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

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