Caso Práctico-Golpe de Calor

·

O  44 Jarekbdòo Vrajcsdaoki 

Ekya ‒ Knasta/86;>

Iks ’Oatks Vrëbtdbks― quc prcscotkeas k baotdoukbdòo trktko uo tcek cspcbå﬋ba rcikbdaok`a bao ik prcvcobdòo `c rdcsnas ikharkics. Ci quc barrcspao`c k cstc o÷ecra cs7 «Naipc `c bkiar½. Rc dobiuyco ias sdnudcotcs kpkrtk`as7 uo baoguota `c rcbaeco`kbdaocs quc baostdtuyco ci bucrpa tcòrdba `ci tcek= uo Bksa Vrëbtdba, kbaepkûk`a `c uo koëidsds sahrc jkbtarcs `c rdcsna= y kbtdvd`k`cs `d`ëbtdbks quc ci prajcsark`a puc`c `cskrraiikr k pkr tdr `c `dbla Bksa y atrks prapucstks. Cstas cgcrbdbdas sao ardcotktdvas y tdcoco baea ﬋okid`k` quc ci  prajcsark`a ias utdidbc baea lcrrkedcotk lcrrkedcotk `c kpaya co ik coscûkozk coscûkozk `c ik prcvcobdòo `c rdcsnas.

Naipc `c bkiar Rcn÷o iks Cstk`åstdbks `c Kbbd`cotcs `c Prkhkga quc puhidbk ci Edodstcrda `c Cepica y Rcnurd`k` Rabdki, co ci kûa 86;: sc pra`ugcrao . Lkhdidtkr zaoks `c saehrk a iabkics bao kdrc kbao`dbdaok`a pkrk ci `csbkosa `c ias trkhkgk`arcs. Co iks pkusks, `csbkoskr co iunkrcs jrcsbas y k ik saehrk. Baotcod`a  

◆   ►

·

O  44 Jarekbdòo Vrajcsdaoki 

trkhkga-`csbkosa quc pcråa`as ikrnas `c trkhkga y `csbkosa. 4. Idedtkr ci tdcepa a ik dotcosd`k` `c ik cxpasdbdòo, lkbdco`a ratkbdaocs `c tkrck, sdceprc quc lkyk sdtdas bao ecoar cxpasdbdòo quc ia pcredtko. ;6. Dobrcecotkr pkuiktdokecotc ik `urkbdòo `c ik cxpasdbdòo ikharki lkstk kibkozkr ik tatkid`k` `c ik garok`k pkrk ianrkr ik kbidektkbdòo k iks kitks tcepcrkturks. Cs ocbcskrda uo pcråa`a `c > k ;3 `åks pkrk quc ci trkhkgk`ar sc kbidektc ki bkiar. Cs rcbaeco`khic quc ci prdecr `åk `c trkhkga ik cxpasdbdòo ki bkiar sc rc`uzbk k ik edtk` `c ik garok`k= `cspuäs, `åk k `åk, sc `chcråk kuecotkr pranrcsdvkecotc ci tdcepa `c trkhkga lkstk ik garok`k baepictk. ;;. Co ik ec`d`k `c ia pasdhic, pcredtdr ki trkhk gk`ar k`kptkr su prapda rdtea `c trkhkga. ;8. Xckidzkr uo rcbaoabdedcota eä`dba cspcbå﬋ba k ias trkhkgk`arcs kotc ci rdcsna `c naipc `c bkiar. ;2. Aptkr sdceprc par ik ecgar täbodbk `c trkhkga pasdhic pkrk rc`ubdr ci csjucrza jåsdba. ;0. Baoabcr ias prdecras kuxdidas quc sc lko `c kpidbkr kotc uok pcrsaok cxpucstk k uo naipc

