saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba
Georgian Society of Anesthesiology and Critical Care Medicine
gadaudebeli samedicino daxmarebis swavlebis programa eqTnebisTvis
Tbilisi 2007
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
gadaudebeli samedicino daxmarebis swavlebis programaeqTnebisTvis
gadaudebeli daxmarebis ganyofilebis mowyoba, miznebi da amocanebigadaudebeli daxmarebis eqTnis samuSaos aRweriloba
saeqTno eTika piradi usafrTxoeba infeqciis kontroli (aseptika da antiseptika)
sicocxlis gadarCenis daxvewili gaidlaini triaJi ABC (sasunTqi gzebi, sunTqva, sisxlis mimoqceva)
sasunTqi gzebis gamtareblobis uzrunvelyofis meTodebi da gul-filtvis reanimacia; daavadebis anamnezi da garegani daTvaliereba
travmis dros sicocxlis gadarCenis daxvewili algoriTmi travmis ganviTarebis meqanizmi
travmis pirveladi mkurnaloba sayrden-mamoZravebeli sistemis travma da artaSaniT fiqsaciis meTodebi
gulmkerdis travma qala-tvinis da kisris travma Wrilobis mkurnaloba da sisxldenis SeCereba tkivilis menejmenTi damwvrobis simZimis xarisxis Sefaseba da movla sunTqvis mwvave ukmarisoba mravlobiTi travmis mqone dazaralebuli muclis Rrusa da Sard-sasqeso sistemis travma, mwvave muceli gadaudebeli mdgomareobebi fsiqiatriaSi; samedicino Careva krizisuli mdgomareobebisas farmakologia, narkomania da intoqsikacia infeqciuri daavadebebi da maTze kontroli anafilaqsia naxvevis dadebis teqnika orogastraluri zondireba Sardis buStis kaTeterizacia nazogastraluri zondireba mwvave muceli ugono mdgomareobaSi myofi dazaralebuli; sxvadasxva genezis Sokis movla; mdgomareobis stabilizacia transportirebisaTvis; garemo pirobebiT gamowveuli ubeduri SemTxvevebi ; stresis sawinaaRmdego RonisZiebebi; kavSirisa da sadispetCero kontrolis saSualebebi;
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
sicocxlis gadarCenis daxvewili algoriTmi pediatriaSi
bavSvTa asakis gadaudebeli mdgomareobebi travma bavSvTa asakSi mSobiaroba axalSobilTa reanimacia gadaudebeli daxmareba sameano saqmeSi
daxvewili kardiologiuri daxmareba
tkivili gulmkerdis areSi bradikardia supraventrikuluri da ventrikuluri taqikardia gul-sisxlZarRvTa sistemis funqciis mwvave moSla da ekg-s pirveladi interpretacia gulis gaCereba –diagnostika, mizezebi, movla ekg pirveladi interpretacia, ekg monitoringi, mwvave koronaruli sindromi gulis travmuli gaCereba gulis gaCereba hipoTermiis dros
sxva saxis gadaudebeli daxmareba
Soki krunCxva respiratoruli distresi – filtvis SeSupeba Tavis tvinSi sisxlis mimoqcevis moSla tkivilis kontroli sameano gadaudebeli daxmareba eklamfsia, preeklamfsia gulisreva da Rebineba interhospitaluri da intrahospitaluri transportireba agznebuli pacienti
gadaudebeli daxmarebis ganyofilebis mowyoba, miznebi da amocanebi
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
aRniSnuli modulis swavlebis mizanSewoniloba:
eqTans unda SeeZlos saeqTno saqmis dagegmva da realizacia, unda aRiaros Tavisi
pasuxismgebloba ara marto pacienti winaSe, aramed sazogadoebis, samedicino profesiis
specialistebisa da sakuTari Tavis winaSe. pativi unda sces pacientis da kolegebis
uflebebs da kanonis farglebSi daicvas konfidencialoba pacientis mimarT.
gacnobierebuli unda qondes sakuTari ufleba movaleobebi, Fflobdes urTierTobis
kulturas da sakomunikacio unar Cvevebs.
unda flobdes samedicino saqmianobaSi arsebuli zneobisa da moralis normebs da
icnobdes saproblemo sakiTxebs.
gadaudebeli samedicino daxmarebis eqTani valdebulia kargad icnobdes ganyofilebis
daniSnulebas, mis adgils pacientTa samedicino marTvis uwyvet jaWvSi, icnobdes
gansxvavebebs prehospitaluri da hospitaluri daxmarebis specifikaSi, SeZlos
monawileobis miReba ganyofilebaSi warmoqmni;li problemebis gadaWraSi, gaazrebuli
hqondes ganyofilebis funqcionirebis Taviseburebebi.
modulis swavlebis mizania msmenelma:
● SeiZinos codna gadaudebeli daxmarebis ganyofilebaSi pacientTa samedicino
marTvis Taviseburebebis Sesaxeb;
● gaerkves gadaudebeli daxmarebis ganyofilebis mowyobisa da marTvis ZiriTad
principebSi;
● SeZlos imuSaos gadaudebeli daxmarebis ganyofilebaSi Tavisi adgilisa da
funqciis gaazrebiT ganyofilebis struqturaSi da samdicino personalis sxva
wevrebTan mimarTebaSi;
modulis amocanebia, msmeneli gaerkves:
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
• gadaudebeli daxmarebis ganyofilebis funqcionirebis ZiriTadi principebSi;
• pacientTa nakadis marTvis TaviseburebebSi;
• didi raodenobiT dazaralebulTa erTdroulad Semosvlisas pacientTa nakadis
marTvis TaviseburebebSi;
• qimiuri da radiaciuli dabinZurebis SemTxvevaSi personalis moqmedebebis
TanmimdevrobaSi;
• biologiuri iaraRis gamoyenebis eWvis SemTxvevaSi personalis moqmedebebis
TanmimdevrobaSi;
• gansakuTrebulad saSiS infeqciaze eWvis SemTxvevaSi personalis moqmedebebis
TanmimdevrobaSi;
• ganyofilebaSi mkurnalobis zogad specifikaSi;
• ganyofilebis teqnikuri aRWurvis minimalur standartSi;
• medikamentozuri uzrunvelyofis TaviseburebebSi.
