slide 3

Entry.

The expanse of water to drive in the coolness and chimnitsy of glybin, bewitching with its beauty and mysteriousness. And at the same time, the middle-class in the region is not without fortune, and it bewitches people. For the rest of the five rockies in the fringes of Russia, more than 63 thousand people have sunk on the water, 14 thousand of them - children younger than 15 years. Remember! If you are overwhelmed by the water, do not forget about the hairless baking, and be ready to help you after having a meal at the bed.

slide 4

drowning

A type of mechanical asphyxia (scent) during the time of drinking in the cold way, when bathing near the waters, during wrinkles, accidents of judges, etc. Zmini, which are brought into the body when drowned, spring, term in the world under water, lie in a number of factors:

Due to the nature of the water (good, salty, chlorinated water in the pools)

From її temperature (krizhana, cold, warm)

From the appearance of houses (mule, tvan, etc.)

I will see the body of the victim at the time of drowning

slide 5

Drowning Tipi:

• pervinne (іstinne, abo "wet");
• asphyxial ("dry");
• syncope drowning SU.

slide 6

The first (true) type of drowning develops at 60-80% of the type of drowning. It should be characterized by the same kind of dykhalny nobles from the line up to the found rosacea - alveoli. In the alveolar partitions, capillaries burst in the grip of the line, and the water or the line comes up to the roof. In addition, the deterioration of the water and salt balance and the loss of erythrocytes are observed.

Rise of drowning in pristine and sea water.

slide 7

The asphyxial type develops in 10-15% of cases of drowning. The aspirational drowning is seen without aspirations of water. Drinking water in the larynx, wiklikal reflex laryngospasm, which can lead to asphyxia. There is a great number of water and clothed in a slunk.

In the legends, there is a twist, a small-baked pina, a yak accumulate in a squadron. Cyanosis with a whole type of drowning of the floor and bends, as if it is true.

slide 8

With "syncope" drowned vine, the primary reflex heart is the heart. The whole type of drowning is drowning in cold water.

slide 9

Drowning in clear water.

When drowned in pristine water (hypotonic ridina), the alveoli expand, water penetrates into the bloodstream through a straight diffusion path through the routed alveolo-capillary membrane. With a hand of decile hiline, the blood pressure increases (1.5 times or more), the hypotensive hyperhydration class develops, water penetrates into the blood cells, vikliku іch hemolysis. Before the important hypoxia, one must admit the congestion of the great and the small number of blood circulation. In the case of water, it is necessary to introduce the surfactant in the legends and the absorption of hypotonic water in the water-bed, to bring up to the load of lungs, the development of hypervolemia, hyperosmolarity, hemolysis, hyperplasia

slide 10

Drowning in sea water.

True drowning in the sea water will lead to the necessary hyperosmolar line in the alveoli, before moving the small part of the blood all at once to the alveoli lumen, and the electrolytes - in the vessel channel. It is necessary to develop the hypertonic dehydration, increase the hematocrit number, sodium, calcium, magnesium, calcium, chlorine in blood plasma to the development of hypertonic dehydration. Rukh of gas in the blood in case of dichanna (spontaneous abo SHL) spraying "breaking up" of a child against the alveoli and setting up a stiff bile. Hypovolemia is developing. Witnessing the sea water with calcium and magnesium on the basis of hypoxia with the supine heart in asystole.

slide 11

KLINICHNA PICTURE

Easy foot. In case of true drowning, perebuvannya under water is not more than 1 min, as a rule, there is a flood of water;

• shkіrnі pokrivi blіdі z marmurіst, you can get cyanosis of the lips;
• psychomotor zbudzhennya or zagalmovan_st;
• tachycardia, tachypous cough with attacks;
• AT in the boundaries of the vіkovoі norms abo regulations.
• The middle stage of gravity. When isstin. in the heat of the water, if you have tried it in water no more than 5xv, as a rule, there are no more water;

slide 12

• shkіrnі pokrivi, slizі cyanotic;
• coma stage I-III;
• bradycardia;
• pathological type of dichannya change by zupinka dichannya; when you are out of water when you are renewed - cough, noise, noisy sounds;
• blotting with water and slurry vmist;
• arterial hypertension;
• often clonic-tonic judgments and changes in behavior.

