Nga mahi awhina tuatahi mo te paihana konutai cyanide

He matū tino paitini te konutai cyanide . Ka pā kino rawa atu ngā pānga kino ki te tinana tangata ina paihanatia, ā, he mea nui te whakarato i ngā āwhina tuatahi i te wā tika me te whai hua . Ka whakamāramahia e tēnei tuhinga ngā āwhina tuatahi mō te paihana konutai cyanide.

1. Scene Evacuation and Self - tiaki

• Te whakawātea tonu : Kia whakapaetia te paihana o te konutai cyanide , me wehe tonu te kaiwhakaora me te patunga i te wāhi i puta ai te paihana. Hei tauira, mēnā he aituā wheketere kei reira te konutai cyanide , neke wawe ki tētahi wāhi he hau hou, pērā i waho, i tētahi rūma pai te hau, tawhiti atu i te pūtake o te poke. He iti ake te matotoru o te hau cyanide i te hau, ā, ka piki ake, nō reira mā te noho iti ki te whenua ka āwhina i te whakaiti i te manawa ina kore e taea te whakawātea tonu.

• Te tiaki i a koe anō : Me tino tiaki ngā kaiwhakaora i a koe anō. Me mau i ngā taputapu tiaki e tika ana, pērā i ngā kākahu ātete matū, ngā manawa hau-ki-te-hau, me ngā karapu. Mā tēnei ka ārai i ngā kaiwhakaora kei paitini i te wā e mahi ana i te mahi whakaora. Hei tauira, i roto i ngā āhuatanga urupare ā-ngaio, ka rite katoa ngā kaipatu ahi, ngā kaiwhakahaere rauemi morearea rānei ki aua taputapu tiaki i mua i te taenga atu ki te wāhi mahi.

2. Tangohia nga kakahu poke me te horoi i te kiri

• Te tango i ngā kākahu : Mena kua poke te kākahu o te tangata i te konutai cyanide , me tango tonu. I te tango i ngā kākahu, kia tūpato kei pā te wāhanga kua poke ki te kiri. He pai ake te whakamahi kutikuti hei tapahi i ngā kākahu, kaua e tangohia i runga i te mahunga kia kore ai e poke anō. Whakanohoia ngā kākahu kua poke kua tangohia ki roto i tētahi pēke kirihou hiri hei whakakore tika.

• Te horoi kiri : Whai muri i te tango i ngā kākahu, horoia tonutia te kiri kua poke ki te nui o te wai rere mō te 20 meneti pea. Ka taea te whakamahi hopi hei āwhina i te horoi mēnā e wātea ana. Mēnā ka pāngia te kiri e ngā wairewa konutai cyanide, mā te horoi pai ka taea te whakaiti i te mimiti o ngā paitini mā te kiri.

3. Te Whakakino Karu

• Te horoi i ngā kanohi : Ki te uru te konutai cyanide ki roto i ngā kanohi, whakatuwheratia tonutia ngā kamo, ka horoia ngā kanohi ki te nui o te wai rere, ki te tote noa rānei, mō te 15 meneti pea te iti rawa. Kia tino horoia mai i te kokonga o roto o te kanohi ki te kokonga o waho kia tino horoia te mata katoa o te kanohi. I tēnei tukanga, me kī atu ki te tangata i pāngia kia kaua e mirimiri i ōna kanohi kia kore ai e kino atu ki te kiko o te kanohi.

4. Tautoko Manawa

• Te pupuri i te āheinga o te manawa : Tirohia te manawa o te patunga. Mena kei te mōhio te patunga engari he uaua ki te manawa, āwhina i a ia ki te noho ki tētahi tūranga e pupuri ana i te manawa kia tuwhera, pērā i te piko paku o te māhunga ki muri me te hiki i te kauae. Mena kāore te patunga i te mōhio, whakatakotoria ia ki tōna taha kia kore ai e kōrohia e te ruaki.

• Te tuku hāora : Ki te taea, hoatu he hāora rere tere ki te patunga i te wā e taea ai. I mua i te taenga ki te hōhipera, ka taea te whakamahi i ngā rango hāora kawe. Ka taea e te hāora te āwhina ki te whakamamae i ngā tohu o te hypoxia i puta mai i te paihana cyanide. Mena kua mutu te manawa o te patunga, me tīmata tonu te whakaora manawa (CPR), engari me karo te whakaora waha-ki-waha kia kore ai te kaiwhakaora e paihana. Engari, whakamahia he taputapu putea-kōpare (ambu - putea) hei tuku hāora i te wā CPR.

5. Karangatia mo nga Ratonga Hauora ohorere

• Whakamōhiotanga tere : Waea atu tonu ki ngā ratonga hauora ohorere ā-rohe (pēnei i te 911 i ētahi rohe) me te whakamārama mārama i te āhua o te paihana konutai cyanide. Homai ngā taipitopito pēnei i te wāhi i tupu ai te aituā, te tokomaha o ngā tāngata i pāngia, me te wā tata o te paihana. Mā tēnei ka taea e te tīma hauora ohorere te whakarite i ngā rongoā me ngā taputapu e tika ana i mua i te wā, ā, ka tae wawe atu ki te wāhi i te wā e taea ai.

6. Maimoatanga i runga i te hohipera

• Te hoatutanga rongoā ārai mate : I roto i te hōhipera, ka hoatu e ngā tākuta he rongoā ārai mate motuhake e ai ki te āhua o te tūroro. Ko ngā rongoā ārai mate e whakamahia whānuitia ana mō te paihana konutai cyanide ko te konutai nitrite me te konutai thiosulfate. Ka taea e te konutai nitrite te huri i te hemoglobin i roto i te toto hei methemoglobin, ka taea te hono atu ki ngā iona cyanide hei hanga cyanmethemoglobin, ka whakaiti i te paitini o te cyanide. Kātahi ka whakamahia te konutai thiosulfate hei huri anō i ngā iona cyanide hei thiocyanate kore-paitini hei whakaputanga mai i te tinana.

• Maimoatanga tautoko : Haunga te maimoatanga ārai mate, me whai maimoatanga tautoko whānui hoki te tūroro. Kei roto i tēnei ko te pupuri i ngā tohu ora noa pērā i te manawa, te tere o te ngakau, me te toto toto. Ka taea te hoatu wai uaua hei whakatika i te matewai me te kore taurite o te electrolyte. Mō ngā tūroro he paihana nui, ka whakaarohia pea ētahi atu tikanga maimoatanga matatau pērā i te hemodialysis, te hemoperfusion rānei hei āwhina i te tango i ngā paitini mai i te tinana.

Hei whakatau, ko te paihana konutai cyanide he ohotata te ora. Ma te mohio me te whakatinana wawe i enei mahi awhina tuatahi ka nui ake te tupono ki te ora me te whakaiti i te kino na te paihana. Heoi, he mea tino nui te aukati i te paihana konutai cyanide, me whai nga tikanga haumaru ina pa ana ki tenei matū paitini.