• ganyofilebis TiToeuli danayofis daniSnulebasa da funqcionirebis
TaviseburebebSi;
• ganyofilebis gegmarebis TaviseburebebSi;
• ganyofilebis strategiul da mimdinare amocanebSi;
sabaziso codnis moculoba:
● gadaudebeli daxmarebis ganyofilebis adgili pacientTa samedicino marTvis uwyvet
jaWvSi;
● kavSiris Taviseburebebi rogorc prehospitalur, aseve hospitalur etapTan;
● pacientTa triaJi rogorc SemTxvevis adgilze, aseve gadaudebeli daxmarebis
ganyofilebaSi;
● didi raodenobiT dazaralebulTa erTdroulad Semosvlisas ganyofilebis da
samedicino personalis TiToeuli wevris moqmedebis specifika da sxva wevrebTan
sinqronizacia-gundurobis principiT;
● qimiuri iaraRiT dabinZurebaze eWvis SemTxvevaSi ganyofilebis da samedicino
personalis TiToeuli wevris moqmedebis Tavisebureba;
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● radiaciul dabinZurebaze eWvis SemTxvevaSi ganyofilebis da samedicino personalis
TiToeuli wevris moqmedebis Tavisebureba;
●biologiuri iaraRis gamoyenebaze eWvis SemTxvevaSi ganyofilebis da samedicino
personalis TiToeuli wevris moqmedebis Tavisebureba;
● gansakuTrebiT saSiS infeqciaze eWvis SemTxvevaSi ganyofilebis da samedicino
personalis TiToeuli wevris moqmedebis Tavisebureba;
●kavSiris da urTierTqmedebis sistema da Taviseburebebi hospitlis ganyofilebebTan,
diagnostikur da ambulatoriul samsaxurebTan;
● gadaudebeli daxmarebis ganyofilebaSi pacientTa miRebis kriteriumebi;
● informaciis nakadis marTva;
●gadaudebeli daxmarebis ganyofilebaSi pacientTa samedicino uzrunvelyofis
gansxvaveba hospitalur da stacionaramdel prehospitalur etapebTan;
● ganyofilebis TiToeuli rgolSi samedicino uzrunvelyofis Taviseburebebi
(observaciis palatebi, sareanimacio darbazi, sangamtari da sxva);
● mTlianad ganyofilebisa da ganyofilebis TiToeuli rgolis teqnikuri
aRWurvilobis minimaluri standarti da teqnikuri uzrunvelyofis Taviseburebebi.;
●aRWurvilobisa da teqnikuri uzrunvelyofis ZiriTadi maxasiaTeblebi;
● medikamentozuri da erTjeradi moxmarebis sagnebiT ganyofilebis uzrunvelyofis
minimaluri standarti ganyofilebis simZlavreze gaTvliT;
bazisuri unar - Cvevebi:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos:
● awarmoos pacientTa triaJi rogorc SemTxvevis adgilze, aseve gadaudebeli
daxmarebis ganyofilebaSi;
● didi raodenobiT dazaralebulTa erTdroulad Semosvlisas imoqmedos adeqvaturad,
sakuTari adgilisa da funqciis gacnobierebiT, samedicino personalis TiToeuli
wevrTan SeTanxmebulad;
● qimiuri iaraRiT, radiaciul Tu biologiuri iaraRiT dabinZurebaze eWvis
SemTxvevaSi imoqmedos adekvaturad, sakuTari adgilisa da funqciis gacnobierebiT,
samedicino personalis TiToeuli wevrTan SeTanxmebulad;
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● gadaudebeli daxmarebis ganyofilebaSi pacientTa miRebisa da gadayvanis organizeba
prehospitaluri da hospitaluri etapebidan miRebul informaciaze dayrdnobiT;
● ganyofilebis TiToeuli rgolSi adeqvaturi muSaoba samedicino uzrunvelyofis
Taviseburebebis gaTvaliswinebiT (observaciis palatebi, sareanimacio darbazi,
sangamtari da sxva);
● teqnikuri aRWurvilobis mwyobridan gamosvlis SemTxvevaSi droulad daafiqsiros
problema da miiRos adeqvaturi zomebi;
moqmedebis gegmebi, ganyofilebis, misi TiToeuli rgolis da personalis
muSaobis debulebebi:
● gadaudebeli daxmarebis ganyofilebis muSaobis debuleba;
● gadaudebeli daxmarebis ganyofilebis personalis muSaobis debulebebi;
● informaciis miRebisa da gadacemis debulebebi;
● sadispetCeros muSaobis debuleba da sadispetCero protokolebi;
● pacientTa triaJi SemTxvevis adgelze;
● pacientTa triaJi gadaudebeli daxmarebis ganyofilebaSi;
● didi raodenobiT dazaralebulTa erTdroulad Semosvlisas ganyofilebis
moqmedebis gegma;
● qimiuri iaraRiT dabinZurebaze eWvis SemTxvevaSi ganyofilebis moqmedebis gegma;
● radiaciul dabinZurebaze eWvis SemTxvevaSi ganyofilebis moqmedebis gegma;
●biologiuri iaraRis gamoyenebaze eWvis SemTxvevaSi ganyofilebis moqmedebis gegma;
● gansakuTrebiT saSiS infeqciaze eWvis SemTxvevaSi moqmedebis gegma;
● ganyofilebis urTierTqmedebis gegmebi SemTxvevis adgilze gadaudebeli daxmarebis
brigadebTan;
● ganyofilebis urTierTqmedebis gegmebi hospitalis sxvadasxva ganyofilebebTan
(diagnostikuri, ambulatoria, intensiuri Terapia da sxva);
● pacientTa nakadis marTvis gegmebi;
● gadaudebeli daxmarebis ganyofilebaSi pacientTa miRebisa da gadayvanis gegmebi da
kriteriumebi;
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● ganyofilebisa teqnikuri aRWurvilobisa da teqnikuri uzrunvelyofis mwyobridan
gamosvlis SemTxvevaSi moqmedebis gegmebi.;
kompentenciis gaumjobeseba
saswavlo programis mocemuli moduli xels Seuwyobs msmenels:
● gaacnobieros gadaudebeli daxmarebis ganyofilebis roli “sicocxlis gadarCenis
uwyvet jaWvSi”, ecodineba ra ganyofilebis roli hopitalamdeli etapidan
hospitalamde pacientTa samedicino marTvaSi;
● gaerkves gadaudebeli daxmarebis ganyofilebis mTlianad da misi TiToeuli rgolis
muSaobis specifikaSi, ganixilavs ra ganyofilebis, misi TiToeuli rgolis, personalis
moqmedebis debulebebs;
● SeiZinos codna pacientTa nakadis marTvis ZiriTad principebSi rogorc ordinaruli,
aseve sagangebo situaciebis dros, Seiswavlis da ganixilavs ra triaJis principebs,
ganyofilebis reagirebis gegmebs da urTierTqmedebis specifikas hospitalamdel da
hospitalur etapebTan;
● SeZlos saWiroebisas monawileoba miiRos ganyofilebis strategiul da operatiul
marTvaSi, ecodineba ra ganyofilebis minimaluri standartuli resursi,
hospitalamdel da hospitaluri etapebTan kavSirisa da urTierTqmedebis ZiriTadi
principebi, saerTaSoriso gamocdileba da sxvadasxva qveynebis analogiur sistemebs
Soris ZiriTadi gansxvavebebi.
● Rirseuli adgili daiWiros ganyofilebis infrastruqturaSi da adekvaturad
Seasrulos masze dakisrebuli movaleoba, vinaidan gacnobierebuli eqneba
gadaudebeli daxmarebis eqTnis roli jandacvis sistemaSi, Tavisi adgili da funqcia
ganyofilebis infrastruqturaSi, cxadad da garkveviT ecodineba Tavisi roli
pacientTa samedicino uzrunvelyofis teqnologiur jaWvSi rogorc ordinarul, aseve
saganfebo situaciebisas.
gadaudebeli daxmarebis eqTani _samuSaos aRweriloba:
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
modulis swavlebis mizanSewoniloba:
gadaudebeli samedicino daxmarebis eqTani garkveuli unda iyos Tavis funqciebSi,
uflebebsa da movaleobebSi. SeeZlos gansazRvros Tavisi kompetenciis farglebi
rogorc klinikur, aseve saorganizacio sakiTxebSi. dazustebiT unda icodes im
codnisa da praqtikuli unar_Cvevebis moculoba, romelic dasWirdeba ganyofilebaSi
muSaobisas. gacnobierebuli unda hqondes sakuTari pasuxismgeblobis moculoba.
modulis swavlebis mizania msmenelma:
● SeiZinos profesiuli codna;
● gaarkvios Tavisi kompetenciis farglebi;
● gaarkvios Tavisi pasuxismgeblobebi;
● icodes im sabaziso codnisa da unar_Cvevebis moculoba, rac dasWirdeba Tavisi
movaleobis Sesrulebisas;
● icodes Tavisi administraciuli da saganmanaTleblo movaleobebi;
modulis amocanebi:
modulis swavlebis programis dasrulebis Semdeg gadaudebeli samedicino daxmarebis
eqTani:
• Tavidan aicilebs, arakvalificirebuli samedicino muSaobis uaryofiT Sedegebs,
• gaiTvaliswinebs sxvaTa interesebis,
• marTavs sakuTar emociebs,
• SeZlebs daeuflos saubris warmarTvis xelovnebas,
• SeZlebs daicvas urTierTobaSi zomiereba da taqti,
• SeZlebs praqtikulad gamoiyenos Jestisa da mimikis kultura,
• SeZlebs wina planze daayenos da daicvas pacientis interesebi.
• SeZlebs daimsaxuros pacientis ndoba da keTili ganwyoba.
