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

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