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༩ഗʚ 0.9% Normal Salinedୋɧɛп˓ί ʔᓙήᓃ᎘ၾҢࡁ༸ᑽiί໋ሖືۃdঐਗ਼
ࣙпഹdίࣙٙઃ٫Νԫೊܢᑌഖഹ᙮d ઃ٫৺ژᗫۃזΫԸdᜫ˼ၾɛನཀ໋
Ԩഃܙփᔴ̈ତf ሖືޟЇڎટ 2018 ϋٙՑԸ݊εჿ࠽ᅅֱ
AED ୋɚϣʱؓܝʥᜑͪ VFdΎϣʚ˸ ٙԫਧl
̘ᛦdᎇഹ৷ۜሯٙ CPRdઃ٫ٙᄘˋක 一、救護案例剖析
ਗЪdۚఓϞəఓ᎘ˀ࢛dਗ਼ໄɝٙ No.4 ࿁ OHCA षઃٙܢહdࣛග݊Ӕ֛ष
I-gel Ο̈əɓ̒d˴˓ԈًͭՍਗ਼ආචխі ઃཫܝٙࠠࠅΪ९fषઃː༪৾˟ኬߧ໘
༸ৰdԨࠠอ൙Пઃ٫iϤࣛϤՍٙઃ٫Ϟ ӚϞА૰ԶᏐٙԟɓՍၑৎd4 ʱᙒܝ໘
əխіϞձএรdܨూІ೯ృᐑ (Return of ߤఱึΪމॹःϾකʱ༆ॎᕸd10 ʱᙒܝ
Spontaneous Circulationdᔊ၈ ROSC)d ਗ਼ପ͛ʔ̙ٙᕸϥdуԴۈ੶હΫɰ̙ঐ
வॆ݊˿ɛࣈኧٙԫઋdШɽྫɰʔΪϤ ϓމಔيɛfᔼኪӺᜑͪவԬषઃ߰ঐί 4
ϾᕦdͭуટɪАᏀዚၾАःዚආБ͛նᅄ ʱᙒʫટա CPRdԨ˲ί 6 ʱᙒʫટա̀ࠅ
(Vital Signsdᐵᄳ V/S) ္dАᏀ (Blood ٙཥᏘ̘ᛦஔ (AED)dਗ਼̙Դπݺଟ৷Ї
Pressuredᔊ၈ BP)j94/57mmHgdএร 49 ä 75Ĉ̸̛f
ଟ (Pulse Ratedᔊ၈ PR)j86 /min.d ԱኽࡈࣩΝԫࠑdࡈࣩʮ̡ึᙄආБ
А ःཱི ձܓ (Oxygen Saturationdᔊ ၈ Ցɓ್ׁ̒ࣛࡀήdኪཀਿ͉હնஔ (Basic
SpO2)j96%dԨ༔ਪՑઃ٫͉Ԓཀ̘ष̦ Life Supportdᔊ၈ BLS) ٙΝԫ ͭуɪۃ
(Past Medical History) Ϟːᛔशष (Heart пd൙П೯ତೌխіೌএรܝdͭуஷ
Disease)dԱၡܢહᚐᅺЪุݴஈໄ జ 119d઼ਗၡܢᔼᐕહᚐӻ୕ (Emergency
ܝdਗ਼ઃ٫Їఱڐቇʘܢહபᔼ৫ආ Medical Servicedᔊ၈ EMS)dԨකආБ
Бܢહၾܝᚃᚐf ৷ۜሯ CPRdҢࡁՑ༺ࣛdʊϞɛ 1 ᅽ
ఫиٙցૉdહᚐԓशትί༸ɪdʱ߆ ԓ༸ˏኬҢࡁહᚐɛࡰЇઃ٫Ԓࣙi࿁Ң
̀نdΝࣛɰʊஷٝᔼ৫௪ܢહdϤࣛ ࡁહᚐɛࡰϾԊdઃ٫Νԫਂə 1 ࡈλٙୋ
ϤՍdઃ٫ᕐʊနနੵකdШҢࡁʥʔҙ 1 ᇞˀᏐ٫ (First Responder) ԉЍd˲Ҫ
ܵᚃ္͛նᅄiՑ৫ܝdίܢહ܃ʫd 4~6 ʱᙒරږࣛගdᎇܝહᚐԓ 4 ʱᙒʫ
ઃ٫ʊ̙˸ѬৎԸၾהϞᔼᚐɛࡰ࿁༑d ת༺ତఙԨટ˓ܢહdҁٙЕஹৎ͛նʘ
ޟЇɨґБԐdᎇܝႼՑܢൢ܃ೊܢٙ᙮ ᒠ (Chain of Survival) ( νྡ 1)f
¸ ྡ 1 ϓɛ͛նʘᒠ ( Chain of Survival )
66 搶救紀實 RESCUE RECORD
