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§” ”§—≠: ∫√‘°“√°“√·æ∑¬å©ÿ°‡©‘π, Õ”‡¿Õ Ÿß‡¡àπ, ®—ßÀ«—¥·æ√à
Abstract Evaluation of Emergency Medical Services at the Scene by Rescue Teams, Sungmen District, Phrae Province
Pinyo Jearanaikulvanich*
*Sungmen Hospital, Phrae Province
This descriptive research was aimed at evaluating emergency medical services in Sungmen district, Phrae Province. Information was collected from emergency medical service record sheets in the period January 1 - December 31, 2007. Descriptive and content analyses of the data were used. The major findings were as follows: the mean of response times of advance life support (ALS) level was 10.38 minutes, with a standard deviation of 6.39 minutes (more than the national standard), in basic life support (BLS) and first responder (FR) levels, the means were 6.24 and 6.29 minutes, with the standard devia- tions being 2.22 and 2.67 minutes. The means of on scene time of ALS, BLS, FR levels were
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·æ∑¬å©ÿ°‡©‘π (Emergency Medical Services System, EMS) °“√ª∞¡æ¬“∫“≈¢≥– àßµàÕ®“°‚√ßæ¬“∫“≈Õ◊Ëπ Ê ¬—ß
¡’ªí≠À“‰¡à‰¥âµ“¡¡“µ√∞“π∑’˰”Àπ¥ „π¥â“π°“√¥Ÿ·≈°“√À“¬„®
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¢÷Èπ„π æ.». ÚıÙÙ ¡’¿“√°‘®¥â“π°“√∫√‘À“√®—¥°“√, °“√«“ß·ºπ
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Ÿß‡¡àπ‡√‘Ë¡‡ªî¥¥”‡π‘π°“√∫√‘°“√°“√·æ∑¬å©ÿ°‡©‘πÕ¬à“߇ªìπ
∑“ß°“√„π‡¥◊Õπ∏—π«“§¡ ÚıÙ¯ ‚¥¬¡’Àπ૬°Ÿâ™’æª√–°Õ∫
¥â«¬‡®â“Àπâ“∑’Ë¢Õß‚√ßæ¬“∫“≈‡ªìπÀπ૬°Ÿâ™’梗Èπ Ÿß (Advanced Life Support, ALS), ™ÿ¥Àπ૬Փ “°Ÿâ™’æª∞¡¿Ÿ¡‘ (First Re- sponder, FR) ´÷ËßµàÕ¡“ºà“π°“√Ωñ°Õ∫√¡·≈–ª√—∫‡ªìπÀπ૬
°Ÿâ™’梗Èπæ◊Èπ∞“π (Basic Life Support, BLS). À≈—ß°“√
ªØ‘∫—µ‘ß“π¢ÕßÀπ૬°Ÿâ™’懪ìπ‡«≈“ Ú ªï (∏—π«“§¡ ÚıÙ¯ ∂÷ß
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°Ÿâ™’懪ìπÀ≈—°.
√–‡∫’¬∫«‘∏’»÷°…“
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©ÿ°‡©‘π®“°ÀâÕßÕÿ∫—µ‘‡Àµÿ‚√ßæ¬“∫“≈ Ÿß „π™à«ß«—π∑’Ë Ò ¡°√“§¡
æ.». Úıı ∂÷ß«—π∑’Ë ÛÒ ∏—π«“§¡ æ.». Úıı. °“√
5.90, 4.27 and 3.62 minutes, with standard deviations of 3.83, 2.59 and 2.16 minutes. Evalu- ation of all treatments on the scene by doctors were: treatment of respiratory system in ALS level was done properly 100 percent of the time, while in the BLS and FR levels, the treatments were not done in 50 and 53.84 percent of cases requiring treatment. Stoppage of bleeding in the ALS level was done properly 100 percent of the time, in the BLS level it was not done properly in 2.08 percent and not done at all in 16.67 percent of the cases, while in the FR level it was not done in 33.33 percent of the cases requiring treatment.
Splints and slabs in the ALS level were properly applied 100 percent of the time, while in the BLS and FR levels, they were not done in 10.71 and 14.28 percent of the cases re- quiring treatment respectively. Although most rescuers were trained in emergency prac- tices, they all needed more skill and knowledge. The training methods should be revised accordingly.
Key words: emergency medical service, rescue team, Sungmen district, Phrae Province
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°“√ ª√–°Õ∫¥â«¬∫ÿ§≈“°√∑“ß·æ∑¬å À√◊Õæ¬“∫“≈«‘™“™’æ, ºŸâ
™à«¬æ¬“∫“≈, ‡®â“Àπâ“∑’Ë·≈–Õ“ “ ¡—§√.
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®π∂÷߇«≈“∑’Ëπ”ºŸâ∫“¥‡®Á∫ àß∂÷ß‚√ßæ¬“∫“≈.
