การกดหน้าอกเพื่อช่วยฟื้นคืนชีพอย่างถูกต้องมีความสําคัญอย่างไร

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��˵� 㹡óշ��ʧ��Ҩ��ա�úҴ�红ͧ��Ф� ��Ѻ��Ǽ��ʵ��·��ش ��С��¡��͢�Ѻ��ҡ�Ҩ�з��ʵԷ��ա�úҴ�红ͧ��д١�ѹ��ѧ ��ҵ��

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�ҡ��ʵ� ��ͧ�ͤ��ͨҡ��㹺��ǳ�� 餹㴤�˹�� Ѿ��Ţ 1669 ��¡ö��Һ�� ء�ѧ��Ѵ �� Ţ 191 ��¡��Ǩ��ö��Һ�� ա��˹�� Ҩ��¡ö��Һ�� ҹ�ͧ�ç��Һ�� Шӡ��
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�˵��Դ��˹ �� ͡��ͺ��ѷ ��Ͷ�� Ţ��Ѿ��ѧ�ٴ�� Դ��â�� غѵ��˵� ö¹��, ��, ��, �繵� �դ��ͧ��ä��͡�褹 ��Ҿ�ͧ��ʵ��ҧ�ú�ҧ �ա��ҧ ��ͧ��͡俿��ѵ��ѵ�� Դ��Ҩ��

��ҧ��Ѿ�쨹��Ҿ�ѡ�ҹ��ª��Ե��Ѻ��Ѿ��к͡��ԡ��õԴ��͡�͹
��Ѿ��¡��ͷѹ�ա�͹ŧ��ͻ�Ժѵԡ�ê��ª��Ե (call first) ��Ҽ��ʵ��繼��˭� ��м��˭��ʵ��ѡ�Դ�ҡ�� (VF) �� ͡��ʹ��Ե�ҡ��ش�ҡ��Ѻ��ê�͡俿�Ҩҡ��ҹ��ª��Ե��٧�� ҡ��ʵԨҡ�غѵ��˵�,��;�ɢͧ��þ�� ŧ��ͻ�Ժѵԡ�� ª��Ե��͹��Ѿ�� ˵ء�õ��ѡ�Դ�ҡ�ҧ�Թ��㨶١�ش�� ŧ��ͪ��ª��Ե仡�͹��Ǥ��Ѿ��ѧ (call fast) ��Ҽ��ʵ�� ص�ӡ�� 8 �� ˵ء��ʵ��ѡ�Դ�ҡ�ҧ�Թ��㨶١�ش�� ¡��ŧ��ͻ�Ժѵԡ�ê��ª��Ե�ѹ�շ�駹��բ��¡��鹡óշ��Ѵ��͹�� ʵ��ä�� 㹡ó��蹹��պ��Ѿ��͹ ��м��ʵԨ��͡�� ʹ��Ե�ҡ��Ҷ��պ��͡俿��

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��Ҽ��ʵ��㹷�ҹ͹�� ԡ��ʵ��㹷�ҹ͹˧�º��Һ�� ᢹ�ͧ��ҧ��´��ҧ�ӵ��
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㹤��ʵ� ��ͨФ��µ�Ƿ��鹵�ŧ��ش�ҧ�Թ�� ͡�ҡ��㹡óշ��ʵ��ѧ�� 㹨ѧ��Ҩ��Դ�ç�ٴ�� ŧ��ش��鹷ҧ�Թ��ҡ�� ͧ��¡��д١��ҧ�� 鹫��Դ�Ѻ��д١ �ҡ��ҧ�ж١¡��鹷��ҧ�Թ��Դ��觡��Դ�ҧ�Թ��ͧ�Ը� ��

�Ըմѹ˹�Ҽҡ��д֧�ҧ (head tilt-chin lift)

