ریه
ها و قفسه سینه بوسیله یک غشاء سروزی بنام جنب پوشیده می شوندپلور از دو لایه
تشکیل شده است: 1- لایه جداری(parietal pleura)2لایه احشایی visceral pleura))
بین
این دو لایه فضای بالقوه ای وجود دارد که حاوی 5-3 سی سی مایع پلور می باشد
چست
تیوب (Tube Thoracostomy)
تعریف
: برقرار کردن ارتباط بین داخل توراکس(فضای جنب) با محیط خارج به کمک لوله.
* توراکوستومی
به سه طریق ممکن است انجام شود:
با
لوله پلاستیکی
(Chest tube)؛با لوله فلزی (Trocar)؛با سر سوزن یا آنژیوکت (Needle)
World Health Day 2009
focuses on the safety of health facilities and the readiness of health workers
who treat those affected by emergencies. Health centres and staff are critical
lifelines for vulnerable people in disasters - treating injuries, preventing
illnesses and caring for people's health needs.
They are cornerstones
for primary health care in communities – meeting everyday needs, such as safe
childbirth services, immunizations and chronic disease care that must continue
in emergencies. Often, already fragile health systems are unable to keep
functioning through a disaster, with immediate and future public health
consequences.
This year, WHO and
international partners are underscoring the importance of investing in health
infrastructure that can withstand hazards and serve people in immediate need.
They are also urging health facilities to implement systems to respond to
internal emergencies, such as fires, and ensure the continuity of care.
Statement for World Health Day 2009
Dr
Margaret Chan
Director-General of the World Health Organization
When an emergency or
disaster occurs, most lives are lost or saved in the immediate aftermath of the
event. People count on hospitals and health facilities to respond, swiftly and
efficiently, as the lifeline for survival and the backbone of support.
WHO/Nick Otto
WHO Director-General Dr Margaret Chan
talks to nurses during her visit in November 2008 to the earthquake-affected
areas in China's Sichuan province.
The tragedy of a
major emergency or disaster is compounded when health facilities fail. When a
hospital collapses or its functions are disrupted, lives that depend on
emergency care can be lost. Interruptions in routine services can also be
deadly.
In large emergencies,
such as those caused by earthquakes or floods, some countries have lost as much
as 50% of their hospital capacity, right at the time when life-saving services
were most acutely needed.
Apart from causing
increased suffering and loss of life, the failure of health facilities during
an emergency can provoke a public outcry, especially when shoddy construction
or violations of building codes are thought to be at fault.
Such public concern
is fully justified. As this web site shows, it costs surprisingly little to
construct a new hospital that can withstand the shocks of earthquakes, floods,
or high winds. It costs even less to retrofit existing facilities to keep their
services running at critical times. It costs almost nothing to integrate risk
management and emergency preparedness into a hospital’s operational plans.
To commemorate World
Health Day this year, WHO is advocating a series of best practices that can be
implemented, in any resource setting, to make hospitals safe during
emergencies. Apart from safe siting and resilient construction, good planning
and carrying out emergency exercises in advance can help maintain critical
functions. Proven measures range from early warning systems to a simple
hospital safety assessment, from protecting equipment and supplies to preparing
staff to manage mass casualties and infection control measures.
Different types of
emergencies bring typical patterns of injuries, such as crush injuries in
earthquakes and hypothermia in floods, with corresponding needs for training
and supplies. These needs can be anticipated in advance, and surge capacity can
be tailored to manage them.
It is smart to think
and plan ahead. Worldwide, the number of emergencies and disasters is rising.
This trend is certain to continue as urbanization crowds people together on
unsafe sites and climate change brings more frequent and more severe extreme
weather events. We need to anticipate a growing number of areas that will
become disaster-prone.