ı. √–¬–‡«≈“¥Ÿ·≈ºŸâ∫“¥‡®Á∫„π∑’ˇ°‘¥‡Àµÿ (on scene time) À¡“¬∂÷ß√–¬–‡«≈“∂÷ß∑’ˇ°‘¥‡Àµÿ®π∂÷߇«≈“ÕÕ°®“°∑’Ë
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Ÿß‡¡àπ Ò ¡°√“§¡ - ÛÒ ∏—π«“§¡ æ.». Úıı
°“√π” àß √“¬ √âÕ¬≈–
‚¥¬Àπ૬°Ÿâ™’æ ÚÚı .ˆı
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√«¡ ÛÙ,¯ˆÒ Ò.
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√–¬–∑“ß (°‘‚≈‡¡µ√) §à“‡©≈’ˬ §à“‡∫’ˬ߇∫πœ ¡—∏¬∞“π IQR µË” ÿ¥ Ÿß ÿ¥ ™à«ß§«“¡‡™◊ËÕ¡—Ëπ ˘ı %
®“°∞“π‰ª∑’ˇ°‘¥‡Àµÿ
Àπ૬°Ÿâ™’æ ALS Ù.˘Ò Ú.¯Ú ı. ı. Ò. ÒÚ. Ù.ÒÒ-ı.˜Ú
Àπ૬°Ÿâ™’æ BLS Ù.ˆ˘ Û.Û˘ Ù. Û. Ò. ÚÒ. Û.˘˜-ı.ÙÒ
Àπ૬°Ÿâ™’æ FR Ò.˘¯ Ú.Ù¯ Ò. Ò. Ò. ÚÚ. Ò.Ùı-Ú.ıÒ
®“°∑’ˇ°‘¥‡Àµÿ‰ª‚√ßæ¬“∫“≈
Àπ૬°Ÿâ™’æ ALS ı.ˆ Û.¯Û ı. ˆ. Ò. Ò˜. Ù.ıÒ-ˆ.ˆ
Àπ૬°Ÿâ™’æ BLS ı.Ò¯ Ú.ı˘ ı. ı. Ò. Ò. Ù.ˆÙ-ı.˜Ò
Àπ૬°Ÿâ™’æ FR ı.Ú˜ Û.ˆ Ù. Ú. Ú. Ò¯. Ù.ˆÚ-ı.˘Ú
ÒÒˆ
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‰¡à¡’Õ“°“√‡¢’¬«¡à«ßµ“¡ª≈“¬¡◊Õ ª≈“¬‡∑â“; ¡’°“√∫’∫∂ÿß·Õ¡∫Ÿ
„π°√≥’∑’ËÀ“¬„®™â“.
˜. °“√Àâ“¡‡≈◊Õ¥∑’ˇÀ¡“– ¡ §◊Õ ‰¥â√—∫°“√Àâ“¡
‡≈◊Õ¥®“°∫“¥·º≈ ®π‡≈◊Õ¥À¬ÿ¥‰À≈À√◊Õ‰À≈πâÕ¬°«à“‡¥‘¡
®π‰¡à‡ªìπÕ—πµ√“¬∂÷ß™’«‘µ.
¯. °“√„ à‡ΩóÕ°™—Ë«§√“«Õ¬à“߇À¡“– ¡ §◊Õ ºŸâ∫“¥
‡®Á∫·√°√—∫‰¥â√—∫°“√„ à‡ΩóÕ°™—Ë«§√“«∫√‘‡«≥°√–¥Ÿ°À—°‡æ◊ËÕ≈¥
°“√‡®Á∫ª«¥, ªÑÕß°—π°“√∫“¥‡®Á∫‡æ‘Ë¡·≈– –¥«°„π°“√
‡§≈◊ËÕπ¬â“¬.
˘. °“√„Àâ “√≈–≈“¬∑“ßÀ≈Õ¥‡≈◊Õ¥¥”(Û).