slide 13

• Important steps: in case of true drowning, the water transfer is more than 5 minutes, as a rule, there is no water supply from the bottom; camp of classic death.
• For asphyxial and syncopal drowning is characteristic of the early onset of clinical death, until it is more likely. number of drives in dich. nobles and legends.

slide 14

First aid for drowning

- the price of the victim of the victim. Until the sinking, the most beautifully pidplivty backward, when it is necessary to turn it over on its back in such a rank, the person passed on the surface of the water. Because the patient needs to be transported to the shore more quickly.

slide 15

To use the rival, it is necessary to have a view pathological camp, Change the pulse and change the response. As soon as drowning is drowned, then it is not enough for the senses to take an hour to clean up the drowning nobles, immediately start to the heart-legendary reanimation - to shake off the indirect massage of the heart, piecemeal when drowning.

slide 16

In case of wet drowning, it is necessary to see mucus, bruises, pisoks, and other drowning nobles beforehand. Ridin from the sickly nobles of the patient, I can see him on the bend and splash on his back. When the pulse is out, it is necessary to start a piece of work and indirect massage of the heart.

slide 17

Even more important is the memory, which help with drowning in any case is not guilty of being interrupted by these visits. For reanimation, it is possible to accelerate at the sight of a repeated zupinka of the heart, for a bunch of legends, the one who suffered in any kind needs to be shown to the doctor more quickly. To navigate in quiet drops, if the drowning man was far away from the water, he was even shy of the water, and he didn’t get to waste his testimony, it would be necessary to win I will help the shvidka- you can also help you to find the most efficient way.

slide 18

Get medical help.

• Head of Likariv - Pidtrimuvatie nervous systemі do not allow a heart failure. Carrying out the complex of resuscitation visits and transferring the patient to the IVL (as shown).
• Sanation of the tracheobronchial tree, therapy of bronchiolospasm, a set of legends.
• Elimination of hostile heart failure.
• Correction of acid-puddle rivnovagi (KOR) and electrolytes.
• Prevention of pneumonia and nirkovo deficiency.

slide 19

When drowned in sea water.

Fighting with hypoxia, yak in mild forms of the field in a strong and sour mask for a nasal catheter, and in case of important forms - in the stasis of piece ventilation of the legends, more beautifully with a permanent positive grip.

Prevention of the accumulation of legends: the ingestion of alcohol, the introduction of ganglion blockers during the daytime hypotheses, Prednizolone 30 mg / kg, sodium oxybutyrate 20% - 20 ml, jelly.

With the development of hypertonic dehydration, dextran is considered to be low molecular weight, which polarizes the sum of glucose, insulin, calories for the renewal of water-electrolyte solution.

slide 20

When drowned in clear water.

The order of the corrective deterioration, gas exchange assimilate the changes in the acid-puddle plant and the water-electrolyte balance. So, in case of hemolysis, inject alkalizing solutions internally until alkalosis appears.

Hypotonic hyperactivity is assimilated for additional sechogenic doses (furosemide, 40-80 mg, manitol, 1-1.5 g / kg weight, carefully, under control of the central venous vise). In case of severe hemolysis, an exchange of blood transfusion and hemodialis is indicated.

Renewal of the heart performance of the administration of calcium preparations (chloride or gluconate 10%, 0.2 ml / kg) with hypercalcium. In case of fibrillation of shlunochki - electrical defibrillation and antiarrhythmic problems).

slide 21

Dyakuyu for respect!

Marvel at all slides

1 of 14

Presentation on the topic: First aid for drowning

Slide No. 1

Slide description:

Slide No. 2

Slide description:

Among the reasons, which lead to drowning, the smut of the place is occupied by fear and perception of panic, often linked not with the real, but with the explicitly insecure. Some reasons for drowning: low water temperature and high flow rate, doorway, cold spring from the bottom, storm, as well as inability to swim, overturned, sickly camp, injuries during strikes near the water, breakdown of the heart.

