ATV, UTV Rollover, le Go-Kart Drive Axle Hair kapa Clothing Entanglement¶
Linomoro tsa maemo a tšohanyetso li fapana ho ea ka linaha. Leqephe lena le sebelisa 911, nomoro ea United States le Canada. Linaha tse ling tse ngata li sebelisa 112, 999, kapa nomoro e ’ngoe. Fumana nomoro ea naha ea heno.
Off-road All-Terrain Vehicles (ATVs), Utility Task Vehicles (UTVs kapa side-by-side), le ho itlosa bolutu kapa concession go-karts li hlahisa tse peli tse ikhethang, tsa nako ea bohlokoa tsietsi ea ts'ohanyetso ea ts'ohanyetso: ** koloi e boima ea rollover e sithabetseng ** le ** high-RPM e ka morao ea moriri oa axle kapa liaparo *. Li-ATV tsa setulo sa Straddle li na le wheelbase e moqotetsane, setsi se phahameng sa matla a khoheli, le li-axle tse tiileng tse ka morao tse se nang li-gear tse fapaneng, tse etsang hore li sekamele ho li-flips tse mabifi tse ka morao, tse ka morao le tse ka pele litseleng tse ka holimo kapa litseleng tse katiloeng. Ha 250 ho 450 kilogramme (550 to 1,000 pound) ATV kapa 700 to 1,100 kilogram (1,500 to 2,400 pound) UTV roll cage e phethola sefuba sa mokalli, pelvis, kapa letsoho le otlolohileng, lehlatsipa le shebana le ho hola hanghang ho phefumoloh, ho lutla mollo oa peterole khahlano le hlooho ea mokhathala oa 500-degree-Celsius (930-degree-Fahrenheit) le crush syndrome ha e ka kenngoa metsotso e fetang 15 ho isa ho 60.
Lipineng le li-karts tsa boithabiso tse ka morao, kotsi ea mantlha e behang bophelo kotsing e lutse ka lisenthimithara tse ka morao ho hlooho ea mokhanni: spining axle drive e ka morao, sprocket, le ketane kapa lebanta. E fetoha ka 1,500 ho isa ho 4,000 revolutions ka motsotso (RPM) ka ho toba ka mor'a setulo, axle ea kart e sa lebeloang kapa e lebetsoeng ka mokhoa o itseng e phahamisa moriri o molelele, lituku, lituku, kapa likhoele tse hulang ka ka tlase ho metsotsoana e 0.2. Hobane moriri oa motho o na le matla a thata a bapisoang le terata ea tšepe ha e sotheha ka har'a thapo, sele e ohiang e hula hlooho ea mopalami morao khahlanong le foreimi ea enjene ka likete tsa Newtons tsa matla, e leng se bakang **ho robeha hang-hang ha lesapo la mokokotlo oa molomo oa pōpelo le ho thingoa Ho tseba ho bolaea enjene hang-hang, tsitsisa rollover ntle le ho theola foreimi ho motho ea hlasetsoeng, 'me u boloke letlalo la hlooho le tsoileng matsoho ka har'a leqhoa le batang le mongobo ho pholosa bophelo le liphello tse tsosolosang.
Etsa sena hona joale¶
Haeba u bona rollover ea ATV kapa UTV kapa ho roala moriri oa kart / liaparo hona joale, etsa mehato ena e tšeletseng hanghang:
- Bolaea enjene hang-hang (tobetsa konopo e khubelu ea Thumb Kill Switch, tima konopo ea ho tima, kapa u hule terata ea spark plug): Ho ATV e phetholang kapa UTV, peterole e lutla ka carburetor kapa phaephe ea tanka e kenang ka kotloloho peiping ea moholi o mofubelu ha mabili a ntse a bilika a ka tšoara bapholosi. Ha ho ntse ho koaheloa ka kart, karoloana e 'ngoe le e 'ngoe ea motsotsoana e ntse e bilika e tiisa ho khinoa kapa ho hahola lisele tse ling. Tobetsa switch ea ho emisa enjene e khubelu letsohong le letšehali, phetetsa switch ea enjene e ka morao ho TIMA, kapa u tlose bootla ea rabara holim'a plug ea spark plug.
- Ha moriri oa kart kapa liaparo li tlamahane, tšehetsa boima ba hlooho ea motho ea hlokofalitsoeng hang-hang 'me u kuta liaparo kapa moriri FEELA ka mor'a hore axle e eme: Haeba sekhafo kapa hoodie e hula khoele e pota-potiloe 'me e khama mokalli, theola lehare le le leng la sekere se boima kapa sehahi sa lebanta la setulo pakeng tsa molala le lesela hang-hang. Haeba moriri o molelele o na le leqeba le tiileng le hulang molala khahlanong le molebeli oa li-axle, tšoara hlooho le mahetla a phofu ka thata hore boima ba 'mele oa bona bo se ke ba leketla molaleng oa bona,' me u pome likhoele tse harelaneng tse pakeng tsa axle le letlalo la hlooho hafeela ho hlokahala ho imolla molala o bolaeang kapa ho lokolla moea.
- Haeba motho ea hlokofalitsoeng a penetsoe ka tlas'a sefubeng sa ATV kapa UTV se phetholang, phahamisa 'me u ntše koloi sefubeng sa bona ka mor'a metsotsoana e seng mekae ho emisa asphyxia e sithabetsang: ATV ea 350-kilogram (770-pound) e lutseng holim'a likhopo tsa mopalami e thibela ho atoloha ha diaphragm le sefuba, ho baka lefu le bolaeang ka metsotso e 5. Bokella batho ba baholo ba babeli ho isa ho ba bane (kapa sebelisa winch, jack ea polasi, kapa lekala le lelelele le tiileng e le lere) ho phahamisa foreimi ea ATV ho tloha torso ha motho e mong ** a thella mafika, lifate, lithaere, kapa mabokose a lisebelisoa ka tlas'a foreimi ** e le hore e se ke ea thella le ho khutlela ho motho ea hlasetsoeng.