º≈°“√»÷°…“
µ“√“ß∑’Ë Ò ∂÷ß ˘
«‘®“√≥å
°“√ªØ‘∫—µ‘°“√¥Ÿ·≈ºŸâ‡®Á∫ªÉ«¬©ÿ°‡©‘π ≥ ®ÿ¥‡°‘¥‡Àµÿ¢Õß Àπ૬°Ÿâ™’æπ”ºŸâªÉ«¬¡“¬—ß‚√ßæ¬“∫“≈¡’ —¥ à«ππâÕ¬‡¡◊ËÕ
µ“√“ß∑’Ë Û §à“‡©≈’ˬ §à“‡∫’ˬ߇∫π¡“µ√∞“π §à“¡—∏¬∞“π IQR §à“µË” ÿ¥ §à“ Ÿß ÿ¥·≈–™à«ß§«“¡‡™◊ËÕ¡—Ëπ ˘ı% ¢Õß√–¬–‡«≈“„π°“√™à«¬‡À≈◊ÕºŸâ
‡®Á∫ªÉ«¬©ÿ°‡©‘π
π“∑’ §à“‡©≈’ˬ §à“‡∫’ˬ߇∫πœ ¡—∏¬∞“π IQR µË” ÿ¥ Ÿß ÿ¥ ™à«ß§«“¡‡™◊ËÕ¡—Ëπ ˘ı%
‡«≈“®“°√—∫·®â߇Àµÿ ALS Ò.Ù .Ò˘ Ò. . Ò. Ú. .˘¯-Ò.˘
∂÷ßÕÕ°§” —Ëߪؑ∫—µ‘ß“π BLS Ò.Ú¯ .Òˆ Ò. . Ò. Ú. .˘¯-Ò.ˆ
FR Ò.¯ .Ú¯ Ò. . Ò. Ú. .˘ˆ-Ò.Ú
‡«≈“®“°ÕÕ°§” —Ëß ALS Ò.Ù .˜Ú Ò. Ò. Ò. Ù. Ò.ÒÛ-Ò.ˆ
ªØ‘∫—µ‘ß“π∂÷ßÕÕ°®“°∞“π BLS Ò.Ò .ÒÒ Ò. . Ò. Ú. .˘¯-Ò.Ù
FR Ò.Ú .ÙÒ Ò. . Ò. Ú. Ò.Û-Ò.Û¯
‡«≈“®“°ÕÕ°®“°∞“π ALS ¯.ÒÙ ı.¯˜ ˆ. ˆ.Ú¯ Ú. Û. ˆ.Ù˜-˘.ıÒ
∂÷ß®ÿ¥‡°‘¥‡Àµÿ BLS Ù.ÚÙ Ú.ÚÚ Û. Ù. Ò. ˘. Û.Ò˜-Ù.˜˜
FR Ù. Ú.Ùˆ Û.ı Ù. Ò. ˘. Ú.˘ı-ı.Ù
‡«≈“®“°√—∫·®â߇Àµÿ ALS Ò.Û¯ ˆ.Û˘ ¯.ı ˜.Úı Ú. Ûı. ¯.ıˆ-ÒÚ.Ò˘
∂÷ß®ÿ¥‡°‘¥‡Àµÿ BLS ˆ.ÚÙ Ú.ÚÚ ˆ. Û.Úı Û. ÒÒ. ı.˜Ò-ˆ.˜˜
FR ˆ.Ú˘ Ú.ˆ˜ ı.ı ı. Û. ÒÒ. ı.Òˆ-˜.Ù
‡«≈“¥Ÿ·≈ºŸâ∫“¥‡®Á∫ ALS ı.˘ Û.¯Û ı. Û. Ò. Ò¯. Ù.Ò¯-ˆ.˘
„π∑’ˇ°‘¥‡Àµÿ BLS Ù.˜Ú Ú.ı˘ ı. Ú. Ò. Òı. Ù.ÒÒ-ı.ÛÙ
FR Û.ˆÚ Ú.Òˆ Û. Û. Ò. Ò. Ú.˜Ò-Ù.ıÛ
‡«≈“ÕÕ°®“°®ÿ¥‡°‘¥‡Àµÿ ALS ˜.ˆÚ Ù.Ú˘ ˆ. ı.˘ Ú. Ú. ˆ.Û˘-¯.ÙÙ
∂÷ß‚√ßæ¬“∫“≈ BLS ı.ÚÚ Ú.Û˜ ı. Ù. Ò. Ò. Ù.ˆˆ-ı.˜˘
FR ¯. Û.˘ı ˜. ˆ.ı Ù. Ú. ˆ.ÛÚ-˘.ˆ˜
‡«≈“ÕÕ°®“°‚√ßæ¬“∫“≈ ALS .ˆˆ . . . . Ú. .Ú˘-Ò.ˆˆ
∂÷ß∞“π BLS ˆ.ÛÚ Û.¯ı ı. .Úı Ú. Û. ı.Ù-˜.ÚÙ
FR Ò¯.ÛÛ ÒÚ.¯˜ Òı.ı ÒÒ.ı ı. ıÙ. ÒÚ.¯˘-ÚÛ.˜˜
‡«≈“∑’Ë„™â∑—ÈßÀ¡¥ ALS ÚÙ.¯Ù ÒÚ.¯˘ ÚÒ. Òı. ¯. ˆ¯. ÚÒ.Ò˜-Ú¯.ı
BLS ÚÚ.¯ ˆ.Òı ÚÒ.ı ¯. Ò. Ùˆ. Ú.ˆÒ-ÚÛ.ıı
FR Ûˆ.Úı ÒÛ.Òı Ûı.ı Ú. Ú. ˜. Û.ˆ˘-ÙÒ.¯
ÒÒ˜
µ“√“ß∑’Ë ˜ °“√ª√–‡¡‘π°“√¥Ÿ·≈°“√Àâ“¡‡≈◊Õ¥ ‚¥¬·æ∑¬å ·≈–欓∫“≈∑’Ë√—∫¥Ÿ·≈µàÕ
Àπ૬°Ÿâ™’æ √“¬ (√âÕ¬≈–)
°“√Àâ“¡‡≈◊Õ¥
ALS BLS FR
®”‡ªìπ·µà‰¡à‰¥â∑” (.) ¯ (Òˆ.ˆ˜) ¯ (ÛÛ.ÛÛ)
∑”‡À¡“– ¡ ˘ (Ò.) Û˘ (¯Ò.Úı) Òˆ (ˆˆ.ˆ˜)
∑”‰¡à‡À¡“– ¡ (.) Ò (Ú.¯) (.)
