{"id":12003,"date":"2023-02-22T11:21:48","date_gmt":"2023-02-22T10:21:48","guid":{"rendered":"https:\/\/eoc.cat\/?p=12003"},"modified":"2023-06-14T09:05:37","modified_gmt":"2023-06-14T07:05:37","slug":"ambulancia-per-dins","status":"publish","type":"post","link":"https:\/\/eoc.cat\/ca\/ambulancia-per-dins\/","title":{"rendered":"Una ambul\u00e0ncia per dins. Elements per a emerg\u00e8ncies sanit\u00e0ries."},"content":{"rendered":"

Una ambul\u00e0ncia per dins<\/strong> cont\u00e9 un equipament destinat a proporcionar assist\u00e8ncia prehospital\u00e0ria<\/strong>. Aix\u00f2 ocorre mentre es trasllada a persones ferides o malaltes a un centre de salut. Es tracta d’un recurs indispensable per a prestar auxili immediat i efica\u00e7<\/strong>. A m\u00e9s, el trasllat sanitari<\/a> ha de realitzar-se d’una manera r\u00e0pida i segura, tant per als sanitaris com per al pacient. En aquest article trobar\u00e0s la informaci\u00f3 m\u00e9s rellevant sobre el tema.<\/p>\n

Tipus d’ambul\u00e0ncies<\/h2>\n

En primer lloc, \u00e9s important que s\u00e0pigues que existeixen diversos tipus d’ambul\u00e0ncies<\/strong>. La dotaci\u00f3, tant de personal com d’instruments i equips, varia segons la funci\u00f3 que exerceixi cadascun dels diferents vehicles:<\/p>\n

Ambul\u00e0ncia de transport no assistit (TNA)<\/h3>\n

\u00c9s la que s’utilitza per a portar a pacients estables<\/strong>, per\u00f2 les circumst\u00e0ncies dels quals els impedeixen traslladar-se. S’utilitzen de manera programada per a poder acudir al centre de salut a realitzar ex\u00e0mens, complir una cita o rebre tractaments<\/strong>, aix\u00ed com en el cas d’altes hospital\u00e0ries. El personal necessari \u00e9s el conductor i un t\u00e8cnic d’emerg\u00e8ncia sanit\u00e0ria<\/a> (TES).<\/p>\n

Ambul\u00e0ncia de suport vital b\u00e0sic (USVB)<\/h3>\n

La seva funci\u00f3 \u00e9s brindar assist\u00e8ncia per a mantenir estables les constants vitals<\/strong> fins a l’arribada a un hospital. En molts casos, les ambul\u00e0ncies de USVB constitueixen l’atenci\u00f3 inicial de les urg\u00e8ncies<\/strong>. El personal de la dotaci\u00f3 ha d’estar formada per dos TES, un conductor i un ajudant assistencial.<\/p>\n

Ambul\u00e0ncia de suport vital avan\u00e7at (USVA)<\/h3>\n

Tamb\u00e9 es coneix com a unitat de vigil\u00e0ncia intensiva o UVI m\u00f2bil<\/strong>. La dotaci\u00f3 est\u00e0 concebuda per a atendre pacients greus o en estat cr\u00edtic, per un problema agut o cr\u00f2nic reaguditzat, o quan una USVB la sol\u00b7licita per a tendir un servei. Brinden una atenci\u00f3 exhaustiva, amb primers auxilis, suport vital avan\u00e7at, reanimacions i immobilitzacions a causa de traumatismes. El personal est\u00e0 constitu\u00eft per un conductor TES, un metge, i un infermer.<\/p>\n

Qu\u00e8 hi ha en una ambul\u00e0ncia per dins?<\/h2>\n

Pel fet que en l’assist\u00e8ncia prehospital\u00e0ria<\/strong> \u00e9s necessari controlar els processos patol\u00f2gics, ha d’existir la possibilitat d’atendre tot tipus de situacions. La base per a prendre les decisions s\u00f3n els protocols d’assist\u00e8ncia prehospital\u00e0ria<\/strong>, elaborats per personal expert en emerg\u00e8ncies prehospital\u00e0ries.<\/p>\n

D’aquesta manera, l’equipament de les ambul\u00e0ncies USVB i USVA<\/strong> \u00e9s diferent segons les condicions del pacient a trasllada. Per exemple, les USVA porten medicaci\u00f3 mentre que les USVB no porten.<\/p>\n

A continuaci\u00f3, trobar\u00e0s el que ha de tenir una ambul\u00e0ncia per dins en cada cas:<\/p>\n

