1

2 . 2 2 . 2 2 . 2 2 . 2 Apwœ²¡jL hÉ¡¢dApwœ²¡jL hÉ¡¢dApwœ²¡jL hÉ¡¢dApwœ²¡jL hÉ¡¢d / Ap¤¤ÙÛa¡/ Ap¤¤ÙÛa¡/ Ap¤¤ÙÛa¡/ Ap¤¤ÙÛa¡

66660 ¢j¢eV0 ¢j¢eV0 ¢j¢eV0 ¢j¢eV

1z 1z 1z 1z A¢d−hn−el A¢d−hn−el A¢d−hn−el A¢d−hn−el E−ŸnÉE−ŸnÉE−ŸnÉE−ŸnÉ (Session Objectives) : : : : fË¢nr−Zl fl AwnNËqZL¡l£l¡ cra¡l p−‰ - � ¢e−S−cl Hm¡L¡u fËd¡e Apwœ²¡jL hÉ¡¢d / Ap¤¤ÙÛa¡…¢m ¢Q¢q²a Ll−a Hhw ¢hfkÑ−ul

f¢lÙÛ¢a−a a¡−cl …l¦aÆ hÉ¡M¡ Ll−a f¡l−he z � Bqa Hhw S−m −X¡h¡l j¡e¤−ol fË¡b¢jL fË¢a¢hd¡e…¢m hÉ¡M¡ Ll−a f¡l−he z � ¢ho¡š² Hhw ¢hoq£e p¡f−L ¢Q¢q²a Ll¡l fÜ¢a q¡−a Lm−j L−l −cM¡−he z 2z 2z 2z 2z A¢d−hn−el A¢d−hn−el A¢d−hn−el A¢d−hn−el j§m ¢nr¡ j§m ¢nr¡ j§m ¢nr¡ j§m ¢nr¡ (Key Learning Points) :::: � HC f¢l−fË¢r−a, Apwœ²¡jL hÉ¡¢d / Ap¤¤ÙÛa¡ hm−a −h¡T¡u - BO¡a, S−m −X¡h¡, j¡e¢pL

Q¡f (Post Traumatic Stress Disorder / PTSD) Hhw p¡−f L¡V¡ z � fË¡b¢jL fË¢a¢hd¡−el pjÉL ‘¡e b¡L−m a¡s¡a¡¢s Bqa hÉ¢š²l önË¥o¡ Ll¡ k¡u z � p¡−f L¡V¡ −l¡N£l Efk¤š² ¢Q¢Lvp¡l SeÉ ¢ho¡š² p¡f−L pe¡š²LlZ Ll−a q−h, k¡−a Efk¤š²

hÉhÙÛ¡ NËqZ Ll¡ k¡u z 3z −S−e l¡M¤e 3z −S−e l¡M¤e 3z −S−e l¡M¤e 3z −S−e l¡M¤e (Hand Out) ::::

� Apwœ²¡jL hÉ¡¢d / Ap¤¤ÙÛa¡ L¡−L h−m ? Apwœ²¡jL hÉ¡¢d qm a¡ k¡ n¡¢ll£L pwpË−hl à¡l¡ / °c¢qL pÇfLÑ à¡l¡ Rs¡u e¡ z a−h a¡ hÉ¢š²¢h−no, Ae¤L̈m f¢l−ho Hhw AeÉ¡eÉ T¥y¢Ll Efl ¢eiÑl L−l z

� f¢ÕQjh−‰ p¡d¡lZax La fËL¡l Apwœ²¡jL hÉ¡¢d / Ap¤¤ÙÛa¡ −cM¡ k¡u ? f¢ÕQjh−‰ fËd¡eax BO¡a, S−m −X¡h¡ Hhw p¡−f L¡V¡ −cM¡ k¡u z HR¡s¡J ¢hfkÑ−ul L¡l−Z S£he / pÇf−cl r¢a, jªa¥É J e¡e¡ c¤xMSeL AhÙÛ¡l g−m j¡e¢pL Q¡f h¡−s Hhw j¡e¢pL Ap¤¤ÙÛa¡l L¡lZ (PTSD) q−u c¡ys¡u z

� j¡e¢pL Q¡f L¡−L h−m ? e¡e¡ ¢hfkÑ−ul L¡l−Z pÇf¢šl r¢a, jªa¥É J ¢eS h¡Ù¹¥¢iV¡ −b−L ÙÛ¡e¡¿¹¢la qJu¡u −n¡L¡L¥m hÉ¢š² iu¡hq A¢i‘a¡−L j−e L−l j¡e¢pL Ap¤¤ÙÛa¡l (PTSD) ¢nL¡l qu z HV¡ p¢aÉ −k, k¡l¡ ¢hfkÑ−ul B−NC pÇf−LÑl V¡e¡−f¡−se ¢Lwh¡ AeÉ −L¡ei¡−h j¡e¢pL Q¡−f ¢Rm - a¡l¡C −hn£ fËi¡¢ha qu z HMe fË¢a¢V hÔ−L ¢L−n¡l£ fl¡jnÑ (Counseling) −L¾cÊ - A−eÄo¡ B−R z −k −L¡−e¡ ¢hfkÑ−ul B−NC HV¡ −cM¡ clL¡l −k HC A−eÄo¡ fl¡jnÑ −L¾cÊ…¢m ¢WLj−a¡ L¡S Ll−R ¢L e¡, LjÑ£l¡ ¢WLj−a¡ Bp−Re ¢L e¡, NË¡−jl j¡e¤−ol¡ HC −L¾cÊ…¢m−L pjbÑe Ll−Re ¢L e¡, CaÉ¡¢c z � fË¡b¢jL fË¢a¢hd¡e L¡−L h−m ? fË¡b¢jL fË¢a¢hd¡e Hje HL hÉhÙÛ¡ k¡l à¡l¡ Bqa h¡ f£¢sa hÉ¢š²−cl önË¥o¡ Ll¡ qu z cr ¢Q¢Lvp−Ll L¡−R −f±yR¡−e¡ fkÑ¿¹ HLSe p¡d¡lZ (Acr) hÉ¢š² önË¥o¡ L−le z

