Jirgin helikwafta yana ƙara rayuwa ga majinyata masu rauni
Jirgin helikwafta yana ƙara rayuwa ga majinyata masu rauni
Anonim

Marasa lafiya masu rauni da aka yi jigilar su ta helikofta daga wurin da hatsarin ya faru sun fi dacewa su tsira fiye da marasa lafiya da aka kawo wa cibiyoyin rauni ta hanyar motar asibiti ta ƙasa, bisa ga wani sabon binciken da aka buga a cikin Journal of Trauma: Rauni, Kamuwa, da Kulawa mai Mahimmanci. Binciken shi ne na farko don nazarin rawar da ake yi na sufurin helicopter a matakin kasa kuma ya haɗa da mafi yawan adadin marasa lafiya na jigilar helicopter a cikin bincike guda.

Binciken cewa jigilar helikwafta yana da tasiri mai kyau ga rayuwar marasa lafiya ya zo a cikin muhawarar da ke gudana game da rawar da jigilar helikofta a cikin kula da fararen hula a Amurka, tare da masu ba da shawara suna ambaton fa'idodin lokutan sufuri da sauri da masu sukar da ke nuna aminci, amfani da damuwa.

Sabbin bayanan kasa sun nuna cewa marasa lafiya da aka zaba don jigilar helikofta zuwa cibiyoyin rauni sun fi rauni sosai, sun zo daga nesa mai nisa kuma suna buƙatar ƙarin albarkatun asibiti, gami da shigar da sashin kulawa mai zurfi, yin amfani da injin iska don taimakawa numfashi da tiyata na gaggawa, idan aka kwatanta da. ga marasa lafiya dauke da motar daukar marasa lafiya ta kasa. Duk da haka, marasa lafiya masu jigilar helikwafta sun fi marasa lafiya da ke jigilar ƙasa su rayu kuma a tura su gida bayan magani.

"A matakin kasa, ya bayyana kamar ana amfani da helikofta daidai don jigilar marasa lafiya da suka ji rauni zuwa cibiyoyin rauni," in ji Mark Gestring, MD, babban marubucin binciken da darektan Cibiyar Trauma Kessler a Jami'ar Rochester Medical Center. "Aikin jigilar likitancin iska wata hanya ce mai mahimmanci wacce za ta iya sa cibiyar kula da cutar ta fi dacewa ga marasa lafiya waɗanda ba za su iya isa irin waɗannan cibiyoyin ba."

Gestring yana aiki a matsayin memba na hukumar sa kai na Mercy Flight Central Inc., Canandaigua, kamfanin sabis na likitancin iska na tushen New York.

Binciken da aka yi a baya game da amfani da jirage masu saukar ungulu don jigilar marasa lafiya da suka ji rauni sun ba da rahoton gaurayawan sakamako, amma an iyakance su da ƙananan marasa lafiya daga cibiyoyin guda ɗaya ko takamaiman yankuna. Wasu ƙananan binciken sun ba da shawarar cewa an yi amfani da jirage masu saukar ungulu fiye da kima, suna jigilar marasa lafiya da ƙananan raunuka waɗanda za su iya samun lafiya idan an yi jigilar su ta ƙasa. Koyaya, sabbin bayanan ƙasa basu bayyana irin wannan yanayin ba.

"Manufar koyaushe ita ce a kai marasa lafiya zuwa cibiyar cutar da sauri da sauri, kuma bayananmu sun nuna ainihin abin da ke faruwa. Ba ma ganin ana amfani da jirage masu saukar ungulu don safarar kananan abubuwa, wanda babu shakka rashin amfani da albarkatun kasa ne,”in ji Gestring.

Binciken ya haɗa da marasa lafiya da aka kwashe daga wurin da aka samu rauni zuwa cibiyar rauni ta helikofta ko sufuri na ƙasa a 2007. Gestring da tawagarsa sun yi amfani da National Trauma Databank don gano 258, 387 marasa lafiya - 16 bisa dari an kwashe su ta helicopter kuma 84 bisa dari an kwashe su. ta kasa.

Marasa lafiyan jigilar helikwafta sun kasance ƙanana, sun fi zama maza kuma sun fi zama waɗanda abin hawa ya rutsa da su ko faɗuwa, idan aka kwatanta da marasa lafiya da ke jigilar ƙasa. Gabaɗaya, kusan rabin marasa lafiya masu jigilar helikwafta an shigar da su a sashin kulawa mai zurfi, kashi 20 cikin ɗari na buƙatar taimako na numfashi na matsakaicin mako guda kuma kusan kashi 20 na buƙatar tiyata. Koda suka iso asibitin cikin wani yanayi mai muni, a karshe dai sun fi wadanda aka kai ta kasa.

Yayin da binciken ya nuna cewa sufurin jiragen sama yana haifar da bambanci a sakamakon marasa lafiya, babu wani bayanan da za a iya bayyana dalilin da ya sa marasa lafiya da aka yi jigilar su ta helikwafta sun fi waɗanda aka yi jigilar su ta ƙasa. Marubutan binciken sun yi la'akari da cewa saurin sufuri - jirage masu saukar ungulu suna iya yin gudu mai tsayi a kan nisa mai tsayi ba tare da la'akari da yanayin ƙasa ba - da kuma ikon ma'aikatan kiwon lafiya na iska don samar da hanyoyin kwantar da hankali da kuma amfani da fasahar da ba a duniya ba ga ma'aikatan naúrar ƙasa, sune manyan direbobi. tabbatacce sakamakon haƙuri.

Jirgin sama mai saukar ungulu ya kasance wani muhimmin bangare na kula da rauni a Amurka tun daga shekarun 1970s, saboda babban bangare na kwarewar sojan jigilar marasa lafiya ko sojoji da suka ji rauni a lokacin yakin. Samar da jirage masu saukar ungulu a cikin farar hula an lasafta shi da inganta hanyoyin shiga cibiyar rauni don wani adadi mai yawa na yawan jama'a.

A cewar Gestring, binciken yana da wasu iyakoki. Ba zai yiwu a ƙididdige ɗimbin abubuwan da ke motsa mutum yanke shawara don jigilar mara lafiya ta helikwafta a kowane hali. Bugu da ƙari, yanayin gaba ɗaya na kundin bayanan yana iyakance takamaiman yanke shawara waɗanda za a iya zana ko amfani da su ga kowane tsarin rauni na mutum.

Cibiyar Kessler Trauma Center a Jami'ar Rochester ita ce babbar cibiyar rauni ta Yammacin New York, tana bauta wa Rochester da kusan mutane miliyan 2 a cikin gundumomi 17 da ke kewaye da Yankin Yatsa. Cibiyar cibiyar rauni ce ta Level-1, tana ba da damar sa'o'i 24 zuwa cikakkun ayyukan gaggawa. Likitoci suna kula da marasa lafiya fiye da 3,000 masu raunin rauni a shekara.

Baya ga Gestring, Joshua Brown, BA, Nicole Stassen, MD, Paul Bankey, MD, Ph.D., Ayodele Sangosanya, MD, da Julius Cheng, MD, MPH, daga Jami'ar Rochester Medical Center sun shiga cikin binciken. Jami'ar Rochester ce ta gudanar da binciken kuma ta dauki nauyin karatun.

Shahararren taken