香港聖約翰救傷隊-西區甲支隊 Hong Kong St. John Ambulance Brigade Western District A Division 參考資料來源: 消防處救護學講義第 45 章、急救學課程手冊第 18 課編輯及翻譯: 西區甲支隊歐陽啟良膠囊及面罩復甦器「膠囊及面罩復甦器」(Bag-Valve-Mask Resucitator)又稱「氣袋及面罩復甦器」，英文簡稱 “BVM”，是一個進行人工呼吸的手動儀器。包括膠囊、活門、面罩及儲氣袋等多個部份。香港聖約翰救傷隊現行使用之膠囊及面罩復甦器為Laerdal公司出品之 “復甦氣囊”，分成人(30Kg以上)、兒童(7-30Kg)及嬰兒(7Kg以下)三種尺碼，坊間有大量其他品牌及型號可供選擇，包括單次使用之即棄型復甦器等。可單獨使用，或接駁直流式氧氣機及救護車上之氧氣供應系統。若接駁直流式氧氣機使用，在救護車上應轉用救護車上之氧氣供應系統，並檢查直流式氧氣機之含量，有需要時應先更換氣樽，在到達醫院時再轉用直流式氧氣機。施行口對口人工呼吸時，通常可提供含氧量16%的空氣予患者，單獨使用膠囊及面罩復甦器則可提供含氧量21%的普通空氣予患者，若接駁氧氣供應系統則可進一步提高含氧量。一般使用膠囊及面罩復甦器的操作程序非常簡單。擠壓膠囊時，空氣經單向呼吸活門輸出予患者。輸氣時，膠囊之進氣單向活門會關閉。鬆開擠壓之手時，膠囊因其彈性復位，產生負壓，空氣就會重新充滿膠囊。如接有儲氣袋，則先將儲氣袋內之空氣吸入，再吸四周的普通空氣，(膠囊的容量:成人1600cc，小童500cc，嬰兒240cc)儲氣袋可存600至2600毫升空氣。復甦器的面罩必須是透明的，以便急救員可見到傷病者口部周圍是否有嘔吐物或分泌物。使用氧氣接駁氧氣供應系統時，必須同時使用儲氣袋。一般情況下，應將氧氣流量調節至每分鐘 15公升，在每分鐘12次之人工呼吸可提供含氧量接近百份百的空氣，若將氧氣流量調節至每分鐘12公升，則可提供含氧量40-60%的空氣予患者。使用後保養 1. 小心地把活門等從復甦器卸下。 2. 把口咽人工氣喉、活門、面罩、氣喉及膠囊用暖的肥皂水清洗(儲氣袋不須清洗) 3. 跟著把口咽人工氣喉、活門、面罩及氣喉用溫和的消毒藥水浸數分鐘(膠囊不須消毒)。 4. 然後全部配件再用清水洗濯一次。 5. 徹底抹乾及重新組合配件。 6. 測試: 用手掌密封出氣口，另一手同時擠壓膠囊直至感到有阻力。如聽不到有空氣洩出，表示復甦器操作良好。面罩膠囊儲氣袋入氣活門呼吸活門儲氣袋活門氧氣供應喉

SJ Amb WD(A)D 教學講義 (節錄)

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Reference material form HKFSD and SJ Ambulance (Hong Kong), by Johnny AU-YEUNG (SAO&OIC of Western District Ambulance Division)

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- Hong Kong St. John Ambulance Brigade

Western District A Division

: 45 18 :

(Bag-Valve-Mask Resucitator) BVMLaerdal (30Kg)(7-30Kg)(7Kg)

16%21%

(:1600cc500cc240cc)6002600 15121240-60% 1. 2. () 3. () 4. 5. 6. :
- Hong Kong St. John Ambulance Brigade

Western District A Division

: Ambulance Service Basic Training Section 4.2, 53 :

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- Hong Kong St. John Ambulance Brigade

Western District A Division

: 54 , BTLS Notes :

- (Collar)

Stifneck (Head Grips) (Head Grips)

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: 54 , BTLS Notes :

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: 54 , BTLS Notes :

:
- Hong Kong St. John Ambulance Brigade

Western District A Division

: 46 , Ambulance Service Basic Training Sec 6.9, :

- (O2) (N2O ) ( Joseph Priestley 1772 /)(Entonox) BOC (British Oxygen Company)(1964 ) (tachycardia)

D size (15C 450 13700KPa)B12 : -5 ** **2410C10C2353
-: 2 2

: 46 , Ambulance Service Basic Training Sec 6.9, :

: - - - - * - * - (closed pneumothorax) (TNG) - - () - () - () * N2O(15100) : (TNG)72/(: ())100mmHg
- Hong Kong St. John Ambulance Brigade

Western District A Division

: 54 :

- (KED) Kendrick Extrication DeviceFerno

Simple Extrication Device

136 1. 2. 3. 4. 5. () 6. () 7. 8. 9. , 10. , 11. 12. 13. 14. / 15. 16. 17. () 18.