• efeqturi komunikaciis safuZvelze moipovebs informacias (anamnezi) pacientis Sesaxeb da iyenebs mas
mkurnalobis efeqturi dagegmvisaTvis
• gaecnoba pacientTan urTierTobis samarTlebriv aspeqtebs da zneobis kavSirebs samarTalTan, politikasTan
da religiasTan
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
• SeiZens codnas Tavisi uflebebisa da movaleobebis Sesaxeb;
• gaerkveva Tavisi kompetenciis farglebSi gadaudebeli daxmarebis ganyofilebis
funqcionirebisas;
• ecodineba sabaziso codnisa da unar_Cvevebis moculoba, rac dasWirdeba Tavisi
movaleobis Sesrulebisas;
• ecodineba Tavisi administraciuli da saganmanaTleblo movaleobebis Sesaxeb;
• ecodineba pacientTa nakadis marTvaSi Tavisi roli;
• gaiTviTcnobierebs didi raodenobiT dazaralebulTa erTdroulad Semosvlisas
sakuTar rolsa da pasuxismgeblobas;
• qimiuri, radiaciuli da biologiuri iaraRiT dabinZurebis SemTxvevaSi gunduri
moqmedebebisas Tavis adgils;
• ganyofilebis teqnikuri aRWurvilobis moxmarebas sakuTari kompetenciis
farglebs;
• ganyofilebis TiToeuli danayofis funqcionirebisas gansazRvravs sakuTari
kompetenciis farglebs;
• gansazRvravs sakuTar rols ganyofilebis strategiul da mimdinare amocanebis
gadawyvetaSi;
bazisuri codna da unar-Cvevebi:
gadaudebeli samedicino daxmarebis eqTanma unda icodes sakuTari adgili da
kompetencia:
● gadaudebeli daxmarebis ganyofilebaSi;
• gadaudebeli daxmarebis ganyofilebis TiToeuli rgolis funqcionirebisas;
• pacientTa nakadis marTvaSi;
• didi raodenobiT dazaralebulTa erTdroulad Semosvlisas;
• qimiuri, radiaciuli da biologiuri iaraRiT dabinZurebis SemTxvevaSi;
• ganyofilebis teqnikuri aRWurvilobis moxmarebisas;
• ganyofilebis strategiul da mimdinare amocanebis gadawyvetaSi;
kompentenciis gaumjobeseba
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
saswavlo programis mocemuli moduli xels Seuwyobs:
● gadaudebeli daxmarebis ganyofilebaSi eqTnis kompetenciisa da pasuxismgeblobis
mkacrad gansazRvras, gaecnoba ra msmeneli Tavis ufleba-movaleobebs da misdami
wayenebul moTxovnebs;
• sagangebo situaciebisas eqTnis kompetenciisa da pasuxismgeblobis mkacrad
gansazRvras, ganixilavs ra msmeneli sagangebo situaciis sxvadasxva variantisas
sakuTari kompetenciisa da pasuxismgeblobis CarCoebs.
sicocxlis gadarCenis daxvewili gaidlaini
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
modulis swavlebis mizanSewoniloba:
gadaudebeli daxmarebis eqTans unda SeeZlos amoicnos kritikuli/gadaudebeli
mdgomareobebi, Seafasos simZime, adeqvaturi da swrafi zomebi miiRos maT
aRmosafxvrelad, pacientis sicocxlis uzrunvelyofisa da stabilizaciisTvis.
gadaudebeli daxmarebis eqTani srulyoflad unda flobdes kritikuli/gadaudebel
mdgomareobaSi pacientis pirveli stabilizaciisaTvis saWiro yvela manipulacias,
gaaCndes saTanado Teoriuli codna.
modulis swavlebis mizania msmenelma:
● SeiZinos kritikuli/gadaudebeli mdgomareobaSi myof pacientTa pirveladi
stabilizaciisaTvis aucilebeli bazisuri codna Sesabamis Teoriul da praqtikul
sferoebSi;
● ganaviTaros analizuri, Sefasebis Cvevebi da unarebi sicocxlisaTvis saSiSi
paTologiebis drouli amocnobisa da marTvisaTvis. pacientTan an mis axloblebTan
komunikaciis Cvevebi.
● miiRos didi raodenobiT dazaralebulTa SemTxvevaSi situaciis adeqvaturi
marTvisaTvis aucilebeli codna;
● SeZlos miRebuli Teoriuli codnisa da praqtikuli unar-Cvevebis gamoyeneba
gadaudebel SemTxvevebSi pacientebis mkurnalobisaTvis. efeqturi komunikacia
pacientTan da mis naTesavebTan.
programis amocanebi:
warmodgenili modulis swavlebis dasrulebis Semdeg gadaudebeli daxmarebis eqTani:
● SeiZens Sesabamisi codnas, rac mas saSualebas miscems droulad amoicnos
pacientebTan ganviTarebuli sicocxlisaTvis saSiSi paTologiebi da moaxdinos
mdgomareobis pirveladi stabilizacia.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● ganiviTarebs kritikuli/gadaudebeli mdgomareobiT pacientis gasinjvis, sasicocxlo
funqciebis swrafi Sefasebis, reanimaciuli RonisZiebebis sworad Catarebis da
amisaTvis saWiro yvela manipulaciis unar-Cvevebs.
bazisuri codna:
gadaudebeli samedicino daxmarebis eqTanma unda icodes:
triaJi ABC (sasunTqi gzebis gamavlobis, sunTqvis, sisxlis mimoqcevis uzrunvelyofa) sasunTqi gzebis gamtareblobis uzrunvelyofis meTodebi da gul-filtvis reanimacia; daavadebis anamnezis Sekreba da garegani daTvaliereba
bazisuri unar - Cvevebi:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos:
● anamnezis Sekreba, pacientis pirveladi gasinjva, saTanado informaciis wardgena
eqimisTvis da pacientis samedicino baraTSi registracia;
● triaJi rogorc hospitalamdel etapze, aseve gadaudebeli daxmarebis ganyofilebaSi.
● sasunTqi gzebis gamavlobis, sunTqvis, sisxlis mimoqcevis uzrunvelyofa.
● periferiuli venebis kanulacia, Sardis buStis kaTeterizacia, nazo an oro-
gastruli zondis Cadgma, sisxldenis SeCereba.
● filtvebis xelovnuri ventilaciis arainvaziuri meTodebis (piri-pirSi, piri-cxvirSi,
“ambu” –respiratori) da sahaero gzebis gamavlobis uzrunvelyofa, pirdapiri
laringoskopia, traqeis swrafi Tanmimdevruli intubacia, oqsigenoTerapiis sxvadsxva
mowyobilobebis adeqvaturi gamoyeneba (inhalacia, cxviris kanulebi, niRabi, sarqvliani
niRabi, maRal procentiani Jangbadis mimwodebeli niRabi da a.S.)
● gulis arapirdapiri masaJis Sesruleba (asakobrivi Taviseburebebis gaTvaliswinebiT),
defibrilatoris, gamoyeneba.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● motexili kidurebis imobilizacia, kisris fiqsatoris gamoyeneba, sisxldenis
sawinaaRmdego laxtebis dadeba, damwvrobis sawinaaRmdego safenebis gamoyeneba,
pacientis inter - da intra – hospitaluri usafrTxo transportireba, aseptika-
antiseptikis principebis dacva.
● samedicino aparaturis swori gamoyeneba, movla, testireba, pacientis, sakuTari Tavis
da garSemo myofTa teqnikuri da bio-usafrTxoobis dacva.
gamokvlevebis, mkurnalobis da intervenciebis gegma:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos, Tavis kompetenciis
farglebSi, eqimTan SeTanxmebiT SeimuSavos da pacients an mis naTesavebs gaacnos:
● aucilebeli Tu sasurveli invaziuri Carevebis an sxva saxis intervenciebis gegma,
maTi aucilebloba da SesaZlo garTulebebi – gvedriTi movlenebi.