√«¡ ˘ (Ò.) Ù¯ (Ò.) ÚÙ (Ò.)
µ“√“ß∑’Ë ˆ °“√∑”À—µ∂°“√Àâ“¡‡≈◊Õ¥ ≥ ®ÿ¥‡°‘¥‡Àµÿ·≈–√–À«à“ßπ” àß
Àπ૬°Ÿâ™’æ √“¬ (√âÕ¬≈–)
°“√Àâ“¡‡≈◊Õ¥
ALS BLS FR
‰¡à‰¥â∑” Ûˆ (¯Ò.¯Ú) ÚÙ (Ú˘.ˆÛ) ˆı (¯˜.ÛÒ)
æ—πºâ“√—¥ ˆ (ÒÛ.ˆÙ) ı (ˆ.Ò˜) Ò (Ò.Ú)
„™â¡◊Õ°¥ Ú (Ù.ıÙ) ıÚ (ˆÙ.Ú) Ò˜ (Ú.Ù˘)
√«¡ ÙÙ (Ò.) ¯Ò (Ò.) ¯Û (Ò.)
µ“√“ß∑’Ë ı °“√¥Ÿ·≈°“√À“¬„®‚¥¬·æ∑¬å ·≈–欓∫“≈∑’Ë√—∫¥Ÿ·≈µàÕ
Àπ૬°Ÿâ™’æ √“¬ (√âÕ¬≈–)
°“√¥Ÿ·≈°“√À“¬„®
ALS BLS FR
®”‡ªìπ·µà‰¡à‰¥â∑” (.) ˆ (ı.) ˜ (ıÛ.¯Ù)
∑”·≈–‡À¡“– ¡ Û¯ (Ò.) ˆ (ı.) ˆ (Ùˆ.Òˆ)
√«¡ Û¯ (Ò.) ÒÚ (Ò.) ÒÛ (Ò.)
µ“√“ß∑’Ë Ù °“√∑”À—µ∂°“√ °“√™à«¬°“√À“¬„® ≥ ®ÿ¥‡°‘¥‡Àµÿ·≈–√–À«à“ßπ” àß
Àπ૬°Ÿâ™’æ √“¬ (√âÕ¬≈–)
°“√™à«¬°“√À“¬„®
ALS BLS FR
‰¡à¡’ (.) Ò (ÒÚ.ı) ÚÚ (Úı.Ú˘)
„ àÕÿª°√≥å∂à“ߪ“° (.) Ò (Ò.Úı) (.)
∫’∫∂ÿß·Õ¡∫Ÿ ˆ (ÒÚ.ˆı) (.) (.)
∑”§«“¡ –Õ“¥∑“ßÀ“¬„® Ú (Ù.ıÙ) ÚÚ (Ú˜.ı) Ú (ÚÚ.˘˘)
®—¥∑à“ºŸâªÉ«¬ (.) Ùˆ (ı˜.ı) Ùı (ıÒ.˜Ú)
„ÀâÕÕ°´‘‡®π Ûˆ (¯Ò.¯Ú) Ò (Ò.Úı) (.)
√«¡ ÙÙ (Ò.) ¯ (Ò.) ¯˜ (Ò.)
ÒÒ¯
‡ª√’¬∫‡∑’¬∫°“√æ“¡“‚¥¬≠“µ‘À√◊ÕºŸâª√– ∫‡Àµÿ(Ù) ·≈–
Õ¥§≈âÕß°—∫ß“π«‘®—¬Õ◊Ëπ(ı). ∑—Èßπ’È®”π«π°“√™à«¬‡À≈◊Õ‚¥¬Àπ૬
°Ÿâ™’欗߉¡à¡“°‡∑à“∑’˧«√Õ“®‡°‘¥®“°°“√√—∫√Ÿâ·≈–§«“¡ –¥«°
„π°“√‡¢â“∂÷ß∫√‘°“√¢Õߪ√–™“™π„π‡¢µÕ”‡¿Õ Ÿß‡¡àπ¬—ß¡’‰¡à
¡“°.