Slide No. 3

Slide description:

The head of the ryatuvalnik rule The head of the rule when the drowning man is in trouble is a little smart, a little thoughtful, calm and safe. When you feel the cry of the drowning man about help, you need to know in a secret way, shout out, knowing that you will help you. Tse gave to the drowning man. If the power is evident, it is necessary to pay to the sinking rail, to throw the cloth, or to throw the cloth of the motorcycle, hand-held floating objects. It is necessary to remember that I need help not only for the good sailing and for being guilty, but for the kindness of special priyomy going to the drowning people, transporting the drowning one, but the mind being drowned in the sinking sound.

Slide No. 4

Slide description:

It’s important to rozibrati from the shore, to the tone of a man, chi ni! Remember! Behind a ridkisny vyatka, a drowning man is physically not worthy of asking for help, since there is no more power for dichati. Power up, chi in order vіn. Whenever I see it, there will be a move and a glanceless look - you can get lost in less than 30 seconds. Uvaga daddy: if children play by the water, make a noise. If the noise has died down - go and find out what. Play until drowning, if possible, on a chapel, a raft, a raft, etc. For nadannya add help slidko znyat odyag and vzuttya. The place to enter the water needs to be vibrated so, so that the vicious strength and speed of the flow is faster than the list before the start.

Slide No. 5

Slide description:

Rules of order Ryatuvati I will flood the lyudin and invite him to float. It’s easy to trim on the surface, and then it’s going to go to the back, so that it’s not safe to drown on its side. In the case of a drowning, it is more beautiful to drown with a drowning person in the water. Win, magayuchis overlapping on the surface, as a rule, letting go of the ratchet. Yakshcho sinking into the water, needing to pirnuti and try to viyaviti yogo. Knowing the drowning one, it is necessary to take him by the hand or by the hair, and having moved out of the bottom, spline onto the surface.

Slide No. 6

Slide description:

Will the yak be towed and trampled? Ways by the hands, as I need help, I am guilty of pushing backwards, pulling the drowning person's licks back behind his back and, squeezing him up to himself, play the leaves to the shore in a vilny style. Sposib hand. For the sake of help, I am guilty of pidplivti to the sinking back, swiftly put my right (left) hand into my right (left) hand, take my hand by the right hand, take it up to the shore to the shore. Sposib for shiyu. For the people to be towed, to be without witness, I must help guilty to play on the boat and pull the patient by the hair, or comir odyagu. With all the methods of towing a floodplain, it is necessary that they were above the surface of the water.

Slide No. 7

Slide description:

Need a first medical aid when drowned If you are patient, you have a good heart rate and save energy, then your actions in the patient’s experience are as follows: a) lay on a solid surface; b) stretch and rub it with your hands or with a dry towel; c) dati hot tea abo kava; d) wrap a carpet and date.

Slide No. 8

Slide description:

2. As well as the patient's day-to-day witness, a little sparing the heart and heart rate: a) lay the victim on his stomach on the bend of the ryatuvalnik in such a rank, so that his head was lower than the breast tissue, and be a kind of object, like a finger of the mother , blooming masses, water growth, brood. Warm up the decilcoma with energetic rucks, so that the breast tissue is pressed, and the water from the trachea and bronchial tubes is heated; b) wipe dry; c) to inhale ammonia; d) for activization of the morale of the victim for the move.

Slide No. 9

Slide description:

3. As well as in the patient's mind and heart: a) Also, as in the forefront, he saw water from the patient's dicks; b) the sound of the mouth of the victim from the mule, tinny and bluish masses; c) lay the yogi on his back, throwing his head back and putting on the move; d) work with a piece of energy and indirect massage of the heart.

Slide No. 10

Slide description:

The order of carrying out the heart-legendary reanimation. Visiting only when there is a lot of heart and soul! 1. Lay the patient on his back, on the ground or on the ground. 2. Throw back his head, come on, zatisnit nis. 3. Take two povnih vduvannya z the company into the mouth through a tube, a nose or a tissue. 4. Control the breeding of the breast. 5. Place the bottom of your hand on the sternum of the victim and place the bottom of the other hand. 6. Trim your arms straight. 7. Rhythmic postures at a frequency of 60-70 per chilin, which ryatuє is guilty of pushing on the breast bone to a depth of 3 - 4 cm until an independent sertsebit appears. 8. When you are victorious, do not pull your hands out of the sternum. 9. When carrying out reanimation, 4-5 pressure of the cherguvati with one inhalation is required.

