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Scandalo Sanità nella Capitale: Contronotizia

Pubblicato da Dr.Guidalberto Guidi in Primo Soccorso · 9/10/2011 20:50:00
Tags: rianimazionecardiopolmonaremassaggiocardiacoAirwayBreathing
Abbiamo visto tutti le scene raccapriccianti dei pronto soccorso degli ospedali della Capitale e i media si sono scagliati in particolare sul caso di un paziente che viene rianimato “per terra”.

Può sembrare una mostruosità, ma non è così. Giudicare con disprezzo e indignazione questa scena è lecito, ma presuppone una profonda ignoranza in materia sanitaria.

I fondamentali della rianimazione cardiopolmonare (RCP) sono universalmente riconosciuti e sintetizzati nella formula ABC.

A: Airway, cioè pervietà delle vie aeree, che vanno mantenute pervie e libere da vomito, secreto, ecc…

B: Breathing, cioè respirazione, sostituire con “mascherina” o “bocca a bocca” la respirazione e quindil’ossigenazione del sangue.

C: Circolazione, cioè sostituire con il massaggio cardiaco esterno l’azione cardiaca di pompaggi del sangue.

Quindi seguendo i fondamenti della rianimazione cardiopolmonare in caso di arresto cradiaco:

A: Bisogna prima assicurarsi di avere una pervietà delle vie respiratorie, se questa è difficoltosa bisogna intubare il paziente con una cannula oro- o naso-tracheale, per assicurare adeguato passaggio di aria od ossigeno ai polmoni.

B: Bisogna ventilare i polmoni con palloncino Ambu o con respirazione “bocca a bocca”.

C: Bisogna eseguire il massaggio cardiaco esterno per pompare sangue agli organi vitali, primo tra tutti il cervello.

Soffermandoci sul punto C = circolazione: dobbiamo spiegare che per avere un efficace azione meccanica sul cuore che ricominci a pompare sangue negli organi, è necessario comprimere ritmicamente il cuore, tra lo sterno anteriore e la colonna vertebrale posteriormente.

Per ottenere una efficace compressione è essenziale che il piano di appoggio posteriormente alla colonna vertebrale sia rigido e non cedevole, altrimenti l’energia trasmessa allo sterno viene assorbita dal supporto e non sortisce alcuna compressione sul cuore, risultando assolutamente inefficace.

Questa avviene per esempio se il corpo del paziente è adagiato su un materasso o su un letto con rete metallica o una barella di trasporto.

Per questo motivo un rianimatore esperto preferisce adagiare lo sventurato su un piano rigido, possibilmente basso per facilitare la compressione del cuore e sfruttare oltre che la forza delle braccia il peso del corpo del rianimatore come energia necessaria a produrre un efficace pressione sulla cassa toracica.

Ecco quindi che il messaggio mediatico può assumere un altro aspetto: quello di un gesto voluto, consapevole, magari eseguita in condizioni estreme di emergenza, ma con grande competenza nell’intento di salvare una vita.

Altro che mala sanità!

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Nuvole
Prevenzione varici esame ricoveri debole lungo bianche DASH cardiaco Comuni Total invecchiamento Fisioterapia generazione cuore saturi infarto obesità notiza curare cardiologia Breathing dieta malattia trapianto farmaci Cardiache centro Fisiopatologiche all’anno salute cassano Studio Up Charlie en Infarto Neurologia problemi d’oro imparare Chirurgia Parkinson ECG prevvenzione pubblica Guidalberto estate librodella stress sintomi mondiale antidepressivi forme Aorta diabesity apparecchiature massaggio juventus Body la apnee vizio notturne intervento vibranti remise malattie screening polmonare aortica Pino di malato Ortopedia cardiaci Massoterapia Mediterranea Medicina vivere ultima up guidi attività Cardiovascolare Venosa Aortica malore libro pedane patologie striscia TC Jackson consumo Sprechi tromboembolia asa cosa Carotideo FC Elettrocardiogramma Europa Cardiologia DIAD Cardiaco ambulanze mediterranea Burro sport vite notizia Regredire Visite cardiologico Michael Esami tumori grassi sesso Scompenso folli Giornata Ecg Rosa rischi morte Death cronica ischemia saluteedelgusto cardiopolmonare nicole rianimazione infiammazione sonno apparato medica salvare gusto fisica giornata Trapianto diabete cardiache Cardarelli l’Aterosclerosi prevenzione Astori tre Ecocardiogramma Addominale natale prevenire Osteopatia miocardico cardiaca Dieta cardioexpert ictus mangiare regole Angio alcool Airway Daniele diabete.Cardiologia medico ecocardiogramma Terapia contro Metabolica Cerebrali Napoli venose Morte Attacco Extravergine londra arteriosa moriredisport colesterolo Ecodoppler ipertensione carni larghi mango dott.Guidi Rischio Margarina Cardiologico fisico Aneurisma fumo neonata pomodoro Ipertensione Juventus Endovascolare cardiovascolari pressione cattivo Marchionne valori Sindrome Specialistica LDL arterie Olio macchinari vegetariano cardiologo a Ischemico cantante sanità alimenti fianchi antiipertensivi aspirina Cardiologo Malattie danni donne HDL cura Davide Sostituzione CoronaroTC Diagnosi vita dottor berlusconi Torino curoe Viagra alimentazione quanto Pronto Coronaro Diagnostico mediterraneo il esercizio regala check Valvolare Vene valvola Screening tabacco acqua Sergio torino strumental umane soccorso 100.000 prenotazione Guidi clamys sana Aneurismi come concerto coronaroTC Cause Estetica corsia Check muore cardiovascolare morire Cardiovascolari Paziente cadavere Centro tsa Filippide

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