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No Plagiarism!A60LB9D6BPXqDvCGpbCUposted on PENANA 第一章:深宵搶命師8964 copyright protection83PENANAGdZfACmQJM 維尼
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凌晨三點十四分,尖沙咀的霓虹依舊不眠。九龍消防局的救護當值室內,張世傑正在為今晚第八次出車記錄填寫最後一行字。消毒水的氣味在密閉空間裡揮之不去,螢光燈管照得值班室發白,牆上的時鐘指針像是凝固了一般。8964 copyright protection83PENANAzes6APv1LM 維尼
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「A-203,尖東廣場,心臟病發個案,六十八歲男性,意識不清。」8964 copyright protection83PENANAd24h3jSqdS 維尼
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調度中心的聲音透過對講機傳來,帶著電流的雜訊。張世傑迅速放下原子筆,抄起設備包,腦海中已自動形成路線圖。8964 copyright protection83PENANAGKL3YjR6Tv 維尼
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「預計四分鐘到達。」李美琪一邊回覆,一邊快速檢查便攜式心臟除顫器。救護車劃破寧靜,在空蕩的彌敦道上疾駛。警號聲在空曠的街道上迴盪,像是在提醒這座城市依然有人在守護。李美琪感受到救護車引擎的震動,心跳不自覺地配合著節奏加快。8964 copyright protection83PENANAWHKxYBwn8h 維尼
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阿樂叔熟練地操控方向盤,車輪碾過雨後的地面,激起細小的水花。8964 copyright protection83PENANAeJXKOnzrtn 維尼
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「記住AHA最新指引,先評估意識,再檢查呼吸和脈搏。」張世傑一邊提醒新人李美琪,一邊在腦海中預演搶救流程。四分鐘,兩百四十秒,足夠心肌缺氧導致不可逆的傷害,爭分奪秒的壓力如影隨形。8964 copyright protection83PENANARCByt17TSY 維尼
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尖東廣場的後巷,霓虹燈照不到的角落,一個老人癱倒在地。空氣中瀰漫著廚餘和汽油混雜的氣味,地面的積水反射著微弱的光線。張世傑深吸一口氣,那股熟悉的後巷氣味提醒著他:在這座城市的每個角落,生命都可能突然中斷。8964 copyright protection83PENANAzaqtHwMVkt 維尼
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他的白襯衫已經被汗水浸透,名牌皮鞋沾滿污漬。幾個深夜收爐的茶餐廳員工圍在旁邊,神色緊張。張世傑注意到老人手腕上戴著名貴手錶,與這骯髒的後巷形成強烈對比。8964 copyright protection83PENANAGBbwl2gbFP 維尼
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「伯伯在這裡做什麼?」李美琪一邊檢查生命徵象,一邊輕聲詢問圍觀者。8964 copyright protection83PENANAXgzeIXrOAN 維尼
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「佢係樓上會所老闆,啱啱同啲生意伙伴傾完計。」一個穿著制服的男侍應說,「佢話胸口好悶,諗住出嚟透下氣。」8964 copyright protection83PENANADFZ7lXL9gh 維尼
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生命的跡象正在流失,張世傑能感受到時間的重量。他們都知道,在這座永不停歇的城市裡,每一次召喚背後,都是一個正在消逝的故事。8964 copyright protection83PENANAwMqjO0GeiZ 維尼
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「血壓60/40,心律不整。」李美琪的聲音依舊平穩,但指尖已沁出冷汗。這是她上任後第一個心臟病發的危急個案。8964 copyright protection83PENANAARJYy93Xbn 維尼
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「快,放平,建立靜脈通道。」張世傑一邊下令,一邊俐落地剪開老人的襯衫。透過慘白的燈光,能看見老人胸膛急促起伏,皮膚呈現不祥的灰白。心電圖監護儀發出刺耳的警報聲,顯示出室顫的波形。8964 copyright protection83PENANAisyzugc9t2 維尼
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李美琪的手穩得出奇,針頭一次就準確刺入血管。她能感受到針尖穿透皮膚的細微阻力,血液回流的瞬間帶來一絲安心。實習時在模擬人身上練習的畫面閃過腦海,但現實的重量要沉重得多。她在富麗堂皇的投行實習時,絕想不到有朝一日會在這骯髒的後巷跪地救人。夜更的寒意透過制服滲入皮膚,但她已顧不得這麼多。8964 copyright protection83PENANAMbUyyOqDGL 維尼
