ʻO ka Campus Hazing and Acute Alcohol Poisoning: Ke kāhea nei i nā kānāwai Amnesty Medical Samaritan Good¶

Ke kū nei i loko o ka hale haʻahaʻa, kahi hoʻohui hoʻohui i waho o ka pā kula, a i ʻole kahi hale hui pāʻani varsity ma 1:30 AM aʻo ka hoʻohiki ʻana o 18 mau makahiki a i ʻole hoa hui e moe ʻole ʻia ma luna o kahi moe ma hope o ka inu ʻana, "lāʻau ʻohana" i ka pō, a i ʻole ka hoʻomaka ʻana o ka scavenger-hunt, a i ʻole ke ola olakino koke. Ma kahi kokoke i nā papa hazing hazing i kākau ʻia i nā makahiki he ʻekolu i hala iho nei, ua hōʻike ka forensic toxicology a me ka coroner timeline i ke ʻano pōʻino like ʻole: ke ola nei ka mea i pepehi ʻia a hiki ke mālama ʻia i ka wā i nalowale ai ka ʻike, akā ua hoʻopaneʻe nā hoa i loko o ka lumi i ke kāhea ʻana iā 911 no **45 mau minuke i 9 mau hola ** no ka hoʻomaka ʻana o kahi mokuna ambulance e kiʻi ai i ka ʻona. ka hoʻokuʻu ʻana, ka hoʻokuʻu ʻia ʻana o ka hui haʻuki, a i ʻole ka hopu ʻana i ka hazing felony. ʻOiai e hoʻopaʻapaʻa ana nā haumāna inā paha e "hoʻokuʻu iā lākou e hiamoe," e hoʻāʻo e hele i ka haumāna ʻike ʻole a puni, e hoʻokomo iā lākou i loko o ka wai anuanu, a i ʻole e hoʻokele iā lākou i kahi haukapila ma hope o kahi kaʻa kipi, e piʻi mau ana ka Blood Alcohol Concentration (BAC) ma mua o 0.30% a 0.45% (300 to 450 mg/dL) e like me ka wai ʻona ʻole e noho ana i loko o ka ʻōpū e kahe ana i loko o ka ʻōpū liʻiliʻi, me ka hoʻopale ʻana i ka ʻōpū hanu o ka lolo a me ka gag reflex a hiki i ka haʻi ʻana o ka haumāna i ka luaʻi a hoʻōki paha i ka hanu.

No ka hoʻopau ʻana i kēia kānalua make, ** ʻoi aku ma mua o 40 mau mokuʻāina ʻo US a me ka Apana o Columbia**, a kokoke i kēlā me kēia kulanui i ʻae ʻia ma United States, Canada, United Kingdom, a me Australia, ua kau i ke kānāwai ** Good Samaritan / Medical Amnesty Laws ** a me ** Campus Medical Amnesty Policies**. Ma lalo o kēia mau kānāwai, ʻo ka haumāna ʻona a me ka mea kelepona i kā 911 me ka manaʻoʻiʻo maikaʻi, e noho ma ke kahua, a e hui pū me nā lawelawe lapaʻau pilikia (EMS) a me nā mākaʻi o ka pā kula ʻaʻole hiki ke hopu ʻia, hoʻopiʻi ʻia, a me ka hoʻopaʻi hoʻopaʻi ʻana o ke kulanui no ka loaʻa ʻana o ka waiʻona, ʻai, a i ʻole ka loaʻa ʻana o ka lāʻau liʻiliʻi . ʻO ka mea ʻē aʻe, ua hana nā mokuʻāina i ka felony i ka manawa like Failure-to-Render-Aid and Aggravated Hazing Statutes (e like me Pennsylvania's Timothy J. Piazza Antihazing Law, Florida's Andrew Coffey Law, Louisiana's Max Gruver Act, Ohio's Collin's Hazmpose Law, Ohio's Collin's Hazmpose Law) a hiki i 20 makahiki i loko o ka hale paʻahao mokuʻāina ma luna o nā haumāna e ʻike ana i kekahi hoa i loko o ka pilikia ʻona waiʻona i ka wā o ka hoʻomaka ʻana a ʻaʻole i kāhea iā 911 a keakea paha iā EMS. ʻO ke kelepona ʻana iā 911 e hoʻopakele koke i ke ola o kāu hoaaloha a hoʻoulu i kāu pale kānāwai ikaika loa; ʻO ka hūnā ʻana i ka pilikia e hōʻoiaʻiʻo i kahi pōʻino a me kahi palapala hoʻopiʻi felony.

