Title: ????? Esmarch
1?.?. ???????????, ?.?. ?????????, ?.?.
?????????????-????????????? ???????????
???????? ??????????????? ???????????
???????? ??????????? ????????-????????
?????????????????? 2002 ????
2?????Esmarch Heiberg
Wullstein, Wilms, 1910
3??? ?????????? ????
4????? ????????
5????? ????
6????. Schloffer (???????), 1910
7????????????? ??????????? ???American Heart
Association (AHA)
8AmericanHeart 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?????????? ???????? ????????
????????? ?? ????????????
17Combi-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- ??? ??? ????????? ??? ??
????? ??? ??????