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「準備腎上腺素,一毫克。除顫器充電。」張世傑的聲音依然沉穩,但額角已沁出汗珠。十年救護生涯,他早已習慣與死神賽跑,但每一次都像第一次般真實。8964 copyright protection83PENANA1D4TrGOVw2 維尼
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阿樂叔站在一旁協助遞送器材,眼神專注。他見過太多生死轉折,知道接下來的幾分鐘將決定這位老人的命運。後巷的牆上,霓虹燈光若隱若現,像是命運在眨眼。8964 copyright protection83PENANALPOcdlxHaI 維尼
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「Clear!」8964 copyright protection83PENANAm4TzjlUSRj 維尼
除顫的電流通過老人軀體,他的身體猛然彈起又落下。心電圖顯示器上的線條依舊雜亂。8964 copyright protection83PENANArHe0kuVeQp 維尼
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「繼續CPR,三十比二。」張世傑立即接手壓胸,力道精準。每一下按壓,他都能感受到肋骨的彈性,聽到胸腔細微的聲響。冷汗從額角滑落,在制服上留下深色的痕跡。多年的肌肉記憶讓他的手找到最精準的位置,就像一台精密的人體機器。8964 copyright protection83PENANAiMYEI7Qa1Q 維尼
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李美琪數著節拍,為老人輸送氧氣。她能感覺到面罩下微弱的氣息,像是在跟時間拔河。8964 copyright protection83PENANAhBvOqCcC6Q 維尼
87Please respect copyright.PENANAYEJdxgwGHB
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圍觀的員工們屏住呼吸,後巷裡只剩下規律的按壓聲和監護儀的警報聲。垃圾桶旁的野貓被驚動,竄入黑暗中。十五層高的商廈像座冰冷的巨塔,俯視著這場搶救。8964 copyright protection83PENANAYCKBC5WFZ7 維尼
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「二度除顫,充電。」8964 copyright protection83PENANAEAvHKDRxjZ 維尼
「Clear!」8964 copyright protection83PENANAiLNeXaCCU7 維尼
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這一次,奇蹟出現了。心電圖上的波形逐漸規律,老人發出微弱的呻吟。8964 copyright protection83PENANAzmwha8DCay 維尼
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「有自主呼吸,頸動脈有搏動。」李美琪急忙報告,聲音中帶著如釋重負。8964 copyright protection83PENANA8ZI5Vc2zbi 維尼
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「通知伊利沙伯醫院心臟科,預計十分鐘到達。」張世傑一邊安排後送,一邊為老人保暖。他注意到老人西裝內袋中露出機場貴賓卡的一角,想必是名流富商。但在生死關頭,每個人都只是脆弱的生命個體。8964 copyright protection83PENANAnLCgcsIJ82 維尼
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救護車穿梭在夜色中,阿樂叔選擇了柯士甸道的路線。「這條路宵夜檔少,紅綠燈又密,反而更快。」他邊說邊熟練地轉動方向盤,車身微微傾斜,像是貼著地面飛行。8964 copyright protection83PENANATKy00XHaCM 維尼
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車廂內,李美琪緊盯著監護儀的數值,時不時為老人調整輸液速度。她能感受到每一個顛簸,都可能影響靜脈注射。老人的呼吸漸漸平穩,但仍顯脆弱,像風中的殘燭。張世傑則保持通話:「預計五分鐘抵達,病人情況轉趨穩定,需要CCU支援。」8964 copyright protection83PENANAHZ13hj6Wue 維尼
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「你留意佢條手鏈。」阿樂叔透過後視鏡說道,「前排有位富豪都係咁過身,心臟病發,淨係識賺錢,唔識養身。」車速表指向80,霓虹燈光在車窗上形成斑斕的光帶。8964 copyright protection83PENANAqkvvcrGQRU 維尼
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轉入加士居道,醫院的輪廓逐漸清晰。8964 copyright protection83PENANAVtXQnvEIS6 維尼