(No nā hoʻolālā kūʻē i ka hoʻoweliweli a me ka pale ʻana i ka hazing, ʻike Hoʻoweliweli haumāna, hazing, a me ka cyberbullying. No ka make nui a me ke kokua mua loa, e nana Hoʻomake i ke kōkua mua, a mālama i kā mākou honua helu pilikia hiki ke loaʻa ka papa kuhikuhi.)

E hana i kēia i kēia manawa¶

1. **E nānā i nā hōʻailona C-U-P-S o ka make ʻana i ka waiʻona weliweli: inā he hōʻailona hoʻokahi, e kelepona iā 911 (a i ʻole 112 / 999) koke me ka noi ʻole ʻana i ka ʻae mai nā luna mokuna a i ʻole nā ​​​​kāpena hui. Inā lawe kekahi i kāu kelepona, ālai i ka puka, a kauoha paha i nā ʻōlelo hoʻohiki e peʻe i loko o kahi lumi haʻahaʻa, e hele i waho a i ʻole e hoʻopaʻa iā ʻoe iho i loko o ka lumi ʻauʻau a kāhea aku i kāu helu pilikia kūloko (911 ma US a me Kanada, 112 ma waena o ka European Union, 999 ma UK, a ʻike paha. helu pilikia). E kelepona koke inā ʻike ʻoe i kekahi o nā hōʻailona pilikia C-U-P-S:
2. C: Anu, Paʻu, Pale, a i ʻole ʻili ʻulaʻula/ʻulaʻula (Cyanosis): Ma kahi o nā lehelehe, nā kui lima, a i ʻole nā pepeiao pepeiao, a i ʻole ka wela o ke kino e hāʻule ana ma lalo o 35 degere Celsius (95 degere Fahrenheit);
3. U: ʻIke ʻole a i ʻole Semi-Conscious (Cannot Be Awakened): ʻAʻole ʻoe e ala a kamaʻilio pū i ka wā e hoʻōho ai ʻoe i ko lākou inoa a kau ʻoe i kahi sternal rub paʻa (ʻomi ikaika i kou mau puʻupuʻu ma waena o ko lākou iwi umauma);
4. P - Puking While Unconscious or Semi-Conscious: ʻO ka luaʻi ʻana i ka wā e pani ʻia ai nā maka, hūpō, a ʻaʻole hiki ke noho kūʻokoʻa ke lawe i ka pilikia koke o ka pulmonary aspiration;
5. S - ʻO ka hanu lohi a i ʻole ka maʻamau (< 8 Breaths Per Minute a i ʻole 10+ Seconds Ma waena o ka hanu) a i ʻole ka hopu ʻana: ʻO ka hanu hoʻomaha maʻamau o nā mākua he 12 a 20 mau hanu i kēlā me kēia minuke; hanu liʻiliʻi ma mua o 8 manawa i kēlā me kēia minuke a i ʻole ka hanu ʻana (agonal breathing) hōʻailona i ka puʻuwai hanu o ka lolo.
6. ** E ʻōwili i ke kanaka ma kona ʻaoʻao i loko o ka Lateral Recovery Position (Bacchus Maneuver) i loko o 5 kekona no ka hoʻomaʻemaʻe ʻana i ko lākou ala ea mai ka luaʻi.** Mai waiho i ka mea ʻona e moe palahalaha ana ma kona kua (supine) a i ʻole ke alo i lalo (prone). E kukuli ma ka ʻaoʻao o lākou, e hāpai pololei i ko lākou lima kokoke loa ma luna o ko lākou poʻo, e kau i ko lākou lima lōʻihi ma luna o ko lākou umauma, e kukuli i ko lākou mau kuli lōʻihi i luna, a ʻōwili mālie iā ʻoe ma ko lākou ** ʻaoʻao hema ** i hoʻopaʻa ʻia ko lākou mau kuli luna iā lākou ma kahi kihi 45-degere kūpaʻa a hili iki ko lākou poʻo i lalo ma ko lākou lima ākea. ʻO kēia ka mea e hiki ai i ka ʻumekaumaha ke hoʻokahe i ka luaʻi a i ʻole ke kohu mai loko mai o ka waha ma mua o ka hoʻohaʻahaʻa ʻana i ka trachea i loko o ka māmā.
7. *E haʻi maopopo i ka ʻelele 911 āu e kāhea nei ma lalo o ka Moku'āina a me ke Kulanui "Good Samaritan Medical Amnesty Law" a hāʻawi i ka nui pololei o ka waiʻona i inu ʻia. [18]-makahiki haumāna ma [Exact Street Address, Building Name, and Floor/Room] ʻo wai [unresponsive / vomiting while unconscious / breathing slowly] mahope o ka inu ana [Number of shots/drinks or milliliters/ounces of 40% vodka/liquor] pau [Number] hola." E haʻi koke inā paʻi ke poʻo o ka haumāna i ka hāʻule ʻana i ke alapiʻi a i ʻole ke kānalua ʻoe i kekahi lāʻau i hoʻohui pū ʻia (opioids/fentanyl, Xanax/benzodiazepines, a i ʻole Adderall).
8. ** Hāʻawi i ka Naloxone intranasal (Narcan, 4 mg spray) koke inā loaʻa kekahi mea hiki ke komo pū i ka opioid a i ʻole nā lāʻau hoʻopunipuni.** Inā lawe ka haumāna i kekahi pila (e like me ka "Percocet" a i ʻole "Xanax" hoʻopunipuni i kaomi ʻia me ka fentanyl), hoʻohana i kekahi pauka, a i ʻole he pinpoint pupils a me ** respiratory rate ma lalo o 8 hanu i kēlā me kēia minuke**, hoʻopuʻu i hoʻokahi dosis intranasal (4 miligram o intranasal.Narcan)** i loko o ka puka ihu hoʻokahi i kēia manawa. Loaʻa ka Naloxone ʻaʻohe hopena ʻawaʻawa inā inu wale ke kanaka i ka waiʻona, akā e hoʻohuli ʻo ia i ka hoʻopaʻa hanu opioid make i loko o 2 a 3 mau minuke inā loaʻa ka fentanyl.
9. **Inā ho'ōki ke kanaka i ka hanu ʻana a i ʻole hoʻohuhū wale i kekahi manawa, e ʻōwili iā ia ma luna o kona kua ma ka papahele paʻa a hoʻomaka i ka CPR lima wale nō (100 a 120 kaomi i kēlā me kēia minuke, 5 a 6 kenimika / 2 a 2.4 iniha ka hohonu).
10. ** E noho kino me ka haumāna a hiki i ka poʻe lapaʻau e hiki mai, wehe i ka puka mua, a hoʻouna aku i kekahi hoa kuʻo i ke alanui me ke kukui kelepona e hoʻoluliluli i ka ambulance i loko. E uhi i ka mea i ho'opa'a 'ia me ka pale malo'o.