● mkurnalobis gegma (uaxloesi da Semdgomi), sxva klinikaSi/ganyofilebaSi SesaZlo
gadayvanis gegma, daavadebis mimdinareobisa da SesaZlo klinikuri gamosavlis
prognozi (saerTaSoriso statistikur monacemebze dayrdnobiT).
kompentenciis gaumjobeseba
saswavlo programis mocemuli moduli xels Seuwyobs:
● prehospitalur etapze kritikul/gadaudebel mdgomareobaSi pacientis sasicocxlo
funqciebis pirveladi stabilizaciisaTvis Cvevebis ganviTarebas. gaecnoba ra
pacientTa kritikul daavadebebis mizezebsa da mkurnalobis SesaZlo gzebs, eqTani
eqimTan erTad SeZlebs am problemebis efeqtian marTvas;
• problemis gadaWris specifikuri Cvevebis gamoyenebas. Seiswavlis ra
sasicocxlo funqciebis pirveladi stabilizaciisaTvis saWiro unar-Cvevebs
• didi raodenobiT dazaralebulTa SemTxvevaSi situaciis adekvatur marTvas
Seiswavlis ra triaJis meTodebs rogorc hospitalamdel etapze, aseve fadaudebeli
daxmarebis ganyofilebaSi.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
travmis dros sicocxlis gadarCenis daxvewili algoriTmi
modulis swavlebis mizanSewoniloba:
gadaudebeli daxmarebis eqTans unda SeeZlos amoicnos mwvave travmiT gamowveuli
gadaudebeli mdgomareobebi, Seafasos simZime da adekvaturi da swrafi zomebi miiRos
maT aRmosafxvrelad, pacientis sicocxlis uzrunvelyofisa da stabilizaciisTvis.
gadaudebeli daxmarebis eqTani srulyoflad unda flobdes mwvave travmiT pacientis
mdgomareobis stabilizaciisaTvis saWiro yvela manipulacias. gaaCndes saTanado
Teoriuli codna. unda SeeZlos monawileobis miReba uwyvet samedicino ganaTlebaSi
da SeeZlos sakuTari codnis gadacema kolegebisa Tu sxva dainteresebuli pirisaTvis
modulis swavlebis mizania msmenelma:
● SeiZinos mwvave travmiT pacientTa samedicino marTvisaTvis aucilebeli bazisuri
codna Sesabamis Teoriul da praqtikul sferoebSi;
● ganaviTaros analizuri, Sefasebis da eqspres – sadiagnostiko Cvevebi da unarebi
sicocxlisaTvis saSiSi paTologiebis drouli amocnobisa da marTvisaTvis es aseve
iTvaliswinebs pacientTan an mis mSoblebTan komunikaciis Cvevebis gaumjobesebas
gasinjvis, monacemTa registraciis da informaciis gamoyenebis procesebSi;
● SeZlos miRebuli Teoriuli codnisa da praqtikuli unar-Cvevebis gamoyeneba
pacientebis mkurnalobisaTvis, gansakuTrebiT gadaudebel SemTxvevebSi. efeqturi
komunikacia pacientTan da mis axloblebTan;
programis amocanebi:
warmodgenili modulis swavlebis dasrulebis Semdeg gadaudebeli daxmarebis eqTani:
● SeiZens Sesabamisi codnas, rac mas saSualebas miscems droulad amoicnos da
asisitireba gauwios eqims mwvave travmiT pacientebTan ganviTarebul sicocxlisaTvis
saSiS nozologiebis, sindromebis da klinikuri mdgomareobebis mkurnalobaSi.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● ganiviTarebs mwvave travmiT pacientis gasinjvis, sasicocxlo funqciebis swrafi
Sefasebis, reanimaciuli RonisZiebebis sworad Catarebis da amisaTvis saWiro yvela
manipulaciis unar-Cvevebs.
bazisuri codna:
• gadaudebeli samedicino daxmarebis eqTanma profesiuli kompentenciis
sazRvrebSi unda icodes:
travmis ganviTarebis meqanizmis safuZvlebi;
travmis pirveladi mkurnalobis safuZvlebi; sayrden-mamoZravebeli sistemis travma da artaSaniT fiqsaciis meTodebi ;
gulmkerdis travma; qala-tvinis da kisris travma; Wrilobis movla da sisxldenis SeCereba; damwvrobis simZimis xarisxis Sefaseba da movla; sunTqvis mwvave ukmarisobis ganviTarebis meqanizmi; mravlobiTi travmis mqone dazaralebulis movla; muclis Rrusa da Sard-sasqeso sistemis travma, mwvave muceli; gadaudebeli mdgomareobebi fsiqiatriaSi; samedicino Careva krizisuli mdgomareobebisas; medikamentebis Seyvanis meTodebi da dozirebebi; infeqciuri daavadebebi da maTze kontroli; anafilaqsia; mwvave muceli; ugono mdgomareobaSi myofi dazaralebulis movla; sxvadasxva genezis Sokis pirveladi daxmareba; mdgomareobis stabilizacia transportirebisaTvis kompetenciis farglebSi; garemo pirobebiT gamowveuli ubeduri SemTxvevebi; eqTnis adgili katastrofebis samedicino uzrunvelyofaSi; stresis sawinaaRmdego RonisZiebebi; kavSirisa da sadispetCero kontrolis saSualebebi.
● zemoT CamoTvlili sindromebis diagnostikis (maT Soris eqspres-) safuZvlebi.
bazisuri unar - Cvevebi:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos:
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● anamnezis Sekreba, pacientis sabaziso gasinjva, saTanado informaciis miwodeba
eqimisTvis da pacientis samedicino baraTSi registracia;
● sisxlis wnevis arainvaziuri gazomva, eleqtrokardiogramis gadaReba, pacientis
momzadeba gulmkerdis da muclis Rrus eqoskopiisTvis aseve rentgenogramis,
kompiuteruli tomografiis, magnituri rezonansis gamosaxulebis da sxva
radiologiuri diagnostikuri meTodebisTvis.
● laboratoriuli kvlevisTvis (maT Soris baqteriologiuri) sxvadsxva masalis
swori aReba.
● periferiuli venis kanulacia, Sardis buStis kaTeterizacia, nazo an oro-gastruli
zondis Cadgma, martivi zedapiruli Wrilobis gakerva, sisxldenis SeCereba.
● filtvebis xelovnuri ventilaciis arainvaziuri meTodebis (piri-pirSi, piri-cxvirSi,
“ambu” –respiratori) da sahaero gzebis gamavlobis uzrunvelyofa, pirdapiri
laringoskopia, traqeis swrafi Tanmimdevruli intubacia, oqsigenoTerapiis sxvadsxva
mowyobilobebis adeqvaturi gamoyeneba (inhalacia, cxviris kanulebi, niRabi, sarqvliani
niRabi, maRal procentiani Jangbadis mimwodebeli niRabi da a.S.)
● gulis arapirdapiri masaJis Sesruleba (asakobrivi Taviseburebebis gaTvaliswinebiT),
defibrilatoris, sinqronuli kardioversiis, garegani peismekeris (riTmis wamyvani)
gamoyeneba (usafrTxo da swori),
● motexili kidurebis imobilizacia, kisris fiqsatoris gamoyeneba, sisxldenis
sawinaaRmdego laxtebis dadeba, damwvrobis sawinaaRmdego safenebis gamoyeneba,
pacientis inter - da intra – hospitaluri usafrTxo transportireba, aseptika-
antiseptikis principebis dacva.
● samedicino aparaturis swori gamoyeneba, movla, testireba, pacientis, sakuTari Tavis
da garSemo myofTa teqnikuri da bio-usafrTxoebis dacva.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
gamokvlevebis, mkurnalobis da intervenciebis gegma:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos, Tavis kompetenciis
farglebSi, eqimTan SeTanxmebiT pacients an mis axloblebs gaacnos:
● aucilebeli sadiagnostiko kvlevis CamonaTvali (saswrafo da mogvianebiTi).
● aucilebeli Tu sasurveli invaziuri Carevebis an sxva saxis intervenciebis gegma,
maTi aucilebloba da SesaZlo garTulebebi – gvedriTi movlenebi.
kompentenciis gaumjobeseba
saswavlo programis mocemuli moduli xels Seuwyobs:
● mwvave travmiT pacientisaTvis gadaudebeli samedicino daxmarebisaTvis Teoriuli
bazisis Seqmnas. gaacnobierebs ra mwvave travmiT pacientTa kritikul daavadebebis
mizezebsa da mkurnalobis SesaZlo gzebs, eqTani SeZlebs am problemebis eqimis
efeqtian asistirebas;
● mwvave travmiT pacientisaTvis gadaudebeli samedicino daxmarebis Cvevebis
ganviTarebas. Seiswavlis ra mwvave travmiT pacientTa adeqvaturi daxmarebisaTvis
saWiro manipulaciebs da SeiZens saTanado unar_Cvevebs, msmeneli SeZlebs adekvaturi
daxmareba aRmouCinos dazaralebuls.