Ekya ‒ Knasta/86;>

`c bkiar y quc sao ias sdnudcotcs7 baiabkr k ik pcrsaok kbbd`cotk`k co uo iunkr jrcsba y kdrck`a= rcjrcsbkr ik pdci, `csvdstdco`a k ik pcrsaok y kpidbko`a takiiks l÷ec`ks co ik bkhczk y co ci rcsta `ci bucrpa= oa baotraikr iks baovuisdaocs pkrk cvdtkr icsdaocs eusbuikrcs a krtdbuikrcs= `kric knuk jråk pkrk hchcr, sd cstë baosbdcotc= sd cstë dobaosbdcotc, baiabkria co pasdbdòo rcbastk`k sahrc uo iktcrki `c su bucrpa, bao ik bkhczk idncrkecotc ik`ck`k, ci hrkza dojcrdar ktrës, cxtco`d`a, ci supcrdar ﬈cxdaok`a lkbdk k`cikotc y krrdhk, y iks pdcroks ﬈cxdaok`ks, eës ik supcrdar quc ik dojcrdar y, par ÷itdea, trksik`kr ki pkbdcotc k uo laspdtki. ;3. Jarekr k`cbuk`kecotc k ias trkhkgk`arcs pkrk quc baoazbko ias såotaeks `c ias trkstaroas pra`ubd`as par ci bkiar c d`cotd﬋quco iks scûkics y såotaeks `ci csträs täredba7 ekrca, oëuscks y vòedtas, pkid`cz, `d﬋buitk`cs rcspdrktardks, pkipdtkbdaocs, sc` cxtrcek, pdci scbk y bkidcotc, kuscobdk `c su`arkbdòo, baovuisdaocs, pupdiks `diktk`ks y pär`d`k `c baosbdcobdk. ;:. Cvdtkr hchcr kibalai a hchd`ks bao bkjcåok, yk quc `csld`rktk ci bucrpa y kuecotk ci rdcsna `c sujrdr cojcrec`k`cs `chd`ks ki

bkiar= tkehdäo lky quc cvdtkr iks baed`ks bkidcotcs y pcsk`ks.  Pcocr cr co bucotk ias jkbtarcs do`dvd`u do`dvd`ukics kics ;>.  Pco `c rdcsna, baea sao ik c`k`, ik ahcsd`k`, ik ld`rktkbdòo, ci baosuea `c ec`dbkecotas a hchd`ks kibalòidbks, ci näocra y ik kbidektkbdòo. Iks pcrsaoks bao sahrcpcsa prcscotko uok scrdc `c `csvcotkgks k ik lark `c cojrcotkrsc k uok sdtukbdòo `c csträs täredba `chd`a ki dobrcecota `ci kdsikedcota täredba quc sujrc ci bucrpa, iks pasdhics `c﬋bdcobdks `ci sdstcek bkr`davksbuikr y ik hkgk bao`dbdòo jåsdbk. ;

odonuok dostrubbdòo ki rcspcbta y Gkvd, quc tdcoc ci tåtuia prajcsdaoki hësdba co kbtdvd`k`cs `aeästdbks y idepdczk `c c`d﬋bdas, `c eaecota, saia lk

baepruchko quc ik eatahaehk suedodstrc prcsdòo y bku`ki k iks `as pärtdnks k ik vcz, sc paoco iks hatks `c scnurd`k`, ci saehrcra `c

idepdk`a brdstkics, pkrc`cs y tcblas co `dstdotas iabkics. Iicnko ki pkrquc sahrc iks < l y lkhiko bao ci cobkrnk`a, quc ics dojarek `c quc ias kscas oa `dspaoco `c knuk patkhic par uok kvcråk, par ia quc k ia ikrna `c ik ekûkok ics drë iicvko`a hatciiks `c knuk. Ekrda y Gkvd prcpkrko ci cqudpa,

pkgk, iks nkjks `c sai y ias nukotcs y cepdczko k trkhkgkr. Ru d`ck cs pkrkr k iks ;0 larks, baecr y rctaekr iucna ci trkhkga k iks ;3 l pkrk kbkhkr `c﬋odtdvkecotc sahrc iks ;< l. Vkrk scr tko barpuicota, Ekrda sc eucvc bao rkpd`cz. Iks haqudiiks `djusarks `c ias bcpdiias vko ikozko`a knuk puivcrdzk`k k prcsdòo y iks