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� fË¡b¢jL fË¢a¢hd¡−el fË−u¡Se£ua¡ ¢L ? Bqa hÉ¢š²−L A¢hm−ð Hhw â¥a p¡q¡kÉ Ll−a, fË¡b¢jL fË¢a¢hd¡e pð−å −j±¢mL ‘¡e b¡L¡ Sl¦l£ z S£helr¡l cra¡ (k¡ fË¡Z h¡yQ¡−a p¡q¡kÉ L−l) b¡L¡ AaÉ¡hnÉL z � BO¡a / ra Hl SeÉ −L¡e dl−Zl fË¡b¢jL ¢Q¢Lvp¡l fË−u¡Se ? BlJ BO¡−al pñ¡he¡ Lj¡−e¡l fË−u¡S−e pl¡−e¡ R¡s¡ - Bqa hÉ¢š²−L AeÉœ pl¡−e¡ E¢Qv eu z A¢i‘ ¢Q¢LvpL−L Mhl ¢ce J ¢ejÀ¢m¢Ma L¡S…¢m pÇf¡ce Ll¦e - √ A¢hm−ð lš²f¡a h−ål hÉhÙÛ¡ Ll¦Z z raÙÛ¡e¢V S£h¡e¤j¤š² hÉ¡−äS / f¢l×L¡l L¡f−sl

f¢– ¢c−u −Q−f dl¦Z z BO¡a fË¡ç S¡uN¡−L e¡s¡Q¡s¡ Ll−he e¡ z −L¡e q¡s k¢c −h¢l−u B−p, a¡−L −V−e h¡ −W−m −Y¡L¡−e¡l −Qø¡ e¡ Ll¡C i¡−m¡ z k¢c Bf¢e Splint

(i¡P¡ q¡s−L Aes l¡M−a, −R¡−V¡ L¡−Wl V¥L−l¡−L i¡P¡ q¡−sl Efl h¢p−u c¤C j¡b¡u −hy−d −cJu¡ qu ) h¡yd¡l fË¢nrZ −f−u b¡−Le Hhw −L¡e A¢i‘ ¢Q¢Lvp−Ll på¡e e¡ f¡Ju¡ −N−m, i¡P¡ S¡uN¡l Efl Hhw e£−Q f¡am¡ aš²¡ ¢c−u −hy−d ¢c−a q−h z aš²¡l am¡u −L¡e elj ¢S¢eo ¢c−m a¡ nl£−l BO¡a L−l e¡ z

√ A¢i‘ ¢Q¢Lvp−Ll e¡ Bp¡ fkÑ¿¹, BO¡afË¡ç hÉ¢š²l BO¡a f¡Ju¡ S¡uN¡u hlg ¢c−u

W¡ä¡ −pyL ¢c−m, raÙÛ¡e g¥m−h e¡ Hhw hÉb¡ Lj q−h z a−h, LMeC hlg pl¡p¢l Q¡js¡l Efl −cJu¡ E¢Qv eu z −a¡u¡−m / L¡f−sl j−dÉ h¡ AeÉ ¢S¢e−o j¤¢s−u - a¡ ¢c−u −pyL −cJu¡ E¢Qv z