lāʻau hoʻoholo: ʻO ka hoʻāʻo ʻana i ka lāʻau ʻawaʻawa a me ka hoʻōla ʻana i ka Medical Amnesty¶

flowchart TD
    Start["Ua ʻona ka haumāna ma ka pāʻina, Dorm, Fraternity/Sorority, a i ʻole hanana hui"] --> Assess["KaʻAnuʻu Hana 1: Hana koke i ka C-U-P-S a me ka Airway Assessment (Shout Name and Firm Sternal Rub)"]

    Assess --> CUPSCheck{"Aia kekahi o na Hae Ulaula C-U-P-S? (Ka ʻili anu/ʻulaʻula, ʻike ʻole, Puking, hanu mālie <8/min, a i ʻole ʻeha poʻo)"}

    CUPSCheck -->|"ʻAe: Loaʻa nā hōʻailona pōʻino (Lapaʻau Lapaʻau)"| Call911["KaʻAnuʻu 2: DIAL 911 / 112 / 999 IMMEDIATELY a e kāhea aku i ka Amnesty Lapaʻau Samaria maikaʻi."]

    CUPSCheck -->|"ʻAʻole: Ala, ʻŌlelo Kūlike, Noho i luna, a me ka hanu maʻamau"| Monitor["Kiaʻi Sober Active: Hoʻopau i ka waiʻona, hoʻomaʻamaʻa ma ka ʻaoʻao, a nānā hou i kēlā me kēia 15 mau minuke no 4 mau hola."]