• problemis gadaWris specifikuri Cvevebis gamoyenebas. ganixilavs ra arsebul
problemebs „sicocxlis gadarCenis erTiani jaWvis“ konteqstSi, prehospitaluri
daxmarebidan hospitaluris CaTvliT da iyenebs informaciis Sekrebisa da analizis
specifikur meTodebs, gadaudebeli samedicino daxmarebis eqTans SeuZlia sworad
Seafasos problema da Camoayalibos saTanado samoqmedo gegma.
• mwvave travmiT pacientTa samedicino marTvasTan dakavSirebuli adgilobrivi
problemebis gacnobierebas, rac gulisxmobs problemis seriozulobisa da
specifikuri lokaluri faqtorebis mniSvnelobis sworad Sefasebas.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
bavSvTa asakis gadaudebeli mdgomareobebi:
programis miznebi:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos amoicnos axalSobilTa da
bavSvTa asakis gadaudebeli mdgomareobebi (gul-sisxlZarRvTa mwvave ukmarisoba,
riTmis sicocxlisTvis saSiSi darRvevebi, sunTqvis mwvave ukmarisoba, mZime
intoqsikacia, asTmuri Seteva, anafilaqsia, nebismieri etiologiis Soki, mZime
metaboluri darRvevebi, gulyra, koma, travma, da a.S.), Seafasos maTi simZime swori da
drouli informavia miawodos eqims da misi xelmZRvanelobiT adeqvaturi da swrafi
zomebi miiRos maT aRmosafxvrelad, pacientis sicocxlis uzrunvelyofisa da
stabilizaciisTvis.
agreTve flobdes srulyoflad axalSobilTa da bavSvTa asakis gul-filtvis
reanimaciis teqnikas da sabaziso algoriTmebs, saWiroebis SemTxvevaSi SeeZlos
gadaudebeli daxmarebis saSualo da dabali medpesonalis gundis lideroba. flobdes
mSobiarobis miRebis teqnikas, axalSobilis mdgomareobis standartul Sefasebas
dabadebisas, SeeZlos gadaudebeli sameano daxmarebis gaweva.
swavlebis mizania msmenelma:
● SeiZinos axalSobilTa da bavSvTa asakSi, zemoT CamoTvlili paTologiebis
(sindromebis), mdgomareobebis marTvisaTvis aucilebeli bazisuri codna Sesabamis
Teoriul da praqtikul sferoebSi;
● ganaviTaros analizuri, Sefasebis da eqspres – sadiagnostiko Cvevebi da unarebi am
sistemebis paTologiebis drouli amocnobisa da marTvisaTvis. es aseve iTvaliswinebs
pacientTan an mis mSoblebTan komunikaciis Cvevebis gaumjobesebas gasinjvis, monacemTa
registraciis da informaciis gamoyenebis procesebSi;
● SeZlos miRebuli codnisa da unar-Cvevebis gamoyeneba pacientebis mkurnalobisaTvis,
gansakuTrebiT gadaudebel SemTxvevebSi. efeqturi komunikacia pacientTan da mis
naTesavebTan;
1. 2. programis amocanebi:
profesiuli swavlebis programis dasrulebis Semdeg gadaudebeli samedicino
daxmarebis eqTani:
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● SeiZens Sesabamisi codnas, rac mas saSualebas miscems Tavis kompetenciis farglebSi
droulad amoicnos zemoT CamoTvlil nozologiebi, sindromebi klinikur
mdgomareobebi axalSobilTa da bavSvTa asakSi (asakobrivi Taviseburebebis
gaTvaliswinebiT).
● ganiviTarebs sxvadasxva asakis pacientis gasinjvis, sasicocxlo funqciebis swrafi
Sefasebis, reanimaciuli RonisZiebebis sworad Catarebis da amisaTvis saWiro yvela
manipulaciis unar-Cvevebs.
bazisuri codna:
gadaudebeli samedicino daxmarebis eqTanma unda icodes:
● axalSobilTa da bavSvTa asakis Semdegi sindromebis (simptomebis, paTologiebis)
amocnoba: sunTqvis mwvave ukmarisoba, apnoe (maT Soris axalSobilTa), dispnoe,
respiratoruli distresi, asTma, zemo sasunTqi gzebis obstruqcia, daWimuli
pnevmoToraqsi, gul-sisxlZarRvTa mwvave ukmarisoba, gulis tamponada, asistolia, gulis
aresti, sicocxlisTvis saSiSi ariTmiebi, Soki (nebismieri etiologiis), gulyra,
epilefsiuri statusi, mZime metaboluri darRvevebi, koma, intoqsikacia, politravma,
qala-tvinis travma, kidurebis motexilobebi (maT Soris Ria). mSobiaroba, sameano
daxmareba, axalSobilis miReba.
● zemoT CamoTvlili sindromebis diagnostikis (maT Soris eqspres-) safuZvlebi.
● prehospitalur doneze aRniSnuli sindromebis da daavadebebis mkurnalobis
principebi da SeeZlos samkurnalo protokolebis gamoyeneba saeqTno kompetenciis
farglebSi.
bazisuri unar - Cvevebi:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos:
● detaluri anamnezis Sekreba, pacientis pirveladi fizikaluri gasinjva, saTanado
informaciis miwodeba eqimisTvis da pacientis samedicino baraTSi registracia;
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● sisxlis wnevis arainvaziuri gazomva, eleqtrokardiogramis gadaReba, momzadeba da
sxvadasxva radiologiuri diagnostikisTvis.
● arteriuli da centraluri venuri sisxlis gazebis, mJava-tutovani wonasworobis
Eeqspres analizis gakeTeba (i-STAT, easy - STAT), laboratoriuli kvlevisTvis (maT Soris
baqteriologiuri) sxvadsxva masalis swori aReba.
● periferiuli venis kanulacia, plevrisa da perikardiumis Rrus drenaJis movla,
Sardis buStis kaTeterizacia da movla, nazo an oro-gastruli zondis Cadgma da
movla, martivi zedapiruli Wrilobis gakerva, sisxldenis SeCereba.
● filtvebis xelovnuri ventilaciis arainvaziuri meTodebis (piri-pirSi, piri-cxvirSi,
“ambu” –respiratori) da sahaero gzebis gamavlobis uzrunvelyofa, pirdapiri
laringoskopia, traqeis swrafi Tanmimdevruli intubacia, marTviT suTqvaze myofi
pacientis movla.
● gulis arapirdapiri masaJis Sesruleba (asakobrivi Taviseburebebis gaTvaliswinebiT),
defibrilatoris, sinqronuli kardioversiis, garegani peismekeris (riTmis wamyvani)
gamoyeneba (usafrTxo da swori).
● motexili kidurebis imobilizacia, kisris fiqsatoris gamoyeneba, sisxldenis
sawinaaRmdego laxtebis dadeba, damwvrobis sawinaaRmdego safenebis gamoyeneba,
pacientis inter - da intra – hospitaluri usafrTxo transportireba, sameano teqnika,
aseptika-antiseptikis principebis dacva.
● mis gankargulebaSi myofi aparaturis swori gamoyeneba, movla, testireba, pacientis,
sakuTari Tavis da garSemo myofTa teqnikuri da bio-usafrTxoobis dacva.
kompentenciebis gaumjobeseba
saswavlo programis mocemuli moduli xels Seuwyobs:
● prehospitalur doneze pediatriuli gadaudebeli samedicino daxmarebis
problemebis marTvis Cvevebis ganviTarebas. gaacnobierebs ra bavSvTa asakis kritikul
daavadebebis mizezebsa da mkurnalobis SesaZlo gzebs, eqTani SeZlebs am problemebis
efeqtian marTvSi eqimis asistirebas;
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
• problemis gadaWris specifikuri Cvevebis gamoyenebas. ganixilavs ra
warmodgenili sistemebis daavadebebs socialur da fsiqikur konteqstSi da iyenebs
informaciis Sekrebisa da analizis specifikur meTodebs, gadaudebeli samedicino
daxmarebis eqTans SeuZlia sworad Seafasos problema da Camoayalibos saTanado
samoqmedo gegma.
• yovlismomcvelobis principis aRiarebas. SesaZleblobaTa diapazonis
gacnobierebiT, rac moicavs prevencias, mkurnalobas, xangrZliv movlasa (m.S
paliatiuri mkurnaloba) da reabilitacias.