� BL¢ØjL n¡¢ll£L h¡ j¡e¢pL BO¡−al ¢Q¢Lvp¡ fËZ¡m£ : k¢c Bqa hÉ¢š² A‘¡e q−u k¡u ¢Lwh¡ â¥a nÄ¡p-fËnÄ¡p −eu a¡q−m hÉ¢š²−L Hje i¡−h −n¡u¡−a q−h −ke a¡l j¡b¡ nl£l −b−L AÒf e£−Q b¡−L z k¢c pñh, f¡ c¤¢V−L AÒf a¥−m l¡M−a q−h k¡−a j¢Ù¹−ú lš² p’¡¢la q−a b¡−L z � S−m X¥h¿¹ hÉ¢š²l SeÉ ¢L Ll¡ E¢Qv ? fËbjax ka a¡s¡a¡¢s pñh X¥h¿¹ hÉ¢š²−L Sm −b−L a¥m−a q−h z k¢c a¡l nÄ¡p fËnÄ¡p e¡ Q−m, nš² pja−ml Ef−l a¡−L ö−u ¢c−a q−h z ¢ejÀ¢m¢Ma fÜ¢a−a nÄ¡p ¢g¢l−u Be¡l paÆl −Qø¡ Ll−a q−h Hhw p¡q¡−kÉl SeÉ L¡E−L X¡L−a q−h z k¢c X¥h¿¹ j¡e¤o¢V ¢nö qu, a−h a¡l S£he lr¡l SeÉ −Qø¡ Q¡¢m−u −k−a q−h z k¢c −p −L¡−e¡ fË¢a¢œ²u¡ e¡ −cM¡u, ah¤J CPR Q¡¢m−u −k−a q−h karZ e¡ fË¢n¢ra ¢Q¢Lvp−Ll¡ c¡¢uaÆ ¢e−µRe z â¥a ¢i−S L¡fs M¤−m hÉ¢š²−L Nlj l¡M¡l SeÉ Lðm ¢c−u S¢s−u l¡M−a q−h z −l¡N£l j¡b¡ HL¢c−L L¡v L−l q¡a c¤¢V j¡b¡l Efl −V−e l¡M−a q−h z g¥pg¥−pl j−dÉ −b−L Sm −hl Ll¡l SeÉ nl£−ll jdÉi¡N Ef−l −V−e a¥m−a q−h z

1. HLSe ¢nöl nÄ¡p Qm¡Q−ml fb −M¡m¡l SeÉ : Bm−a¡ i¡−h q¡a ¢c−u a¡l j¡b¡¢V ¢fR−el ¢c−L L¡v Ll−a q−h Hhw AeÉ q¡−a a¡l b¤a¢e a¥−m dl−a q−h z fË¡b¢jL

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fË¢a¢hd¡eL¡l£l L¡e −l¡N£l j¤M J e¡−Ll L¡−R −l−M mrÉ Ll−a Hhw Ae¤ih Ll−a q−h −k ¢nöl nÄ¡p¢œ²u¡ Qm−R ¢L e¡ ?

2. k¢c j−e qu nÄ¡p¢œ²u¡ Qm−R e¡ a¡q−m -

L) HL hR−ll h¡ a¡l Lj hu−pl ¢nöl SeÉ : fË¡b¢jL fË¢a¢hd¡eL¡l£l j¤M ¢nö¢Vl e¡L J −W¡y−Vl Efl −l−M c¤'h¡l g¥y ¢c−a q−h z fË¢a¢V g¥y −cs −p−Lä jae q−h z mrÉ l¡M−a q−h, h¤LV¡ JW¡ e¡j¡ Ll−R ¢Le¡ z M) HL hR−ll E−ÜÑl / hs ¢nöl SeÉ : ¢nö¢Vl e¡L¢V −Q−f, fË¡b¢jL fË¢a¢hd¡eL¡l£l j¤M ¢nöl −W¡y−Vl Efl −l−M d£−l c¤'h¡l g¥y ¢c−a q−h z fË¢a¢Vl g¥y −cs −b−L c¤C −p−Lä jae q−h z ¢àa£u g¥y −cJu¡l B−N h¤−Ll e¡j¡l SeÉ A−fr¡ Ll−a q−h z

3. k¢c h¤−Ll JW¡ e¡j¡ öl¦ qu aMe e¡s£l Øf¾ce fl£r¡ Ll−a q−h (4 ew −cM¤e) z k¢c

h¤−Ll JW¡ e¡j¡ öl¦ e¡ qu a¡q−m fË¢œ²u¡ f§eÑh¡l Ll−a q−h z 4. e¡s£l Øf¾ce fl£r¡ : c¤'¢V BP¥m ¢nö¢Vl Nm¡l f¡−n, O¡−sl L¡−R l¡M−a q−h z fy¡Q

−p−Lä A−fr¡ L−l k¢c Øf¾ce Ae¤ih qu, a−h ¢ae −p−Lä A¿¹l HL¢V L−l g¥y ¢c−a q−h z fË¢a ¢j¢e−V e¡s£l Øf¾ce fl£r¡ Ll−a q−h Hhw karZ e¡ fkÑ¿¹ ¢nö¢V ¢e−S nÄ¡p¢œ²u¡ öl¦ Ll−R h¡ pq¡ua¡l SeÉ fË¢n¢ra ¢Q¢LvpL Bp−R, aarZ HC fË¢œ²u¡ Q¡¢m−u −k−a q−h z