- **Haeba leoto kapa pelvis e kentsoe tlas'a UTV e boima ka nako e fetang metsotso e 15 ho isa ho e 60, hokahanya ho phahamisa ka litšebeletso tsa meriana ea tšohanyetso (Crush Syndrome risk) **: Haeba sefuba sa motho ea hlokofalitsoeng se lokolohile 'me se khona ho hema ha bonolo, empa leoto kapa pelvis ea bona e hatelitsoe haholo tlas'a UTV ea litulo tse ngata bakeng sa **ho feta 15,' mele oa potassium ho feta metsotso e 15 ho isa ho 60 ka tšohanyetso. lactic acid ho tloha mesifa e sithabetseng ho kena pelong, ho baka ho tšoaroa ha pelo ka tšohanyetso ("lefu la pososelo"). Letsetsa lits'ebeletso tsa tšohanyetso hang-hang hore baoki ba thuso ea bongaka maemong a tšohanyetso ba khone ho fana ka maro a kenang methapong le ts'ireletso ea pelo pele foreimi e phahamisoa (bona ho senya kotsi le compartment syndrome).
- Laola ho tsoa mali ho matla ha letlalo la hlooho ka khatello e tobileng 'me u boloke lesela leha e le lefe la hlooho le hlephileng ka lesela le sa hloekang le mongobo le kentsoeng ka har'a mokotla oa polasetiki holim'a leqhoa: Letlalo la letlalo la motho le na le e 'ngoe ea phepelo e ngata ea mali e tsoang 'meleng; ho thothomela ka botlalo ha letlalo la hlooho ho ka baka ts'abo e behang bophelo kotsing ka mor'a metsotso e seng mekae. Koahela lehata le dutlang madi ka thata ka mabande kapa dithaole tse hlwekileng mme o kenye kgatello e otlolohileng ya palema (ka bonolo haeba ho belaelwa hore lehata le robehile). **Le ka mohla u se ke ua lahla moriri o tsoileng matsoho / letlalo la hlooho 'me le ka mohla u se ke ua beha linama ka ho toba holim'a leqhoa le hlobotseng kapa ua le kenya ka metsing **; phuthela letlalo la hlooho le phatlohileng ka gauze e kolobisitsoeng ka letsoai, u e koahele ka har'a mokotla oa polasetiki o sa keneleng metsi, 'me u behe mokotla oo ka har'a sets'oants'o sa leqhoa le metsi bakeng sa ho busetsa ho buoa ka microvascular.
- Letsa lits'ebeletso tsa tšohanyetso 'me u fane ka likhokahano tsa GPS kapa matšoao a litsela: Letsetsa sebakeng sa heno dinomoro tsa tshohanyetso (911 United States le Canada, 112 ho pholletsa le European Union, 999 United Kingdom). Sebakeng se seng tseleng, bula komporo ea hau ea smartphone kapa sesebelisoa sa 'mapa ho bala ** latitude le longitude coordinate** ho motho ea tsamaisang thepa, 'me u romele motho a le mong mateanong a haufi a tsela e katiloeng ho ea theola ambulense kapa basebetsi ba helikopthara.
Ke hobane'ng ha ho ntša letsoho kapa leoto ka ntle nakong ea UTV ka lehlakoreng le leng rollover e bakang ho khaoloa
Ha UTV ea lehlakoreng le leng e fana ka malebela lehlakoreng la eona ka lebelo la lik'hilomithara tse 15 ka hora (lik'hilomithara tse 9 ka hora), kelello ea motho ke ho sutumelletsa letsoho, letsoho kapa leoto ka ntle ho k'habeche e bulehileng ho "tšoara" fatše le ho tiisa ho oa. UTV e boima ba lik'hilograma tse 700 ho isa ho tse 1,100 (liponto tse 1,500 ho isa ho tse 2,400), 'me tšepe ea eona Roll-Over Protective Structure (ROPS) cage e entsoe hore e otle fatše le ho thella. Letsoho leha e le lefe, forearm, leoto kapa hlooho e fetelang ka ntle ho li-tubing tsa tšepe tsa ROPS ha e ntse e thula litšila kapa lefika e robeha hang-hang kapa e arotsoe pakeng tsa tšepe ea tšepe ea 50-millimeter (2-inch) le fatše. Nako le nako ha u palama UTV e nang le cage, ** tlama lithapo tsa lintlha tse 3 kapa tse 4 ka thata, netefatsa hore matlooa a mahlakoreng a fensetere kapa mamati a halofo a koaletsoe, 'me haeba malebela a koloi, tšoara lebili la ho ts'oara bapalami (kapa u tšele matsoho holim'a sefuba sa hau) 'me u leme maoto ka bobeli a bataletse holim'a mapolanka a fatše**.