    Monitor --> Deteriorate{"Paʻakikī paha ka haumāna e ala a hoʻomaka paha i ka luaʻi?"}
    Deteriorate -->|"ʻAe"| Call911

    Call911 --> BreathCheck{"He hanu ma'amau ka Haumana (>8 Hanu/Min)?"}

    BreathCheck -->|"ʻAe: Hāpai ʻia"| RecoveryPos["KaʻAnuʻu Hana 3: E holo i loko o ka Lateral Recovery Position (Bacchus Maneuver), uhi me ka Blanket, a alakaʻi iā EMS"]

    BreathCheck -->|"ʻAʻole: ʻAʻole Hanu, ʻAhu (<8/min), a i ʻole nā haumāna Pinpoint"| Resuscitate["KaʻAnuʻu Hana 3B: Hāʻawi i ka 4 mg Intranasal Naloxone (Narcan) inā hiki ke Pill/Opioid a hoʻomaka i ka CPR lima-wale (100-120 / min)"]

Māhele 1: ʻO nā meaʻawaʻawa maʻi o ke Koko Alcohol Concentration (BAC) a no ke aha e make ai nā laina hazing.¶

I ka inu kanaka maʻamau, inu kekahi kanaka i hoʻokahi mea inu maʻamau i kēlā me kēia hola (14 grams o ka ethanol maʻemaʻe = 355 milliliters / 12 oz o 5% beer, 150 milliliters / 5 oz o 12% waina, a i ʻole 44 milliliters / 1.5 ʻoz o 40% / 80-hōʻoia o ka ʻuhane hoʻoheheʻe waena. I ka manawa i hiki ai ko lakou Blood Alcohol Concentration (BAC) i ka 0.15% a i ka 0.20%, hiki i ka no'ono'o nui, nausea, a me ka ataxia ke pale aku ia lakou mai ka ninini hou ana i kekahi mea inu, he valve palekana kino i kapaia o "palekana pass-out."

I loko o kahi ** hoʻomaʻamaʻa hazing i koi ʻia a koi ʻia paha ** (e like me "Big/Little Family Drink Night," "Lineup / Gauntlet," "Power Hour," "21-no-21 Birthday Shots," a i ʻole nā pāʻani inu kahi e kauoha ʻia ai nā hoʻohiki e hoʻopau i kahi 750-milliliter / 25.4-auneke "lima" a i ʻole 1.75 "waiwai"-waiwai a i ʻole 1.75 "handle-proof". ka hoʻomaʻamaʻa hoʻomaka), ua hoʻopau ka mea i pepehi ʻia i ka pale pass-out ma o ka ʻai ʻana i 12 a 25 mau mea inu maʻamau ma lalo o 45 mau minuke.

Ka holomua o ke koko o ka waiona (BAC) a me ka Brainstem Shutdown¶

Māhele 2: Pehea ka maikaʻi o nā kānāwai Amnesty Lapaʻau Samaria e pale ai i ka mea kelepona a me ka mea i pepehi ʻia¶

ʻO ka mea pale nui loa i ke kāhea ʻana iā 911 ma kahi pā kula he makaʻu i ka hoʻopaʻi. Ua hopohopo nā haumāna: "Inā wau e kelepona iā 911, e hopu paha ka mākaʻi iaʻu a me koʻu hoa no Minor in Possession (MIP), e kipaku ʻia anei au i waho o koʻu hale hoʻomaha a i ʻole e nalowale kaʻu haʻawina, a i ʻole e hoʻokuʻu ʻia kā mākou mokuna/hui?"

Eia ka ʻoiaʻiʻo o ke kānāwai o State Statutory Medical Amnesty a me University Good Samaritan Policies:

1. He aha ka moku'āina ʻo Good Samaritan / Medical Amnesty Law e pale aku iā ʻoe mai¶

Ma ** ma kahi o 40 mau mokuʻāina ʻo ʻAmelika a me Wakinekona, D.C.** (a ma lalo o ke kānāwai federal Good Samaritan Drug Overdose Act a me nā memo o nā mākaʻi kulanui ma waena o UK a me Australia), hāʻawi ʻo Medical Amnesty i ** ka palekana hewa mai ka helu ʻana, hopu ʻia, a hoʻopaʻi ʻia paha ** no: - Loaʻa ʻana a i ʻole ʻai ʻana i ka waiʻona ma lalo o ka makahiki (Minor in Possession / MIP, Underage Drinking, Public Intoxication); - Loaʻa i nā mea liʻiliʻi i hoʻomalu ʻia a i ʻole nā mea lāʻau lapaʻau (ma lalo o nā kānāwai ʻo Alcohol & Overdose Good Samaritan statute); - Ua pale ʻia nā mea kelepona e ʻimi nei i ke kōkua olakino a me ka mea ʻona e pono ai ke mālama olakino, inā: 1. Ua hoʻopili ka mea kelepona iā 911, nā mākaʻi pā kula, a i ʻole kahi Kokua Noho (RA) ma ka manaʻo maikaʻi ma muli o ka manaʻoʻiʻo kūpono e pono i kekahi ke mālama kino; 2. ʻO ka mea kelepona ** hāʻawi i ko lākou inoa ** i ka mea hoʻouna / nā luna a ** noho ma ke kahua ** me ka mea i hōʻeha a hiki i ke kōkua olakino; a 3. Ua hōʻike ʻia ka pilikia **ma mua o ** ʻike kūʻokoʻa nā mākaʻi i ka pāʻina i ka wā o ka hoʻouka ʻana a i ʻole ke kaʻa kaʻa.