� hs−cl SeÉ : HL ¢j¢e−V œ²j¡Na fy¡Q h¡l h¤−L Q¡f ¢c−u HL¢V L−l g¥y ¢c−a q−h z fË¢a h¡l nÄ¡p fËnÄ¡p J e¡s£l Øf¾ce mrÉ Ll−a q−h ; karZ e¡ e¡s£l Øf¾ce Ae¤ih Ll¡ k¡u h¡ pq¡ua¡l SeÉ fË¢n¢ra ¢Q¢LvpL Bp−Re z âøhÉ : HC ¢e−cÑn…¢m CPR fË¢nr−Zl fË¢aLÒf eu, ph A¢ii¡hL J fË¡b¢jL fË¢a¢hd¡eL¡l£l HC fË¢nrZ −eJu¡ E¢Qv z f§hÑ fËÙ¹¥¢a ¢qp¡−h LjÑ£h¡¢qe£ NWe Ll¡ ab¡ a¡−cl EÜ¡l J fË¡b¢jL fË¢a¢hd¡e Ll¡l fË¢nrZ −cJu¡ M¤hC L¡kÑLl£ z Sl¦l£ AhÙÛ¡l pju HC LjÑ£h¡¢qe£ f£¢sa J Bqa hÉ¢š²−cl â¥a pq¡ua¡ Ll−a f¡−l z � ¢ho¡š² p¡f ¢Q¢q²aLlZ, p¡−f L¡V¡ hÉ¢š²l SeÉ fË−u¡Se£u fË¡b¢jL fË¢a¢hd¡e J ¢Q¢Lvp¡ ¢e−a p¡q¡kÉ L−l z I Hm¡L¡u p¡d¡lZax ¢L ¢L p¡f −cM¡ k¡u ? e£−Q, f¢ÕQj h−‰ −cM¡ k¡u Hje ¢LR¥ p¡−fl R¢h ¢c−u ¢hT¡−e¡ qm -

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¢ho¡š² p¡f¢ho¡š² p¡f¢ho¡š² p¡f¢ho¡š² p¡f ¢h¢h¢h¢hoq£e p¡foq£e p¡foq£e p¡foq£e p¡f

Monocellate

cobra (Naja

kaouthia)

Dhaman or Oriental

Rat snake (Ptyas

mucosus)

Spectacled

cobra (Naja

naja)

Checkered Keel Back

water snake

(Xenochropis piscator)

Common krait

(Bangarus

caeruleus)

Common Water snake

(Enhydris enhydris)

Banded krait

(Bungarus

fasciatus)

Green Vine Snake

(Ahaetulla nasuta)

Russell's viper

(Vipera russelli)

Indian Rock Python

(Python molurus

molurus)

King cobra

(Ophiophagus

hannah)

a¡¢mL¡ 1 : ¢h¢iæ ¢ho¡š² J ¢hoq£e p¡f � ¢ho¡š² p¡f L¡js¡−m L£ Ll−a q−h ? pL−ml S¡e¡ fË−u¡Se −k, ph fË¡b¢jL ü¡ÙÛÉ −L¾cÊ (PHC) −a p¡−f L¡V¡l Kod f¡Ju¡ k¡u z ka a¡s¡a¡¢s pñh - a¡ −cJu¡ fË−u¡Se z e£−Q, p¡−f L¡V¡ −l¡N£l ¢LR¥ ¢hfc pw−L−al mrZ…¢m −cJu¡ qm -

� lš²f¡a � nl£l −b−L alm −h¢l−u Bp¡ - −fµR¡f / f¡uM¡e¡l j¡dÉ−j � O¡s, −W¡yV J −Q¡−Ml f¡a¡ ¢e−Ù¹S q−u Bp¡

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HCph mrZ…¢m −b−L Ae¤j¡e Ll¡ −k−a f¡−l −k, Q¾cÊ−h¡l¡, g¥lp¡ S¡a£u Hemo Toxin p¡f L¡j−s−R z

� cwn−el ÙÛ¡−e (L¡V¡ ÙÛ¡−e ) hÉb¡ J −g¡m¡ � j¤M −b−L m¡m¡ N¢s−u fs¡

HCph mrZ…¢m −b−L Ae¤j¡e Ll¡ −k−a f¡−l −k, −N¡M−l¡, −LE−V, L¡m¡QÚ Neuro-toxin S¡a£u p¡f L¡j−s−R z L£ Ll−a q−h :L£ Ll−a q−h :L£ Ll−a q−h :L£ Ll−a q−h : −l¡N£−L BnÄ¡p J p¡qp ¢ce z ÙÛ¡e¢V f¢lú¡l Ll¦e z −l¡N£−L H¢cL - J¢cL qy¡V¡ Qm¡ Ll−a −c−he e¡ z Nlj RÉy¡L¡ −m−N Q¡js¡ f¤−s −N−mNlj RÉy¡L¡ −m−N Q¡js¡ f¤−s −N−mNlj RÉy¡L¡ −m−N Q¡js¡ f¤−s −N−mNlj RÉy¡L¡ −m−N Q¡js¡ f¤−s −N−m, W¡ä¡ Sm fËh¡−ql e£−Q ÙÛ¡e¢V−L 10 ¢j¢eV l¡M¤e ¢Lwh¡ W¡ä¡ S−m X¥¢h−u l¡M¤e z −L¡−e¡ lLj L¡fs, a¥−m¡, hÉ¡−äS e¡ −cJu¡C i¡−m¡ z j−e l¡M−he, −L¡−e¡