Slide No. 11

Slide description:

10. Throw back your head, when you are going to do it, stifle the victim. 11. Take two new blows. 12. Stitch for the children of the breast. 13. With the presence of the pomice, I will take the second blow at your command. 14. Repeat the cycle of pressure on the sternum and blowing in. 15. Stizh, I didn’t fall into the mova 16. Reanimation prodovzhuy not less than 20 khvili. Remember, when you are drowned in cold water, all chances are that you will not be able to get people out of the cold, because the temperature is low because the term of biological death is low. That and reanimation you need to spend a trivial hour

Slide No. 12

Slide description:

Yakshho legs itching In the minds of the low temperature of the water, or in the case of pliva, one can grow in the lithic meat, quilted meat and hands. In the case of sundom in litkovye ointments, it is recommended to float on the back, to tighten the leg, yaku rang with the dish, and to pull the toes on oneself. In case of sudomyas of myaziv, the stigna additionally helps the stiffness in the knee slope, and when it is too tight, squeeze the foot with your hands to the strong surface of the stigma. In case of sundom of my fingers, it is necessary to squeeze the hand into a fist;

Slide No. 13

Slide description:

Virushayuchi on the chapel of the drowning man for help, then grab a rail, a club, a motorcycle, etc. If there is only one lyudin in the chavny, then the more beautiful you do not stribati into the water, but the choven, being unbroken, can be carried by the current. Choven needs to drive up to the sinking stern or bow, rather than the side. The victim needs to be fed from the nose or feed, so when pulled in over the side, the choven can be thrown over. If I’m in the chapel of a friend, I’ll need help, I can take the one drowning in the water with food and tow the one who’s drowning, not going to the chapel.

Slide No. 14

Slide description:

Be respectful on the water! The expanse of water to drive in the coolness and chimnits of glybin, bewitching with its beauty and mysteriousness. And at the same time, the middle-class in the region is not unbeatable, and it bewitches people. There are 12-13 thousand people on the water in our country, of whom 3.5 thousand are children. This is the sum of the statistics. Be respectful on the water! Know and accept the safety rules! Remember! If you are overwhelmed by the water, do not forget about the safety and be ready to help you after having a meal at the room.

Give the first medical aid for drowning

OBZh teacher MOU "ZOSH number 7"

m Magnitogorska

Sorokina Tetyana Vitaliyivna

• Drowning is death or a terminal (coma) stan, which is a result of the penetration of the waters (older - the first ones) in the legend and the dickheads.
• Drowning can be in the middle of salt water. The importance of being drowned is to stay as if I was healthy before drinking water, as well as at the temperature of the water.

See the drowning and the signs

• There are three types of drowning:

• bile... "Biliy" drowning is the shkira of Bilda, so as the patience of the water did not drown and the water did not rise to drink in the legend. Klinichna death came through an infarction, from a reflexive heart, etc.

2) blue... "Blue" drowning - shkіrnі pokryvi cyanosis, shiiny veins are not swollen. Vidbuvatsya vodi vodi in legends, ala vodi in legends are not even more abundant, so as a key death came through the spasm of the voice line.

3) syncope... "Blue" drowning - with swollen veins, in the legends of rich water (water penetrated into the roof). Reanimuate such a patient person.

PMP when drowned

1) Yaksho vityagnuti from water in svidomosty, demand for yo calmness, znat wet odyag, zigriti, pereodyagnuti in dry odyag, wrap up, give hot tea abo kava. Send me to the hospital, so as one of the quickening of drowning є pneumonia.

2) As soon as the patient has a daily activity and heart rate, then it is necessary to start before reanimation calls, or in the case of fallowness, as a type of drowning, with indications in order:

• Have "Bilikh" drowned It is necessary to reconsider the passage of the upper dichally nobles, to clean the mouth and not from the source, the message, etc. In order to carry out indirect massage of the heart and piece-by-piece dichotomy using a special technique.

• Have "Sinikh" drowned For cleansing the nasopharynx, it is necessary to see water from the upper dichny paths before reanimation. For the rest of the patient, the patient's treasure chest on a tightly curved right leg in the knee, pushing on the back of the patient with his left hand, see the water from the upper dykhalnaya shlyakhiv (stretching not more than 20-30 s).

