathi eside embonini yezindiza ukuvimbela nokusabela ezimeni ezibucayi, ukuze kungabikhona izinyathelo ezibalulekile ezingaphuthelwa. Kulolu hlelo lokusebenza, izinhlu zokubheka okukhona nokungekho kuhloswe ngazo ukwenza isiko lengxoxo, futhi linikeze ngohlaka, lokucatshangelwa kwamaphutha ajwayelekile okuzenzela izinqumo nezinto zokwenza izinto ngaphambi, ngesikhathi nangemva kohambo. Izingozi eziningi, noma ukunakekelwa kwezokwelashwa okuholela kumphumela omubi kakhulu esigulini, kuzovela ukuthi kubangelwe kakhulu yilezi zinto, kunokuba kube ukwehluleka kokutholwa noma kokusebenza kwamakhono nolwazi olufanele.
Lolu hlelo lokusebenza lubhekiswe kakhulu kumuntu onoqeqesho oluncane noma olungenalo nhlobo, kuze kufike kumuntu one-EMT yaseWilderness, kepha ngisho nabantu abajwayele ukwenza umuthi bangathola imininingwane ewusizo ngaphakathi kohlelo lokusebenza maqondana nokugula kwemvelo, amaphutha okwenza izinqumo, kanye nohlu lokuhlola imisebenzi lapho ungena ezweni langemuva. Izinhlelo ezijwayelekile ezamukelwa ehlane ezivame ukucatshangelwa ngaphandle kwezinga labahlinzeki bokunakekelwa okungebona odokotela noma abangaphambi kwesibhedlela ziqukethwe ngaphakathi. Lezi zindlela zokwelashwa ukuphathwa kwe-epinephrine ye-anaphylaxis noma i-asthma, ukuphathwa kwe-glucagon injection yeziguli ezinoshukela wegazi ophansi kakhulu, ukwehliswa kwehlombe, i-patella, noma ukususwa komunwe, ukuhlolwa komgogodla wokulimala, ukumiswa kwe-CPR, ukuvuselelwa kwe-avalanche, ukuguqulwa kwe-tourniquet kanye nokuphathwa kwamanxeba, okungenziwa ngokuqondisa okuvela kumeluleki wohlelo odokotela ngokulandela ukuqeqeshwa.
1.Isebenza kahle ngaphandle ngamandla angaxhunyiwe ku-inthanethi.
2. Usayizi wombhalo kungenzeka ukhuphuke kalula.
3. Izixhumanisi eziqukethwe ngaphakathi zikusa kokuqukethwe okukhonjisiwe, njenge
imininingwane yezokwelapha.
4. Ucwaningo lwangempela lwempilo lufakiwe ukukhombisa amaphuzu abalulekile ngokuhlukahluka
okuqukethwe.
Ngaphezu kwalokho, okuqukethwe okubanzi ngamaphutha okwenza izinqumo ngokuzimela, izincomo zosizo lokuqala, ukuhlolwa kwesiguli, imishanguzo nokuphathwa kobuhlungu, imisebenzi yohlu lokuhlola, nokuphathwa kokuboshwa kwenhliziyo kufakiwe.
Izingozi eziningi ezweni langemuva zingagwenywa, futhi okugxilwe kakhulu kulolu hlelo lokusebenza ngamasu okuvikela. Okuqukethwe okuphawulekayo okuhlukile kulolu hlelo lokusebenza ukufakwa "kohlu lokuhlola izinhlu". Izinhlu zokuhlola zisetshenziswe isikhathi eside embonini yezindiza ukuvimbela nokusabela ezimeni ezibucayi, ukuze kungabikhona izinyathelo ezibalulekile ezingaphuthelwa. Kulolu hlelo lokusebenza, izinhlu zokubheka okukhona nokungekho kuhloswe ngazo ukwenza isiko lengxoxo, futhi linikeze ngohlaka, lokucatshangelwa kwamaphutha ajwayelekile okuzenzela izinqumo nezinto zokwenza izinto ngaphambi, ngesikhathi nangemva kohambo. Izingozi eziningi, noma ukunakekelwa kwezokwelashwa okuholela kumphumela omubi kakhulu esigulini, kuzovela ukuthi kubangelwe kakhulu yilezi zinto, kunokuba kube ukwehluleka kokutholwa noma kokusebenza kwamakhono nolwazi olufanele.
Lolu hlelo lokusebenza lubhekiswe kakhulu kumuntu onoqeqesho oluncane noma olungenalo nhlobo, kuze kufike kumuntu one-EMT yaseWilderness, kepha ngisho nabantu abajwayele ukwenza umuthi bangathola imininingwane ewusizo ngaphakathi kohlelo lokusebenza maqondana nokugula kwemvelo, amaphutha okwenza izinqumo, kanye nohlu lokuhlola imisebenzi lapho ungena ezweni langemuva. Izinhlelo ezijwayelekile ezamukelwa ehlane ezivame ukucatshangelwa ngaphandle kwezinga labahlinzeki bokunakekelwa okungebona odokotela noma abangaphambi kwesibhedlela ziqukethwe ngaphakathi. Lezi zindlela zokwelashwa ukuphathwa kwe-epinephrine ye-anaphylaxis noma i-asthma, ukuphathwa kwe-glucagon injection yeziguli ezinoshukela wegazi ophansi kakhulu, ukwehliswa kwehlombe, i-patella, noma ukususwa komunwe, ukuhlolwa komgogodla wokulimala, ukumiswa kwe-CPR, ukuvuselelwa kwe-avalanche, ukuguqulwa kwe-tourniquet kanye nokuphathwa kwamanxeba, okungenziwa ngokuqondisa okuvela kumeluleki wohlelo odokotela ngokulandela ukuqeqeshwa.
1.Isebenza kahle ngaphandle ngamandla angaxhunyiwe ku-inthanethi.
2. Usayizi wombhalo kungenzeka ukhuphuke kalula.
3. Izixhumanisi eziqukethwe ngaphakathi zikusa kokuqukethwe okukhonjisiwe, njenge
imininingwane yezokwelapha.
4. Ucwaningo lwangempela lwempilo lufakiwe ukukhombisa amaphuzu abalulekile ngokuhlukahluka
okuqukethwe.
Kubuyekezwe ngo-
Ukuphepha kuqala ngokuqonda ukuthi onjiniyela baqoqa futhi babelane kanjani ngedatha yakho. Ubumfihlo bedatha nezinqubo zokuphepha zingahluka kuye ngokusebenzisa kwakho, isifunda, nobudala. Unjiniyela unikeze lolu lwazi futhi angalubuyekeza ngokuhamba kwesikhathi.
Ayikho idatha eyabiwe nezinkampani zangaphandle
Funda kabanzi mayelana nendlela onjiniyela abaveza ngayo ukwabelana
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Funda kabanzi mayelana nokuthi onjiniyela bakuveza kanjani ukuqoqwa
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