¢œ²j h¡ −am −c−he e¡ Hhw −g¡pÚL¡ g¡V¡−e¡l h¡ raÙÛ¡e −b−L ¢LR¥ −V−e h¡l Ll¡l −Qø¡ H−Lh¡−lC Ll−he e¡ z k¢c −f¡s¡l fl −g¡pÚL¡ qu, f¤−s ÙÛ¡e¢V L¡−m¡ q−u k¡u, −f¡s¡ AaÉ¿¹ Ni£l (Q¡js¡ e£−Q) J A−eL −hn£ ÙÛ¡e S¥−s q−m −l¡N£−L a¡s¡a¡¢s q¡pf¡a¡m h¡ fË¢n¢ra ¢Q¢Lvp−Ll L¡−R ¢e−u k¡e z

k¢c −L¡−e¡ hÉ¢š²l cj hå q−u B−p h¡ nÄ¡p ¢e−a Lø qucj hå q−u B−p h¡ nÄ¡p ¢e−a Lø qucj hå q−u B−p h¡ nÄ¡p ¢e−a Lø qucj hå q−u B−p h¡ nÄ¡p ¢e−a Lø qu a−h a¡−L p¡j−el ¢c−L AÒf −T¡yL¡e Hhw a¡l ¢fR−e cy¡s¡e z HL q¡−a Ap¤¤ÙÛ hÉ¢š²−L S¢s−u d−l AeÉ q¡−a Ap¤¤ÙÛ hÉ¢š²l ¢f−W Hjei¡−h ¢Lm j¡l−a q−h −ke −f−Vl Efl Hhw fy¡S−sl ¢e−Ql Aw−n d¡‚¡ f¡u Hhw k¡−a Nm¡u / nÄ¡pe¡m£−a BV−L b¡L¡ hÙ¹¥ h¡¢l−u k¡u z

h¡C−h¡C−h¡C−h¡C−ll ll ll ll hÙ¹¥hÙ¹¥hÙ¹¥hÙ¹¥ ¥¥ ¥¥ −Q¡−M Y¥L−m−Q¡−M Y¥L−m−Q¡−M Y¥L−m−Q¡−M Y¥L−m : � −Q¡−Ml f¡a¡u h¡ −Q¡−Ml p¡c¡ Aw−n R¡s¡ −Q¡−M AeÉœ −L¡e hÙ¹¥ Y¥L−m a¡−L −hl Ll¡l −Qø¡

Ll−he e¡ z � −L¡e hÙ¹¥ −Q¡−Ml j−dÉ BV−L / −Ny−b −N−m a¡ ¢LR¥−aC −hl Ll¡l −Qø¡ Ll−he e¡ z � −Q¡M Oo−he e¡ z � hÉš²¢V−L Jf−ll ¢c−L a¡L¡−a hm−a q−h z k¢c −L¡e hÙ¹¥¥ −cM¡ k¡u a−h c¤C −Q¡−Ml f¡a¡

BmN¡ i¡−h d−l f¢l×L¡l −iS¡ L¡f−sl −L¡Z¡ ¢c−u hÙ¹¥¢V h¡l Ll−a q−h z � k¢c HC fÜ¢a−a hÙ¹¥¢V h¡l e¡ qu a−h c¤C −Q¡−Ml f¡a¡ BmN¡ i¡−h d−l f¢l×L¡l Sm

¢c−a q−h z

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h¡C−ll hÙš¥h¡C−ll hÙš¥h¡C−ll hÙš¥h¡C−ll hÙš¥ L¡−e Y¥L−m L¡−e Y¥L−m L¡−e Y¥L−m L¡−e Y¥L−m � L¡−el f¡a¡ (j¡b¡l f¡−n Ah¢ÙÛa L¡−el −N¡m Awn) −V−e dl−m L¡−el NqÄ−ll l©f AÒf

HLV¥ f¢lhaÑe qu z −k hÙ¹¥¢V L¡−e t¥−L−R −pC ¢c−L j¡b¡ L¡a L−l B−Ù¹ B−Ù¹ L¡−el f¡a¡ T¡yL¡−m hÙ¹¥¢V BmN¡ q−u h¡C−l −h¢s−u fs−h z

� k¢c hÙ¹¥¢V ¢ia−l BV−L k¡u Hhw HC fÜ¢a−a h¡l e¡ qu a−h a¡ −hl Ll¡l SeÉ X¡š²¡−ll L¡−R k¡Ju¡ E¢Qa z ¢a¢e ¢h−no k¿»f¡¢a J B−m¡l p¡q¡−kÉ hÙ¹¥¢V−L −cM−a Hhw h¡l Ll−a f¡l−he z

Q¡js¡l ¢ial p¤¤rÈ h¡C−ll Q¡js¡l ¢ial p¤¤rÈ h¡C−ll Q¡js¡l ¢ial p¤¤rÈ h¡C−ll Q¡js¡l ¢ial p¤¤rÈ h¡C−ll hÙ¹¥hÙ¹¥hÙ¹¥hÙ¹¥ Y¥L−mY¥L−mY¥L−mY¥L−m : 1z r¥â k¿»Z¡c¡uL N¡−Rl BW¡m Awn : N¡−Rl Ly¡V¡ / ¢hR¥¢V, LÉ¡LV¡−pl L¡yV¡ Abh¡ fiberglass

spicules V¥L−l¡ k¢c Q¡js¡l ¢ial Y¥−L k¡u a−h a¡ −hl Ll¡ c¤×Ll L¡lZ, Hl¡ M¤hC elj Hhw i‰¥l z p¡d¡lZax peÑ¡ / ¢Qj¢V ¢c−u Q¡f ¢c−m H…¢m −i−P k¡u z � ¢g−a / −p−m¡−Vf hÉhq¡l - fËb−j −R¡V Ly¡V¡…¢m BW¡Ju¡m¡ ¢g−a / −p−m¡−Vf ¢c−u M¤h

