¶Z

¶‡Zi msÁv|¶‡Zi 3wU wec‡`i ZvwjKv |¶‡Zi †kªYx wefvM |†Wªwms I e¨v‡ÛR|we‡kl cwiw¯’wZmg~n (Special

Situations )gnov cÖ`k©b|

GB cvV †k‡l Avcbviv hv Rvb‡Z m¶g n‡eb Zv n‡jv-

¶‡Zi msÁv t kix†ii †Kv_vI RL‡gi Kvi‡Y hw` wUmy¨ ms‡hvRb nvivq Ges i³ †ewi‡q Avmvi c_ cvq hvi d‡j H ¯’v‡b evB‡ii †ivMRxevby cÖ‡ek Kivi my‡hvM cvq ZLb Zv‡K ¶Z e‡j| mvaviYZ ¶‡Zi RLg ej‡Z Pvgov, gvsm †ckx, ¯œvqy Ges i³ bvjx‡Z RLg‡K eySvq| ¶Z‡K md&U wUmy¨ BbRyixI ejv nq|

i³ ¶iY (Bleading)¯œvqyweK

AvNvZ (Shock)cPb (Sepsis)

¶‡Zi wec`vejx t

jyKvBZ ¶Z (Closed Wound) D¤§y³ ¶Z (Open Wound)

¶‡Zi cÖKvi‡f`- ¶Z cÖavbZ `yB cÖKvi

AwewPQbœ Pvgovi wb‡Pi RLg‡K jyKvBZ ¶Z e‡j| mvaviYZ †fvZv †Kvb wKQyi AvNv‡Z jyKvBZ ¶‡Zi m„wó nq| †QvULvU AvNv‡Zi mvaviYZ wPwKrmvi cÖ‡qvRb c‡o bv wKš‘ †ekx AvNv‡Zi djvdj gvivZ¡K n‡Z cv‡i| Giƒc ¶‡Zi d‡j Pvgovi Dc‡i mvgvb¨ ¶wZ n‡jI Avf¨šÍwib AsMmgy‡ni gvivZ¡K ¶wZ n‡Z cv‡i|

jyKvBZ ¶Z t

jyKvBZ ¶Z

jyKvBZ ¶Z

dz‡j hvIqv mvgvb¨ ¯ú‡k©B

e¨_v Abyfe weeY© nIqv A½ weK…Z nIqv

jyKvBZ ¶Z mbv³KiYt

cÖ_gZt e¨w³MZ wbivcËv †cvlvK (PPE) cwiavb I `„k¨c‡Ui wbivc`KiY|RICE c×wZ cÖ‡qvM (Rest, Ice, Compress, elevate). Ki‡Z n‡e|fvBUvj mvBb `ªyZ cwieZ©b n‡PQ wKbv Zv †`L‡Z n‡e Ges `ªyZ cwieZ©‡bi †¶‡Î Af¨šÍixb i³¶i‡bi BswMZ a‡i †bqv †h‡Z cv‡i| ¯œvqyweK AvNv‡Zi wPwKrmv Ki‡Z n‡e| hZ ZvovZvwo m¤¢e †ivMx‡K nvmcvZv‡j cvVv‡Z n‡e|

jyKvBZ (Closed) ¶‡Zi cÖv_wgK wPwKrmvi

c`‡¶‡ci ZvwjKv

AsM †Q`b ¶Z (Amputation) Pvgov wQ‡j Sz‡j cov ¶Z

(Avulsions) †_Z‡j hvIqv ¶Z (Contused wound)

Db¥y³ ¶Z t- Pvgov wQbœ n‡q †h RLg nq Zv‡K Db¥y³ ¶Z e‡j|Db¥y³ ¶‡Zi †kªYx

wefvM t A2 CLIP3

AvP‡o hvIqv ¶Z (Lacerated wound) gm„b ¶Z (Incised wound) we× ¶Z (Punctured wound) ey‡jU we× ¶Z (Penetrating

wound) G‡dvi I‡dvi ¶Z (Perforating

wound)