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急症室的燈光像是黑夜中的燈塔,永遠為生命亮著。消毒水的氣味越發濃重,混合著醫院特有的藥水味。走廊的LED燈將每個人的影子拉得很長,腳步聲在深夜的迴廊中特別清晰。8964 copyright protection83PENANAhupQCn3Row 維尼
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救護車剛停定,早已等候的急症科團隊立即湧上。8964 copyright protection83PENANAm9dOeD3IFZ 維尼
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「六十八歲男性,心臟驟停,已施行CPR及除顫,現時生命徵象轉趨穩定。」張世傑簡潔報告,手腳利落地協助轉移病人。李美琪則快速交代各項用藥紀錄。8964 copyright protection83PENANA78OmTqgEdd 維尼
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「直上CCU,」陳醫生接手檢查,眉頭緊鎖,「心電圖顯示前壁心肌梗塞,準備導管室。」8964 copyright protection83PENANA7XFeJNTp5M 維尼
87Please respect copyright.PENANAL4tL21Pejv
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白色的醫院走廊在眼前延伸,像是無盡的時光隧道。推床的轆轤聲在深夜特別清脆,伴隨著醫護人員的急促腳步。消毒水的氣味越發濃重,提醒著這是搶救生命的戰場。8964 copyright protection83PENANARBrRkBzhb0 維尼
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「叮」的一聲,電梯門開啟,心臟加護病房的重門敞開。李美琪最後看了老人一眼,他的面色比剛才紅潤了些。但在刺眼的醫院燈光下,她第一次清楚看見老人臉上的皺紋,和白髮間零星的黑絲。8964 copyright protection83PENANAtCY9YZ9IPk 維尼
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「辛苦晒。」陳醫生接手後說道,「今次救得好及時。」8964 copyright protection83PENANAPTqbMMOMYi 維尼
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走出醫院,天邊已露出魚肚白。張世傑掏出香煙,卻遲遲沒有點燃。「你第一次處理心臟病發個案,做得唔錯。」他對李美琪說。8964 copyright protection83PENANANz3FzT19pz 維尼
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李美琪望著漸亮的天色,想起老人昏迷前握緊胸口的手勢。在這座城市裡,或許每個人都在與時間賽跑,只是方式不同。8964 copyright protection83PENANAyWwb3oH3sA 維尼
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「返去寫報告啦。」阿樂叔的聲音打破沉思,「今晚仲未完。」8964 copyright protection83PENANAEDCwTv4B20 維尼
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救護車調頭駛離醫院,晨光中的沙梨道漸漸甦醒。三人都知道,這不過是漫長夜班中的一個片段,而城市永遠不缺下一個召喚。8964 copyright protection83PENANA9nGucg82w3 維尼
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晨光未現,救護站內的茶水間已亮起燈光。8964 copyright protection83PENANA6LKooFCjFb 維尼
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「阿美,食早餐未?」阿樂叔一邊煮開水,一邊從雪櫃拎出個飯盒。「你睇下,嫂子煮咗啲艇仔粥,夠晒三個人食。」8964 copyright protection83PENANA4IBDvvOZUv 維尼
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李美琪正低頭整理裝備包,抬頭對上阿樂叔關切的目光,才發現自己雙手仍在微微發抖。剛才的緊張感尚未完全消退,腎上腺素的餘韻在血管裡流竄。8964 copyright protection83PENANAL71YmJGvNO 維尼
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「食啦,」張世傑把值班表放在檯面,「你睇下,而家先五點,八點先有交更。趁而家清靜,食啲嘢補充體力。」他的聲音依然沉穩,但語氣中多了份師兄的關懷。8964 copyright protection83PENANAxNxqw41PpO 維尼
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茶水間裡,微波爐「叮」一聲響起。阿樂叔熟練地將三碗熱騰騰的艇仔粥分配好,又泡了三杯奶茶。8964 copyright protection83PENANAcNHWm6X7Ht 維尼