Bm−a¡ i¡−h r−al Efl d−l a¡ a¥m−a q−h z H−a k¢c L¡S e¡ qu a¡q−m −j¡jk¤š² −l¡je¡nL ( wax hair remover) hÉhq¡l Ll−a q−h z

� −j¡jk¤š² −l¡j e¡nL (wax hair remover) hÉhq¡l - k¢c −p−m¡−Vf ¢c−u L¡S e¡ qu a¡q−m HL fla −l¡j e¡nL m¡N¡e z fy¡Q ¢j¢eV q¡Ju¡u öL¡−e¡l fl L¡yV¡ p¤¤Ü a¡ −V−e a¥m−a q−h z −hn£l i¡NC h¢l−u Bp−h, h¡¢L −b−L k¡Ju¡ L¡yV¡, Q¡js¡ e¡s¡e¡¢s Ll−m −h¢l−u k¡−h z

2z p§yQ, ¢Qj−V Hhw peÑ¡l hÉhq¡l : hs L¡yV¡ h¡ L¥¢Q h¡l Ll−a p§yQ, ¢Qj−V Hhw peÑ¡l hÉhq¡l Ll¡ qu z � ¢Qj−V hÉhq¡l Ll¡l B−N −c−M ¢e−a q−h −k, ¢Qj−Vl c¤C fË¡¿¹ HL p−‰ ¢jm−R ¢Le¡ z k¢c

e¡ qu, j¡b¡V¡ −hy¢L−u ¢e−a q−h z AÉ¡m−L¡qm ¢c−u j¤−R S£h¡e¤j¤š² L−l ¢e−a q−h z � L¡yV¡ / L¥¢Q t¥−L k¡Ju¡l S¡uN¡l Q¡¢lf¡n p¡¢SÑL¡m ¢Øf¢lV ¢c−u f¢l×L¡l L−l ¢e−a q−h z

k¢c p¡¢SÑL¡m ¢Øf¢lV e¡ b¡−L a¡q−m p¡h¡e Sm ¢c−u f¢l×L¡l Ll−mJ q−h z a−h h¡C−ll hÙ¹¥¢V L¡W q−m a¡ −j¡−VJ −iS¡−m Qm−h e¡ (Sm −m−N L¡−Wl L¥¢Q g¥−m EW−a f¡−l) z

� p§Q ¢c−u L¡yV¡ / L¥¢Q −Y¡L¡ S¡uN¡V¡−L HLV¥ M¤−m ¢e−a q−h z k−bø B−m¡l h−¾c¡hÙ¹ b¡L−a q−h z Bap L¡yQ (magnifying glass) hÉhq¡l Ll−m p¤¤¢hd¡ q−h z

� L¡yV¡ / L¥¢Ql fË¡¿¹¢V ¢Qj−V / peÑ¡ ¢c−u d−l a¡ −ki¡−h t¥−L−R −pC −L¡Z hl¡hl −V−e a¥m−a q−h z M¡s¡ i¡−h Q¡js¡l j−dÉ h¡ e−Ml ¢ial −Y¡L¡ h¡C−ll hÙ¹¥−L a¥m−a, fËbjh¡−lC a¡ nš² L−l dl−a q−h z

� BP¥−ml e−Ml j−dÉ t¥−L k¡Ju¡ h¡C−ll hÙ¹¥−L a¥m−a, e−Ml j¡b¡ L¡y¢Q ¢c−u −L−V −gm−a q−h k¡−a L¥¢QV¡ i¡−m¡i¡−h −cM¡ k¡u z

� Q¡js¡u pj¡¿¹l¡m i¡−h L¡yV¡ / L¥¢Q Y¥−L b¡L−m, k¡ f¤−l¡V¡C −cM¡ k¡−µR - a¡ d−l V¡e−mC −h¢l−u B−p z k¢c AÒf Awn −i−P BV−L b¡−L, a−h p§Q−L −n¡de L−l, Q¡js¡ ¢Q−s ¢e−m L¥¢QV¡ −cM¡ k¡u Hhw −hl Ll¡ pñh qu z