Sefate sa liqeto tse bohlale bakeng sa rollover ea ATV/UTV le maemo a tšohanyetso a li-axle tsa go-kart¶
Sebelisa sefate sena sa qeto ea ts'ebetso ho leka le ho arabela hang-hang ho rollover ea off-road kapa ho pota-pota axle ea koloi.
flowchart TD
Start["ATV, UTV, kapa Kotsi ea Go-Kart"] --> IncidentType{"1. Mokhoa o ka sehloohong ke ofe?"}
IncidentType -->|"A. Go-Kart Rear Axle Hair kapa Clothing Entanglement"| KillKart["1. Hit engine kill switch / pull spark plug boot / tobetsa concession pina E-stop<br/>2. Tšehetsa hlooho ea lehlatsipa le torso e le hore boima bo se ke ba hula mokokotlong oa cervical"]
KillKart --> AirwayCheck{"Na liaparo kapa sekhafo se fenetha molala?"}
AirwayCheck -->|"E: Ho khangoa"| CutFabric["Slide li-shears tse hlabang tlas'a lesela la molala 'me u sehe lesela hang-hang; hlahloba phefumoloho 'me u qale CPR haeba e sa arabele"]
AirwayCheck -->|"Che: Ho Hohla Moriri/ Ho Hohla Letlalo"| ScalpCare["1. Kenya khatello e tiileng ea ho roala mokelikeli ho cranium e tsoang mali<br/>2. Koahela letlalo la hlooho le phatlohileng ka gauze e mongobo -> tiiso ka mokotleng oa polasetiki -> beha holim'a metsi a leqhoa bakeng sa microsurgery"]
IncidentType -->|"B. ATV kapa UTV Rollover"| PinnedCheck{"Na motho ea hlokofalitsoeng o kenngoa ka tlas'a koloi?"}
PinnedCheck -->|"Che: E Lahliloe e Hlakile kapa ka hare ho Cage"| SpineCare["TLOA ho tima, shebella peterole e lutla holim'a mosi o chesang, tsitsisa C-spine ka letsoho, u se ke oa tlosa helmete ntle le haeba u sa hema."]
PinnedCheck -->|"E: Sefubeng / Torso e Pinnoe KAPA E Pinnoe <15 mets"| LiftFast["Phahamisa foreimi hang-hang (sebelisa batho ba 3-4, lever pole, kapa winch) 'me u be le bethe ka tlas'a mapolanka/majoe hore e se ke ea theoha."]
PinnedCheck -->|"E: Maoto / Pelvis e Pinnoe> 15 ho isa ho 60 mins (Ho Phefumoloha HO OK)"| CrushProtocol["Tima enjene, boloka setima-mollo se lokile, tsitsisa C-spine, letsetsa 911/112/999 bakeng sa ALS pre-lift fluid resuscitation (Crush Syndrome)"]
Matrix a papiso: straddle ATV vs. ROPS UTV vs. go-kart injury biomechanics¶
Hobane li-ATV tsa straddle, li-UTV tse koaletsoeng, le li-go-karts tsa boemo bo tlase li na le li-jiometri tsa chassis tse fapaneng ka ho felletseng, liketso tsa ho pholoha ha bapalami le mekhoa ea pholoso li fapana haholo ho pholletsa le likoloi tse tharo.
| Sehlopha sa Likoloi | Chassis & Thibelo Geometry | Mekhoa ea Pele ea Kotsi ea Bolaea | Ketso e Nepahetseng ea Mopalami Nakong ea Kotsi le Mopholosi |
|---|---|---|---|
| Straddle-Seat Quad ATV (Bacha ba 70-110cc ho ea ho Batho ba Baholo ba 450-1000cc) | Mopalami oa koloi o lula a le joalo ka sethuthuthu; ** HA HO na lesaka le HONA lebanta la setulo **; esle e tiileng e ka morao e hanana le ho bulela tsela e katiloeng e phahameng | Phetla ka morao maralleng a moepa ho pshatla sefuba/pelvis; ** lateral rollover holim'a tsela e katiloeng** ho leleka mokalli ka hlooho ka har'a lifate kapa likoloing tse tlang; litšepe tse khokhothelang mothapo oa mpa/motšehali | **Le ka mohla u se ke ua kenya lebanta la setulo holim'a ATV ea straddle ntle le cage ea roll **; haeba ATV e qala ho thella leralleng ka mokhoa o sa fetoheng, sutumelletsa hole le ka lehlakoreng le ka holimo e le hore quad e se ke ea theohela holim'a hao; pholoso e tlameha ho phahamisa quad ho tloha sefubeng hang-hang |
| ** UTV / ROV ka lehlakoreng le leng (2 ho isa ho 6) Sesebelisoa sa Bapalami ba Caged / Sport) ** | Bakete ea mofuta oa likoloi kapa litulo tsa libenche tse kentsoeng ka har'a tšepe e nang le tubula ROPS (Roll-Over Protective Structure) e nang le mabanta a pholoso le matlooa a mahlakoreng / mamati | Partial ejection crush ("ROPS mousetrap") ha batho ba sa koaloang ba lahleloa bohareng ba fensetere kapa ba ntša letsoho ka ntle 'me ba hatelloa ke roll bar e oelang. | **Kamehla, tlama lebanta la setulo 'me u boloke matlooa a mahlakoreng a fasitsoe **; nakong ea tip-over, **boloka maoto ohle ka hare ho lesaka ** ka ho tšoara lebili la setereng / moferefere oa ho tšoara kapa ho tšela matsoho holim'a sefuba; Mopholosi o tlameha ho koala mafura / ho hlenneng ebe o sheba hore na ha ho na maoto kapa matsoho |
| ** Tumello / Monate Go-Kart & Racing Kart ** | Setsi sa matla a khoheli a tlase haholo (5 cm / 2 inches sebaka se bulehileng); e pepesitsoe kapa e sirelelitsoe ka halofo ase e ka morao e phelang, chain drive, le enjene clutch ka morao ho molala oa mokhanni. | Kakaretso ea ho tsosoa ha letlalo la hlooho (scalping) le **ho robeha ha mokokotlo oa mokokotlo oa mokokotlo oa mokokotlo ** ho tloha moriri kapa liaparo tse hlephileng tse tšoasoang ka morao ho 3,000 RPM; ho robeha ha laryngeal ("clothesline injury") ho matha ka tlas'a ketane/thibelo ea terata | Tlama moriri oohle o fihlang mahetleng ka har'a bun e thata ** ka hare ** helmete e tletseng sefahleho 'me u kene ka hare ho baki; likhafo tsa zero kapa likhoele tsa hoodie; Mopholosi o tlameha ho ** emisa enjine hang-hang **, a sehe liaparo tse hatellang, 'me a boloke letlalo la hlooho le hlenneng holim'a leqhoa. |
Deep dive 1: Go-kart back drive axle hair scalping le liaparo tse fanyehang¶
Selemo se seng le se seng, litsi tsa bana le tse nchafatsang tsa ho buoa bana li alafa likotsi tse tšabehang tse bakoang ke go-karts, libaesekele tse nyane, le likoloi tsa mopalami moo moriri o molelele oa mopalami, lesela la hlooho, hijab, sekhafo sa mariha kapa hoodie e kholo e ts'oarellang ka morao ho koloi e bilikang.