„π¥â“π√–¬–∑“ß°“√ªØ‘∫—µ‘°“√¢ÕßÀπ૬ ALS æ∫«à“
√–¬–∑“ß®“°∞“π∂÷ß®ÿ¥‡°‘¥‡Àµÿ ¡’§à“‡©≈’ˬ Ù.˘Ò °‘‚≈‡¡µ√
µàÕ√“¬, ¡’§à“‡∫’ˬ߇∫π¡“µ√∞“π‡ªìπ Ú.¯Ú °‘‚≈‡¡µ√ ‚¥¬¡’
§à“‡©≈’ˬ Ÿß°«à“°“√ªØ‘∫—µ‘ß“π¢ÕßÀπ૬ BLS ·≈–Àπ૬ FR
´÷Ëß¡’§à“‡©≈’ˬ Ù.ˆ˘ ·≈– Ò.˘¯ °‘‚≈‡¡µ√µàÕ√“¬, ¡’§à“‡∫’ˬß
‡∫π¡“µ√∞“π‡ªìπ Û.Û˘ ·≈– Ú.Ù¯ °‘‚≈‡¡µ√ µ“¡≈”¥—∫
“‡Àµÿ‡π◊ËÕß®“°∞“πªØ‘∫—µ‘°“√¢ÕßÀπ૬ BLS ·≈–Àπ૬ FR
Õ¬Ÿà„πæ◊Èπ∑’Ë„°≈â®ÿ¥‡°‘¥‡Àµÿ ¢≥–∑’ËÀπ૬ ALS ¡’∞“πªØ‘∫—µ‘
°“√∑’Ë‚√ßæ¬“∫“≈®÷ß¡’º≈„Àâ√–¬–∑“ß®“°∑’ˇ°‘¥‡Àµÿ‰ª‚√ß æ¬“∫“≈¡“°°«à“.
°“√ªØ‘∫—µ‘°“√¢ÕßÀπ૬ ALS „™â‡«≈“®“°√—∫·®â߇Àµÿ
∂÷ß®ÿ¥‡°‘¥‡Àµÿ‡©≈’ˬ Ò.Û¯ π“∑’µàÕ√“¬ (§à“‡∫’ˬ߇∫π
¡“µ√∞“π‡ªìπ ˆ.Û˘ π“∑’) ´÷Ëß¡’§à“‡©≈’ˬ Ÿß°«à“¢Õß°“√ªØ‘∫—µ‘
ß“π¢ÕßÀπ૬°Ÿâ™’æÕ◊Ëπ(ˆ) ·≈– Ÿß°«à“§à“¢Õß√–¥—∫™“µ‘(˜) ·≈–µà“ß ª√–‡∑»(¯) „π¢≥–∑’ËÀπ૬ BLS æ∫«à“‡«≈“®“°√—∫·®â߇Àµÿ∂÷ß
®ÿ¥‡°‘¥‡Àµÿ¡’§à“‡©≈’ˬ ˆ.ÚÙ π“∑’µàÕ√“¬ (§à“‡∫’ˬ߇∫π
¡“µ√∞“π‡ªìπ Ú.ÚÚ π“∑’) ·≈–Àπ૬ FR æ∫«à“‡«≈“®“°√—∫
·®â߇Àµÿ∂÷ß®ÿ¥‡°‘¥‡Àµÿ¡’§à“‡©≈’ˬ ˆ.Ú˘ π“∑’µàÕ√“¬ (§à“‡∫’ˬß
‡∫π¡“µ√∞“π‡ªìπ Ú.ˆ˜ π“∑’). ∑—Èßπ’ȇæ√“–√–¬–∑“ß®“°∞“𠵓√“ß∑’Ë ¯ °“√ª√–‡¡‘π°“√¥“¡°√–¥Ÿ° ·≈–„ à‡ΩóÕ° ‚¥¬·æ∑¬å ·≈–欓∫“≈∑’Ë√—∫¥Ÿ·≈µàÕ
ALS BLS FR
√“¬ (√âÕ¬≈–) √“¬ (√âÕ¬≈–) √“¬ (√âÕ¬≈–)
‰¡à∑” (.) Û (Ò.˜Ò) Ò (ÒÙ.Ú¯)
∑”‰¡à‡À¡“– ¡ (.) (.) (.)
∑”‡À¡“– ¡ ¯ (Ò.) Úı (¯˘.Ú˘) ˆ (¯ı.˜Ú)
√«¡ ¯ (Ò.) Ú¯ (Ò.) ˜ (Ò.)
µ“√“ß∑’Ë ˘ °“√ª√–‡¡‘π °“√ªØ‘∫—µ‘ß“π¢ÕßÀπ૬°Ÿâ™’æ ALS „π°“√„Àâ “√πÈ”µ“¡√–¥—∫§«“¡®”‡ªìπ‚¥¬·æ∑¬å ·≈–欓∫“≈∑’Ë√—∫¥Ÿ·≈µàÕ
√–¥—∫§«“¡√ÿπ·√ß °“√„Àâ “√πÈ” √“¬ (√âÕ¬≈–)
‰¡à√’∫¥à«π ‰¡à®”‡ªìπ ¯ (Òˆ.)
√«¡ ¯ (Òˆ.)
√’∫¥à«π ‰¡à®”‡ªìπ Ù (¯.)