7

3z AÉ¡¢¾Vh¡−u¡¢VL jmj - S¡uN¡¢V−L L¡yV¡ / L¥¢Q −hl Ll¡l B−N Hhw f−l p¡h¡e ¢c−u f¢l×L¡l L−l ¢e−a q−h z pwœ²j−el iu Lj¡−e¡l SeÉ AÉ¡¢¾Vh¡−u¡¢VL jmj m¡N¡−a q−h (−fËp¢œ²fp−el fË−u¡Se −eC) 4z X¡š²¡−ll L¡−R ¢e−u −k−a q−h, k¢c - � L¡yV¡ / L¥¢Q −hl e¡ qu � −hl Ll¡ q−u−R ¢L¿š M¤h k¿»e¡ � pwœ²j−el pñ¡he¡ j−e q−µR � ¢nö¢Vl AhÙÛ¡ œ²jnx M¡l¡f q−µR f¤−l¡−e¡ −l¡N / Ap¤¤ÙÛa¡ f¤−l¡−e¡ −l¡N / Ap¤¤ÙÛa¡ f¤−l¡−e¡ −l¡N / Ap¤¤ÙÛa¡ f¤−l¡−e¡ −l¡N / Ap¤¤ÙÛa¡ EµQ lš²Q¡f (high BP) J fË−jq (Diabetes) - huú−cl HC c¤'¢V f¤−l¡−e¡ −l¡N / Ap¤¤ÙÛa¡−L …l¦aÆ −cJu¡ E¢Qv z k¢c L¡l¦l ¢Q¢Lvp¡ Qm−R a−h a¡−L ¢eu¢ja fl£r¡ Ll¡ E¢Qv z ¢h−noax ¢hfkÑ−ul B−N J f−l fl£r¡ Ll¡ E¢Qv J Kod −cJu¡ E¢Qa z a−bÉl a−bÉl a−bÉl a−bÉl EvpEvpEvpEvp :::: � −kM¡−e X¡š²¡l −eC � http://www.indianchild.com/first_aid_for_drowning.htm

� http://doctor.ndtv.com/healthdetails/ndtv/hid/203/First_aid_for_drowning.html

� http://www.mayoclinic.com/health/first-aid-fractures/FA00058

� kMe X¡š²¡l −eC (h¡wm¡) - nËjS£¢h ü¡ÙÛÉ E−cÉ¡N 4z 4z 4z 4z A¢d−hneA¢d−hneA¢d−hneA¢d−hne f¢lLÒfe¡ f¢lLÒfe¡ f¢lLÒfe¡ f¢lLÒfe¡ (Session Plan) :

pjupjupjupju A¢d−hn−el A¢d−hn−el A¢d−hn−el A¢d−hn−el L¡kÑ¢hhlL¡kÑ¢hhlL¡kÑ¢hhlL¡kÑ¢hhlZ£Z£Z£Z£

fËbj 10 ¢j¢eV • fË¢nrL A¢d−hn−el E−ŸnÉ hZÑe¡ Ll−he - pju m¡N−h 2 ¢j¢eV z • Apwœ²¡jL hÉ¡¢d / Ap¤¤ÙÛa¡l AbÑ hÉ¡MÉ¡ z pju m¡N−h 2 ¢j¢eV z • flhaÑ£ fkÑ¡−u â¥a ¢Q¿¹−el j¡dÉ−j (brain storming) fË¢nrL AwnNËqZL¡l£−cl

¢e−S−cl Hm¡L¡u fËd¡e Apwœ²¡jL hÉ¡¢d / Ap¤¤ÙÛa¡…¢m ¢S‘¡p¡ Ll−he z Ešl…¢m fË¢nrL Q¡−VÑ a¡¢mL¡hÜ Ll−he Hhw j§MÉ…¢m−L pL−ml p¡j−e f¤el¡u a¥−m dl−he z −kje p¡−f L¡V¡, BO¡a, S−m −X¡h¡ z pju m¡N−h 6 ¢j¢eV z

11 - 16 ¢j¢eV • fË¡b¢jL fË¢a¢hd¡e L¡−L h−m Hhw Hl ‘¡e J fË¢nr−Zl fË−u¡Se£ua¡ L£ a¡C HC A¢d−hn−e B−m¡¢Qa q−h z fË¢nrL BO¡a J S−m −X¡h¡l fË¡b¢jL fË¢a¢hd¡e …¢m ¢Q−œl p¡q¡−kÉ hZÑe¡ Ll−he z

R¢h 1 : nl£−ll Ef−ll A‰ / R¢h 2 : nl£−ll e£−Ql A‰

8

Ef−ll ¢Qœ c¤'¢V −cM¡−µR ¢L i¡−h lš²f¡a ¢eu¿»Z Ll¡ k¡u z HC ¢Qœ…¢ml à¡l¡ fË¢nrL hÉ¡M¡ Ll−he lš²f¡−al ÙÛ¡e−L ¢Li¡−h −Q−f l¡M−a q−h Hhw lš² hå Ll¡l SeÉ ¢h−no hy¡de ¢c−a q−h z H…¢m lš² hå Ll−a Af¢lq¡kÑ l©−f p¡q¡kÉ Ll−h z R¢h 3 : HL¡¢dL BO¡a fË¡ç −l¡N£−L hqe Ll¡l fÜ¢a :

fË¢nrL hÉ¡M¡ Ll−he, HL¡¢dL BO¡a fË¡ç −l¡N£−L hqe Ll¡l pju a¡l j¡b¡, O¡s Hhw ¢nlc¡ys¡u −WL¡ ¢c−u dl¡ fË−u¡Se z