1. The mechanical physics of 3,000 RPM axle entanglement¶
Ka bobeli ka mor'a ntlo peterole e monate-karts (e laoloang ke ASTM F2011) le likoloi tsa boithabiso tsa khoebo (tse laoloang ke ASTM F2007), enjene e lutse ka morao ka mor'a setulo sa mokhanni kapa ka thōko ho letheka le letona, e fetisetsa matla ka clutch ea centrifugal le ketane / lebanta le phelang ** 50 ho khutlela ho tšepe e tiileng ** 4,000 RPM** (25 ho isa ho 66 e reteleha ka botlalo motsotsoana o mong le o mong): - Sekheo sa Vacuum ka mor'a Setulo: Ha kart e ea pele ka lebelo la lik'hilomithara tse 30 ho isa ho tse 50 ka hora (lik'hilomithara tse 19 ho isa ho tse 31 ka hora), khatello e tlase ea moea ka mor'a setulo sa mokhanni e hula lipone tse hlephileng, maqiti le liaparo tse leketlileng ka morao ho leba koung ea enjene le ho bilika ka morao. - Ke Hobane'ng ha Moriri o sa Tlohe Feela: Moriri o le mong oa motho o robeha ka tlas'a matla a boima ba ligrama tse 50 ho isa ho tse 100, e leng se etsang hore bapalami ba nke mohatla oa pere o tla taboha ha ba ka tšoaroa. Leha ho le joalo, ponytail e nang le 50,000 ho isa ho 100,000 ea moriri e sothehileng hammoho ka shaft e ohiang e etsa thapo e tiileng e khonang ho mamella li-Newtons tse fetang 4,000 ho isa ho tse 8,000 (liponto tse 900 ho isa ho tse 1,800 tsa ho hula), tse matla ho feta ho khomarela ha letlalo la letlalo la letlalo la hlooho kapa matla a letlalo la letlalo. - The Loose Subgaleal Cleavage Plane: Anatomically, letlalo la hlooho la motho le na le likarolo tse hlano (S-C-A-L-P: Letlalo, Connective tissue, Aponeurosis/galea, Loose areolar tissue, le Pericranium). Hobane lera la bone (lesela le hlephileng la areolar) ke sefofane se thellang, se kang sa tepo ha karolo ea boraro (galea aponeurotica) e le letlapa le thata le koahelang hlooho eohle, mohatla o fetelletseng oa ponytail o etsa hore letlalo la hlooho kaofela le phupuoe ka letlapa le le leng haufi le leihlo le hlephileng la sefofane, hangata le tsubella lebopong ho ea holimo. ka morao ho molala, ka nako e nngwe ho nka tsebe e le nngwe kapa tse pedi ka yona.
2. Pholoso ea mohato ka mohato le protocol ea ho boloka letlalo la hlooho ea microvascular¶
Haeba moriri kapa seaparo sa motho se ts'oaroa ka axle ea go-kart kapa lebanta la enjine:
[AVULSED SCALP MICROVASCULAR PRESERVATION ("BAG-IN-BAG" METHOD)]
+---------------------------------------------------------------+
| OUTER CONTAINER: Cooler, bucket, or outer bag filled with |
| a 50/50 slurry of CRUSHED ICE and COLD WATER (4°C / 39°F) |
| +-------------------------------------------------------+ |
| | INNER SEALED WATERPROOF PLASTIC BAG (Ziploc / Dry) | |
| | +-----------------------------------------------+ | |
| | | AVULSED SCALP TISSUE wrapped gently in | | |
| | | sterile gauze moistened with normal saline | | |
| | | (NEVER touch bare ice; NEVER soak in water) | | |
| | +-----------------------------------------------+ | |
| +-------------------------------------------------------+ |
+---------------------------------------------------------------+
- Metsotsoana 0 ho isa ho 5 (Kill Engine & Relieve Neck Traction):
- Tobetsa pina enjene e ka thōko / E-Stop kapa fihla ka mor'a setulo 'me u fetole senotlolo sa ho bolaea enjene ho TIMA (kapa hula bootlamo ba spark plug hloohong ea silindara).
- **Tshehetsa hlooho ea motho ea hlokofalitsoeng le 'mele o ka holimo ka matsoho a mabeli hang-hang ** e le hore molala oa bona o se ke oa sotheha kapa oa fanyehoa khahlanong le ntlo ea li-axle.
- Haeba scarf, lanyard, or hoodie drawstring e thatiloe molaleng, e khama tsela ea moea kapa e hatella methapo ea carotid, theola sekere se nang le ntlha e hlabang ka tlas'a lebanta la constriction lehlakoreng la molala ebe u se khaola hang-hang.