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「頭先個老闆,」李美琪終於開口,「佢條手鏈係求平安嘅,我見到刻咗啲經文。」她想起那隻價值不菲的玉手鏈,想來是家人求平安用的。8964 copyright protection83PENANAbMLzsFHFFz 維尼
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「做呢行耐,就會明白。」張世傑攪拌著熱奶茶,「每個病人背後都有個故事,但我哋嘅工作就係專注救人,其他嘢,都係放低好。」8964 copyright protection83PENANAHs7uZ1cthg 維尼
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「都係學Chef話齋,」阿樂叔補充道,他們都習慣叫張世傑做Chef,「救人嗰陣唔好諗太多,諗得愈多,手愈容易震。」8964 copyright protection83PENANAXF8yutFzGn 維尼
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「遇過邊啲深刻嘅case?」李美琪一邊食粥,一邊好奇地問。8964 copyright protection83PENANA5qFbHaWtN9 維尼
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「兩個月前,收到個call,屯門某屋苑。」張世傑飲咗啖奶茶,「老先生喺大廈大堂暈低,當時已經冇意識。」8964 copyright protection83PENANA1XtJtMXU4S 維尼
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「即刻做CPR?」8964 copyright protection83PENANA7xdsyEap9h 維尼
87Please respect copyright.PENANAL8sU6RJpoS
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「係,同埋即刻用AED。」張世傑認真咗啲,「我哋趕到嗰陣,見到保安已經喺度做緊胸外壓,做得幾標準。」8964 copyright protection83PENANANYj1P1spz4 維尼
87Please respect copyright.PENANAyuegKO9cRg
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阿樂叔補充:「老先生個仔即刻話要打俾佢哋屋企醫生,我哋一邊做緊急處理,一邊解釋而家最緊要係送屯門醫院。」8964 copyright protection83PENANAVw0mR8JUlI 維尼
87Please respect copyright.PENANA933WPQPlxv
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「最後點?」8964 copyright protection83PENANAiWiaDA3mJJ 維尼
87Please respect copyright.PENANAUCwSQ2fTc1
8964 copyright protection83PENANAmXSQIyzIlq 維尼
「喺救護車上面做咗成程CPR,」張世傑話,「去到醫院即刻交畀急症室團隊。後尾先知道原來病人係某上市公司董事,但係嗰刻我哋淨係諗住點樣救返佢。」8964 copyright protection83PENANAi3YTl8LZbc 維尼
87Please respect copyright.PENANAlY4vwg54kF
8964 copyright protection83PENANAqRzBtQyC5U 維尼
李美琪靜靜咁聽住,第一次感受到救護工作背後嘅壓力同責任。8964 copyright protection83PENANAMnfoXAB4Hd 維尼
87Please respect copyright.PENANAtNDyQmM6m6
8964 copyright protection83PENANAeTe3qK8ENu 維尼
阿樂叔突然指著窗外:「喂,睇吓,天光嘞。」8964 copyright protection83PENANAUnJ45dVlGh 維尼
87Please respect copyright.PENANAD0PFwetuTb
8964 copyright protection83PENANA7wWDXay1RY 維尼
晨光穿透霧氣,為這座城市鍍上一層金邊。街角的報檔開始擺貨,清潔工人推著車慢慢掃過街道。這是香港甦醒的時刻,也是救護員們最忙碌的時候。8964 copyright protection83PENANAm0xI3GH3qY 維尼
87Please respect copyright.PENANAOEbOg8fLHT
8964 copyright protection83PENANAvAUk6PLS49 維尼
「叮鈴——」8964 copyright protection83PENANAeIfhSM8RUc 維尼
無線電響起,三人對視一眼,迅速放下湯匙。8964 copyright protection83PENANAQninF2Fpse 維尼
87Please respect copyright.PENANAvbdrb3rVKd
8964 copyright protection83PENANAuwuk5iXLTB 維尼
「A-203,深水埗,待產婦人,情況緊急。」 8964 copyright protection83PENANAjN2qytllcQ 維尼