2. He aha ka University "Campus Medical Amnesty / Responsible Action Protocols" e pale aku iā ʻoe¶

ʻOi aku ka ʻoi aku o ke koʻikoʻi ma mua o ke kānāwai mokuʻāina, kokoke i kēlā me kēia kulanui ʻo Student Code of Conduct he Medical Amnesty / Good Samaritan Policy (i hoʻonui pinepine ʻia i Organizational Amnesty no nā ʻohana, sororities, a me nā hui haumāna). Ke kāhea ʻoe i ka Campus Medical Amnesty: - ** ʻAʻohe palapala hoʻopaʻi ma kāu palapala : ʻAʻole i loaʻa i ka mea kelepona a i ʻole ka haumāna i hoʻopaʻa ʻia i ka hale maʻi i kahi hōʻailona hoʻopaʻi hoʻopaʻi, hoʻokuʻu ʻia, a i ʻole hana ʻino i kā lākou palapala kula a puka kula no ka inu ʻona a i ʻole ka lāʻau lapaʻau. - ** Palekana 'Athletic & Scholarship: Kāhea ʻia 911 ma lalo o ka Medical Amnesty poloka i ka hoʻokuʻu ʻia ʻana o ka pāʻani haumāna-ʻâlapa a i ʻole ke kōkua kālā/hoʻopau hale no ka inu ʻana i ka makahiki. - Ka Hoʻohaʻahaʻa Hui no nā Mokuna a me nā Pūʻulu: ʻOiai inā ua uhaʻi kekahi ʻohana, sorority, a i ʻole hui i ka hoʻopaʻa inoa hanana a i ʻole nā kānāwai waiʻona ma o ka hoʻokipa ʻana i kahi pāʻina ʻae ʻole, ke keʻena aupuni (NIC / NPC / NPHC) a me nā Deans of Students o ke kulanui e mālama pono iā ** me ke kāhea ʻana iā 911 e hoʻopakele i ke ola o kahi lālā ** ma ke ʻano he pale pale mua i ka hoʻokuʻu ʻana i ka palapala hoʻohui, ʻoiai ʻo ** hoʻopaneʻe a uhi ʻana i kahi pilikia olakino e hopena koke i ka mokuna paʻa a me ka hoʻopaʻi hewa **.

Māhele 3: ʻO ka hoʻopaʻi felony no ke kāhea ʻole ʻana iā 911: Nā kānāwai antihazing mokuʻāina a me ke Federal Stop Campus Hazing Act.¶

Inā haʻi ka luna mokuna, ka haku hoʻohiki, a i ʻole ka mea ʻōpio ʻōpio iā ʻoe *"Mai kāhea iā 911, e mālama mākou iā ia i loko o ka hale," * e hoʻomaopopo ʻo ka hoʻolohe ʻana i kēlā kanaka e lilo ai nā mea a pau i loko o ka lumi i mea i hoʻopiʻi ʻia i ka felony homicide or aggravated hazing prosecution.

ʻO nā hoʻopaʻapaʻa o ka mokuʻāina a me ka Federal Statutory Crackdowns ma ka Campus Hazing a me ka hāʻawi ʻole ʻana i ke kōkua¶

Māhele 4: ʻO ka hoʻokele ʻana i ka ʻaoʻao o ka moena i ka wā e kali ana i ka ambulance¶

Ke kelepona ʻoe iā 911, ʻo ka 6 a 10 mau minuke ma mua o ka hele ʻana o nā paramedics ma ka puka, ʻo ia ka puka makani koʻikoʻi kahi e mālama ai ʻoe i ke ola o ka haumāna.