- Metsotsoana ea 5 ho isa ho ea 30 (Lekola Letlalo la Hlooho le ho Tsoa Mali ha Cranial):
- Haeba moriri o sothehile ka har’a axle empa letlalo la hlooho le ntse le khomaretse (kapa le tabohile hanyenyane): Seha likhoele tsa moriri ka mokhoa o hloekileng pakeng tsa hlooho ea mohlaseluoa le tšepe ea tšepe u sebelisa sekere se bohale kapa thipa ha mopholosi oa bobeli a tšoere hlooho ea mohlaseluoa ka ho feletseng e ntse e le boemong ba mokokotlo oa molomo oa pōpelo.
- Haeba letlalo la hlooho le qhetsohile ka mokhoa o itseng kapa ka ho feletseng (ho taboha lehata):
- Laola ho tsoa ha mali ho behang bophelo kotsing pele: Methapo ea nakoana, ea occipital, le ea supraorbital e pota-potileng molomo oa hlooho e tsoa mali haholo (ho tsoa madi). Koahela cranium e pepeneneng ka liphaephe tse teteaneng tse sa hloekang (tse kolobisitsoeng ka saline e sa hloekang haeba e le teng, kapa lesela le ommeng le hloekileng) 'me u sebelise matla a tiileng, esita le khatello ea letsoho ho potoloha maqeba a maqeba a tsoang mali. Koaela letlapa la khatello e poteletseng hloohong.
- Haeba letlalo la hlooho le hoketsoe ka mokhoa o itseng ke borokho ba letlalo (pedicle): Beha lesela ka bonolo sebakeng sa lona se tloaelehileng sa sebōpeho ka holim'a lesela la lesela le hloekisitsoeng le mongobo ntle le ho sotha kapa ho phunya borokho bo setseng bo khomaretsoeng, ebe u phuthela hanyenyane.
- Metsotso 1 ho isa ho 5 (Boloka Letlalo la Letlalo le Amohileng ka ho Feletseng bakeng sa ho Jala Hape):
- Lingaka tsa sejoale-joale tse nchafatsang li ka boela tsa lema letlalo la hlooho le tsoileng matsoho ka ho roka hammoho methapo ea mali ea 1-millimeter e kaholimo ho ea temporal le occipital ka tlas'a microscope, e khutlisa kholo ea moriri oa tlhaho le sekoaelo sa letlalo, ** ha feela lesela le bolokoa le bata (nako ea ischemia ho fihlela lihora tse 12 ho isa ho tse 18 ha e pholile) * (haeba e sa hatsele) ho khaoloa ho hoholo: ho boloka monoana, letsoho le maoto le matsoho):
- Khutlisa letlalo la hlooho le hlenneng ho tloha kartng ea kart (seha kapa u lokolle molebeli oa li-axle kapa u phutholle molamu o emeng ka hloko ntle le ho tabola mapheo a letlalo ho ea pele; etsa NOT leka ho tlotsa mafura kapa ho beola moriri sebakeng sa ketsahalo).
- Hlatsoa litšila tse mpe ka bonolo feela haeba letsoai le hloekileng kapa metsi a nooang a hloekileng a le haufi (u se ke ua hohla bokatlase moo methapo e menyenyane ea mali e lutseng teng).
- Koahela lesela la hlooho ka bolokolohi ka gauze e hloekisitsoeng e kolobisitsoeng ka saline e hloekileng (kapa lesela le hloekileng le kolobisitsoeng ka metsi a libotlolo).
- Koahela lesela le phuthetsoeng ka har'a mokotla oa polasetiki o omileng, o sa keneleng metsi **.
- Beha mokotlana oo oa polasetiki o tiisitsoeng ka har'a **setshelo sa bobeli kapa mokotla o tletseng motsoako oa leqhoa le metsi a batang **. **Le ka mohla u se ke ua beha letlalo la hlooho le hlobotseng ka ho toba holim'a leqhoa kapa leqhoa le omileng **, e leng ho hoama le ho phatlola methapo ea mali e sa bonahaleng, e leng se etsang hore ho se khonehe ho lema hape ka ho buoa.
Deep dive 2: ATV le UTV rollover fisiks, ho phahamisa mahlatsipa a khokhothetsoeng, le helmete triage¶
Li-rollovers tsa ATV le UTV tse sa tsamaeeng tseleng li baka lefu la batho ba makholo le batho ba mashome a likete ba amoheloang ke koluoa e matla selemo le selemo ho pholletsa le Amerika Leboea, Europe le Australia.