87Please respect copyright.PENANACQDF0ETdA8
8964 copyright protection83PENANA9IqvGBwpCO 維尼
「收到,即刻到。」張世傑俐落地起身,「又一單,行啦。」8964 copyright protection83PENANAjxpQOekC1R 維尼
87Please respect copyright.PENANAGZu6lFJtXm
8964 copyright protection83PENANAnrNJl6ES3R 維尼
三人快步走向救護車,晨光下的身影拉得很長。李美琪聽到自己急促的腳步聲,心跳開始加快。呢個節奏,佢開始習慣,甚至有啲期待。李美琪突然感受到一種莫名的踏實感,或許這就是救護員的日常——在別人的故事裡,寫下自己的篇章。8964 copyright protection83PENANAs7CvB42Txv 維尼
87Please respect copyright.PENANA7EBAUuOCEw
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【作者的話】8964 copyright protection83PENANAiutzJskXQA 維尼
87Please respect copyright.PENANAQxvDf0hbpH
8964 copyright protection83PENANAEBWl2dhSAO 維尼
寫這個故事時,我採訪了多位前線救護員。他們告訴我,在香港這座永不睡眠的城市裡,每一次出車都是一場與時間的競賽。一位資深救護員說:「我們不是在救一個病人,而是在救一個家庭。」這句話讓我深深觸動。8964 copyright protection83PENANA4dslM5va2R 維尼
87Please respect copyright.PENANA6eBE3UiXA4
8964 copyright protection83PENANADI7OL1Kj2W 維尼
寫到張世傑、李美琪和阿樂叔三人時,我希望透過他們的視角,展現救護員面對生死時的專業與人性。在霓虹燈光照不到的角落,總有一群人在守護著這座城市的生命線。8964 copyright protection83PENANABMTWfpyWtG 維尼
87Please respect copyright.PENANAFeLb9toXAO
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您覺得本章最讓您印象深刻的情節是什麼?歡迎在評論區分享您的想法。8964 copyright protection83PENANAgCVhna1Ex8 維尼
87Please respect copyright.PENANAoXB1HC4FNm
8964 copyright protection83PENANAtkhXyIBP6M 維尼
下一章預告:狹窄的劏房裡,一聲急促的呼救穿透薄薄的隔板 - 隔壁的孕婦羊水破了。而我們的主角,將在這間不到80呎的劏房內,展開一場與時間競速的接生行動......8964 copyright protection83PENANAGs5og932n0 維尼
87Please respect copyright.PENANACciZOiSq67
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87Please respect copyright.PENANA6mVN73RJB7
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【醫療小知識】8964 copyright protection83PENANAxuckhsXiBF 維尼
87Please respect copyright.PENANAQgKWuEjG76
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各位讀者,今次故事提到幾個重要嘅醫療概念,等我同大家詳細解釋一下:8964 copyright protection83PENANAybpwoxo9Y1 維尼
87Please respect copyright.PENANAlxFcPwHscr
8964 copyright protection83PENANAXBGahBJyCV 維尼
1. CPR (心肺復甦法):8964 copyright protection83PENANA0Oju6Ls2Rb 維尼
- 當病人冇呼吸或者心跳停止時進行嘅急救方法8964 copyright protection83PENANAw0rymsNmA6 維尼
- 要快速做胸外壓,深度要有5-6厘米,速度要每分鐘100-120下8964 copyright protection83PENANAvOEMshm1EC 維尼
- 目的係維持到腦部同重要器官嘅血液供應8964 copyright protection83PENANAciGBLjEQIh 維尼
87Please respect copyright.PENANABcIa1EhPAN
8964 copyright protection83PENANA6FdvVsHlp6 維尼
2. AED (自動體外心臟去顫器):8964 copyright protection83PENANAeqUenVRqRs 維尼
- 係一部可以為心臟提供電擊嘅醫療儀器8964 copyright protection83PENANA4wa9GBBE0F 維尼
- 可以協助處理心室顫動呢類致命嘅心律不正8964 copyright protection83PENANAkkuGuRMmWQ 維尼