ʻO 5-Step Bedside Survival Checklist¶

1. Ke kūlana: Ke kūlana hoʻihoʻi hope (Bacchus Maneuver):
2. Step A: E kukuli ma ka ʻaoʻao o ka haumāna ma ka papahele (inā aia lākou ma luna o kahi moena kiʻekiʻe a i ʻole kahi moe haiki kahi e hiki ai iā lākou ke ʻōwili a paʻi i ko lākou poʻo, e hoʻoheheʻe pono iā lākou ma luna o ka papahele i uhi ʻia me kahi hoaaloha e kākoʻo ana i ko lākou poʻo a me ka ʻāʻī).
3. Step B: E hoʻolōʻihi i ka lima hema o ka haumāna ma luna pono o ko lākou poʻo (e like me ka hāpai ʻana i ko lākou lima ma ka papa) i uluna no ko lākou poʻo ke ʻōwili ʻia.
4. Step C: E lawe mai i ko lakou lima akau ma ko lakou umauma a kau i ke kua o ko lakou lima akau ma ko lakou papalina hema.
5. Step D: E hopu ma hope o ko lakou kukuli akau, e huki i kela kuli i luna i moe palahalaha ko lakou wawae akau ma ka papahele, a huki i ke kuli i kulou ia oe e olokaa malie i ko lakou kino holookoa ma ko lakou aoao hema.
6. ** KaʻAnuʻu E**: Huki i ke kuli piko piko i mua ma kahi 90-degere no laila e hana ʻo ia ma ke ʻano he kickstand e pale aku ai iā lākou mai ka ʻōwili ʻana i ko lākou umauma, a hoʻohuli iki i ko lākou ʻauwae i mua a i lalo no laila ʻo ka waha ka wahi haʻahaʻa o ke alaloa.
7. Hoʻomaʻemaʻe Airway (Hoʻolima wale ʻia inā ʻike ʻia):
8. Inā luaʻi ka haumāna ma ke kūlana hoʻihoʻi, e hoʻokahe ka ʻumekaumaha i ka wai ma ka papahele. E hoʻohana wale i ʻelua manamana lima i wahī ʻia i ka pālule a i ʻole ka lole e holoi ai i nā ʻāpana paʻa i ʻike ʻia** e noho ana ma mua o ka pāpālina a i ʻole nā ​​lehelehe; mai hoʻokomo makapō i nā manamana lima i ka ʻāʻī.
9. Paʻa wela (Preventing Ethanol Hypothermia):
10. No ka mea, hoʻokuʻu ka waiʻona i ke koko pumehana i nā capillaries ʻili (vasodilation) a hoʻopaʻa i ka haʻalulu haʻalulu o ka lolo, lilo koke ka wela o ke kino i kahi haumāna ʻona ʻike ʻole i loko o kahi lumi 20-degere-Celsius (68-degere-Fahrenheit). E uhi i ko lākou ʻūhā a me nā wāwae me kahi ** ʻaʻahu maloʻo a ʻaʻahu paha ** ʻoiai e ʻike ʻia ko lākou mau maka a me ka umauma i hiki iā ʻoe ke nānā i kēlā me kēia hanu.
11. E mālama i nā hōʻike o ka mea a lākou i inu ai a i lawe ai paha:
12. E paʻi kiʻi kiʻi wikiwiki o ka ** ʻōmole waiʻona, nā kīʻaha kuʻi, nā mea inu ikaika, a i ʻole nā ʻōwili pila** i loko o ka lumi a hāʻawi pololei i ka ʻōmole kino a i ʻole ke kiʻi i ka poʻe lapaʻau e hiki mai ana. ʻIke inā ua inu ka haumāna 40% vodka vs. 75.5% (151-proof) rama vs. 95% (190-proof) ʻona waiʻona (Everclear), a i ʻole i hoʻopaʻa ʻia ka punch me GHB, ketamine, Rohypnol, a i ʻole Xanax, alakaʻi koke i ka protocol resuscitation o ka 'Oihana Hoʻopilikia.
13. He aha nā mea lapaʻau a me ka 'Oihana Hoʻopilikia e hana ai i ka hōʻea ʻana:
14. ʻAʻole ** ʻo ka poʻe kauka lapaʻau a me nā kauka ER i ka "pump ʻōpū" no ka wai ʻona wai maʻamau (no ka mea, komo a kahe koke ka wai). Akā, hāʻawi lākou i ka hoʻopakele ola ** palekana ala ea (endotracheal intubation inā ua hala ka gag reflex)**, intravenous (IV) nā wai kristaloid, IV Dextrose (D50W) e hoʻohuli i ka ʻeha lolo hypoglycemic i hoʻokomo ʻia i ka waiʻona, IV Thiamine (Vitamin B1, 100 mg) no ka pale ʻana i ka Wernicke encephalopathy, passive/active rewarming, a me ka nānā mau ʻana i ka naʻau/oximetry a hiki i ka hana ʻana o ke ake o ka haumāna i ka ethanol me ka palekana.