A½‡”Q` (Amputation)

AsM †Q`b ¶Z

AsM †Q`b ¶Z

Pvgov wQ‡j Sz‡j cov ¶Z

we`viY/wQbœ (Avulsion)

we`viY/wQbœ (Avulsion)

†_Z‡j hvIqv ¶Z

AvuPo Ges Nl©Y

AvP‡o hvIqv ¶Z

KvUv (Laceration) (mgvb Ges Amgvb)

gm„b ¶Z

we׶Z Ges wQ`ª¶Z

we× ¶Z

¸wji AvNvZ

ey‡jU we× ¶Z

G‡dvi I‡dvi ¶Z

‡clYRwbZ ¶Z

cÖ_gZ e¨w³MZ wbivcËv †cvlvK cwiavb I `„k¨c‡Ui wbivc` KiY|¶Z¯’vb Db¥y³ KiY t Uªgv KvuwP w`‡q cÖ‡qvRbxq Kvco †K‡U mwi‡q w`‡Z n‡e| Kvco †U‡b gv_vi Dci w`‡q bv ‡Lvjv fvj|i³cvZ wbqš¿YKiY t cÖZ¨¶ ev cÖ‡iv¶ Pvc cÖ‡qvM Ges D‡Ëvjb| AZtci i³cvZ n‡j †cÖmvi c‡q‡›U Pvc cÖ`vb Ki‡Z n‡e| me©‡kl Aej¤^b wn‡m‡e Uziwb‡KU euva‡Z n‡e|

Db¥y³ (Open) ¶‡Zi cÖv_wgK wPwKrmvi QqwU c`‡¶‡ci ZvwjKvt

i³cvZ wbqš¿YKiY

†cÖkvi c‡q‡›U Pvc cÖ‡qvM

UzwY©‡K‡Ui e¨envi

†cÖmvi c‡q›U

¶Z¯’v‡bi Dc‡i †j‡M _vKv wXjv Pvgov, gvsm I msµvgb BZ¨vw` mwi‡q cwi¯‹vi K‡i w`‡Z n‡e| k³fv‡e †Mu‡_ _vKv †Kvb wKQy †U‡b †Zvjv hv‡e bv|

msµvgb cÖwZ‡ivaKiY t

* †Wªwms I e¨v‡ÛRKiY t Rxevbygy³ †Wªwms w`‡q ¶Z¯’vb †X‡K w`‡Z Ges e¨v‡ÛR w`‡q AvUwK‡q w`‡Z n‡e| * †ivMx‡K †X‡K w`‡Z n‡e Ges kvšÍ ivL‡Z n‡e| *¯œvqyweK AvNv‡Zi wPwKrmv Ki‡Z n‡e| * †ivMx‡K hZ ZvovZvwo m¤fe nvmcvZv‡j cvVv‡Z n‡e|

†Wªwms t ¶Z¯’v‡bi e³cvZ eÜKiY I evB‡ii msµgb cÖwZ‡iv‡ai Rb¨ ¶Z¯’vb‡K †X‡K †`Iqvi Rb¨ hv e¨envi Kiv nq Zv‡K †Wªwms e‡j|e¨v‡ÛR t †Wªwms‡K h_v¯’v‡b a‡i ivLvi Rb¨ hv e¨envi Kiv nq Zv‡K e¨v‡ÛR e‡j|

†Wªwms I e¨v‡ÛR t-

AK¬ywmf †Wªwmst †h cvwb cÖwZ‡ivaKvix wRwbm (cøvwóK ev cwjw_b †ccvi) ¶Z¯’v‡b evwn‡ii evZv†mi cÖ‡ek †iva Ges Af¨šÍixb AsMmg~‡ni Av`ªZv i¶v Kivi Rb¨ ¶Z¯’v‡bi Dci cÖ‡qvMKiv nq Zv‡K AKy¬wmf †Wªwms e‡j|

evwé †Wªwms teû¯Íi wewkó ‡gvUv (mvaviYZ 2-3 †mt wgt cyiy) ‡Wªwms| †hgb †mwbUvix †Zvqv‡j ev Abyiƒc wRwbm|

i³cvZ wbqš¿Y Ki‡Z n‡e|cPb cÖwZ‡iva †KŠkj e¨envi K‡i †Wªwms cÖ‡qvM Ki‡Z n‡e|¶Z¯’vb m¤ú~Y©iƒ‡c †X‡K w`‡Z n‡e|