• zemoT CamoTvlili daavadebebis marTvasTan dakavSirebuli adgilobrivi
problemebis gacnobierebas, rac gulisxmobs problemis seriozulobisa da
specifikuri lokaluri faqtorebis mniSvnelobis sworad Sefasebas.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
mozrdilTa daxvewili kardiologiuri daxmareba
programis miznebi:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos amoicnos mozrdilTa
gadaudebeli kardiologiuri mdgomareobebi (tkivili gulmkerdis areSi, mwvave
koronaruli sindromi - ST segmentis elevaciiT Tu mis gareSe, gulis aresti, gulis
travmuli gaCereba, hipoTermiis dros gulis aresti, gulis mwvave ukmarisoba, gul-
sisxlZarRvTa sistemis funqciis moSla, kardiogenuri Soki, simptomuri bradikardia,
supraventrikuluri taqikardiebi, parkuWovani ariTmiebi, Seafasos maTi simZime
droulad acnobos eqims da adeqvaturi da swrafi zomebi miiRos maT aRmosafxvrelad,
pacientis sicocxlis uzrunvelyofisa da stabilizaciisTvis.
agreTve srulyoflad flobdes gul-filtvis reanimaciis teqnikas da bazisur
algoriTmebs, saWiroebis SemTxvevaSi SeeZlos gadaudebeli daxmarebis saSualo med.
personalis gundis lideroba. SeeZlos ekg-s pirveladi interpretacia.
swavlebis mizania msmenelma:
● SeiZinos zemoT CamoTvlili paTologiebis (sindromebis), mdgomareobebis
marTvisaTvis aucilebeli bazisuri codna Sesabamis Teoriul da praqtikul
sferoebSi;
●ganaviTaros analizuri, Sefasebis da eqspres – sadiagnostiko Cvevebi da unarebi
gul-sisxlZarRvTa paTologiebis drouli amocnobisa da marTvisaTvis. es aseve
iTvaliswinebs pacientTan an mis axloblebTan komunikaciis Cvevebis gaumjobesebas,
gasinjvis, monacemTa registraciis da informaciis gamoyenebis procesebSi;
● SeZlos miRebuli codnisa da unar-Cvevebis gamoyeneba pacientebis movlisa
mkurnalobisaTvis, gansakuTrebiT gadaudebel SemTxvevebSi.
programis amocanebi:
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
• SeiZens Sesabamisi codnas, rac mas saSualebas miscems droulad amoicnos, da
umkurnalos gul-sisxlZarRvTa sistemis problemebs da sicocxlisaTvis saSiSi
ariTmiebs, m.S. gadaudebel SemTxvevebSi;
● ganiviTarebs pacientis gasinjvis, sasicocxlo funqciebis swrafi Sefasebis,
reanimaciuli RonisZiebebis sworad Catarebis da amisaTvis saWiro yvela manipulaciis
unar-Cvevebs saeqTno kompetenciis farglebSi.
● SeZlebs miRebuli codnisa da Cvevebis safuZvelze Camoayalibos gadaudebeli
kardiologiuri mdgomareobebis movlis gegma. (mkurnalobis sqemebis gaTvaliswinebiT).
bazisuri codna:
gadaudebeli samedicino daxmarebis eqTanma unda icodes:
● Semdegi sindromebis gansazRvra: tkivili gulmkerdis areSi, mwvave koronaruli
sindromi, gulis aresti, gulis travmuli gaCereba, hipoTermiis dros gulis aresti,
gulis mwvave ukmarisoba, gul-sisxlZarRvTa sistemis funqciis moSla, kardiogenuri
Soki, simptomuri bradikardia, supraventrikuluri taqikardiebi, parkuWovani ariTmiebi.
● zemoT CamoTvlili sindromebis diagnostikis (maT Soris eqspres-) safuZvlebi.
● prehospitalur doneze aRniSnuli sindromebis da daavadebebis mkurnalobis
principebi da SeeZlos am procesSi samkurnalo bazisuri protokolebis gamoyeneba.
bazisuri unar - Cvevebi:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos:
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● anamnezis Sekreba, pacientis pirveladi fizikaluri gasinjva, saTanado informaciis
wardgena eqimisTvis da pacientis samedicino baraTSi registracia;
● sisxlis wnevis arainvaziuri gazomva, eleqtrokardiogramis gadaReba,
● arteriuli da centraluri venuri sisxlis gazebis, mJava-tutovani wonasworobis
Eeqspres analizis gakeTeba (i-STAT, easy - STAT), laboratoriuli kvlevisTvis (maT Soris
baqteriologiuri) sxvadsxva masalis swori aReba.
● periferiuli venis kanulacia, Sardis buStis kaTeterizacia da movla, nazo an oro-
gastruli zondis Cadgmada movla, martivi zedapiruli Wrilobis gakerva, sisxldenis
SeCereba.
● filtvebis xelovnuri ventilaciis arainvaziuri meTodebis (piri-pirSi, piri-cxvirSi,
“ambu” –respiratori) da sahaero gzebis gamavlobis uzrunvelyofa, pirdapiri
laringoskopia, traqeis swrafi Tanmimdevruli intubacia, oqsigenoTerapiis sxvadsxva
mowyobilobebis adeqvaturi gamoyeneba (inhalacia, cxviris kanulebi, niRabi, sarqvliani
niRabi, maRal procentiani Jangbadis mimwodebeli niRabi da a.S.)
● gulis arapirdapiri masaJi(asakobrivi Taviseburebebis gaTvaliswinebiT),
defibrilatoris, gamoyeneba (usafrTxo da swori).
● pacientis inter - da intra – hospitaluri usafrTxo transportireba, aseptika-
antiseptikis principebis dacva.
● mis gankargulebaSi myofi aparaturis swori gamoyeneba, movla, testireba, pacientis,
sakuTari Tavis da garSemo myofTa teqnikuri da bio-usafrTxoobis dacva.
gamokvlevebis, mkurnalobis da intervenciebis gegma:
● aucilebeli sadiagnostiko kvlevis CamonaTvali (saswrafo da mogvianebiTi).
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● aucilebeli Tu sasurveli invaziuri Carevebis an sxva saxis intervenciebis gegma,
maTi aucilebloba da SesaZlo garTulebebi – gvedriTi movlenebi.
● konsultireba prevenciuli RonisZiebebis Sesaxeb, kerZod: sisxlis wneva, lipidebi,
Tambaqos moweva, sxva iseTi modificirebad risk faqtorebi, rogoricaa alkoholi,
fizikuri varjiSi, simsuqne da dieta; kavSiri sxva daavadebebTan, mag. diabetTan.
kompentenciebis gaumjobeseba
saswavlo programis mocemuli moduli xels Seuwyobs:
● prehospitalur doneze gadaudebeli (kardiologiuri) samedicino daxmarebis
problemebis marTvis Cvevebis ganviTarebas. gaacnobierebs ra kritikul gul-
sisxlZarRvTa daavadebebis mizezebsa da mkurnalobis SesaZlo gzebs, eqTani SeZlebs
am problemebis efeqtian marTvas saeqTno kompetenciis farglebSi;
• pacientze orientirebuli midgomis aRiarebas: acnobierebs ra, rom nebismieri
samedicino problema (mS. gul-sisxlZarRvTa sistemis daavadebebic) pacientis
garemomcvel sxva faqtorebTan mimarTebaSi unda ganixilebodes, eqTani
konsultaciis process iyenebs am faqtorebis gamovlenisa da pacientTan
SeTanxmebisTvis. pacienti unda darwmundes Tu raoden mniSvnelovania eqTanTan
partnioruli urTierTobis Camoyalibeba da sakuTar janmrTelobaze
pasuxismgeblobis gaziareba.
• problemis gadaWris specifikuri Cvevebis gamoyenebas. ganixilavs ra
warmodgenili sistemebis daavadebebs socialur da fsiqikur konteqstSi da iyenebs
informaciis Sekrebisa da analizis specifikur meTodebs, gadaudebeli samedicino
daxmarebis eqTans SeuZlia sworad Seafasos problema da Camoayalibos saTanado
samoqmedo gegma.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
• yovlismomcvelobis principis aRiarebas. SesaZleblobaTa diapazonis
gacnobierebiT, rac moicavs prevencias, mkurnalobas, xangrZliv movlasa (m.S
paliatiuri mkurnaloba) da reabilitacias.