Nā helu ulia pōpilikia āpana a me nā protocols oihana¶

Nīnau pinepine¶

Inā wau e kelepona iā 911 no koʻu hoa i loaʻa i ka ʻona ʻona, e kelepona ʻakomi anei ka haukapila a kulanui paha i ko lākou mau mākua?¶

ʻO ka mea mua, ʻo ka hoʻopakele ʻana i kāu hoaaloha mai ka make ʻana o ka ʻōpū hanu a i ʻole ka pōʻino o ka lolo e hele mau ma mua o ka pale ʻana i kahi kelepona ʻino me nā mākua. ʻO ka lua, ma lalo o nā kānāwai pilikino federal (HIPAA ma ka haukapila a me FERPA ma ke kulanui), inā he 18 a ʻoi paha kāu hoaaloha, ʻaʻole hoʻolaha pinepine nā halemai i nā mākua no kahi kipa lumi pilikia ke ʻole ka haumāna i loko o kahi coma weliweli, koi ʻia ke ʻoki pilikia, a i ʻole e hōʻailona i ka hoʻokuʻu ʻana, a i ʻole ke kaʻina ʻana o ka bila lawe kaʻa kaʻa ma o ka wehewehe ʻana o ka ʻinikua olakino o nā mākua (EOB). Ma lalo o FERPA (34 CFR 99.31(a)(15)), ua ʻae ʻia nā kulanui e haʻi aku i nā mākua no ka inu ʻana i ka waiʻona ma lalo o 21 mau makahiki, akā nui nā Kumukānāwai Lapaʻau Lapaʻau o ke kulanui e hoʻokuʻu pono i ka hoʻolaha ʻana o nā mākua no ka lawe ʻana i ka Medical Amnesty no ka manawa mua a hoʻopili i ka haumāna me ka huna huna me nā kumu aʻoaʻo olakino a maikaʻi.

Ke pale mau nei anei ʻo Good Samaritan Medical Amnesty iaʻu inā ʻo wau ka mea nāna i kūʻai i ka waiʻona a i ʻole au ma ka hoʻāʻo?¶

Ma lalo o kēlā me kēia mokuʻāina ʻo Good Samaritan statute a me ke kulekele ʻo Medical Amnesty University, ʻo ka mea ʻona a me ka mea kelepona i kā 911 me ka hilinaʻi maikaʻi e pale ʻia mai ka hoʻopaʻi ʻana a me ka hoʻopaʻi ʻai. Akā naʻe, ʻaʻole hāʻawi ʻo Medical Amnesty i ka palekana no nā hewa feloni ʻokoʻa e like me ka hoʻopaʻa ʻana i kekahi kanaka, ka inu ʻana me ka lāʻau lapaʻau lā-rape, ka hana hoʻomāinoino, a i ʻole ke kaʻa ʻana ma lalo o ka mana (DUI). ʻOiai inā ua hoʻolako ʻoe i ka waiʻona ma ka pāʻina a i ʻole ma ke kula a i ʻole ke alakaʻi ʻana i ka hoʻāʻo ʻana, ʻo ke kāhea koke ʻana i ka 911 ʻo ia nō kāu pale kānāwai maikaʻi loa: ma lalo o nā kānāwai hoʻoweliweli mokuʻāina a me ka noʻonoʻo ʻole (e like me Florida's Andrew Coffey Law a me Timothy Piazza Law o Pennsylvania), e kāhea ana iā 911 a hāʻawi i ke kōkua ka ʻokoʻa ma waena o ka hoʻopaʻi ʻana i ka hoʻopaʻapaʻa 5year-conduct prison-20unt. pepehi kanaka.

Pehea e hiki ai iaʻu ke ʻike i ka ʻokoʻa ma waena o ka mea i "ʻona wale" a me ka mea i loaʻa i ka ʻona waiʻona weliweli?¶

E hoʻohana koke i ka Sternal Rub a me C-U-P-S. E hoʻōho i ka inoa o ke kanaka me ka leo nui a e hamo i kou mau puʻupuʻu i luna a lalo i waenakonu o kona iwi umauma (sternum) no 5 kekona. ʻO ke kanaka e hiamoe wale ana ma hope o ka inu ʻana, e uwē ʻo ia, e kīkī i kou lima, e wehe i kona mau maka, a pane i kahi nīnau maʻalahi e like me "ʻO wai kou inoa?" Inā ʻaʻole ala ke kanaka, ʻaʻole hiki ke ʻōlelo i kahi ʻōlelo kūpono, hoʻi koke i ka ʻike ʻole ke hoʻōki ʻoe i ka hamo ʻana, ka luaʻi i ka wā e paʻa ai ko lākou mau maka, he ʻili anu a ʻulaʻula paha, a i ʻole ka hanu ʻana ma lalo o 8 mau manawa i kēlā me kēia minuke, aia lākou i loko o ka ʻawaʻawa ʻawaʻawa a i ʻole ka coma a makemake koke i kahi ambulance 911.