†Wªwms Ges e¨v‡ÛR cÖ‡qv‡M we‡eP¨ welqmg~n t-

†Wªwms I e¨v‡ÛR `„p I Avivg`vqK n‡q‡Q Ges †ewk UvBU n‡q i³ PjvP‡j cÖwZeÜKZv m„wó K‡i bvB Zv wbwðZ Ki‡Z n‡e| Giƒc wXjv cÖvšÍ ivLv hv‡ebv hv‡Z Zv aiv hvq| Avs¸‡ji AMÖfvM cviZc‡¶ XvKv hv‡e bv| (g‡b ivL‡Z n‡e †h, i³cvZ eÜ KiY I msµgb cÖwZ‡ivaKiY ¶‡Zi cÖv_wgK wPwKrmvi g~j D‡Ïk¨)|

we× ¶Z t Db¥y³ ¶Z m¤ú~Y©iƒ‡c †X‡K w`‡Z n‡e| cix¶v K‡i †`L‡Z n‡e †h, AbycÖ‡ekK…Z e¯‘wU Ab¨ w`K w`‡q †ei n‡q ¶Z m„wó n‡q‡Q wKbv|

AmvaviY ¶Zmg~n Gi e¨v‡ÛR

†Mu‡_ _vKv e¯‘ t Mv‡j we× e¯‘ ev k¦vmbvjx I wmwcAvi evavMÖ¯’ K‡i Giƒc e¯‘Qvov Ab¨ RvqMvq †M‡_ _vKv e¯‘ ‡U‡b †Zvjv hv‡e bv| i³cvZ eÜ Ki‡Z n‡e| evwé †Wªwms I e¨v‡ÛR Øviv e¯‘wU‡K Abi ivL‡Z n‡e|

†Mu‡_ _vKv e¯‘i wPwKrmv

¶Z¯’v‡bi DcwifvM cwi¯‹vi Ki‡Z n‡e| Sz‡j hvIqv Pvgov h_v¯’v‡b cÖwZ¯’vcb Ki‡Z n‡e| i³cvZ eÜ Ki‡Z n‡e| evwé †Wªwms I e¨v‡ÛR Øviv ¶Z¯’vb †X‡K w`‡Z n‡e|

Pvgov Sz‡j hvIqv t

¶Z¯’vb cwi¯‹vi Ki‡Z n‡e|i³cvZ eÜ Ki‡Z n‡e|†Wªwms I e¨v‡ÛR cÖ‡qvM Ki‡Z n‡e|†Q`K…Z AsM VvÛv I Av`ª ivL‡Z n‡e wKš‘ cvwb‡Z Wzwe‡q ivLv hv‡e bv|

A½‡Q`b t

gv_vi Lywj‡Z RLg t- gv_vq RLg cÖvß †ivMxi †eªB‡b RL‡gi m¤¢vebv _v‡K| gv_vi Lywj‡Z †d«KPvi m‡›`n n‡j cÖZ¨¶ Pvc cÖ‡qvM Kiv hv‡e bv|

we‡kl cwiw¯’wZmg~n (Special Situations )

RLgK…Z †Pv‡Li bovPov eÜ Kivi Rb¨ fvj †PvLwUI e¨v‡ÛR K‡i w`‡Z n‡e| †ivMx hw` AÁvb Ae¯’vq _v‡K Zvn‡j †PvL ïwK‡q hvIqvi c~‡e© eÜ K‡i w`‡Z n‡e Zv bv n‡j †PvL ïwK‡q †M‡j Zv A܇Z¡i KviY n‡Z cv‡i|†PvL †ei n‡q Avm‡j Zv GKwU Kvc ev Giƒc RvZxq wKQy Øviv †X‡K w`‡q e¨v‡ÛR Ki‡Z n‡e| †ei n‡q hvIqv †PvL‡K cÖwZ¯’vcb Kiv hv‡e bv|

