‫أوليات الإسعافات الأولية للرضع والأطفال (اختناق) PDF‬

Choking (‫)ﺍﻷﺧﺘﻨﺎﻕ‬  ‫ﺍﻻﻫﺪﺍﻑ‬ ‫ﺳﻳﻛﻭﻥ ﺍﻟﻣﺷﺎﺭﻙ ﺑﻌﺩ ﺍﻧﺗﻬﺎء ﺍﻟﻣﺣﺎﻅﺭﺓ ﻗﺎﺩﺭﺍ ﻋﻠﻰ‪:‬‬ ‫ ﻳﻌﺭﻑ ﺍﻻﺧﺗﻧﺎﻕ ﻋﻧﺩ ﺍﻻﻁﻔﺎﻝ‬ ‫ ﻳﺣﺩﺩ ﺩﺭﺟﺔ ﺍﻻﺧﺗﻧﺎﻕ‬ ‫ ﻳﺗﺩﺍﺧﻝ ﻣﻊ ﺍﻟﺭﺿﻳﻊ ﺍﻟﻣﺧﺗﻧﻖ )‪ (1-0‬ﺳﻧﺔ‬ ‫ ﻳﺗﺩﺍﺧﻝ ﻣﻊ ﺍﻟﻁﻔﻝ ﻭﺍﻟﺑﺎﻟﻎ ﺍﻟﻣﺧﺗﻧﻖ )‪ (...-1‬...

Choking (‫)ﺍﻷﺧﺘﻨﺎﻕ‬  ‫ﺍﻻﻫﺪﺍﻑ‬ ‫ﺳﻳﻛﻭﻥ ﺍﻟﻣﺷﺎﺭﻙ ﺑﻌﺩ ﺍﻧﺗﻬﺎء ﺍﻟﻣﺣﺎﻅﺭﺓ ﻗﺎﺩﺭﺍ ﻋﻠﻰ‪:‬‬ ‫ ﻳﻌﺭﻑ ﺍﻻﺧﺗﻧﺎﻕ ﻋﻧﺩ ﺍﻻﻁﻔﺎﻝ‬ ‫ ﻳﺣﺩﺩ ﺩﺭﺟﺔ ﺍﻻﺧﺗﻧﺎﻕ‬ ‫ ﻳﺗﺩﺍﺧﻝ ﻣﻊ ﺍﻟﺭﺿﻳﻊ ﺍﻟﻣﺧﺗﻧﻖ )‪ (1-0‬ﺳﻧﺔ‬ ‫ ﻳﺗﺩﺍﺧﻝ ﻣﻊ ﺍﻟﻁﻔﻝ ﻭﺍﻟﺑﺎﻟﻎ ﺍﻟﻣﺧﺗﻧﻖ )‪ (...-1‬ﺳﻧﺔ‬  ‫هو انسداد في مجرى الهواء العلوي‬ ‫بسبب الطعام أو غيره‬ ‫األشياء‪ ،‬التي تمنع الشخص من‬ ‫التنفس بشكل فعال‪.‬‬ ‫‪Choking:-‬‬ ‫‪is a blockage of the upper airway by food or other‬‬ ‫‪objects, which prevents a person from breathing effectively.‬‬ ‫ﻫﻭ ﻋﻣﻠﻳﺔ ﺍﻧﺳﺩﺍﺩ ﻟﻣﺟﺭﻯ ﺍﻟﺗﻧﻔﺱ ﺍﻟﻌﻠﻭﻱ ﺑﺎﺟﺯﺍء ﺍﻟﻁﻌﺎﻡ ﺍﻭ ﺍﺷﻳﺎء ﺍﺧﺭﻯ ﻭﺍﻟﺗﻲ ﺗﻣﻧﻊ ﺍﻟﺷﺧﺹ‬ ‫ﺍﻟﻣﺧﺗﻧﻖ ﻣﻥ ﺍﻟﺗﻧﻔﺱ ﺑﻁﺭﻳﻘﺔ ﺻﺣﻳﺣﺔ‬ ‫‪Choking is a true medical emergency that requires fast, appropriate‬‬ ‫‪action by anyone available. Emergency medical teams may not arrive in‬‬ ‫‪time to save a choking person's life.‬‬ ‫االختناق هو حالة طبية طارئة حقيقية تتطلب إجراء سريعا ومناسبا من قبل أي‬ ‫شخص متاح‪.‬قد ال تصل فرق الطوارئ الطبية في الوقت املناسب إلنقاذ حياة‬ ‫الشخص الخانق‪.