Abundant experience
demonstrates the tremendous pay-off, also at the political level, when
hospitals remain standing and functioning as beacons of security and solidity
in the midst of disaster and despair. We must never forget: hospitals and
health facilities represent a significant investment. Keeping them safe in
emergencies protects that investment, while also protecting the health and
safety of people – our foremost concern
+ نوشته شده در سه شنبه بیست و پنجم فروردین ۱۳۸۸ ساعت ۱۰:۳۳ ب.ظ توسط mmahbobinia
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اين مرحله قبل
از وقوع حادثه مي باشد كه براي به حداقل رساندن خسارات آن در نظر گرفته مي شود كه
شامل فعاليتهاي زير مي باشد.
1-آموزش افراد جامعه: مهمترين مسئله قبل از وقوع بلاياي طبيعي جهت كاهش
خسارات جاني و مالي ميزان آگاهي افراد جامعه از حوادث و نحوه برخورد با آن مي
باشد.
2-تربيت نيروي انساني متخصص : قبل از وقوع حوادث بايد نيروي انساني مناسب را
آموزش داده و هميشه جهت امدادرساني به منطقه حادثه ديده آماده نگه داشت....................................................
از سالها پیش تصمیم
گیری جهت تریاژیکی از عوامل مهم و اساسی
بوده است.
واژه تریاژ از کلمه فرانسوی ""trer به معنی "مرتب کردن" و یا "انتخاب "گرفته شده
است .امروزه تریاژ راهی جهت اولویت بندی
و دسته بندیبر طبق شدت اسیب ونیاز مددجو در صحنه های بحران زده می
باشد.
اگرچه امروز تکنولوژی سلامتو
درمان ارتقاء یافته است ولی از مدتها پیش در صحنه های جنگ یا بلا های طبیعی
،سیستمپرستاری در کشاکش با استفاده
ازاصول تریاژ بوده و هست
در پایان مطالعه مطلب از این که مرا از نظر و راهنمایی خودتان در پر بار تر شدن وبلاگ بی بهره نمیگذارید قدر دانی می کنم
Understanding
the role of Basic Life Support in the latest American Heart Association
guidelines
Photos by Lee Morris, NREMT-P
For all the changes in CPR and the new
toys and drugs paramedics use now, very few patients seem to get pulses back
and walk out of the hospital.
Open Airways
Open Airways: Stories from the back of the ambulance
EMS responders share some of the most meaningful cases of their careers,
sometimes with humor and always with compassion. We hope that they will help us
improve your practice and inspire a new generation of caregivers.
پرستاران گرامی الی الخصوص انهایی که در بخش های اطفال و ای سی یو نوزادان به خدمت مشغول هستند حتما این مقاله را که یکی از همکارهایمان برای سایت فرستادند رو بخوانید
+ نوشته شده در دوشنبه بیست و سوم دی ۱۳۸۷ ساعت ۱۱:۲۸ ب.ظ توسط mmahbobinia
|
این وبلاگ جهت اســـتفاده تمامی پرستاران ایران و ایرانیان پرستار و دانشجویان و کارکنان فوریتهای پزشکی 115 و سایر رشته های پیراپزشکی کشــور در مقاطع مختلف طراحی شده و حاوی مطالب آموزشی، علمی، سرگرمی، مدیریتی، زنان و مطالب مربوطـــــــه و چت روم برای پرستاران عزیز می باشد تا بتوانند با تبادل نظــــــر در زمینه تخصصی به ارتقا’ علمی شان کمکی بشود. لازم به ذكر است كـــــــــه نويسندگان اين وبلاگ عده ای از اعضای هیات علمی دانشـــــــــگاه علوم پزشکی دانشگاه های مختلف به همراه عده ای از دانشجويان كارشناسي ارشـــــــــــــــد و دکتری پرســـــــــــتاري در گرايش هاي مختلف و متخصصین در رشته های پیراپزشکی می باشند. براي پر بارتر شدن وبلاگ هيچگاه از كمك شـــــما پرســـــــــتاران و تكنسين هاي فوريتهاي پزشكي محترم بي نياز نيستيم. با مكاتبه با مدير وبلاگ ما را در اين مهم ياري دهيد.
این وبلاگ جهت اســـتفاده تمامی پرستاران ایران و ایرانیان پرستار