Page 72 - 2018消防月刊9月份

ై೨eאอ೯Ъ੶ड঍೨dۆ౤৷əڿːसٙ ੵ̛ਉːཥྡ (Right Side EKG) ˸ᛠй̛ː
̙ঐ׌fɰ஢ઃ٫ࡡ͉ఱϞːഏ೨ٙ຾᜕dШ ૚෦̙ٙঐ׌f̤̮ίഗʚ NTG ۃᏐ༔ਪઃ

೯Ъһ᎖ᐿ˲һᄌडۆ౤৷ൢᓙމڿːस̙ٙ ٫݊щί 24 Ї 48 ʃࣛʫϞ؂͜ཀ۾Ͼ፻ഃ
ঐ׌f PDE-5(Phosphodiesterase-5) ҵՓኒᖹيd
̤̮ϋڗ٫אጟ҇षઃ٫ٙषᅄdۆ੬˸ ߰Ϟ؂͜dۆʔᏐഗʚf
ڢՊ़ۨٙ೨ڌତdԷνjɪ໖೨e০Ր೨א ˸ၽִ̹̏݁ऊԣ҅މԷdഅ٫ಂ஢Ϟಃ

խіѢᗭഃdҢࡁહᚐɛࡰޟЇᔼᚐɛࡰʔ༈ ɓ˚ίɓছʱඟɰঐৣ೯ɤɚኬ೻ːཥྡd
ׁଫəڢՊۨसًϾַႬəൢᓙࣛዚfڿːस Ԩ࿁ EMT-2 ΝʠආБːཥྡкᛘ઺ԃ৅ᇖd
ৰəːഏ೨ (Angina) ɰ੬ϞɓԬМᎇसًd ০࿁঍ై঍೨ίՑ৫ۃ዁ЪːཥྡdνϤɓ
νڽиϨ (Cold sweating)e᎘ั (Dizziness)e ԸdҢࡁ̙˸̋஺ ACS ٙൢᓙdԨ˲ᐵ೵

⢑ː (Nausea)eྕΟ (Vomiting)eխіఁ / խ Ύᙺݴطᐕٙࣛ೻d౤Ϙ઼ਗܢહப΂ᔼ৫
іѢᗭ (Short of breathdᔊ၈ SOB)eːઔ ٙːኬ၍ʃଡ଼dආϾ༺Ցᐵ೵ D2B(Door-to-
(Palpitation) ഃ޴ᗫसًf Balloon Time) ٙͦٙf
ν؈ːᛔٙෂኬӻ୕աՑڿːसٙᅂᚤd ᕿဲܢ׌ڿːसࣛd˸༔ਪତष̦

̙ঐପ͛ːגː܃ڜᓙ (AV block) אːรཀᇠ €OPQRSTၾཀ̘ष̦ ( ˴ൡeʘۃeΦe
(Bradycardia)dɰϞɓԬषɛึପ͛ߧն׌ٙ ཀeᖹeઽeช ) ԨৣΥଣኪᏨݟމ௰Գк
ːܛʔ዆ (Arrhythmia)dԷνjː܃᎖এ (VT) ᓙ˙όf߰ତष̦ೌجҁ዆ᐏ੻ࣛd̙Ա޴
א݊ː܃ᜄၪᛦਗ (Vf)fڿːसίːᛔࠋஃ༰ ᗫष̦ʿसًԸкᓙfɨΐઋҖ̙˸ᕿဲ݊

ɽࣛɰึϞ༰׼ᜑא੶डٙ঍೨सًdԷνj ڿːस೯Ъ€Ա৷ܓ̙ঐ׌Їʕܓ̙ঐ׌
༶ਗٙࣛࡉe͛ंאઋၫʔᖢeΦҁɽ᎛א˂ Աҏމj˴ൡ঍೨e঍ైषઃdԻϞʊٝϞ
ंཀиࣛdषɛ঍೨ٙसًɰ̙ঐึΪމ;ࢹ ːЄ૚෦ष̦eאяତڽиϨe၌Ѭխі€̙
ʿ؂͜Љɨў˪ (NTG) Ͼ੻Ցᇠ༆f ঐϞɚφএ৕ݴᕏࠪe٬˥໕ʿ٬᐀ᚿࠪ

ഃeאϋߏÚ 70 ๋ʘӲ׌eאϞጟ҇षe
◆急性冠心症 (ACS) 之到院前救護： אϞՉ̴А၍ष̦€ν໘ʕࠬཀאմᗙА၍
ί ACS षઃʕdϞ஢είՑ༺ᔼ৫ۃϥ ڜ෦ഃf
ɳ (OHCA)dՉʕεᅰΪމ೯͛əೌএ׌ː܃

᎖এ (Pulseless VT) אː܃ᜄၪᛦਗ (Vf) ഃ ◆急性冠心症 (ACS) 現病史詢問：
ːܛʔ዆ (Arrhythmia) הߧfה˸ίઃ٫จ 1. Onset/Originjसًٙ೯͛຅ًࣛر
ᗆ૶፴ٙઋرɨdՑ৫ۃᖹيطᐕʕd৷ॴહ a. ʡჿࣛࡉක֐ᙂ੻঍೨ٙk
ᚐҦஔࡰ (Emergency Medical Technician- b. ࡝೯͛঍೨ࣛЫίਂʡჿk

Paramedicdᔊ၈ EMT-P) Ꮠ༈းϘഗʚઃ c. ϞӚϞ೯͛ཀᗳЧٙ঍೨k
٫؂͜ Aspirin 160~325mg PO STdމᄣ̋ 2. Provoke/PalliationjϞೌ̋ᄌאᇠ༆Ϥɓ
іϗ஺ܓ೯౨ࣖ؈d̙ܔᙄઃ٫ᘍຟܝчɨf सًٙΪ९
Ϥ̮ઃ٫АᏀϗᐵᏀÚ 90mmHgdEMT-P ̙ a. ϞӚϞʡჿ۶ැึ̋ࠠא݊ಯჀЫٙԂ

ഗʚ NTG Љɨў˪d߰सً֠͊ᇠ༆d̙ӊ ɿ೨k
5 ʱᙒഗ 1 ϣdШՑ৫ۃ௰ε˸ 3 ϣމࠢf b. Ԑ༩א٫مᅽ૒ึʔึˏ೯Ыவᅵٙ঍೨k
ίഗʚ NTG ࣛdҢࡁ̀඲ࠅءจɓԬԫ c. ;ࢹึʔึᜫ঍೨ҷഛk
ઋdν؈ઃ٫ːཥྡ (EKG) яତ̈Ըމɨኣ 3. Qualityjसًٙ׌ሯ
ST ݬɪʺۨːЄ૚෦ (Inferior ST elevation a. Ы̙˸Җ࢙ɓɨ݊ܣᅵٙʔബ؂෗k

MI)dఱᏐ༈ᒒеഗʚ NTGdΝࣛᏐ༈ਂ 1 b. ݊ైైٙ೨ᒔ݊྅ɠί௲k

70 消防天地 FIRE PREVENTION & RESCUE SECTION