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응급처치
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작성일자 2014-08-03
제목 응급상황시 행동 원칙
 
   응급상황시 고려할 점  
       - 자기 자신을 위험한 상황에 노출시키지 않는다.  
       - 주변에 기름이나 가스같은  위험물질이 있는지 확인한다.  
       - 혼자서 너무 많은 것을 하려고 하지 않는다.  
   
응급상황시 우선 순위
  
       - 현장 상황 및 주변 환경이 안전한지 파악한다.  
       - 환자 상태를 확인한다  
       - 응급한 문제에 대하여 도움을 제공한다.  
       - 다른 사람에게 도움을 요청한다.  
   
 위급상황시 행동 원칙
 
     
 1) 위험
  
       어떤 잠재적인 위험이라도 해가 될 수 있으므로 먼저 확인해야 한다.
  
       -  주변에 위험한 요소는 없는지, 구조자가 위험에 노출되지 않도록 한다
     -  지나가는 사람도 위험에 노출되지 않도록 한다..
      - 위험요소의 제거가 안전하게 이루어질 수 있다면 즉시 제거한다.
      - 화재 현장 같은 위험한 상황이 아니면 환자를 옮기지 않는다.
  
     
 2) 반응  
  
       반응 정도를 확인해야 한다.
  
       - 환자가 의식이 없거나 혼미한 경우에는 환자에게 크게 소리쳐서 반응을 확인한다.
        예) " 제 말 들리세요?"
     - 만약에 크기 불러도 반응이 없다면 양 어깨를 두드린다.
     - 영아 (1세 미만)  발바닥을 때려 확인한다.
  
     
3) 도움요청
  
       만약 반응이 없으면 지나가는 사람이나 동료에게 소리쳐서 신고를 위한  도움을 요청해야 한다.
     가능하면 아는 사람을 지목하도록 하며, 눈을 맞추어 이해했는지 확인해야 한다.		  
     
4) 기도
  
       기도( 입부터 허파까지의 호흡을 위한 길)가 적절한 호흡을 위하여 문제가 없는지 확인해야 한다.
 - 입을 열고 기도를 막고 있는 물질이 있다면 제거해야 하는데, 앞쪽에 잘 보이는 경우만 기구를 써서 제거한다.
  
     
5) 호흡
  
       환자가 호흡을 하고 있는지 확인하고 호흡이 없다면 보조한다.  
        - 가슴이 오르락내리락 하는지 확인한다.
      - 귀를 환자의 입 가까이 갖다 대어 호흡음을 들어 본다.
      - 뺨이나 귀를 환자의 얼굴에 갖다 대어 호흡이 느껴지는지 확인한다.
      - 다른 생명의 증거를 확인한다.(예; 몸의 자발적 움직임, 침을 삼킴, 기침함)
      - 2번의 인공호흡을 시행한다.		  
     
     
6) 순환의 증거
  
      순환이 있는지 확인한다.
    - 호흡, 기침 혹은 어떤 움직임이 있는지 확인한다.
    - 특별히 숙련된 의료인이나 응급의료종사자가 아니면 굳이 맥박을 만져서 확인하려고 노력할 필요는 없다.
    - 순환의 증거가 없으면 흉부 압박을 시행한다. 흉부 압박 등을 하려면 기초적인 술기의 교육을받아야 한다.
  
     
7) 전화로 도움을 요청할 때
  
    - 응급 서비스 : 119
  
       
8) 전화로 도움을 요청할 때 무슨 말을 해야 하나?
  
      -전화 건 사람의 이름을 말하고 응급상황에서 도움을 주려는 사람이라고 밝힌다.
    - 전화건 사람의 전화번호
    - 상황 발생 장소 : 주소나 거리 이름, 눈에 잘 띄는 대표적인 유명한 장소를 기준으로 설명.
    - 상황의 종류 : 예) "교통사고인데, 두차가 충돌하였고, 도로는 막혔으며, 세명이 차 안에 있음"
    - 희생자들의 수, 성별 및 대략의 나이와 기타 희생자들의 상황에 대한 가능한 정보
    - 위험물질에 대한 자세한 정보 : 가스 유무, 현장의 기후 정보(안개,얼음 등)
  

 
- 출처 : 중앙응급의료센터
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