®”‡ªìπ·µà‰¡à‰¥â„Àâ Ú (Ù.)
„Àâ‡À¡“– ¡ ÚÙ (Ù¯.)
√«¡ Û (ˆ.)
©ÿ°‡©‘π ®”‡ªìπ·µà‰¡à‰¥â„Àâ Ò (Ú.)
„Àâ‡À¡“– ¡ ÒÒ (ÚÚ.)
√«¡ ÒÚ (ÚÙ.)
ÒÒ˘
∂÷ß®ÿ¥‡°‘¥‡Àµÿ —Èπ°«à“√«¡∂÷ß§«“¡‡µ√’¬¡æ√âÕ¡„π°“√ÕÕ°„Àâ
∫√‘°“√¡’¡“°°«à“´÷Ëß —߇°µ®“°‡«≈“ÕÕ°§” —Ëߪؑ∫—µ‘ß“π∂÷ß ÕÕ°®“°∞“π¢ÕßÀπ૬ ALS ¡’‡«≈“‡©≈’ˬ·≈–§à“‡∫’ˬ߇∫π
¡“µ√∞“π∑’Ë Ÿß°«à“.
√–¬–‡«≈“¥Ÿ·≈ºŸâ∫“¥‡®Á∫„π∑’ˇ°‘¥‡Àµÿ¢ÕßÀπ૬ ALS ¡’
§à“‡©≈’ˬ∑’Ë Ÿß°«à“¢ÕßÀπ૬ BLS ·≈–Àπ૬ FR ‡æ√“–À—µ∂
°“√∑’˙૬ºŸâ∫“¥‡®Á∫„π∑’ˇ°‘¥‡Àµÿ¡’¡“°°«à“·≈–¬“°°«à“ ·≈–
Àπ૬∑—Èß “¡√–¥—∫¡’§à“‡©≈’ˬ¢Õß√–¬–‡«≈“¥Ÿ·≈ºŸâ∫“¥‡®Á∫„π∑’Ë
‡°‘¥‡Àµÿ∑’˵˔°«à“„π√–¥—∫™“µ‘(˜).
√–¬–‡«≈“∑’Ë„™â‡¥‘π∑“ßÕÕ°®“°®ÿ¥‡°‘¥‡Àµÿ∂÷ß‚√ßæ¬“∫“≈
¢ÕßÀπ૬ ALS ¡’§à“πâÕ¬°«à“√–¬–‡«≈“®“°∞“π∂÷ß®ÿ¥‡°‘¥
‡Àµÿ∑—Èßπ’ȇæ√“–‡ªìπ√–¬–∑“߇¥’¬«°—π·µà¢“°≈—∫‰¡àµâÕß„™â‡«≈“
‡µ√’¬¡°“√¡“°π—° „π¢≥–∑’Ë√–¬–‡«≈“ÕÕ°®“°®ÿ¥‡°‘¥‡Àµÿ∂÷ß
‚√ßæ¬“∫“≈¢ÕßÀπ૬ BLS ·≈–Àπ૬ FR ¡’§à“¡“°°«à“
√–¬–‡«≈“®“°∞“π∂÷ß®ÿ¥‡°‘¥‡Àµÿ∑—Èßπ’ȇæ√“–‡ªìπ√–¬–∑“ß∑’ˉ°≈
°«à“.
√–¬–‡«≈“ÕÕ°®“°‚√ßæ¬“∫“≈∂÷ß°≈—∫∂÷ß∞“π¢ÕßÀπ૬
ALS ¡’§à“πâÕ¬°«à“Àπ૬ BLS ·≈–Àπ૬ FR ‡æ√“–‚√ß æ¬“∫“≈·≈–∞“πÕ¬Ÿà„π®ÿ¥‡¥’¬«°—π „π¢≥–∑’˰“√ªØ‘∫—µ‘ß“π
¢ÕßÀπ૬ BLS ·≈–Àπ૬ FR „™â‡«≈“ÕÕ°®“°‚√ßæ¬“∫“≈
∂÷ß∞“ππ—Èπ√«¡‡«≈“∑’ˇΩÑ“ —߇°µ°“√¥Ÿ·≈√—°…“¢Õß·æ∑¬å‡¢â“
¥â«¬®÷ß∑”„À⇫≈“∑’Ë„™â∑—ÈßÀ¡¥ Ÿßµ“¡.
