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فوریتهای پزشکی و اورژانس115 - راهکارهای تجدیدنظرشده کمکهای اولیه (انجمن قلب و صلیب سرخ آمریکا2010)
 
فوریتهای پزشکی و اورژانس115
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مدیر وبلاگ : محمدمهدی واحدی
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راهکارهای اصلاح و تجدید نظر شده کمک های اولیه برای سال 2010

علاوه بر اصلاحات و تجدیدنظرهای صورت گرفته در آموزش عملیات احیاء قلبی ریوی، صلیب سرخ آمریکا و انجمن قلب آمریکا در حال تغییر دادن راهکارهای موجود برای آموزش کمک های اولیه هستند . موارد گنجانده شده شامل ارائه درمان های جدید برای مارزدگی، شوک آنافیلاکسی ( شوک حاصل از واکنش های حساسیت‌زا ) ، نیش عروس دریایی ، و خونریزی شدید هستند. راهکارهای کمک های اولیه در مجله علمی انجمن قلب آمریکا بنام گردش خون یا Circulation منتشر شده است .

بیش از 30 کارشناس داوطلب ملی و بین المللی از سازمان های سراسر دنیا در فرایند مرور مجدد 38 مساله و مقوله کمک های اولیه مشارکت کرده اند . دانش پشت توصیه‌های پیشین، مورد آنالیز قرار میگیرند و برای رسیدن به یک توافق عمومی توسط کارشناسان مجدد تحت بررسی قرار میگیرند. هم‌اکنون این توصیه ها اساس علمی شناخته شده‌ای را برای اکثر آموزش های کمکهای اولیه در سراسر جهان ایجاد میکنند .

دیوید مارکنسون ، مشاور علوم کمک های اولیه برای صلیب سرخ آمریکا گفته است : " این امر ضروری است که  گروه کمک های اولیه به توافق رسیده و با یک ندای واحد آشکار در مورد مقوله‌های زندگی و مرگ صحبت کنند. ما مفتخریم که در این راه به تعیین استانداردهایی برای آموزش کمک های اولیه در سراسر جهان کمک می کنیم . "

جف فرگوسن، رییس داوطلب انجمن قلب آمریکا و مسئول گروه نویسندگان راهکارهای کمک های اولیه گفته است : " انجام کمک های اولیه فوری و موثر میتواند زندگی افراد را نجات دهد و مانع از وخیمترشدن بسیاری از شرایط پزشکی گردد، بنابراین مهم است که همه افراد در مورد تغییرات صورت گرفته در مورد راهکارهای کمک های اولیه توسط صلیب سرخ آمریکا و انجمن قلب آمریکا مطالبی را بیاموزند . "

 

 

راهکارهای کمک های اولیه تجدید نظر شده به روز رسانی شده در سال 2010 توسط AHA و صلیب سرخ آمریکا

نیش زدگیها: با نگاهی به درمان نیش عروس دریایی ، راهکارهای اصلاح شده مجددا" توصیه به استفاده از محلول سرکه برای درمان نیش‌زدگی را تایید میکنند. سرکه اثر زهر را خنثی میکند و ممکن است مانع از انتشار آن گردد. بعد از استفاده از سرکه، راهکارهای اصلاح شده توصیه میکنند که ناحیه آسیب دیده را برای مدت 20 دقیقه در آب داغ فرو ببرید تا درد کاهش پیدا کند. درمان مارگزیدگی تا حدودی اصلاح شده است و به استفاده از یک بانداژ فشاری برای هر نوع نیش مار زهرآلودی توصیه شده است، این اِعمال فشار باید در اطراف طول کامل ناحیه و عضو گزیده شده انجام شود.

شوک آنافیلاکتیک: راهکارهای اصلاح شده برای درمان شوک آنافیلاکسی ( واکنش حساسیتی شدید ) بدین صورت توصیه شده است ؛ اگردر طول چند دقیقه  بعد از تزریق داروی اپی نفرین به بیمار از طریق تزریق‌کننده خودکار، در صورت تاخیر کمک پزشکی، علائم بیمار ادامه پیدا کند، فرد نجاتگر میتواند در صورت لزوم دوز دوم داروی تزریقی اپی نفرین را از طریق تزریق‌کننده خودکار به فرد بیمار تزریق کند .

کنترل خونریزی: راهکارها همچنین توصیه میکنند که اولین فرد مواجه شونده از فاکتورهای بندآورنده یا انعقادی خون برای کنترل خونریزی استفاده نکند زیرا تفاوت های عمده‌ای در میزان اثر بخشی آنها و احتمال خطرات عوارض جانبی آنها وجود دارد. تورنیکت ها و فاکتورهای انعقاد خون باید بطور ویژه ای تنها برای نجاتگران حرفه‌ای و آموزش دیده در نظر گرفته شوند آنهم زمانی که استفاده از فشار مستقیم امکان پذیر نباشد و یا کنترل خونریزی موفقیت‌آمیز نباشد .

آسپیرین: برخی کمکهای اولیه  مهم و کلیدی توصیه شده، مجددا" تایید و تصویب شده‌اند. این موارد شامل استفاده از داروی آسپرین  در زمانیست که فرد مصدوم دارای تجربه درد قفسه سینه مداوم و ناراحتی همراه با یک فوریت قلبی است. فرد ناظر حادثه باید در مورد هر فرد مبتلا به ناراحتی قفسه سینه اورژانس را خبر کند. در هنگام انتظار برای رسیدن تیم اورژانس، میتوان به فرد مصدوم پیشنهاد کرد که دو عدد قرص آسپرین بچه یا یک عدد قرص آسپرین بزرگسالان را بجود، البته به شرط آنکه فرد مصدوم به آسپرین حساسیت نداشته باشد و یا دچار حمله قلبی یا خونریزی نشده باشد.  

 





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سه شنبه 20 اسفند 1392
محمدمهدی واحدی
چهارشنبه 9 مرداد 1398 03:33 ب.ظ
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دوشنبه 17 تیر 1398 04:02 ب.ظ
We're having coffee at Nylon Coffee Roasters on Everton Park in Singapore.
I'm having black coffee, he's which has a cappuccino.
He could be handsome. Brown hair slicked back, glasses that suited
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سه شنبه 11 تیر 1398 02:52 ق.ظ
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دوشنبه 10 تیر 1398 06:52 ق.ظ
We're having coffee at Nylon Coffee Roasters on Everton Park in Singapore.
I'm having black coffee, he's possessing a cappuccino.
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یکشنبه 9 تیر 1398 10:29 ق.ظ
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شنبه 8 تیر 1398 03:23 ق.ظ
We're having coffee at Nylon Coffee Roasters on Everton Park in Singapore.

I'm having black coffee, he's using a cappuccino.
They are handsome. Brown hair slicked back, glasses which fit his face,
hazel eyes and the most beautiful lips I've seen. He's
nice, with incredible arms including a chest that stands apart within this sweater.
We're standing in-front of one another discussing how we live, what we want for future years, what we're searching for on another person. He starts
telling me that he's got been rejected plenty of times.


‘Why Andrew? You're so handsome. I'd never reject you ',
I say He smiles at me, biting his lip.

‘Oh, I don't know. Everything happens for an excuse
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He said.

‘No, how could I?' , I replied

"So, you wouldn't mind if I kissed you right now?' he stated as I recieve far better him and kiss him.

‘The next occasion don't ask, do it.' I reply.

‘I like the way you think.' , he said.

Meanwhile, I start scrubbing my high heel as part of his leg, massaging it slowly. ‘What exactly do you wish in ladies? And, Andrew, don't spare me the details.' I ask.

‘I enjoy determined women. Someone you will never know the things they want. A person who won't say yes even though I said yes. Someone who's not scared when attemping something totally new,' he says. ‘I'm never afraid of trying something mroe challenging, especially with regards to making a new challenge in the sack ', I intimate ‘And I really like females who are direct, who cut over the chase, like you may did. To become
honest, which is a huge turn on.
چهارشنبه 5 تیر 1398 05:22 ق.ظ
We're having coffee at Nylon Coffee Roasters on Everton Park
in Singapore. I'm having black coffee, he's having a cappuccino.
He could be handsome. Brown hair slicked back, glasses that fit his face, hazel eyes and the most beautiful lips
I've seen. He is quality, with incredible
arms plus a chest that is unique on this sweater. We're standing before of each
other dealing with our everyday life, what we want in the
future, what we're looking for on another person.
He starts telling me that he's got been rejected plenty of times.