��Ѻ��ʵԷ��价��ա�úҴ�纷��Ф� �¡��ҽ��͢�ҧ˹�觴ѹ˹�Ҽҡ ��ҹ��Ǫ��й��ǡ�ҧ�ͧ��ա��ҧ˹�觴֧�ҧ�� ʹ֧੾�С�д١�ҡ��ҧ ��衴��͹��ҧ ��˹�Ҽ��¢�鹨��ѹ��ҧ�١�֧��Ҩ��ͺ��Ѻ�ѹ��

�Ը�¡�ҡ��ҧ (jaw thrust)

��Ѻ��·ء�ó� ��ͧ�ҡ��Ըշ��ҡ�� ֧�й��Ըչ��Ѻ�ó� ��ʧ��Ҩ��ա�úҴ�纷��Ф��ҹ�� 黮Ժѵԡ�ê��ª��Ե��ͧ��ҧ��Тͧ��ʵ� �ҧ��ͷ��ͧ��ҧ��ǳ��Т�Ңͧ��ʵ��͡��ѹ��д١�ҡ��ҧ �ç��ҡ��ͧ��ҧ��Ƿ��ͷ��ǡ�д١�ҡ��ҧ ��Ң��͡�ѹ��鹷�� ʵԹ͹��Ǵ֧��д١�ҡ��ҧ�� (�Ҿ�� 6)
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1.��Ҽ��ʵ��ʵԨҡ�غѵ��˵��ʧ�� úҴ�红ͧ��д١�ѹ��ѧ��Ѵ��Ҽ��ʵ��㹷�Ҿѡ�� (�Ҿ�� 13)
2. ��ʧ��Ҩ��ա�úҴ�红ͧ��ͤ� ��â�Ѻ �� Ѵ�� ʵ��ҡ��Ѻ �ҧ�Թ��㨨��Դ��ҹ��

��鹷�� 6 ��һʹ

��ӡ��һʹ 2 �� Ҽ��ʵ��ͧ��ҧ��§�� 駹��͡��Ը��Ը�˹�觵��仹��

�Ըշ�� 1. ��Ẻ�ҡ��ͻҡ��Ѻ�ѹ˹�Ҽҡ��д֧�ҧ
��͹��й��Ǫ��ͧ��ͷ��ѹ˹�Ҽҡ��Һպ��١��ʵ��٨�١�ԴʹԷ �ٴ��ʹ ��鹢ͧ�͡��ਹ��ҡ�� С��ҡ��ҡѺ�ҡ ��ͧ˹��͡��ʵ� ��仨�˹��͡�ͧ�� ʵԡ��ҹҹ 2 �Թҷ� ��Ƕ͹�ҡ�͡��͡ ��ҹ��Ѻ �͡�ҷҧ�ҡ

�Ըշ�� 2. ��Ẻ�ҡ��ͻҡ��¡�ҡ��ҧ

��ͷ��ͧ��ҧ�ѹ�ҡ��ҧ��ҡ��ʵ��Դ�͡ ��ŧ��Դ�٨�١��ͧ�� С��ҡ��ҡѺ�ҡ ��ͧ˹��͡��ʵ��仨�˹��͡�ͧ��ʵԡ�� ҹҹ 2 �Թҷ� ��Ƕ͹�ҡ�͡��͡��ҹ��Ѻ�͡�ҷҧ�ҡ (�Ҿ�� 9)