‬‬  Choking In Infants ‫ﺍﺧﺘﻨﺎﻕ ﺍﻟﺮﺿﻴﻊ‬ Mild Obstruction ‫ﺍﺧﺗﻧﺎﻕ ﻣﺗﻭﺳﻁ‬ DEGREE OF OBSTRUCTION INFANT’S RESPONSE RESCUER’S ACTION ‫ﻣﺳﺗﻭﻯ ﺍﻻﺧﺗﻧﺎﻕ‬ ‫ﻋﻼﻣﺎﺕ ﺍﻟﻁﻔﻝ‬ ‫ﻋﻣﻝ ﺍﻟﻣﻧﻘﺫ‬ Mild ‫ﺍﺧﺗﻧﺎﻕ ﻣﺗﻭﺳﻁ‬ breathing but may also stay with the infant and try to be wheezing keep them calm Obstruction ‫ﺍﺑﻘﻰ ﻣﻊ ﺍﻟﻁﻔﻝ ﻭﺣﺎﻭﻝ ﺗﻬﺩﺋﺗﻪ‬ ‫ﺻﻭﺕ ﺍﻟﺗﻧﻔﺱ ﻛﺎﻟﺻﻔﻳﺭ‬ do not do a blind finger sweep may be coughing and ‫ﻻ ﺗﺣﺎﻭﻝ ﺍﺩﺧﺎﻝ ﺍﺻﺑﻌﻙ ﺩﺍﺧﻝ ﻓﻡ ﺍﻟﻁﻔﻝ‬ making noise call 911 if infant does not quickly ‫ﻳﺳﻌﻝ ﺍﻭ ﻳﺣﺩﺙ ﺿﻭﺿﺎء ﺗﻧﻔﺳﻳﺔ‬ clear the obstruction ‫ إذا لم‬911 ‫اتصل بالرقم‬ ‫يزيل الرضيع االنسداد‬ ‫بسرعة‬  ‫‪.‬‬ ‫هلل ُيحدث بعد َذلك امرا ً‬ ‫الَتدري لعَّل ا َ‬ ‫‪Choking In Infants‬‬ ‫ﺍﺧﺗﻧﺎﻕ ﺷﺩﻳﺩ ‪ Severe Obstruction‬‬ ‫‪DEGREE OF OBSTRUCTION‬‬ ‫‪INFANT’S RESPONSE‬‬ ‫‪RESCUER’S ACTION‬‬ ‫ﻣﺳﺗﻭﻯ ﺍﻻﺧﺗﻧﺎﻕ‬ ‫ﺍﻋﺭﺍﺽ ﺍﻟﻁﻔﻝ‬ ‫ﻋﻣﻝ ﺍﻟﻣﻧﻘﺫ‬ ‫‪Severe Obstruction‬‬ ‫‪ weak or no cough‬‬ ‫‪ use‬‬ ‫‪back blows/chest‬‬ ‫ﺍﺧﺗﻧﺎﻕ ﺷﺩﻳﺩ‬ ‫ص‬ ‫ﺟﺩﺍ‬ ‫‪ thrusts to attempt to remove‬ﻋﺩﻡ ﻭﺟﻭﺩ ﺍﻭ ﻭﺟﻭﺩ ﻛﺣﻪ ن‬ ‫ﺧﻔﻳﻔﺔ‬ ‫‪ unable to make noise; may‬‬ ‫‪obstruction‬‬ ‫‪make high‐pitched noise‬‬ ‫ﺍﺳﺗﺧﺩﻡ ﻁﺭﻳﻘﺔ ﺍﻟﻅﺭﺏ ﻋﻠﻰ ﺍﻟﻅﻬﺭ ﻭ‬ ‫ﻏﻳﺭ ﻗﺎﺩﺭ ﻋﻠﻰ ﺍﻟﺻﺭﺍﺥ ﺍﻭ ﺍﺣﺩﺍﺙ ﺍﺻﻭﺍﺕ ﻋﺎﻟﻳﺔ‬ ‫ﺿﻐﻁﺎﺕ ﺍﻟﺻﺩﺭ‬ ‫‪ little or no breathing‬‬ ‫استخدم ضربات الظهر‪/‬الصدر‬ ‫‪ call 911‬‬ ‫التوجهات ملحاولة إزالة االنسداد‬ ‫ﻭﺟﻭﺩ ﺗﻧﻔﺱ ﺿﻌﻳﻑ ﺟﺩﺍ ﺍﻭ ﻋﺩﻡ ﻭﺟﻭﺩﻩ‬ ‫‪ may be cyanotic (blue‬‬ ‫‪ assess if obstruction is‬‬ ‫)‪around lips and fingertips‬‬ ‫‪ visible; if so, remove it‬ﻗﺩ ﻳﻛﻭﻥ ﻣﺯﺭﻗﺎ ) ﺍﺯﺭﻗﺎﻕ ﺍﻟﺷﻔﺎﻩ ﺍﻭ ﺍﻻﺻﺎﺑﻊ(‬ ‫قم بتقييم ما إذا كان االنسداد‬ ‫مرئيا؛ وإذا كان األمر كذلك‪،‬‬ ‫فقم بإزالته‬ BACK BLOWS AND CHEST THRUSTS IN INFANTS ‫ﻁﺮﻳﻘﺔ ﺍﻟﻀﺮﺏ ﻋﻠﻰ ﺍﻟﻈﻬﺮ ﻭﺿﻐﻄﺎﺕ ﺍﻟﺼﺪﺭ‬ ‫ ضع‬.‫ضع الرضيع ووجهه ألسفل ورأسه أقل من صدره؛ يجب أن يستريح على ذراعك األمامي‬.(‫ساعدك على فخذك )الشكل أ‬ 1. Put the infant with their face down and their head lower than their chest; they should be resting on your fore arm.Put your forearm on your thigh (Figure A). ‫ﺿﻊ ﺍﻟﺭﺿﻳﻊ ﻋﻠﻰ ﺫﺭﺍﻉ ﻳﺩﻙ ﻭﻭﺟﻬﻪ ﻣﻘﻠﻭﺑﺎ ﻟﻼﺳﻔﻝ ﻣﻊ ﻣﺭﺍﻋﺎﺓ‬ ‫ﻣﺳﺗﻭﻯ ﺍﻟﺭﺃﺱ ﺗﺣﺕ ﻣﺳﺗﻭﻯ ﺍﻟﺻﺩﺭ‬ 2. Using the heel of your free hand, deliver five back blows between the infant’s shoulder blades (Figure B) ‫ ﺿﺭﺑﺎﺕ ﻋﻠﻰ ﻅﻬﺭ‬5 ‫ﺑﺎﺳﺗﺧﺩﺍﻡ ﺭﺍﺣﺔ ﺍﻟﻳﺩ ﺍﻻﺧﺭﻯ ﻗﻡ ﺑﻌﻣﻝ‬ ‫ﺍﻟﺭﺿﻳﻊ ﺗﺣﺩﻳﺩﺍ ﺑﻳﻥ ﺍﻛﺗﺎﻓﻪ‬  ‫النفخ الخلفي ودفع الصدر‬ ‫عند الرضع‬ ‫‪BACK BLOWS AND CHEST THRUSTS IN INFANTS‬‬ ‫أدر وجه الرضيع ألعلى حتى يستريح اآلن‬ ‫على ذراعك األخرى‪،‬‬ ‫‪3. turn the infant face up so they are now resting‬‬ ‫‪on your other arm, this arm should now be resting‬‬ ‫‪on your thigh (Figure D).