• holistikuri damokidebulebis Camoyalibebas da pacientis ojaxsa da
axloblebze gul-sisxlZarRvTa daavadebebis socialuri da fsiqologiuri
zegavlenis mniSvnelobis gacnobierebas.
● gul-sisxlZarRvTa daavadebebis marTvasTan dakavSirebuli adgilobrivi
problemebis gacnobierebas, rac gulisxmobs problemis seriozulobisa da
specifikuri lokaluri faqtorebis mniSvnelobis sworad Sefasebas
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
kritikuli mdgomareobebi da gadaudebeli daxmareba
mozrdilebSi
programis miznebi:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos amoicnos mozrdil
pacientebSi kritikuli mdgomareobebi (gul-sisxlZarRvTa mwvave ukmarisoba, sunTqvis
mwvave ukmarisoba, filtvebis SeSupeba, nebismieri etiologiis Soki, mZime metaboluri
darRvevebi, travma,Tavis tvinis sisxls mimoqcevis moSla,sameano garTulebebi,
eklamfsia, preeklamfsia, da a.S.), Seafasos maTi simZime, droulad acnobos eqims da
adeqvaturi da swrafi zomebi miiRos maT aRmosafxvrelad, pacientis sicocxlis
uzrunvelyofisa da mdgomareobis stabilizaciisTvis.
agreTve flobdes srulyoflad gul-filtvis reanimaciis teqnikas da bazisur
algoriTmebs.
swavlebis mizania msmenelma:
● SeiZinos mozrdil pacientebSi zemoT CamoTvlili paTologiebis (sindromebis),
mdgomareobebis marTvisaTvis aucilebeli bazisuri codna Sesabamis Teoriul da
praqtikul sferoebSi;
● ganaviTaros analizuri, Sefasebis da eqspres – sadiagnostiko Cvevebi da unarebi am
sistemebis paTologiebis drouli amocnobisa da marTvisaTvis. es aseve iTvaliswinebs
pacientTan an mis axloblebTan komunikaciis Cvevebis gaumjobesebas gasinjvis,
monacemTa registraciis da informaciis gamoyenebis procesebSi;
● SeZlos miRebuli codnisa da unar-Cvevebis gamoyeneba pacientebis movlisTvis,
mkurnalobisaTvis, gansakuTrebiT gadaudebel SemTxvevebSi. efeqturi komunikacia
pacientTan da mis axloblebTan;
programis amocanebi:
profesiuli swavlebis programis dasrulebis Semdeg gadaudebeli samedicino
daxmarebis eqTani:
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● SeiZens Sesabamisi codnas, rac mas saSualebas miscems droulad amoicnos, da
umkurnalos zemoT CamoTvlil nozologiebs, sindromebs klinikur mdgomareobebs
mozrdil pacientebSi.
● ganiviTarebs sxvadasxva asakis pacientis gasinjvis, sasicocxlo funqciebis swrafi
Sefasebis, reanimaciuli RonisZiebebis sworad Catarebis da amisaTvis saWiro yvela
manipulaciis unar-Cvevebs.
● SeZlebs miRebuli codnisa da Cvevebis safuZvelze kvalificiuri asistireba gauwios
eqims mozrdili pacientebis sicocxlisTvis saSiSi mdgomareobebis marTvaSi.
bazisuri codna:
gadaudebeli samedicino daxmarebis eqTanma unda icodes:
● mozrdil pacientebSi Semdegi sindromebis (simptomebis, paTologiebis) gansazRvra:
sunTqvis mwvave ukmarisoba, apnoe, dispnoe, respiratoruli distresi, zemo sasunTqi
gzebis obstruqcia, daWimuli pnevmoToraqsi, gul-sisxlZarRvTa mwvave ukmarisoba,
gulis tamponada, asistolia, sicocxlisTvis saSiSi ariTmiebi, Soki, mZime metaboluri
darRvevebi,Tavis tvinis sisxls mimoqcevis moSla, krunCxva, orsuli qalebis eklamfsia,
tkivilis kontroli, qala-tvinis travma, amasTanave interhospitaluri da
intrahospitaluri transportireba.
● zemoT CamoTvlili sindromebis diagnostikis (maT Soris eqspres-) da movlis
safuZvlebi.
bazisuri unar - Cvevebi:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos:
● detaluri anamnezis Sekreba, saTanado informaciis wardgena eqimisTvis da pacientis
samedicino baraTSi registracia;
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
● sisxlis wnevis arainvaziuri gazomva, eleqtrokardiogramis gadaReba, gulmkerdis da
muclis Rrus eqoskopiisTvis momzadeba, aseve pacientis momzadeba da transportireba
rentgenogramis, kompiuteruli tomografiis, magnituri rezonansis da sxva
radiologiuri diagnostikuri saSualebebisTvis.
● laboratoriuli kvlevisTvis (maT Soris baqteriologiuri) sxvadsxva masalis
swori aReba.
● periferiuli venis kanulacia, Sardis buStis kaTeterizacia, nazo an oro-gastruli
zondis Cadgma, martivi zedapiruli Wrilobis gakerva, sisxldenis SeCereba.
● filtvebis xelovnuri ventilaciis arainvaziuri meTodebis (piri-pirSi, piri-cxvirSi,
“ambu” –respiratori) da sahaero gzebis gamavlobis uzrunvelyofa, pirdapiri
laringoskopia, traqeis swrafi Tanmimdevruli intubacia, oqsigenoTerapiis sxvadsxva
mowyobilobebis adeqvaturi gamoyeneba (inhalacia, cxviris kanulebi, niRabi, sarqvliani
niRabi, maRal procentiani Jangbadis mimwodebeli niRabi da a.S.)
● gulis arapirdapiri masaJis Sesruleba, defibrilatoris, sinqronuli kardioversiis,
garegani peismekeris (riTmis wamyvani) gamoyeneba (usafrTxo da swori).
● mis gankargulebaSi myofi aparaturis swori gamoyeneba, movla, testireba, pacientis,
sakuTari Tavis da garSemo myofTa teqnikuri da bio-usafrTxoobis dacva.
gamokvlevebis, mkurnalobis da intervenciebis gegma:
gadaudebeli samedicino daxmarebis eqTans unda SeeZlos, Tavis kompetenciis
farglebSi, eqimTan erTad, SeimuSavos da pacients an mis axloblebs gaacnos:
● aucilebeli sadiagnostiko kvlevis CamonaTvali (saswrafo da mogvianebiTi).
● aucilebeli Tu sasurveli invaziuri Carevebis an sxva saxis intervenciebis gegma,
maTi aucilebloba da SesaZlo garTulebebi – gvedriTi movlenebi.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
kompentenciebis gaumjobeseba
saswavlo programis mocemuli moduli xels Seuwyobs:
● prehospitalur doneze mozrdil pacientTa gadaudebeli samedicino daxmarebis
problemebis marTvis Cvevebis ganviTarebas. gaacnobierebs ra kritikul daavadebebis
mizezebsa da mkurnalobis SesaZlo gzebs, eqTani SeZlebs pacientis efeqtur
daxmarebas;
• problemis gadaWris specifikuri Cvevebis gamoyenebas. ganixilavs ra
warmodgenili sistemebis daavadebebs socialur da fsiqikur konteqstSi da iyenebs
informaciis Sekrebisa da analizis specifikur meTodebs, gadaudebeli samedicino
daxmarebis eqTans SeuZlia sworad Seafasos problema da Camoayalibos saTanado
samoqmedo gegma saeqTno kompetenciis farglebSi.
• yovlismomcvelobis principis aRiarebas. SesaZleblobaTa diapazonis
gacnobierebiT, rac moicavs prevencias, mkurnalobas, xangrZliv movlasa (m.S
paliatiuri mkurnaloba) da reabilitacias.
• zemoT CamoTvlili daavadebebis marTvasTan dakavSirebuli adgilobrivi
problemebis gacnobierebas, rac gulisxmobs problemis seriozulobisa da
specifikuri lokaluri faqtorebis mniSvnelobis sworad Sefasebas.