ʻO wai ka mea e uku i ka pila kaʻa kaʻa a me ka lumi pilikia inā kāhea au i ka 911 no kekahi hoa haumāna?¶

ʻAʻole i uku ʻia kahi keneta hoʻokahi no ke kāhea ʻana i kahi ambulance no kekahi. No ka lawe ʻia ʻana o ka mea maʻi, nui nā kulanui e hana i kā lākou pūʻulu Campus EMS manuahi a uku ʻole ʻia e nā haumāna, a i ʻole mālama i kahi Dean of Student Student Emergency Medical Fund e uhi ana i ka uku kālā ambulance no nā haumāna e hoʻohana ana i ka Medical Amnesty no laila ʻaʻole hopohopo ke kālā i kahi kelepona 911. ʻOiai i ka lawe ʻana o kahi ambulance municipal i ka haumāna, ʻo nā pale federal No Surprises Act a me ka ʻinikua olakino haumāna e uhi i ka hoʻopaʻa pilikia.

He aha inā e koi ʻia ana au e komo i kahi hana hazing inu ikaika i kēia pō, pehea wau e puka palekana ai a hōʻike aku?¶

Mai hele i loko o kahi haʻahaʻa paʻa a lima paha i kāu kelepona no kahi laina inu. Hoʻopunipuni i ka maʻi ʻōpū koke, kelepona pilikia ʻohana, a i ʻole migraine e haʻalele koke i ka hale, a i ʻole kaʻana like i kāu wahi GPS ola me kahi hoaaloha hilinaʻi ma waho o ka hui me kahi huaʻōlelo hōʻoia hōʻoia. Ke noho ʻoe ma kahi palekana, hiki iā ʻoe ke hōʻike huna i ka hazing i ka Dean of Student Hazing Hotline o kāu kulanui, ka National Anti-Hazing Hotline (1-888-NOT-HAZE), a i ʻole ke keʻena poʻo aupuni o ka fraternity a i ʻole ka sorority, nāna e hoʻopuka koke i kahi kauoha hoʻomaha a hoʻopau i nā hana a nā lālā hou.

Nā alakaʻi pili¶

• Hoʻoweliweli haumāna, hazing, a me ka cyberbullying
• Hoʻomake i ke kōkua mua
• ʻEha poʻo a me ke kōkua mua
• Title IX pā kula hōʻike hōʻeha kolohe a me nā hale
• Ke pau ka pane ʻana o kekahi haumāna kulanui: nā mākaʻikaʻi pono a me nā ʻokoʻa palekana FERPA
• Nā helu pilikia a me ka hoʻouna honua

Nā kumu a me ke alakaʻi kūhelu¶

• National Institute on Alcohol Abuse and Alcoholism (NIAAA / NIH, United States): College Drinking Fact Fact & Alcohol Overdose: The Dangers of Drinking Toxicity Acute Ethanol Toxicity, Gastric Emptying Lag, and Brainstem Respiratory Depression).
• U.S. 'Aha'ōlelo a me ka 'Oihana Ho'ona'auao: Stop Campus Hazing Act (Public Law 118-173, Amending the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, 20 U.S.C. 1092(f), Mandatory Hazing Reporting and Campus Hazing Transparency Reports).
• State Antihazing & Good Samaritan Statutory Compendia (United States): Pennsylvania Timothy J. Piazza Antihazing Law (18 Pa.C.S. § 2801 et.), Florida Andrew Coffey's Law (Fla. Stat. § 1006.63) Collin's Law (Ohio Rev. Code § 2903.31).
• Substance Abuse and Mental Health Services Administration (SAMHSA) & Centers for Disease Control and Prevention (CDC, United States): Good Samaritan Overdose and Alcohol Medical Amnesty Laws and Bystander Naloxone Administration Guidelines.
• Aha ʻAmelika Hui Pū ʻIa a me UK Resuscitation Council: Nā Kūlana Kōkua Mua no ka Pohō ʻole ʻana o ka hanu ʻana (Lateral Recovery Position / Bacchus Maneuver) a me ke kākoʻo ola kumu o nā mākua.