1. Mokhoa oa ho phahamisa ATV kapa UTV e phethotsoeng ka mokhoa o sireletsehileng ho mopalami ea patiloeng¶
Ha mopalami a kenngoa ka tlas'a ATV ea 350-kilogram (770-pound) quad ATV kapa 900-kilogram (2,000-ponto) ka lehlakoreng le leng UTV: 1. Thibela Mollo Pele: ATV e shebileng fatše e tšolla peterole ho tsoa ka tankeng ea eona ea peterole kapa peipi e phallang ea carburetor ha oli ea enjene e ntse e phalla hloohong ea silindara. TLOA konopo ea ho tima, tobetsa konopo ea ho tima ho TIMA, 'me haeba koloi e e-na le valve ea peterole ka tlas'a tanka, e fetole ho **OFF . Le ka mohla u se ke ua sebelisa lelakabe le bulehileng kapa mosi haufi le mochine o phetholang. 2. Qoba Sefi sa "Secondary Drop": Phoso e mpe ka ho fetesisa eo batho ba emeng haufi ba e etsang ke hore batho ba babeli ba khathatsehe ka matla 'ohle a bona ho phahamisa lehlakore le le leng la ATV e boima, e seretse ea 30 centimeters (12 inches) moeeng, e le hore feela ba thelle holim'a lifensetere tsa polasetiki tse thellang, ba theohele holim'a lehlatsipa le boima ba lik'hilograma tse 3. kapa molala. - Kamehla Phahamisa Frame ea Tšepe, Eseng Li-Fender tsa Plastiki: Tšoara tšepe e tiileng e ka pele / e ka morao, foreimi ea tšepe ea maoto, kapa cage ea ROPS ea tubular. Balebeli ba seretse ba polasetiki baa qhekella kapa ba kobeha ka tlas'a meroalo e phahamisang. - Latela Molao oa "Phahamisa Inch, Crib an Inch": Fana ka motho a le mong eo mosebetsi oa hae a le mong o tšoereng thipa e teteaneng, thaere e setseng, lejoe kapa boloko ba lepolanka bo se bo loketse. Ha batho ba phahamisang foreimi ba phahamisa foreimi ka lisenthimithara tse 10 ho isa ho tse 20 (li-inch tse 4 ho isa ho tse 8), hang-hang seketsoana se sokela ntho e tiileng tlas'a foreimi ea tšepe kapa thaere hore koloi e se ke ea oela hape sefubeng sa mopalami (hydraulic jack failure, jack stand e putlama, le ho hatelloa ka tlas'a koloi). - Le ka mohla U se ke Ua Rōlela Koloi ho Mohlaseluoa: Ha u theola ATV e shebileng fatše ho mopalami, sheba ka hloko hore na li-handlebars, maoto le mabili li tla pota-pota hokae e le hore u ka theola mochini hole 'meleng oa motho ea hlasetsoeng ho e-na le ho khannela molamu mpeng.
2. Nako ea ho siea helmete e felletseng ea ATV HO ON vs. ha u e tlosa¶
Mopalami ea nkiloeng ho ATV ka lebelo la lik'hilomithara tse 50 ka hora (31 miles ka hora) o tlameha ho lula ho nahanoa hore o na le lesapo le sa tsitsang la lesapo la mokokotlo** le ka bang teng. likotsi tsa hlooho le marapo a robehileng le maqeba: - Tlohela helmete haeba mopalami a phefumoloha: Sethuthuthu se kentsoeng hantle se tletseng sefahleho/helmete ea ATV e tšoara hlooho e tsitsitse. Fokotsa feela kapa u theole thebe e hlakileng ea sefahleho sa polasetiki (kapa u tlose likhalase tsa motocross) e le hore mopalami a phefumolohe ka bolokolohi 'me u ka shebella melomo ea bona le nko, ha u ntse u khumama ka mor'a hlooho ea bona' me u tšoere mahlakoreng a mabeli a helmete ka tieo ka matsoho a hao ho thibela ho sisinyeha ha molala ho fihlela baoki ba liphallelo ba fihla. - Ntša helmete FEELA ha mopalami a SA hema, a hlatsetsa ka helmeteng mme a bipetsoa, kapa a e-na le lefu la pelo le hlokang CPR: - Ho tlosa helmete ho hloka **bapholosi ba babeli ** ho thibela ho kobeha molala: - Mopholosi 1 o khumama ka holim'a hlooho ea mohlaseluoa ebe o beha matsoho a mabeli ho pota-pota ka mahlakoreng a helmete ka menoana e otlang mohlahare o ka tlaase oa phofu ho boloka hlooho e le hare. - Mopholosi 2 o seha kapa o tlamolla leqhoele la selelu, ebe o thellela letsoho le le leng ka mor'a lehata/molala oa lehlatsipa 'me le leng le phunya mohlahare o ka tlaase selelung ho laola lesapo la mokokotlo. - Mopholosi 1 o hula helmete ka mahlakoreng a ka tlase hanyane ho hlakola litsebe, o sekamisetsa helmete hanyane ho thellelisa selelu ho feta nko, ebe o hula helmete ka kotloloho ha Mopholosi 2 a thibela hlooho ho oela fatše (beha baki e mennweng lisenthimithara tse 2 ho isa ho 3 centimethara ho tlosa helmete e ngata ho boloka molala o sa nke lehlakore).
3. Matšoenyeho a ipatileng kantle ho tsela: Ho phatloha ha sebete / spleen le ho otla ha terata ea "clothesline"¶
Mekhoa e 'meli e bolaeang ea likotsi tse tsoang tseleng hangata e bonts'a ho tsoa mali ho fokolang nakong ea metsotso e 10 ea pele: - Blunt Handlebar Impact (Hemorrhage Internal & Pancreatic/Liver Injury): Ha ATV e otla kutu e patehileng kapa foro, mpa kapa sefuba sa mopalami se otla ka pele bohareng ba mehala kapa kholomo ea motataisi. Esita le haeba ho na le leqeba le lenyenyane feela letlalong la mpa, phello e ka senya **spleen, sebete, pancreas, kapa duodenum , ho baka mali a bolaeang ka hare.tshoso). Mopalami ofe kapa ofe ea nang le mahlaba ka mpeng, mahetla a mahlaba (letšoao la Kehr le tsoang maling a khopisang diaphragm), molikoalikoane, kapa letlalo le phophomang ka mor'a hore motho a otloe, o hloka ho tlosoa hang-hang setsing sa mahlomola. - Mohala / Cable "Liaparo" Li Otloa: Bapalami ba tsamaeang litseleng tseo ba sa li tloaelang kapa masimong a mapolasi ka linako tse ling ba otla terata e hlabang e sa tšoauoang, thapo ea heke ea tšepe, kapa ketane e otlolohileng molala. Esita le ho otla ka lebelo le tlase ka pele ho 'metso ho ka robeha ** kolu (lebokose la lentsoe) kapa trachea (mopi oa moea). Haeba mopalami ea otlang molala a e-na le ** lentsoe le hlabang kapa le hlabang, molumo oa mololi / mololi ha a hema (stridor), ho khohlela mali, kapa li-bubble tsa moea tlas'a letlalo la molala (subcutaneous emphysema) **, li boloke li lutse li otlolohile sebakeng se bonolo hore ba phefumolohe le ho letsetsa moea oa tšohanyetso ka har'a metsi hang-hang.