‬‬ ‫ﺍﻗﻠﺏ ﺍﻟﺭﺿﻳﻊ ﻋﻠﻰ ﺫﺭﺍﻋﻙ ﺍﻻﺧﺭﻯ ﻭﻭﺟﻬﻪ ﻧﺣﻭ ﺍﻻﻋﻠﻰ‬ ‫باستخدام أصابع يدك الحرة‪ ،‬قم بتوفير ما يصل إلى خمسة‬ ‫دفعات سريعة للصدر ألسفل على النصف السفلي من عظمة‬ ‫الصدر )الشكل ‪.(C‬‬ ‫‪4. Using the fingers of your free hand, provide up‬‬ ‫‪to five quick downward chest thrusts over the lower‬‬ ‫‪half of the breastbone (Figure C).‬‬ ‫ﺑﺎﺳﺗﺧﺩﺍﻡ ﺍﺻﺑﻌﻳﻥ ﻣﻥ ﻳﺩﻙ ﺍﻻﺧﺭﻯ ﺍﻟﻣﺣﺭﺭﻩ ﻗﻡ ﺑﻌﻣﻝ ‪ 5‬ﺿﻐﻁﺎﺕ‬ ‫ﺻﺩﺭﻳﻪ ﻋﻠﻰ ﺍﻟﻧﺻﻑ ﺍﻻﺳﻔﻝ ﻣﻥ ﻋﻅﻣﺔ ﺍﻟﻘﺹ‬  Choking In Children ‫ﺍﻻﺧﺘﻨﺎﻕ ﻋﻨﺪ ﺍﻻﻁﻔﺎﻝ‬ Mild Obstruction ‫ﺍﺧﺗﻧﺎﻕ ﻣﺗﻭﺳﻁ‬ DEGREE OF OBSTRUCTION PERSON’S RESPONSE RESCUER’S ACTION ‫ﻣﺳﺗﻭﻯ ﺍﻻﺧﺗﻧﺎﻕ‬ ‫ﺍﻋﺭﺍﺽ ﺍﻟﻁﻔﻝ‬ ‫ﻋﻣﻝ ﺍﻟﻣﻧﻘﺫ‬ Mild Obstruction breathing but may also be stay with the person and try to keep wheezing them calm ‫ﻭﺟﻭﺩ ﺗﻧﻔﺱ ﺫﻭ ﺻﻔﻳﺭ‬ ‫ﺍﻋﻣﻝ ﻋﻠﻰ ﺗﻬﺩﺋﺔ ﺍﻟﺷﺧﺹ ﻭﺍﻟﻭﻗﻭﻑ ﺑﺟﺎﻧﺑﻪ‬ encourage them to cough coughing and making noise ‫ﺗﺷﺟﻳﻊ ﺍﻟﺷﺧﺹ ﻋﻠﻰ ﺍﻟﻛﺣﻪ‬ ‫ﻭﺟﻭﺩ ﻛﺣﻪ ﺍﻭ ﻣﺣﺎﻭﻟﺔ ﻟﻠﻛﺣﻪ‬ call 911 if the person seems to be getting worse ‫ﺍﺗﺻﻝ ﺑﺎﻻﺳﻌﺎﻑ ﺍﺫﺍ ﻛﺎﻥ ﻭﺿﻌﻳﻪ ﺍﻟﺷﺧﺹ ﺗﺗﺟﻪ‬ ‫ﻧﺣﻭ ﺍﻻﺳﻭء‬  Choking In Children ‫ﺍﻻﺧﺘﻨﺎﻕ ﻋﻨﺪ ﺍﻻﻁﻔﺎﻝ‬ Severe Obstruction ‫ﺍﺧﺗﻧﺎﻕ ﺷﺩﻳﺩ‬ DEGREE OF OBSTRUCTION PERSON’S RESPONSE RESCUER’S ACTION ‫ﻣﺳﺗﻭﻯ ﺍﻻﺧﺗﻧﺎﻕ‬ ‫ﺍﻋﺭﺍﺽ ﺍﻟﻁﻔﻝ‬ ‫ﻋﻣﻝ ﺍﻟﻣﻧﻘﺫ‬ Severe Obstruction clutching the neck (universal sign of use abdominal thrusts (Heimlich choking) maneuver) to attempt to remove ‫ﻟﺯﻡ ﺍﻟﺭﻗﺑﺔ ﺑﻛﻼ ﺍﻟﻳﺩﻳﻥ‬ obstruction weak or no