‘Why Andrew? You're so handsome. I'd never reject you ', I say He smiles at me, biting his lip.


‘Oh, I wouldn't know. Everything happens for reasons right.
But tell me, would you reject me, can you Ana?' He said.



‘No, how could I?' , I replied

"So, would you mind if I kissed you today?' he stated as I buy more detailed him and kiss him.

‘The next occasion don't ask, function it.' I reply.

‘I enjoy how you will think.' , he said.

For the time being, I start scrubbing my your back heel in the leg, massaging it slowly. ‘Exactly what do you wish in ladies? And, Andrew, don't spare me the details.' I ask.

‘I love determined women. Someone you never know the things they want. A person that won't say yes simply because I said yes. Someone who's unafraid when trying a new challenge,' he says. ‘I'm never afraid of attempting interesting things, especially when it comes to making new stuff in the bedroom ', I intimate ‘And I like females who are direct, who cut in the chase, like you may did. Being
honest, that's a huge turn on.'
سه شنبه 28 خرداد 1398 09:40 ب.ظ
"We should build to an alternative crescendo, cheri," he said.
"And we all could have an ending that will be as none before."

His smile was decadent, his eyes were filled up with lust, along with the soft skin of his hard cock against my sex was having its intended effect.
I'm feeling a stronger arousal now as I felt his
cock slide between my sensitive lips. I felt the of his cock push agonizingly at the doorway of my pussy, and I need
to him to thrust into me hard. Instead he retracted and slid his hardness back approximately my clit.


I used to be aching to own him inside, and I really could tell
that his need to push that wonderful hard cock inside me was
growing. His moans grew to complement mine,
and I knew the experience of my wet pussy lips for the
head of his cock was getting an excessive amount for both of us.


"Enable the finale begin," he said, anf the husband slid the tip of his cock inside me.


The two of us gasped because he held his cock there for any moment.
I contracted my pussy to pull him further inside, and he threw
his head back at the sensation. Inch by excruciating
inch he pushed his cock inside me, with each time I squeezed my pussy around him.
His cock felt wonderful since it filled me, but I needed all of it inside me.
I rolled aside and rested my leg against his shoulder, and he plunged his cock all the way up in.
یکشنبه 19 خرداد 1398 12:26 ق.ظ
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شنبه 18 خرداد 1398 01:16 ق.ظ

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شنبه 28 اردیبهشت 1398 12:51 ق.ظ
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پنجشنبه 26 اردیبهشت 1398 07:02 ق.ظ
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پنجشنبه 5 اردیبهشت 1398 09:05 ب.ظ
"We must build to a new crescendo, cheri," he said. "Therefore we will have an ending that will be as none before."

His smile was decadent, his eyes were filled with lust, and
also the soft skin of his hard cock against my sex was having its intended effect.
I became feeling a stronger arousal now as I felt his cock slide
between my sensitive lips. I felt the pinnacle of his cock push agonizingly at
the entrance of my pussy, and I desired him to thrust into me hard.
Instead he pulled back and slid his hardness back around my clit.


I used to be aching to acquire him inside, and I possibly could tell that his ought to push that wonderful hard cock inside me was growing.
His moans grew to match mine, and I knew the sense of
my wet pussy lips on the head of his cock was getting a lot of for both of us.


"Allow the finale begin," he said, and he slid the tip of
his cock inside me.

The two of us gasped while he held his cock there to get
a moment. I contracted my pussy to get him further inside,
and that he threw his return at the sensation. Inch by excruciating inch he pushed his
cock inside me, and each time I squeezed my pussy around him.
His cock felt wonderful as it filled me, but I desired everthing inside me.
I rolled sideways and rested my leg against his shoulder, and then he plunged his cock right in.
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سه شنبه 27 فروردین 1398 09:46 ب.ظ
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سه شنبه 27 فروردین 1398 09:46 ب.ظ
ルイヴィトンスーパーコピーN級品専門店、信用第一の最高級スーパーコピーN級品専門店。お客様第一の当社では長いお付き合いができますよう日々努力しております。
یکشنبه 18 فروردین 1398 08:04 ب.ظ
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