Ambul\u00e0ncies de suport vital b\u00e0sic<\/h3>\n

Un equip fonamental que ha d’estar en tots els vehicles \u00e9s el de monitoratge i desfibril\u00b7laci\u00f3<\/strong>. El desfibril\u00b7lador extern autom\u00e0tic<\/strong><\/a> ha de tenir caracter\u00edstiques tals que puguin ser atesos d’igual forma els pacients adults i els pedi\u00e0trics. Un altre recurs indispensable en qualsevol tipus d’ambul\u00e0ncia \u00e9s la comunicaci\u00f3 directa i bidireccional entre l’\u00e0rea assistencial i el conductor, i de la unitat amb l’hospital.<\/p>\n

Equip de ventilaci\u00f3 i de control de la via respirat\u00f2ria<\/h4>\n

Est\u00e0 conformat per un aspirador de secrecions<\/strong> amb sondes i cat\u00e8ters flexibles. A m\u00e9s, \u00e9s necessari un equip port\u00e0til per a subministrar oxigen, amb regulador de flux variable, ox\u00edmetre o pulsiox\u00edmetre per a monitorar la concentraci\u00f3 d’O\u2082 en sang<\/strong>, m\u00e0scares amb v\u00e0lvula, c\u00e0nules nasals i bossa, pilota de ressucitaci\u00f3<\/strong>.<\/p>\n

Dispositius per a la immobilitzaci\u00f3 i tracci\u00f3<\/h4>\n

La dotaci\u00f3 est\u00e0 composta per collets r\u00edgids, elements per a sostenir el cap i f\u00e8rules d’immobilitzaci\u00f3, taulons espinals i llitera plegable.<\/p>\n

Miscel\u00b7lanis<\/h4>\n

Certament, l’equipament d’una ambul\u00e0ncia de USVB \u00e9s molt ampli. A m\u00e9s de l’esmentat, inclou llen\u00e7ols est\u00e8rils, gases, cinta adhesiva i mantes t\u00e8rmiques.<\/p>\n

Un altre material imprescindible s\u00f3n les c\u00e0nules orofar\u00edngies, esfigmoman\u00f2metre, estetoscopis per a adults i nens, term\u00f2metre, torniquet arterial, material per a administrar injeccions o realitzar cures i equips de protecci\u00f3 individual per als sanitaris.<\/p>\n

\"interior<\/p>\n

Ambul\u00e0ncies de suport vital avan\u00e7at<\/h3>\n

A m\u00e9s del que t’hem esmentat per a les ambul\u00e0ncies de USVB, les de USVA estan dotades amb instruments m\u00e9s complexos. Han de comptar amb els seg\u00fcents equips:<\/p>\n

Control de la via respirat\u00f2ria<\/h4>\n

Equip per a intubaci\u00f3 compost per un laringoscopi, pales, tub, fiadors i pinces, sondes endotraqueals, adaptador per a meconi i equip de capnometr\u00eda quantitatiu o colorim\u00e8tric.<\/p>\n

Elements per a l’acc\u00e9s vascular<\/h4>\n

En l’interior d’una ambul\u00e0ncia de USVA<\/strong>, podem trobar el torniquet hemost\u00e0tic, agulles, cat\u00e8ters, xeringues de diferents capacitats, equips d’administraci\u00f3 intravenosa, i diferents f\u00e0rmacs per a atendre les emerg\u00e8ncies habituals.<\/p>\n

Equips avan\u00e7ats<\/h4>\n

Monitor-desfibril\u00b7lador port\u00e0til<\/strong> amb registre de l’electrocardiograma, agulla de descompressi\u00f3 tor\u00e0cica, nebulitzador i gluc\u00f3metro.<\/p>\n

Medicaments<\/h4>\n

En realitat, la gamma de medicaments en l’interior d’una ambul\u00e0ncia<\/strong> \u00e9s molt \u00e0mplia i dep\u00e8n en bona part dels protocols establerts. Els m\u00e9s necessaris s\u00f3n els relacionats amb les funcions cardiovascular i respirat\u00f2ria, els analg\u00e8sics opiacis, els espasmol\u00edtics, els antiepil\u00e8ptics antihem\u00e8tics, i sedants.<\/p>\n

 <\/p>\n

Ara que ja coneixes el que porta una ambul\u00e0ncia per dins, potser t’interessa aprendre a manejar aquests equips per a ajudar als pacients.<\/p>\n","protected":false},"excerpt":{"rendered":"

Una ambul\u00e0ncia per dins cont\u00e9 un equipament destinat a proporcionar assist\u00e8ncia prehospital\u00e0ria. Aix\u00f2 ocorre mentre es trasllada a persones ferides o malaltes a un centre de salut. Es tracta d’un recurs indispensable per a prestar auxili immediat i efica\u00e7. A m\u00e9s, el trasllat sanitari ha de realitzar-se d’una manera r\u00e0pida i segura, tant per als […]<\/p>\n","protected":false},"author":7,"featured_media":12005,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[101],"tags":[122,102],"class_list":["post-12003","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tecnic-emergencies-sanitaries","tag-dea","tag-emergencies-sanitaries"],"yoast_head":"\nUna ambul\u00e0ncia per dins. 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