†Pv‡Li ¶Zt

Kv‡bi wfZi †Kvb wKQy XzwK‡q cix¶v Kiv hv‡e bv|KLbI i³cvZ eÜ Kivi Rb¨ Kvb eÜ (Pack) K‡i †`qv hv‡e bv| cwi¯‹vi Zij (CSF) wbM©Z n‡j Zv Lywji †d«KPv‡ii m¤¢vebv wb‡`©k K‡i|GKwU wXjv cwi¯‹vi †Wªwms Ø&viv I‡cwbsUv †X‡K w`‡Z n‡e hv‡Z wbM©Z Zij Pz‡l †dj‡Z cv‡i|Kv‡b Pvc cÖ‡qvM Kiv hv‡e bv|

Kv‡bi ¶Zt Kvb w`‡q wbM©Z i³, cwi¯‹vi Zij (wmGmGd) BZ¨vw` gv_vq AvNv†Zi m¤¢vebv wb‡`©k K‡i|

k¦vmbvjx †Lvjvi e¨e¯’v Ki‡Z n‡e|bv‡Ki AMÖfvM GK‡Î wPgwU w`‡q ai‡Z n‡e| A_ev Dc‡ii †VvU I gvwii gvSLv‡b †Wªwms w`‡q Pvc cÖ‡qvM Ki‡Z n‡e|†ivMx‡K Abo I ewm‡q ivL‡Z n‡e|

bv‡Ki ¶Zt

bv‡Ki ¶Z Gi wPwKrmv

bvK‡K eÜ (Pack) K‡i †`qv hv‡e bv Ges cwi¯‹vi Zij (CSF) Avm‡Q wKbv cix¶v Ki‡Z n‡e| hw` bv‡Ki wfZi †Kvb wKQy

†`Lv hvq Zvn‡e †U‡b †ei Kiv hv‡e bv| Sz‡j hvIqv ¶Z n‡j †Wªwms I

e¨v‡ÛR cÖ‡qvM Ki‡Z n‡e|

i³cvZ i‡Üi Rb¨ AK¬ywmf ‡Wªwms Øviv njKv †_‡K gvSvwi Pvc cÖ‡qvM Ki‡Z n‡e| †Wªwms Gi mKj cÖvš— †Uc †g‡i Gqvi UvBU K‡i w`‡Z n‡e, hv‡Z evZvm Xz‡K ey`ey` m„wó Ki‡Z bv cv‡i|AK¬ywmf †Wªwms Gi Dci evwé †Wªwms w`‡Z n‡e| GKB mg‡q Mjvi Dfq cv‡k¦© Pvc cÖ‡qvM Kiv hv‡e bv Ges m¤c~Y© Mjv †cwP‡q †Wªwms I e¨v‡ÛR Kiv hv‡e bv|

Mjvq ¶Zt

†giy`‡Û RLg bv _vK‡j †ivMx‡K evg cvk wdwi‡q gv_v †nwj‡q (gv_v A‡c¶vK…Z wbPz K‡i) ¯’vcb Ki‡Z n‡e| D‡jøL¨ gv_v, gyLgÛj, Lywj, †PvL, Kvb, bvK I Mjvq RLg n‡j cÖv_wgK wPwKrmK‡K a‡i wb‡Z n‡e †h, †giy`‡Û RLg _vK‡Z cv‡i| Mjvq †Kvb e¯‘ †M‡_ _vK‡j Zv evwé †Wªwms w`‡q w¯’i Ki‡Z n‡e Ges Zv miv‡bv hv‡e bv|¯œvqyweK AvNv‡Zi wPwKrmv Ki‡Z n‡e|

