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????? Esmarch

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Title: ????? Esmarch


1
?.?. ???????????, ?.?. ?????????, ?.?.
?????????????-????????????? ???????????
???????? ??????????????? ???????????
???????? ??????????? ????????-????????
?????????????????? 2002 ????
2
?????Esmarch Heiberg
Wullstein, Wilms, 1910
3
??? ?????????? ????
4
????? ????????
5
????? ????
6
????. Schloffer (???????), 1910
7
????????????? ??????????? ???American Heart
Association (AHA)
8
AmericanHeart Association (AHA)2002
European Council on Resuscitation (ECR)2000/2001
9
???????? ?????????????? ??????????? (BCLS)
10
???????? ??????
?????? ???? ?????????????? ??????!(ECR)
11
????????????? ???
????????1 000 ?? ?? 2 ?
12
??????? ??? ??????????? ?????????? ????????
???
13
???????? ?????? ??????
???????????? ??????????????? ?????!
14
??? ??????????
?????? 2 15 !
15
??????? ??????????????? ??????
??????? ???????? AHA ? ECR
16
?????????? ???????? ????????
????????? ?? ????????????
17
Combi-Tube
????????????? AHA ? ECR
18
??????????????? ?????????? ???????? ??????????
- ???? ? 2 ???? ???? - ????? ??????? ?? 10 ??
19
??????? ? ???????????? ???? ?????????? ??
????????????? ?? AHA, ?? ECR!?????????? 1 ??
?????? 3-5 ???
20
???????????? ?????????? ??? ?? ?
?????????????40 ?? ?/? ??????????
21
??????????? ?1 ??? ?? ? ??
- ?????????- ????????? ????? 300
??,- ????????? ???? 150 ??- 150 ?? ?? 10
???,- ????? 360 ?? ?? 6 ?, - ????? 540 ?? ?? 18
? ???????? ????????
2000-2200 ??!
22
????????????? ??????NaHCO3100 ?? 4 ????????
????? 20-25 ??? ??? ??????????!
23
?????? ???????CaCl2?????????
??????????????? ??? ?????????????!
24
??????????? ??? ??????? ????????? ??????????????
  • ??????????? ????!
  • ???????
  • ?????????????? (???????, ?????????,
    ?????????????)

25
??????? ???
ECR ????? 0,5-1 ??, ????? 3
?????????? 0,03-0,04 ??/??
26
?????????? ??????? ????????? ?????????????
  • 4 ?
  • Hypoxia
  • Hypovolemia
  • Hypo/hyper-K
  • Hypothermia
  • 4 T
  • Cardiac Tamponade
  • Tension Pneumothorax
  • Thromboembolism
  • Toxic action

27
???????? ?????? ?? ???
28
???????? ?????????
  • ????????? ???????
  • ?????????
  • ???????
  • ???? ??????????? ???? ??? ?? ???????????
    ??????...

29
????? ?????????
  • ?????? ?????????? ???????? (??? ? ECR)
  • ?????? ????????? ????????? ?????????????? (AHA)

30
?????? ?????? ???- ??????????????? ????????
- ??????? ???? ??????????- ?????????? CaCl2 -
????????????? NaHCO3- ??? ??? ????????? ??? ??
????? ??? ??????
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