E-ea pele ho ATV, UTV, le lethathamo la polokeho ea likoloi¶
Pele o qala koloi efe kapa efe e seng tseleng kapa o kena karateng sebakeng sa boithabiso, netefatsa litšitiso tsena tse tšeletseng tsa bohlokoa tsa polokeho:
- Sireletsa karolo ea 100 lekholong ea moriri ka holim'a molaleng 'me u thibele likhoele tsohle, li-lanyards le li-hoodie holim'a li-go-karts: Mang kapa mang ea nang le moriri o fihlang ho feta mokokotlo oa molala o lokela ho o loha kapa ho o sotha hore e be banke e thata e tlanngoeng ka ho feletseng ** ka hare ** helmete kapa e kenngoeng ka hare ho mokokotlo oa baki e tipehileng. Le ka mohla u se ke ua roala sekhafo, setuku se hlephileng, shawl, lesela la molala, kapa hempe e sa koaeloang ea mokotla holim'a kart kapa baesekele e nyane.
- Lekola enjene e ka morao ea koloi le molebeli oa enjene pele u lula fatše: Sheba ka morao ho setulo sa mokhanni ka kotloloho. Netefatsa hore tšepe e tiileng, e sa robehang ** 360-degree ea tšepe kapa molebeli oa motsoako o boima ** o koalelitse ka ho feletseng axle e ka morao ea koloi, sprocket, chain, le clutch, le hore setulo se khutlela holimo ho lekana ho thibela moriri hore o se ke oa foka ka holimo.
- **Apara helmete e netefalitsoeng ea DOT / ECE / Snell le ts'ireletso ea mahlo leetong le leng le le leng la ATV le UTV **: Esita le ka har'a UTV e nang le cage ea tšepe, lihlooho tsa bapalami li shapa ka mahlakoreng ka har'a mekoallo ea tšepe e sa koaeloang ea ROPS nakong ea rollover kapa tsela e thata. Apara helmete e netefalitsoeng le likhalase tse thibelang ho senyeha ha leeto le leng le le leng.
- Gateletsa boholo ba enjene ea ATV e tsamaellanang le lilemo le bapalami ba zero ho batho ba nang le motho a le mong: Li-ATV tse ngata tse tsamaeang ka maoto li etselitsoe mosebetsi a le mong feela; ho jara boima ba mopalami ka morao ho esele e ka morao, e bakang ho phethoha maralleng. Le ka mohla u se ke ua lumella ngoana ea ka tlaase ho lilemo tse 16 ho sebelisa ATV ea boholo ba batho ba baholo (ho feta 90cc).
- Tlosa lithapo tsa UTV, matlooa a mahlakoreng / mamati, 'me u itlhakisetse "Grab Bar / Arms Crossed" rollover drill: Pele u tsamaisa UTV e bapileng le e 'ngoe, netefatsa hore motho e mong le e mong o tlamiloe ka lebanta, matlooa a fensetere a koetsoe, 'me mopalami e mong le e mong o tseba ho tšoara letsoho le ka hare kapa ho tšela matsoho holim'a sefuba sa hae ha koloi e fihla ka letsoho*
- Sula litseleng tse katiloeng tsa sechaba ka li-ATV tse kantle ho 'mila 'me u nke mohala o lefisitsoeng o nang le 'mapa oa GPS o sa sebetseng: Ho feta halofo ea likotsi tsohle tse bolaeang tsa ATV li etsahala litseleng tse katiloeng, moo lithaere tse katiloeng ka tlase ho tsela le li-axle tse tiileng tse ka morao li ts'oereng sekontiri nakong ea ho thinya ebe li sutumelletsa koloi tseleng.
Nka thupelo ea thuso ea pele ea lefeelleng kapa e sithabetsang
Hobane likotsi tsa ATV le UTV hangata li etsahala lik'hilomithara tse ka tlase ho litseleng tse hole moo liambulense li nkang 30 ho isa metsotso e 60 ho fihla, ho nka thuso ea pele ea thuso ea pele kapa lefeelleng ho tsoa ho Red Cross, St John Ambulance, kapa NOLS e u ruta mokhoa oa ho laola lifofane, ho paka maqeba a tsoang mali, le ho robeha ha mapheo ho fihlela basebetsi ba pholoso ba fihla ho uena.
Lipotso tse botsoang khafetsa¶
Moriri o ts'oaroa joang ka kart, 'me thuso ea pele e nepahetseng ke efe haeba letlalo la hlooho la motho le tabohile?¶
Bongata ba li-go-karts, enjene le li-axle tse ka morao tsa koloi li bilika ka makhetlo a 1,500 ho isa ho a 4,000 ka motsotso lisentimitara feela ka morao ho setulo sa mokhanni. Moea o bōpiloeng ka mor'a setulo se tsamaeang o monya lipone tse hlephileng, li-braids, kapa lituku ka har'a shaft e ohiang, li li tsoella ka karoloana ea motsotsoana ka matla a Newtons a likete. Hang-hang otla enjene bolaea switjha kapa pina ea tšohanyetso setopong, tšehetsa hlooho ea lehlatsipa e le hore melala ea bona e se huleloe, 'me khaola leha e le efe lesela le bipetsoang. Haeba letlalo la hlooho le tabohile kapa le tsokotsehile, tobetsa gauze e teteaneng kapa lithaole tse hloekileng ka tieo khahlanong le lehata ho thibela ho tsoa mali a mangata, 'me u boloke letlalo la hlooho le tsoileng matsoho ka ho le phuthela ka lesela le kolobisitsoeng ka letsoai le tiisitsoeng ka har'a mokotla oa polasetiki o omileng, ebe u kenya mokotla oo ka nkhong ea leqhoa le metsi (le ka mohla) bakeng sa ho kenya letsoho ka ho toba ho microvascular.