¿“æ°“√À“¬„®æ∫«à“ºŸâ‡®Á∫ªÉ«¬©ÿ°‡©‘π¡’°“√∑”À—µ∂-
°“√™à«¬°“√À“¬„® ≥ ®ÿ¥‡°‘¥‡Àµÿ‚¥¬Àπ૬ BLS ·≈–Àπ૬
FR æ∫°“√®—¥∑à“ºŸâªÉ«¬¡“°∑’Ë ÿ¥√âÕ¬≈– ı˜.ı ·≈– ıÒ.˜Ú µ“¡≈”¥—∫. „πÀπ૬ ALS æ∫°“√„ÀâÕÕ°´‘‡®π¡“°∑’Ë ÿ¥√âÕ¬
≈– ¯Ò.¯Ú. °“√¥Ÿ·≈√–∫∫À“¬„®æ∫«à“Àπ૬°Ÿâ™’æ ALS ‰¥â
∑”·≈–∑”‡À¡“– ¡√âÕ¬≈– Ò. à«πÀπ૬ BLS ·≈–Àπ૬
FR ‰¡à‰¥â∑”√âÕ¬≈– ı ·≈– ıÛ.¯Ù ¢ÕߺŸâ‡®Á∫ªÉ«¬©ÿ°‡©‘π∑’Ë
®”‡ªìπµâÕ߉¥â√—∫°“√¥Ÿ·≈°“√À“¬„®µ“¡≈”¥—∫ ·≈– Ÿß°«à“¢Õß
°“√»÷°…“Õ◊Ëπ(¯) ¿“æ∫“¥·º≈æ∫«à“ºŸâ‡®Á∫ªÉ«¬©ÿ°‡©‘π‰¥â√—∫
°“√∑”À—µ∂°“√™à«¬Àâ“¡‡≈◊Õ¥ ≥ ®ÿ¥‡°‘¥‡Àµÿ‚¥¬ªØ‘∫—µ‘°“√
¢ÕßÀπ૬ BLS °“√°¥Àâ“¡‡≈◊Õ¥¡“°∑’Ë ÿ¥√âÕ¬≈– ˆÙ.Ú.
°“√ª√–‡¡‘π§ÿ≥¿“æ°“√™à«¬Àâ“¡‡≈◊Õ¥æ∫«à“Àπ૬ ALS ‰¥â
∑”·≈–∑”‡À¡“– ¡√âÕ¬≈– Ò, à«πÀπ૬ BLS ‰¥â™à«¬∑”
À—µ∂°“√Àâ“¡‡≈◊Õ¥·µà‰¡à‡À¡“– ¡√âÕ¬≈– Ú.¯ ·≈–‰¡à‰¥â∑”
À—µ∂°“√™à«¬Àâ“¡‡≈◊Õ¥ √âÕ¬≈– Òˆ.ˆ˜. Àπ૬ FR ‰¡à‰¥â∑”
À—µ∂°“√™à«¬Àâ“¡‡≈◊Õ¥√âÕ¬≈– ÛÛ.ÛÛ Ÿß°«à“¢Õß°“√»÷°…“
Õ◊Ëπ(ˆ) ‡ªìπÕ¬à“ß¡“°.
°“√ª√–‡¡‘π§ÿ≥¿“æ°“√™à«¬‡À≈◊Õ‚¥¬°“√¥“¡°√–¥Ÿ°æ∫
«à“Àπ૬ ALS ‰¥â∑”·≈–∑”‡À¡“– ¡√âÕ¬≈– Ò, à«πÀπ૬
BLS ‰¡à‰¥â∑”À—µ∂°“√°“√¥“¡°√–¥Ÿ°√âÕ¬≈– Ò.˜Ò, Àπ૬
FR ‰¡à‰¥â∑”À—µ∂°“√°“√¥“¡°√–¥Ÿ°√âÕ¬≈– ÒÙ.Ú¯ ´÷Ëß Ÿß
°«à“¢Õß°“√»÷°…“Õ◊Ëπ(ˆ). °“√ª√–‡¡‘π§ÿ≥¿“æ°“√„Àâ “√πÈ”
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¢Õß°“√»÷°…“Õ◊Ëπ(ˆ).
√ÿª«à“°“√∫√‘°“√ºŸâªÉ«¬©ÿ°‡©‘π ≥ ®ÿ¥‡°‘¥‡Àµÿ¢ÕßÀπ૬
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°“√∑”À—µ°“√¢ÕßÀπ૬ BLS ·≈–Àπ૬ FR „π‡√◊ËÕß°“√¥Ÿ·≈
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∑’Ë∂Ÿ°µâÕ߇À¡“– ¡·≈–√«¥‡√Á«„π°“√„Àâ∫√‘°“√.
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𓬷æ∑¬å°‘µµ‘π—π∑å Õπ√√¶¡≥’ ‰¥â°√ÿ≥“„Àâ§”ª√÷°…“.
𓬷æ∑¬å· ß™—¬ æß»åæ‘™≠åæ‘∑—°…å ºŸâÕ”π«¬°“√‚√ßæ¬“∫“≈
Ÿß‡¡à𠉥â„Àâ°“√ π—∫ πÿπ. ∑’¡ß“πÀâÕß©ÿ°‡©‘π·≈–Õ“ “ ¡—§√°Ÿâ™’æ·≈–‡®â“Àπâ“∑’Ëß“π‡«™√–‡∫’¬π∑ÿ°∑à“𠉥â„Àâ§«“¡
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‡Õ° “√Õâ“ßÕ‘ß
Ò. °Õß√–∫“¥«‘∑¬“. √“¬ß“πª√–®”ªï ÚıÙ˘ [online]. 2007 [cited 2008 january15]; Availiable from: URL: http://epid.moph.go.th/Annual/
Annual49/Part1/59_National.doc.