R¢h 4 : S−m X¥−h k¡Ju¡ hÉ¢š²l fË¡b¢jL fË¢a¢hd¡e (Airway – Breathing –

Circulation / ABC) : fË¢nrL hÉ¡M¡ Ll−he ¢Li¡−h h¡u¤ fËh¡−ql l¡Ù¹¡ M¤−m, nÄ¡p-fËnÄ¡p pqS L−l, h¡u¤ p’¡me p¤¤¢e¢ÕQa Ll−a q−h z

17 - 26 ¢j¢eV â¥a cmNa L¡S : • fË¢nrL R¢h −c¢M−u A’−ml e¡e¡ lLj ¢ho¡š² J ¢hoq£e p¡−fl f¢lQu L¢l−u

−c−he z AwnNËqZL¡l£−cl ¢LR¥ fËnÀ Ll¡ q−h z HM¡−e 9¢V p¡−fl R¢h b¡L−h (¢fRe ¢c−L p¡−fl e¡j J a¡ −L¡e dl−Zl −mM¡ b¡L−h) k¡ HL HLV¡ L−l AwnNËqZL¡l£−cl −cM¡−e¡ q−h J fËnÀ Ll¡ q−h z

• fËnÀ 1 : R¢h−a âøhÉ p¡−fl ÙÛ¡e£u e¡j ¢L • fËnÀ 2 : H¢V ¢L ¢ho¡š² AwnNËqZL¡l£l¡ Ešl −cJu¡l fl fË¢nrL R¢hl ¢fR−e R¡f¡ p¢WL Ešl S¡e¡−he fË¢a¢V R¢hl SeÉ m¡N−h 2 ¢j¢eV AbÑ¡v 2 x 9 = 18 ¢j¢eV z

9

Hlfl fË¢nrL ¢LR¥ R¢h −cM¡−he −kM¡−e ¢ho¡š² / ¢hoq£e p¡−fl cwne ¢Qq² (L¡j−sl c¡N ) b¡L−h z p¡f¢V−L −cM−a e¡ −f−mJ k¡−a ra −c−M ¢Q¢q²a Ll¡ k¡u −k p¡f¢V ¢ho¡š² / ¢hoq£e z

R¢h 5 : ¢ho¡š² / ¢hoq£e p¡−fl cwne ¢Qq² 27 - 35 ¢j¢eV L«a«j Ef¡−u nÄ¡p-fËnÄ¡p Q¡m¤ Ll¡l fÜ¢a q¡−a Lm−j L−l −cM¡−e¡ q−h z 36 - 50 ¢j¢eV nl£−ll Awn f¤−s k¡Ju¡l Hhw L¡−e, −Q¡−M, Q¡js¡u h¡C−ll hÙ¹¥ Y¥L−m a¡l fË¡b¢jL

fË¢a¢hd¡e pð−¾Ü AwnNËqZL¡l£−cl −cJu¡ abÉ f¡W z 51 - 60 ¢j¢eV fË¢nrL f¤−l¡−e¡ −l¡N / Ap¤¤ÙÛa¡ Hhw PTSD ¢hoci¡−h hZÑe¡ L−l Hhw ¢LR¥ p−¾cq

b¡L−m a¡ c§l L−l −c−he z 5z fË¢nrZ 5z fË¢nrZ 5z fË¢nrZ 5z fË¢nrZ fÜ¢afÜ¢afÜ¢afÜ¢a (Training Method) :

A¢d−hn−eA¢d−hn−eA¢d−hn−eA¢d−hn−el Awnl Awnl Awnl Awn fÜ¢afÜ¢afÜ¢afÜ¢a

¢e−S−cl Hm¡L¡u fËd¡e Apwœ²¡jL hÉ¡¢d / Ap¤¤ÙÛa¡…¢m ¢Q¢q²aLlZ

â¥a ¢Q¿¹e

BO¡a, p¡−f L¡V¡ J S−m −X¡h¡l fË¡b¢jL fË¢a¢hd¡e hÉ¡MÉ¡

R¢hl p¡q¡−kÉ hZÑe¡, â¥a cmNa L¡S

nl£−ll Awn f¤−s −N−m Hhw L¡−e, −Q¡−M, Q¡js¡u h¡C−ll hÙ¹¥ Y¥L−m a¡l fË¡b¢jL fË¢a¢hd¡e

AwnNËqZL¡l£−cl −cJu¡ abÉ f¡W

L«a«j Ef¡−u nÄ¡p-fËnÄ¡p Q¡m¤ Ll¡l fÜ¢a q¡−a Lm−j L−l −cM¡−e¡

f¤−l¡−e¡ −l¡N / Ap¤¤ÙÛa¡ Hhw PTSD hZÑe¡

6z fË−6z fË−6z fË−6z fË−u¡Se£u p¡jNË£ u¡Se£u p¡jNË£ u¡Se£u p¡jNË£ u¡Se£u p¡jNË£ (Material Required) ::::

� BO¡a, p¡−f L¡V¡ J S−m −X¡h¡ −l¡N£l fË¡b¢jL fË¢a¢hd¡−el ¢Qœ¡hm£ � −h¡XÑ � j¡LÑ¡l −fe � Q¡VÑ � fË¡b¢jL fË¢a¢hd¡−el EfLlZ h¡„ (hÉ¡−äS, Lðmpq)