Mjvq ¶Z Gi wPwKrmv

†c‡Ui ¶Z t †c‡U wKQy mwjW (†hgb wjfvi, w¯úøb) I wKQy dvcv (D`i, Aš¿) AsM Av‡Q| mwjW AsM wQbœ ev †fs‡M †M‡j gvivZ¡K i³¶iY n‡Z cv‡i| Avevi dvcv AsM wQbœ n‡j Zvi wfZ‡i _vKv GwmW I GbRvBg †cwiUwb‡qj †KwfwU‡Z Qwo‡q c‡o cÖ`vnRwbZ cÖwZwµqv m„wó Ki‡Z cv‡i|

‡c‡U e¨v_v ev wLj aiv (Cramps) †c‡Ui wbw`©ó¯’v‡b ev cwie¨ß|

Rivqy‡Z _vKv åy‡bi gZ ï‡q †cU a‡i ivLv|

†c‡U ¯úk© Ki‡jB Dn& Avn& KóRwbZ mviv|

¯œvqyweK AvNv‡Zi j¶b| k³ nIqv I dz‡j hvIqv|

†c‡Ui RL‡gi j¶b I DcmM© t-

cÖ_‡g mvgvb¨ A¯^w¯’ Ges µgvš^‡q Amn¨ e¨_¨v Abyfe|†cjwfm I wc‡Vi wbæfv†Mi Mfx‡i ‡Kvb wKQy we× nIqvi gZ e¨v_¨v Abyfe|GKwU ev Dfq Kv‡a e¨v_¨v Qwo‡q cov|D¾¡j jvj ev Kwd is Gi i³ fwg|D¾¡j jvj ev AvjKvZiv is‡qi i³ cvqLvbv|

e¨w³MZ wbivcËv †cvlvK cwiavb I `„k¨c‡Ui wbivc`KiY Ges †ivMxi ewg †_‡K mZ©K _vK‡Z n‡e|

mKj Db¥y³ ¶Z †X‡K w`‡Z n‡e|

†c‡Ui RL‡gi cÖv_wgK wPwKrmv t-

†ei n‡q hvIqv Af¨šÍixi AsM cÖwZ¯’vcb Kiv hv‡e bv| Rxevbygy³ †gvUv Av`ª †Wªwms Øviv †X‡K w`‡q Zvi Dci AK¬ywmf †Wªwms Øviv †X‡K w`‡Z n‡e| †ei n‡q hvIqv AskwU Mig ivLvi Rb¨ AK¬ywmf †Wªwms Gi Dci Av‡iKwU †gvUv †Wªwms ev †Zvqv‡j ¯’vcb Ki‡Z n‡e|

†c‡Ui RL‡gi cÖv_wgK wPwKrmv

‡Mu‡_ _vKv e¯‘‡K miv‡bv hv‡e bv| evwé †Wªwms Øviv †mwU‡K `„p Ki‡Z n‡e|mve©¶wbKfv‡e fvBUvj mvBb ch©‡e¶Y Ki‡Z n‡e|†ivMx‡K mycvBb cwRk‡b ïB‡q w`‡Z n‡e Ges cv¸‡jv Avivg`vqK Ae¯’vq ivL‡Z n‡e|¯œvqyweK AvNv‡Zi wPwKrmv Ki‡Z n‡e|

cÖRbb As‡M ¶Z t Giƒc ¶‡Zi wPwKrmv Ab¨vb¨ ¶‡Zi wPwKrmvi gZB Ki‡Z n‡e| Z‡e G‡¶‡Î †ivMxi †MvcbxqZv (Privacy) hv‡Z i¶v cvq †mw`‡K we‡kl bRi ivL‡Z n‡e|

¶‡Zi msÁv| ¶‡Zi 3wU wec‡`i ZvwjKv | ¶‡Zi †kªYx wefvM | †Wªwms I e¨v‡ÛR| we‡kl cwiw¯’wZmg~n (Special Situations ) gnov cÖ`k©b|

Av‡jvP¨ welqt GB cvV †k‡l Avcbviv hv Rvb‡Z m¶g n‡jb Zv n‡jv-

cÖkœ?

ab¨ev`