cough ‫ﺍﺳﺗﺧﺩﻡ ﺍﻟﺿﻐﻁﺎﺕ ﺍﻟﺑﻁﻧﻳﺔ ﻟﻣﺣﺎﻭﻟﺔ ﺍﺯﺍﻟﺔ ﺍﻻﻧﺳﺩﺍﺩ‬ ‫ﻭﺟﻭﺩ ﺍﻭ ﻋﺩﻡ ﻭﺟﻭﺩ ﻛﺣﻪ‬ call 911 unable to make noise or talk; may make high‐pitched noise begin BLS if the person becomes ‫ﻋﺩﻡ ﺍﻟﻘﺩﺭﺓ ﻋﻠﻰ ﺍﺣﺩﺍﺙ ﺟﻠﺑﺔ ﺍﻭ ﺍﻟﺗﻛﻠﻡ‬ unresponsive ‫ﺍﺑﺩء ﺏ ﺍﺳﺎﺳﻳﺎﺕ ﺍﻧﻘﺎﺫ ﺍﻟﺣﻳﺎﻩ ﺍﺫﺍ ﺍﻏﻣﻲ ﻋﻠﻰ ﺍﻟﻁﻔﻝ‬ little or no breathing ‫ﺗﻧﻔﺱ ﺿﻌﻳﻑ ﺟﺩﺍ ﺍﻭﺍﻧﻌﺩﺍﻣﻪ‬  Abdominal Thrusts (Heimlich Maneuver) The Heimlich maneuver should only be used when a person is responsive and older than one year of age ‫ ﺳﻧﺔ‬1 ‫ﻋﻣﻠﻳﺔ ﻫﻳﻣﻠﻙ ﺗﺳﺗﺧﺩﻡ ﻓﻘﻁ ﺍﺫﺍ ﻛﺎﻥ ﺍﻟﺷﺧﺹ ﻳﺳﺗﺟﻳﺏ ﻭﻏﻳﺭ ﻣﻐﻣﻰ ﻋﻠﻳﻪ ﻭﺍﻛﺑﺭ ﻣﻥ‬ 1. Stand behind the responsive person,Wrap your arms around their waist With your fist under their ribcage. Do not press on the lower part of the sternum ‫ ﻟﻑ ﻳﺩﻙ ﺍﻣﺎﻡ ﺍﻟﺷﺧﺹ ﻭﺿﻊ ﻗﺑﺿﺗﻙ ﺍﺳﻔﻝ‬,‫ﻗﻑ ﺧﻠﻑ ﺍﻟﺷﺧﺹ ﺍﻟﻣﺧﺗﻧﻖ‬ ‫ﻋﻅﻣﺔ ﺍﻟﻘﺹ‬ ‫ﻻ ﺗﺿﻊ ﻗﺑﺿﺗﻙ ﻋﻠﻰ ﻋﻅﻣﺔ ﺍﻟﻘﺹ‬ Abdominal Thrusts (Heimlich Maneuver) 2. With your other hand, hold the first fist and press forcefully into the person’s abdomen and up toward their chest ‫ﺿﻊ ﺍﻟﻳﺩ ﺍﻻﺧﺭﻯ ﻋﻠﻰ ﺍﻟﻳﺩ ﺫﺍﺕ ﺍﻟﻘﺑﺿﺔ ﻭﺍﺿﻐﻁ ﺑﻘﻭﻩ ﻋﻠﻰ ﺑﻁﻥ ﺍﻟﺷﺧﺹ ﻭﺑﺎﺗﺟﺎﻩ ﺍﻻﻋﻠﻰ‬ ‫ﻧﺣﻭ ﺍﻟﺻﺩﺭ‬ Continue performing these thrusts until the obstruction is relieved or until the person becomes unresponsive ‫ﺍﺳﺗﻣﺭ ﺑﺗﻘﺩﻳﻡ ﺍﻟﺿﻐﻁﺎﺕ ﺣﺗﻰ ﻳﺯﻭﻝ ﺍﻟﻣﺳﺑﺏ ﺍﻟﻣﺧﺗﻧﻖ ﻟﺩﻯ ﺍﻟﺷﺧﺹ‬ ‫ﺍﻭ ﻳﺻﺑﺢ ﺍﻟﺷﺧﺹ ﻣﻐﻣﻰ ﻋﻠﻳﻪ‬