��鹷�� 7. �ҵ��˹��ҧ��ͺ�˹��͡

��Ҽ��ʵ�� Ѻ��ǹ�� ͧ��ҧ�� к��¹��ʹ��ӧҹ ��ͧ��¡�˹��͡ ��ҵ��˹� ��ҧ�ͧ��д١˹��͡��ҧ��Ѻ��á�˹��͡ ��Ǫ��Ѻ��ǡ�ҧ��Ӣͺ��ç��ҹ��Ǽ�黯Ժѵ� �� ҡ��仵��ͺ��д١��ç��ҹ˹�Ҩ��֧�ش��д١��ç �ͧ��ҧ�Ҿ��ѹ��繻��ҧ�ͧ��д١˹��͡�ʹ� �ҧ�� ͧ�Ѵ�ҡ�ش��鹢��价ҧ��д١˹��͡��繷�� ѹ��ͧ͢�ա��˹��ҧŧ��д١ ˹��͡��ǡ�ҧ��ǶѴ�ҡ��ͷ��ҧ��繷�� ¡��ͷ��ҧ�繷��͡��ҧ�Һ �� ҹ�Ѻ��ͷ��ҧ��躹��д١˹��͡ ��С�˹��͡ (�Ҿ�� 10)
�ա�Ը�˹�觤��ҧ�ѹ��ͧ͢��˹��ç��ҧ˹��͡��ҧ��ǹ��ͧ��ҧ ��ա��˹��ҧ�Һ �� ҹ�Ѻ��á�л��ҳ��ç��ŧ�ç��觡�ҧ��ҧ��ǹ��ͧ��ҧ
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��鹷�� 8. ��˹��͡ 15 ��

��˹��͡��ǻ�� ǻ�� ӵԴ��͡ѹ� 15 �� ͧ��á��ҳ 100 ��/�ҷ� �¹Ѻ ˹��ͧ �� ˡ �� Ỵ �� Ժ �Ժ�� Ժ�ͧ �Ժ�� Ժ�� Ժ�� 㹡�á��෤�Ԥ�ѧ��

�ҧ��˹�觷Һ��ա��˹��ҹ ��ͨл��ҹ��ͷ��ͧ��ҧ��Ҵ��¡ѹ�� §��ͧ��ѧ��˹ѡ��ҹ��ҧŧ��д١˹��͡ ��ŧ��д١��ç ��Ш��繵��˵��ç�ѡ��

��֧��͡�� ҧ�ᢹ ��ᢹ��´�ç ��˹�ͼ��ʵ� ��ȷҧ�ͧ�ç��ŧ��д١˹��͡ ��ç��շ�ȷҧ��§仴�ҹ㴴�ҹ˹�� ç�ж١ᵡ��ͧ��ǹ��ç��С�˹��͡��Ǵ��ջ��Է��Ҿ

��˹��͡��غŧ�˹�觹��Ǥ��觶֧�ͧ�� 4-5 ��. ��غ�ҡ��ҹ��դ��§��С�д١�ѡ¡��鹶�Ҽ��µ��˭��ҡ �Ҩ��ͧ��˹��͡�غŧ��ҡ��ҹ��

㹨ѧ��л��µ�ͧ��͢��ش ��Ҥҹ��˹ѡ��Шз��㨤��µ�� ֧�Ѻ��ش�ҡ˹��͡��Шӷ��˹��Ͷ١��¹�

��鹷�� 9 ��һʹ 2 �� Ѻ�Ѻ��˹��͡ 15 ��

��һʹ 2 ��Ѻ�Ѻ��˹��͡ 15 ��ҧ��ͺ��ش��Թ��ʵ��ա�� ѧ�� ͹�� һʹ��Ѻ�Ѻ��˹��͡��ա�� 4 �ͺ ��Ҽ��ʵԨ�� Ҥ��ͷ��¡仨��Ҷ֧
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��鹷�� 10. ��ͼ��ʵ�� Ѵ��㹷�Ҿѡ��

�Ѵ��͹��ᤧ��ͧ��˹�Ҥ��ҡ�Թ� ��ж�ҵ�ᤧ ��ҡ�Թ仡кѧ��Т�Ѻ�� -�͡�� èѴ��Ҿѡ�� (recovery) ��Ẻ ��ѡ�� 繷�ҵ�ᤧ��駩ҡ�Ѻ��ҡ��ش ��к�¢ͧ ��͡�Ҩҡ�ҧ�Թ�� 繷�ҷ��蹤�� ç��ͷ�ǧ͡��觨з�� Ѵ��ҡ�Ѻ�� ͹˧��кԴ�� ͧ�� Ҷ֧�ҡ��Ш�١�� 繷�ҷ��͹��Դ��úҴ��
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