Ke hobane'ng ha u sa lokela ho phahamisa letsoho kapa leoto ho its'oara ha UTV e fela?¶
UTV e lehlakoreng le leng e boima ba lik'hilograma tse 700 ho isa ho tse 1,100 (liponto tse 1,500 ho isa ho tse 2,400), 'me Roll-Over Protective Structure (ROPS) ea tšepe ea eona e entsoeng ka tšepe e etselitsoe ho laola fatše ha e ntse e boloka batho ba nang le mabanta ba sireletsehile ka har'a sebaka sa cab. Ha mopalami ka tlhaho a maneha letsoho, letsoho kapa leoto ka ntle ho fensetere e butsoeng e le hore a leke ho itšoarela ha motho a ntse a bilika, tšepe e thula leoto e kang ea guillotine, e bakang likotsi tse mpe kapa ho khaoloa ho hoholo. Ka linako tsohle boloka matlooa a mahlakoreng a lifensetere kapa mamati a tlameletsoe, tlama lebanta la pholoho, 'me u tšoare lebili la setereng, thipa ea ho nka baeti, kapa sefuba sa hau haeba koloi e le haufi.
Mokhoa o bolokehileng ka ho fetisisa oa ho phahamisa ATV e phahamisitsoeng ho motho ea hanngoeng ka tlase ke ofe?¶
Taba ea pele, bulela konopo ea ho khantša le konopo ea ho bolaea ho OFF e le hore peterole e lutlang e se ke ea hotetsa phala ea ho tima e chesang. Haeba ATV e hatella sefuba, mpa, kapa molala oa motho ea hlokofalitsoeng, e phahamise hang-hang ka ho tšoara foreimi e tiileng ea tšepe kapa litšepe tsa thepa ea tšepe (le ka mohla motho ea emeng a thella ka tlas'a foreimi ha u ntse u phahamisa e le hore e se ke ea thella le ho khutlela ho motho ea hlokofalitsoeng. Theola kapa u phahamise mochini ho tloha 'meleng oa motho ea hlokofalitsoeng u ntse u boloka hlooho le molala oa bona o khutsitse. Leha ho le joalo, haeba UTV e boima e kentse leoto kapa pelvis feela ka metsotso e fetang 15 ho isa ho e 60 'me motho a phefumoloha hantle, hokahanya phahamiso le ba fanang ka thuso ea bongaka maemong a tšohanyetso ho thibela lefu le bolaeang lefu la ho tšoaroa ha pelo.
A na u lokela ho rola helmete ea mopalami ka mor'a kotsi ea ATV ea lebelo le holimo?¶
Haeba mokalli ea soahlamaneng a phefumoloha a le mong, tlohela helmete e tletseng sefahleho hloohong ea hae hobane ho leka ho hula helmete e tiileng u le mong ho ka koba lesapo la mokokotlo le robehileng le ho senya lesapo la mokokotlo. Bula feela kapa u tlose thebe e hlakileng ea sefahleho kapa likhalase e le hore ba khone ho hema ha bonolo, 'me u khumame ka mor'a hlooho ea bona ba tšoere mahlakore ka bobeli a helmete ho fihlela ba fanang ka thuso ea bongaka maemong a tšohanyetso ba fihla. Tlosa helmete feela haeba mopalami a sa phefumolohe, a tšoeroe ke pelo e hlokang CPR, kapa a hlatsa ka helmete 'me a khangoa, a sebelisa batho ba babeli e le hore mopholosi a le mong a tsitsise molala le mohlahare ho tloha ka tlase ha oa bobeli a ntse a atolosa ka bonolo 'me a theola helmete.
Mehloli e hlahlobiloe¶
- United States Consumer Product Safety Commission (CPSC, United States): Off-Highway Vehicle (ATV le ROV/UTV) Litlaleho tsa Selemo le Selemo tsa Kotsi le Litlaleho tsa Kotsi le Litlhokomeliso tsa Tšireletseho ea Moriri le Liaparo tsa Go-Kart.
- ASTM International (United States): ASTM F2007 Tloaelo e Tloaelehileng ea Moralo, Tlhahiso, le Ts'ebetso ea Concession Go-Karts and Facilities le ASTM F2011 Litlhaloso tse Tloaelehileng tsa Polokeho le Ts'ebetso ea Likoloi tsa Boithabiso.
- Komiti ea American Academy of Pediatrics (AAP) le Komiti ea American College of Surgeons (ACS) mabapi le Tlokotsi: * ATLS Helmet Removal Guidelines, Pediatric ATV Trauma Policy Statements, le Microvascular Scalp Replantation Cold-Ischemia Preservation Protocols *.
- Phethahatso ea Bophelo bo Botle le Tšireletseho (HSE, United Kingdom): Tšebeliso e Sireletsehileng ea Likoloi tsa All-Terrain (ATVs) ho Temo le Meru (AIS33 Rollover and Slope Safety Guidance).
- Recreational Off-Highway Vehicle Association (ROHVA) le ATV Safety Institute (ASI): * ROPS Occupant Retention Standards, Side-Net Latch Rules, le Active Riding Biomechanics *.