Reanimation - (lat. Reanimatio- literally "turned life", "povvavlennya").

• Perekonayte in the obvious sign of a klinic death, the first for everything in that, which is not good in the heart.

• Reanimation is repaired from the so-called precardial blow. Lay the sufferer on a solid surface (for example, become). Apply a short, strong blow to the lower third of the sternum (the blow must be carried out with a fist) with a fist. For someone to immediately start the pulse on the sleepy artery. Inodi one blow will hit, then "start" the heart.

precardial stroke

reanimation

• Even if a precardial blow did not bring a good result, then I would fix the reanimation in the general community: a third of the breast cancer).

Energіynymi poshtovhami at a frequency of 60-80 per chilin press on the sternum. Squeeze the demand with such a force, the sternum sternum squeezed in the middle at the height of the human by 3-5 cm, at the midget by 2-3 cm, at monotonous child by 1 cm.

• In a child, up to 1 rock of indirect massage of the heart is ruffled with one great finger.

Submission of piece performance i indirect massage heart

Indirect massage of the heart is necessary to complete with piece dichanies:

• If I can help nadayut two people, then one viroblya is a piece of cake, the other is a heart massage. A lot of vyroblyayut vduvannya povitrya in the legends, and for the whole - 5 masage poses of the heart.
• If I can help one person, then if two people are “blown in”, it is necessary to carry out 30 massage sessions in the legend.
• With renewed heart performance shkіrnykh pokrivіv change, the self-sustained pulse appears on sleepy arteries, For some people with ailments, there is a feeling and a certainty.

Zapobizhni come in before the hour of the sinking:

1) Reanimation of prodovzhuvati, or until the renewal of self-centered heart activity and behavior, or until the arrival of "great help", or until there are obvious signs of death (corporeal beaches and rigor mortis, which are discouraged after 2 years).

2) The victim must be delivered to the hospital in the emergency room. The growth of the demand is obov'yazkovo, right on the basis of that, as you feel the patience.

First aid for drowning

Prepared according to the sheet of the Ministry of Health of the Republic of Bashkortostan dated 14.03.2012 No. 36 / in "About securing by way of agitation of community posts"

Among the reasons that lead to drowning, smut mice occupyfear iFeeling paniki, Often tied not with the real, but with the explicitly insecure.

Some reasons for drowning: low water temperature and high flow rate, doorway, cold spring from the bottom, storm, as well as inability to swim, overturned, sickly camp, injuries during strikes near the water, breakdown of the heart.

The head rule when the drowning man is in trouble is that he is smart, a little thoughtful, calm and safe.

When you feel the cry of the drowning man about help, you need to know in a secret way, shout out, knowing that you will help you. Tse diddili to the drowning man.

If the power is evident, it is necessary to pay to the sinking rail, to throw the cloth, or to throw the cloth of the motorcycle, hand-held floating objects.

It is necessary to remember, that we need help, but it is not only the good sailing and the pirnati who are guilty of help,

Remember! Behind a ridkisny vyatka, a drowning man is physically not worthy of asking for help, since there is no more power for dichati.

Power up, chi in order vіn. Whenever I see it, there will be a move and a glanceless look - you can get lost in less than 30 seconds.

Uvaga daddy:if children play by the water, make a noise. If the noise has died down - go and find out what.

Play until drowning, if possible, on a chapel, a raft, a raft, etc.

For nadannya add help slidko znyat odyag and vzuttya.

The place to enter the water needs to be vibrated so, so that the vicious strength and speed of the flow is faster than the list before the start.

Ryatuvati I will float the people, and I will invite them to float.

It’s easy to trim on the surface, and then it’s going to go to the back, so that it’s not safe to drown on its side.

In the case of a drowning, it is more beautiful to drown with a drowning person in the water. Win, magayuchis overlapping on the surface, as a rule, letting go of the ratchet.

Yakshcho sinking into the water, needing to pirnuti and try to viyaviti yogo. Knowing the drowning one, it is necessary to take him by the hand or by the hair, and having moved out of the bottom, spline onto the surface.