-4Baotcod`a  

◆   ►

·

O  44 Jarekbdòo Vrajcsdaoki 

`as pärtdnks, `c uoas 0 a 3 e `c iaondtu`, suhco y hkgko sdo pkrkr. Ias `as trkhkgk`arcs cstëo co eavdedcota baotdoua, krrkstrko ik pärtdnk par ci pkoci, ko`ko`a k`cikotc y ktrës uok y atrk vcz. Zko lkbdco`a pkusks bk`k ;3 a 86 edoutas, iks lkbco badobd`dr bao ias bkehdas `c bkiic a bao ci iicok`a `c knuk trktk`k `ci `cpòsdta `c ik eatahaehk, pcra pkrk nkokr tdcepa, co iunkr `c dr lkstk ik a﬋bdok, quc cstë bidektdzk`k y `dspaoc `c knuk jrcsbk, sc quc`ko `csbkosko`a k ik saehrk `c ias pkocics. Ik tcepcrkturk lk suhd`a baosd`crkhicecotc k ia ikrna `c ik ekûkok, ci pcsa `c ik pärtdnk (uoas 83 mn) cepdczk k pkskrics jkbturk y `cbd`co lkbcr uok pkusk sahrc iks ;6 l pkrk taekrsc ci habk`diia. Cstk vcz vko k ik a﬋bdok pkrk rcjrcsbkrsc co ci dotcrdar y `csbkoskr uo paba. Edcotrks `cskyuoko co ik bksctk `c ik a﬋bdok, ci cobkrnk`a ics baecotk quc oarekiecotc ias trkhkgk`arcs quc vdcoco k idepdkr iks pikbks sucico trkcr uo ta`atcrrcoa, bao rceaiquc dobarpark`a y uo `cpòsdta `c uoas

eubla eës bòea`a quc ik idepdczk ekouki bao pärtdnks y, k`ceës, rcqudcrc ecoas csjucrza, pcra Ekrda ic baotcstk quc oa tdcoc od d`ck. Ki vaivcr ki trkhkga, ik kbtdvd`k` jåsdbk sdnuc sdco`a dotcosk. Ik tcepcrkturk `chc scr `c uoas 06· k ik saehrk y Ekrda y Gkvd oa pkrko `c su`kr, k pcskr `c quc iicvko pkotkiòo barta y bkedsctks `c ekonk bartk. Iks pkusks hkga iks pikbks saikrcs sao bk`k vcz eës jrcbucotcs pcra, k pcskr `c ciia, vko kvkozko`a par iks bkiics `ci pkrquc bao rkpd`cz.  Pkota cs kså quc Ekrda ic prapaoc k Gkvd oa pkrkr k iks `as `c ik tkr`c, scnudr uok lark eës y tcredokr `c﬋odtdvkecotc ci trkhkga kirc`c`ar `c iks trcs. K Gkvd ik d`ck `c tcocr ik tkr`c idhrc ic pkrcbc cstupco`k, par ia quc ic `dbc quc så coscnud`k. Rahrc iks ;0,26 l, Ekrda ic `dbc k Gkvd quc sc sdcotc eki, quc cstë uo paba ekrck`a y quc sc vk uo rkta k ik bksctk `c ik a﬋bdok pkrk hchcr knuk jrcsbk. Gkvd ic baotcstk quc oa lkbc jkitk quc vucivk, quc äi kbkhkrë ci trkhkga, trkhkga, pcra buko`a Ekrda cepdczk k bkedokr, Gkvd ahscrvk quc ia lkbc bao `d﬋buitk`, par ia quc `cgk ik pärtdnk co ci c i sucia y ic kbaepkûk.

Var ci bkedoa, Gkvd ic prcnuotk quä såotaeks tdcoc cxkbtkecotc y sd sc lk lcbla uo rcbaoabdedcota eä`dba lkbc paba. Ekrda ic `dbc quc tdcoc oëuscks, eublk sc` y quc ic bucstk uo paba rcspdrkr, y quc lkbc tdcepa quc oa sc lk lcbla uo rcbaoabdedcota eä`dba parquc co su `åk ik ceprcsk sc ia prapusa prapusa pcra äi rcouobdò p parquc arquc pcoskhk quc co su trkhkga oa cstkråk cxpucsta k rdcsnas departkotcs. Ekrda iicnk pëid`a k ik a﬋bdok, sc tkehkick y ics `dbc k Gkvd y ki cobkrnk`a quc tdcoc pkipdtkbdaocs y quc oatk pcqucûks baovuisdaocs. Gkvd y ci cobkrnk`a sc edrko sdo skhcr euy hdco quä lkbcr. Ci cobkrnk`a pdcosk quc k ia ecgar uoas trkpas eagk`as bao knuk jråk co ik bkhczk a par ta`a ci bucrpa pa`råko kidvdkric pcra oa cstë scnura, par ia quc `cbd`c oa lkbcria par sd knrkvk eës ik sdtukbdòo. Gkvd tkepaba skhc euy hdco quä lkbcr, par ia quc sc idedtk k khkodbkric bao uo pcrdò`dba pcra, ki rkta, Ekrda `cgk `c lkhikr, pdcr`c ci baoabdedcota y cotaobcs yk, sdo `u`kria, ci cobkrnk`a, bao ik kyu`k `c Gkvd, suhc k Ekrda co su bablc y sc vko rëpd`kecotc lkbdk ci laspdtki.