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- Hong Kong St. John Ambulance Brigade

Western District A Division

: 55 ,Ambulance Service Basic Training Sec 6.9 :

-

2006 AHA 2005 ()() : 1. () 2. 3. 4. 5. 6. 7. 8.

: 1. 2. 3. 4. 5. 6. / 7.
- Hong Kong St. John Ambulance Brigade

Western District A Division

: Clinical Nursing Skills 4th ed (Smith & Duell) P.715 :

- (SpO2) : 1. () 2. 3. 4. 5. 6. 7. 8. 9. : - - - - - - - : SpO2 90%

SpO2 96% - 100% 91% - 95% 86% - 90% 85%

SpO2
- Hong Kong St. John Ambulance Brigade

Western District A Division

: Ambulance Service Basic Training Section 4.3, 61 5 June 2004 :

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47 (120 ) 16.75 (43 ) 3.5 (9 ) 20 (9 ) 350 (159 )

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- Hong Kong St. John Ambulance Brigade

Western District A Division

: 54 , BTLS Notes :

1. 2. 3. (Stable to Unstable) 4. 5. 6. (Head Grip) 1. 2. 3.

4.

(Trap Squeeze) 1. 2.

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4. 5. (Modified Trap Squeeze) (Log rolling)
-: 2 3

: 54 , BTLS Notes :

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- Hong Kong St. John Ambulance Brigade

Western District A Division

: 54 , BTLS Notes :

(Spine board) 1.

2. 3. 4. 5. (Cervical Immobilization Device C.I.D)(Adjusta-Pad) : 1. 2. 3.

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-: 2 3

: 54 , BTLS Notes :

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- Hong Kong St. John Ambulance Brigade

Western District Ambulance Division

: 3.27 3 Jan 2008 :

Stryker MX-Pro

2006 Stryker MX-Pro:

38 (97 ) () 13 (33 ) 23 (58 ) 80 (203 ) 62 (157 ) 81 (37 ) 33 (84 ) () 650 (295 ) ()
-: Stryker MX-Pro 2 4

: 3.27 , Stryker MX-Pro 3 Jan 2008 :

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- Hong Kong St. John Ambulance Brigade

Western District A Division

: Ambulance Service Basic Training Sec 6.,7 42-44 , :

- (D size 320 , 1980psi/13642KPa) (K size 3400 , 1980psi F size 1360 , 1980psi) *D size 41615C 320 , 13700KPa5340

: 1. : 35psi/241KPa 2. : (250psi/1722KPa) 3. 4. : (015

) (0.2525) (Bag-Valve-Mask Resucitator Air Viva, Ambu bag) (O2) (99.6%)
-: 2 2

: Ambulance Service Basic Training Sec 6.,7 42-44 , :

bronchitisemphysema24%()

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5. : 1. D size 2. 750psi 3. 90100psi 4. 5.
- Hong Kong St. John Ambulance Brigade

Western District A Division

: 42, 44 18 :

: : 40-60% 8-10 : 90-100% 10-15 24% :

(Venturi Mask) Moran Campbell1933/() 24-50% 10 3 24%26%28%31% 6 35%40%50%

24%(:
-: 2 2

: 42, 44 18 :

3 24% 3526%( 3 ) 3528%( 3 ) 3531%( 3 ) 3535%( 6 ) 3540%( 6 ) 3550%( 6 ) : :

24-44% 1-6 (SARS) 30%

(LPM) 1 2 3 4 5 6 24% 28% 32% 36% 40% 44%

144925965-SJ-Amb-WD-A-D--BVM_ResucitatorCarryingChairCollarEntonoxKEDMovingCPROximeterScoopStretcherSpinal_ImmobilizationSpine_BoardStryker_MX-ProUse_of_Oxygen

Oxygen_Mask