Ú. —πµå À—µ∂’√—µπå. À≈—°°“√°Ÿâ™’æ §Ÿà¡◊Õ°Ÿâ™’æ. æ‘¡æå§√—Èß∑’Ë Ú. °√ÿ߇∑æœ : ”π—°æ‘¡æåÀ¡Õ™“«∫â“π; ÚıÙ¯. Àπâ“ Ò-Ò˘.
Û. ‰æ»“≈ ‚™µ‘°≈àÕ¡, À∑—¬√—µπå ‡∑«“≈“. °“√„Àâ∫√‘°“√°“√·æ∑¬å©ÿ°‡©‘π,
‡°≥±åª√–‡¡‘π°“√π” àß, ¡“µ√∞“π°“√ÕÕ°ªØ‘∫—µ‘ß“π. „π: «‘∑¬“
™“µ‘∫—≠™“™—¬, ‰æ»“≈ ‚™µ‘°≈àÕ¡ (∫√√≥“∏‘°“√). §Ÿà¡◊Õ°“√®—¥√–∫∫
∫√‘°“√°“√·æ∑¬å©ÿ°‡©‘π®—ßÀ«—¥¢Õπ·°àπ. æ‘¡æå§√—Èß∑’Ë Ò. ¢Õπ·°àπ:
”π—°ß“π‚§√ß°“√«‘®—¬µ”√“ ‚√ßæ¬“∫“≈¢Õπ·°àπ; ÚıÙ˜. Àπâ“
Ò-Ú.
Ù. ‚√ßæ¬“∫“≈ Ÿß‡¡àπ. ∂‘µ‘‚√§∑’Ëæ∫∫àÕ¬„π‡¢µÕ”‡¿Õ Ÿß‡¡àπª√–®”ªï Úıı. ·æ√à : ß“π‡«™√–‡∫’¬π‚√ßæ¬“∫“≈ Ÿß‡¡àπ; ÚııÒ.
ı. ‡Õ·∫§-‡§‡Õ ´’Õ‘π‡µÕ√å‡πµ‚æ≈≈å. º≈°“√«‘®—¬¿“§ π“¡.‚§√ß°“√
”√«® ¿“æ°“√∫√‘°“√√—°…“欓∫“≈ª√–™“™πºŸâ‡®Á∫ªÉ«¬©ÿ°‡©‘π.
°√ÿ߇∑æ¡À“π§√ : ¡À“«‘∑¬“≈—¬Õ— —¡™—≠/ ∂“∫—π«‘®—¬√–∫∫
“∏“√≥ ÿ¢; ÚıÙÛ. Àπâ“ Ò-ÚÒ.
ˆ. π§√ ∑‘æ¬å ÿπ∑√»—°¥‘Ï, «‘∑¬“ ™“µ‘∫—≠™“™—¬, ÿπ—π∑“ »√’«‘«—≤πå, À∑—¬√—µπå
‡∑‡«≈“. °“√ª√–‡¡‘πº≈°“√ªØ‘∫—µ‘ß“π¢ÕßÀπ૬°Ÿâ™’æ‚√ßæ¬“∫“≈
¢Õπ·°àπª√–®”ªï ÚıÙˆ. „π: «‘∑¬“ ™“µ‘∫—≠™“™—¬, ‰æ»“≈ ‚™µ‘°≈àÕ¡
(∫√√≥“∏‘°“√). °“√ª√–‡¡‘πº≈°“√ªØ‘∫—µ‘ß“π¢ÕßÀπ૬°Ÿâ™’æ‚√ß æ¬“∫“≈¢Õπ·°àπª√–®”ªï ÚıÙˆ. ¢Õπ·°àπ: ”π—°ß“π‚§√ß°“√
«‘®—¬µ”√“‚√ßæ¬“∫“≈¢Õπ·°àπ; ÚıÙ˜. Àπâ“ Ò-Ò˘.
˜. ÿ√‡™…∞å ∂‘µπ‘√“¡—¬. °“√®—¥°“√¥Ÿ·≈ºŸâªÉ«¬©ÿ°‡©‘π°àÕππ” àß‚√ß æ¬“∫“≈°√≥’»÷°…“ ª√–‡∑» À√—∞Õ‡¡√‘°“ ÕÕ ‡µ√‡≈’¬ Ω√—Ë߇» «’‡¥π
®’π ·Õø√‘°“„µâ ª“°’ ∂“π ·≈–ª√–‡∑»‰∑¬ [ÕÕπ‰≈πå]. 2007 [cited 2007 october 15]; Availiable from: URL: http://narendhorn.
moph.go.th.
¯. Pons PT, Haukoos JS, Bludworth W. Paramedic response time:
does it affect survival? Acad Emerg Med 2005;12:594-600.