- 而家好多商場、屋苑都有擺放,操作簡單,有語音指示8964 copyright protection83PENANAiuIhneLSbn 維尼
87Please respect copyright.PENANACC797yM6AG
8964 copyright protection83PENANAGoZWYGcvKt 維尼
3. 心臟病發嘅黃金時間:8964 copyright protection83PENANA9y59fcwUh7 維尼
- 心臟病發後嘅首90分鐘係最黃金嘅搶救時間8964 copyright protection83PENANAf9W3jHXiV6 維尼
- 首3小時內係黃金期,及時就醫嘅效果最好8964 copyright protection83PENANAXRHxnndvX9 維尼
- 越早進行救治,心肌受損程度越細8964 copyright protection83PENANAPx7PPGMbkl 維尼
- 所以有症狀就要即刻打999,爭取每一分鐘8964 copyright protection83PENANAhfvuFUvplj 維尼
87Please respect copyright.PENANAlbqG2VThdY
8964 copyright protection83PENANAMCJPlZeHKB 維尼
補充資料:8964 copyright protection83PENANAJN9HItIuDn 維尼
- 首90分鐘被稱為「黃金90分鐘」,係搶救效果最好嘅時間8964 copyright protection83PENANAJSyzQQTHzv 維尼
- 3-6小時屬於「有效時間窗」,仲可以進行有效治療8964 copyright protection83PENANAxyMErNT1EB 維尼
- 6小時後心肌壞死風險會大幅增加8964 copyright protection83PENANAXDlHxBM1ta 維尼
- 所以話「時間就是心肌,時間就是生命」8964 copyright protection83PENANAitge09t4mr 維尼
87Please respect copyright.PENANAq1zzrXX6Kt
8964 copyright protection83PENANAUmvbDjOiDF 維尼
4. 心臟病發嘅主要徵狀:8964 copyright protection83PENANAvW6XTlIEq3 維尼
- 持續嘅胸口痛,可能延伸到手臂、頸、下巴8964 copyright protection83PENANA0RoTJoyZqA 維尼
- 呼吸困難、冷汗8964 copyright protection83PENANAX1Xja3o98i 維尼
- 噁心、嘔吐8964 copyright protection83PENANAbFeJzRkTxz 維尼
- 突然暈倒8964 copyright protection83PENANA9p6C234wfd 維尼
87Please respect copyright.PENANAVlT9x3ahWW
8964 copyright protection83PENANA6fMvphuekm 維尼
提提大家,遇到有人暈倒,記住「叫叫ABC」:8964 copyright protection83PENANAWaIGm0XOkz 維尼
- 叫:叫醒病人,睇下佢有冇意識8964 copyright protection83PENANAy1tQM7X2Pt 維尼
- 叫:叫人幫手打9998964 copyright protection83PENANAsDdq8J46Gg 維尼
- A:檢查氣道(Airway)8964 copyright protection83PENANAS7OLeBMHJt 維尼
- B:檢查呼吸(Breathing)8964 copyright protection83PENANAxVvgcrWBCp 維尼
- C:檢查心跳(Circulation)8964 copyright protection83PENANAmgxsGT3XgM 維尼
87Please respect copyright.PENANAoViOKWTLFk
8964 copyright protection83PENANAKM6M2lVsdB 維尼
如果想學習基本急救,可以報名參加以下課程:8964 copyright protection83PENANAgIdqyWTHCX 維尼
- 聖約翰救傷會嘅急救證書課程8964 copyright protection83PENANAFJQGj0vXZh 維尼
- 紅十字會嘅社區急救講座8964 copyright protection83PENANA51EvFgBOpw 維尼
- 消防處或醫管局不定期舉辦嘅急救工作坊8964 copyright protection83PENANA6dMBJ49Rz3 維尼
87Please respect copyright.PENANAOjzdl0f8fQ
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記住,每個人都可以成為救人英雄,大家一齊學習最基本嘅急救知識啦!8964 copyright protection83PENANAhnzj0iozv8 維尼
87Please respect copyright.PENANA2UTO9nMRR8
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87Please respect copyright.PENANABjCUDlu7Rk
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