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
swavlebis procesisTvis saWiro aRWurvilobis da masalebis CamonaTvali
orgteqnika
kompiuteri (sasurvelia leptopi)… LCD proeqtori ekrani
saswavlo aRWurviloba - manekenebi
xorxi didi manekeni gfr manekeni dekompresiis manekeni axalSobilis manekeni 1 wlamde asakis bavSvis intubaciis manekeni 1-dan 8 wlamde bavSvis manekeni Sardis buStis kaTeterizaciis manekeni periferiuli venis manekeni centraluri venis kaTeterizaciis manekeni intubaciis manekeni mSobiarobis manekeni sruli kardiologiuri manakeni krikoTireotomiis manekeni ZvalSida ineqciis manekeni
samedicino aRWurviloba
fonendoskopi sfigmomanometri satraqcio artaSani vakuum artaSani didi saimobilizacio dafa Tavis safiqsacio baliSebiT patara saimobilizacio dafa qeindrikis fari Jangbadis baloni 10l reduqtoriT eleqro mqaCi meqanikuri mqaCi laringoskopebi kompleqti pulsoqsimetri avtomaturi defibrilatori kardiografi defibrilatoriT aparati filtvis xelovnuri ventilaciisaTvis
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
ZvalSida ineqtorebi niCbiseburi sakace vakuum leibi kalaTa sakace laringuli niRabi saintubacio milebi orofaringuli milebi nazofaringuli milebi periferiuli da centraluri venis kaTeterebi kombitubi ambus parki sxvadasxva zomis krikotireopunqciis nakrebi magilis damWeri
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
gegma grafiki
modulis dasxeleba Temis dasaxeleba
Teoriuli mecadineoba (leqciebi,
praqtikuli savarjiSoebi manekenebze)
praqtikuli mecadineoba (klinikebis Sesabamis ganyofilebebSi mecadineoba)
1
gadaudebeli daxmarebis ganyofilebis mowyoba, miznebi da amocanebi
gadaudebeli daxmarebis ganyofilebis mowyoba, miznebi da amocanebi 1
gadaudebeli samedicino daxmarebis ganyofileba 2 sT
2
gadaudebeli daxmarebis eqTnis samuSaos aRweriloba
gadaudebeli daxmarebis eqTnis samuSaos aRweriloba 1
gadaudebeli samedicino daxmarebis ganyofileba 2 sT
3saeqTno
eTika saeqTno eTika 1
4piradi
usafrTxoebapiradi
usafrTxoeba 1
gadaudebeli samedicino daxmarebis ganyofileba, katastrofis medicina 2 sT
5
infeqciis kontroli (aseptika da antiseptika)
infeqciis kontroli (aseptika da antiseptika) 1
kritikuli medicina 2 sT
6 sicocxlis gadarCenis daxvewili gaidlaini
triaJi 1 gadaudebeli samedicino daxmarebis ganyofileba, katastrofis medicina 2,5 sT
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
7
ABC (sasunTqi gzebi, sunTqva, sisxlis mimoqceva) 2
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
sasunTqi gzebis gamtareblobis uzrunvelyofis meTodebi da gul-filtvis reanimacia; 2
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
zemo sasunTqi gzebis obstruqcia, krikoTireopunqcia 2
kritikuli medicina 2,5 sT
periferiuli venebis kaTeterizacia 1
gadaudebeli samedicino daxmarebis ganyofileba
daavadebis anamnezi da garegani daTvaliereba 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
8 travmis dros sicocxlis gadarCenis daxvewili algoriTmi
travmis ganviTarebis meqanizmi 1
travmis pirveladi mkurnaloba 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
sayrden-mamoZravebeli sistemis travma da artaSaniT fiqsaciis meTodebi
2 katastrofis medicina 5 sT
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
gulmkerdis travma 1
gadaudebeli samedicino daxmarebis ganyofileba 5 sT
qala-tvinis da kisris travma 2
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
Wrilobis mkurnaloba da sisxldenis SeCereba 1,5
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
tkivilis menejmenTi 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
damwvrobis simZimis xarisxis Sefaseba da mkurnaloba 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
sunTqvis mwvave ukmarisoba 3
kritikuli medicina 5 sT
dazaralebulTa mravlobiTi travma 1
gadaudebeli samedicino daxmarebis ganyofileba, katastrofis medicina 5 sT
muclis Rrusa da Sard-sasqeso sistemis travma, mwvave muceli 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
gadaudebeli mdgomareobebi fsiqiatriaSi;
1 gadaudebeli samedicino daxmarebis ganyofileba
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
samedicino Careva krizisuli mdgomareobebisas 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
farmakologia, narkomania da intoqsikacia 1
katastrofis medicina 2,5 saaTi
infeqciuri daavadebebi da maTze kontroli 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
anafilaqsia 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
naxvevis dadebis teqnika 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
orogastraluri zondireba 1
gadaudebeli samedicino daxmarebis ganyofileba 5 sT
Sardis buStis kaTeterizacia 1
gadaudebeli samedicino daxmarebis ganyofileba, katastrofis medicina 5 sT
nazogastraluri zondireba
1 gadaudebeli samedicino daxmarebis ganyofileba, katastrofis medicina
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
mwvave muceli 1
gadaudebeli samedicino daxmarebis ganyofileba 2,5 sT
ugono mdgomareobaSi myofi dazaralebuli 1,5
gadaudebeli samedicino daxmarebis ganyofileba, katastrofis medicina 2,5 sT
sxvadasxva genezis Sokis marTva 1
kritikuli medicina
mdgomareobis stabilizacia transportirebisaTvis 1
katastrofis medicina
garemo pirobebiT gamowveuli ubeduri SemTxvevebi 1
gadaudebeli samedicino daxmarebis ganyofileba, katastrofis medicina 2 sT
stresis sawinaaRmdego RonisZiebebi 1
gadaudebeli samedicino daxmarebis ganyofileba, katastrofis medicina 2 sT
kavSirisa da sadispetCero kontrolis saSualebebi 1
gadaudebeli samedicino daxmarebis ganyofileba, katastrofis medicina 2 sT
9 sicocxlis gadarCenis daxvewili algoriTmi pediatriaSi
bavSvTa asakis gadaudebeli mdgomareobebi
1,5 pediatriuli gadaudebeli samedicino daxmarebis ganyofileba 5 sT
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
travma bavSvTa asakSi 1
pediatriuli gadaudebeli samedicino daxmarebis ganyofileba 5 sT
mSobiaroba 1perinataluri centri 2,5 sT
axalSobilTa reanimacia 1,5
perinataluri centri 5 sT
gadaudebeli sameano daxmareba 1
perinataluri centri 2 sT
10
daxvewili kardiologiuri
daxmareba
tkivili gulmkerdis areSi 1
kardiologiuri centri 2,5 sT
bradikardia 1
kardiologiuri centri 2 sT
avtomaturi defibrilacia 1
kardiologiuri centri 2,5 sT
gul-sisxlZarRvTa sistemis funqciis mwvave moSla da pirveladi ekg-s interpretacia 1
kardiologiuri centri 2,5 sT
gulis travmuli gaCereba 1
kardiologiuri centri 2,5 sT
gulis gaCereba hipoTermiis dros 1
kardiologiuri centri 2,5sT
krunCxva 1kritikuli medicina 2,5 sT
respiratoruli distresi – filtvis SeSupeba
1 kritikuli medicina 2,5 sT
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .
Tavis tvinSi sisxlis mimoqcevis moSla 1
kritikuli medicina 2,5 sT
tkivilis kontroli 1
kritikuli medicina 2,5 sT
sameano gadaudebeli daxmareba eklamfsia, preeklamfsia 1
katastrofis medicina, perinataluri centri 2,5 sT
gulisreva da Rebineba 1
katastrofis medicina, perinataluri centri 2,5 sT
interhospitaluri da intrahospitaluri transportireba 1
katastrofis medicina, perinataluri centri 2,5 sT
mwvave egzogenuri intoqsikaciebi 2
katastrofis medicina 2 sT
infuzuri Terapia 1
katastrofis medicina, perinataluri centri 2,5 sT
katastrofis imitacia 2
sul 70 170
Teoriuli mecadineoba 70 saaTipraqtikuli mecadineoba 170 saaTi
saqarTvelos anesTeziologiisa da kritikuli medicinis sazogadoeba saqarTvelo, Tbilisi 0159, liublianis q.21, www.gsaccm.com Georgian Society of Anesthesiology and Critical Care Ljubljana st #21 , 0159-Tbilisi, Georgia Tel: +995 32 540664, Fax: +995 32 540662, E-mail:[email protected] .