Evidence-Based Recommendations for Some Non-Cardiopulmonary Resuscitation First Aid Applications

Year 2022, Volume: 17 Issue: 2, 205 - 212, 15.07.2022

Ilknur Tura Sevilay Erden

https://doi.org/10.17517/ksutfd.907345

Abstract

Abstract
Thousands of people die or become disabled every year due to illness, disaster, traffic accidents, work and home accidents. According to the researches, 50% of the deaths occur within the first half an hour. In order to prevent the increase in these deaths, first aid knowledge is required. Therefore, evidence-based
practices should be included in whole process, from the basic principles and practices of first aid to hospital care of the patient/injured. In the guide published by American Heart Association (AHA) and Red Cross in 2020, the stroke recognizes and cures, the management of hypoglycaemia, anti-coagulant treatment for non-traumatic chest pain, life-threatening bleeding, the use of compressions to be applied in trauma, hyperthermia or heatstroke treatments are emphasized. Including evidence-based practices in first aid possibly reduce mortality and morbidity rates with conscious, quality first aid as soon as possible. Therefore, in order to reduce the risk of harm, to mobilize the society within the scope of disaster preparedness, to contribute to the development of health awareness, to ensure that people are competent in saving their lives and standardizing first aid practices. The recommendations of the guides should be taken into consideration in this process.

Keywords

Evidence-based recommendations, First aid, Medical emergencies, Trauma emergencies

Kardiyopulmoner Resusitasyon Dışı Bazı İlk Yardım Uygulamalarında Kanıta Dayalı Öneriler

Abstract

Özet
Ülkemizde her yıl hastalık, afet, trafik kazaları, iş ve ev kazaları nedeniyle binlerce insan hayatını kaybetmekte veya sakat kalmaktadır. Yapılan araştırmalara göre ölümlerin %50’lik bölümü ilk yarım saat içerisinde oluşmaktadır. Bu ölümlerin artmasının önüne geçmek için ilk yardım bilgisine sahip olunması gerekmektedir. Bu bağlamda ilk yardımın temel ilke ve uygulamalarından hasta/yaralının hastanede bakımına kadar her süreçte kanıta dayalı uygulamalara yer verilmelidir. Amerikan Kalp Cemiyeti (American Heart Association-AHA) ve Red Cross tarafından 2020 yılında yayınlanan rehberde, inmeyi tanıma ve tedavisi, hipoglisemi yönetimi, travmatik olmayan göğüs ağrısında uygulanacak antikoagülan tedavi, ciddi kanamalar, travmalarda uygulanacak kompresyonların kullanımı, sıcak çarpmalarındaki tedaviler üzerinde durulmuştur. İlk yardım uygulamalarında kanıta dayalı uygulamalara yer vererek en kısa sürede bilinçli, kaliteli ve doğru ilk yardım ile mortalite ve morbidite oranlarının azaltılması mümkündür. Bu bağlamda zarar risklerini azaltmak, afetlere hazırlık çalışmaları kapsamında toplumu harekete geçirmek, sağlık bilincinin gelişimine katkıda bulunmak, kişilerin hayatlarını kurtarmada yeterli olmalarını sağlamak ve ilk yardım uygulamalarını standardize etmek amacıyla rehberlerin önerileri dikkate alınmalıdır.

Keywords

İlk yardım, Kanıta dayalı öneriler, Tıbbi aciller, Travma acilleri

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