-;6Baotcod`a  

◆   ►

O· 44

Jarekbdòo Vrajcsdaoki 

Ekya ‒ Knasta/86;>

Koëidsds `ci Bksa Vrëbtdba. Jkbtarcs `c rdcsna Oa `dspaocr `c knuk patkhic co ias kscas. Ec`d`k prcvcotdvk 3. Oa lkhcr aptk`a par atra tdpa `c täbodbk `c idepdczk quc rcqudrdcrk ecoas cxdncobdk jåsdbk. Ec`d`k prcvcotdvk ;2. Jkitk `c dojarekbdòo par pkrtc `ci cobkrnk`a `c iks ec`d`ks prcvcotdvks co ektcrdk `c prdecras ku xdidas quc lky qu c k`a ptkr co c o bks bksas as `c tcepcrkturks cicvk`ks. Ec`d`k prcvcotdvk ;0.

Jkitk `c jarekbdòo c dojarekbdòo rcspcbta k su trkhkga y sahrc iks tkrcks quc rckidzko ias trkhkgk`arcs, sahrc täredba, ias såotaeks `c uo naipc bkiar, suscsträs cjcbtas y iks ec`d`ks prcvcotdvks quc `c `chco k`aptkrsc. Ec`d`ks prcvcotdvks 2 y ;3. Oa lkhcr pikod﬋bk`a ik garok`k `c trkhkga tcodco`a co bucotk iks larks `c ecoas bkiar. Ec`d`k prcvcotdvks 8 y :.

Oa lkhcr pratcnd`a pdcroks y hrkzas bao pkotkiaocs ikrnas y bkedsctks `c ekonk ikrnk.

Oa lkhcr lcbla iks pkusks co ik a﬋bdok co iunkr `c hkga ik saehrk `c ias pkocics, yk quc ik bksctk baotkhk bao kdrc kbao`dbdaok`a. Ec`d`k prcvcotdvk >. Vasdhic ekik dotcrprctkbdòo `ci bkrëbtcr vaiuotkrda `c ik vdndikobdk `c ik skiu` y rcouobdk ki rcbaoabdedcota eä`dba par pkrtc `c Ekrda sdo baoabcr kotcs ias rdcsnas k ias quc dhk k cstkr cxpucsta. Ec`d`k prcvcotdvk 0. Jkitk `c arnkodzkbdòo co ik pikod﬋bkbdòo `ci trkhkga co ncocrki, ki oa lkhcr tcod`a co bucotk ik idedtkbdòo `ci tdcepa a ik dotcosd`k` `c ik cxpasdbdòo a ci  pa`cr lkhcr lcbla ratkbdaocs co ci trkhkga. Ec`d`ks prcvcotdvks < y 4.

Ec`d`k prcvcotdvk ;4. Oa lkhcr tcod`a co bucotk ci pr prabcsa abcsa `c kbid kbidektkektkbdòo ki bkiar `c ias trkhkgk`arcs, co ci quc ci bucrpa sc vk k`kptko`a paba k paba k ik rckidzkbdòo `c uok `ctcredok`k kbtdvd`k` jåsdbk. Ec`d`k prcvcotdvk ;6.

Oa lkhcr dojarek`a k ias trkhkgk`arcs `c iks bao`dbdaocs ectcaraiòndbks `csjkvarkhics. Ec`d`k prcvcotdvk ;. Oa lkhcr tcod`a co bucotk ias jkbtarcs do`dvd`ukics `c rdcsna jrcotc ki csträs täredba, baea ci pcsa `c Ekrda. Ec`d`k prcvcotdvk ;>. -;;Baotcod`a  

◆   ►