EMERGENCY ate at aaqsJa Ni Creating Confidence to Care® Instructor Guide BAAnvika Gee uaa Lam intad in USACare for Children Instructor Guide EMERGENCY fissrresporises www.emergencyfirstresponse.com Emergency First Response Corp. 30151 Tomas, Rancho Santa Margarita, CA 92688 USA, ‘Toll Free US and Canada (Xwpic xpeiwon HIIA kat KavaSac): 600 337 1864 Tel (ThA): +1 949 766.4261 Fax. +1 949 267 1264 Info@emergencyfirstresponse.com Emergency First Response Canada Unit 107, 1680 Broadway St, Port Coquitlam, BCV3C 2M8, Canada Tollfree US and Canada (Xwpic xpéwan HMA xa KavaSdq): 800 565 8130 Tel (Tn): +1 604 552 5969 Fax: +1 604 552.5921 info@emergencyfirstresponse-com Emergency First Response Europe, Middle East and Africa (Eup, Méon Avarohi| xar Apouct) Pavilion 1, The Pavilions, Bridgwater Road, Bristol, BS13 BAE, United Kingdom Tel (Tra): +44 (0) 117 300 7234 Fax +44 (0) 117 971 0400 info@emergencyfirsresponse.co.uk Emergency First Response (Asia Pacific) Pty Ltd Unit 3,4 Skyline Place, Frenchs Forest, New South Wales 2086, Australia Tol (Ta: +61 29454 2980 Fax: +61 294542999 info@emergencyfirstresponse.com.2u Emergency First Response® (EFR°) Care for Children Instructor Guide © Emergency First Response Corp. 2017 Items in the Appendix may be reproduced by EFR Instructors for use in EFR-sanctioned training, but not for resale or personal gain, No other part of this product may be reproduced, sold or distributed in any form without the written permission of the publisher. * indicates a trademark is registered in the US. and certain other countries. 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Published by Emergency First Response Corp. 30151 Tomas, Rancho Santa Margarita, CA 92688, USA Printed in USA Product No.79190GR (Rev.07/18) Version 1.02Avayvwpioeic Npétuna gpovtibag twv acBeviv +H o104 wo8npdrav Emergency First Response Primary Care (CPR) [NowroBd6yiac Opovtisac {KAPIIA)] kai Secondary Care (First Aid) [AeurepoBGiac Opovtibac (xituv Bon Beuin}] ckohouBo6v Ta Beara Exar aveyKnc Kat Ta MpudKONA ‘nw avarrtéy@nxaw ant To wéRos TI¢ Intemational Liaison Committee on Resuscitation (Aue6vouc Emrponrc ZuvSEauou ‘Avatwayévnond) (ILCOR).Ta wéhn mepdopRévouy hv American Heart Association [Auepixavinry Evwan Kapbidc] (AHA, to European Resuscitation Council Eupumaiixs Supfochio Avatwoydvnonc] (ERC), mv Australian and New Zealand Committee ‘on Resuscitation (Empor Avaayévnong mc AvaTpahiac Kar m¢ Néac Zm\avilac] (ANZCOR - ra onepivd phn Tc TepthayBavouv To EupBouho Avatwoydunjonc ms Avotpahiac Kat to Eupfobhio Avazwayovnanc me Néac Znhavblad), ‘To Heart and Stroke Foundation of Canada (HSFC)[l6pupa xap6taxiv ka EyKeadixiv eneioo6iuv tov Kava6él, TO Resuscitation Council of Souther Africa EyjiBoGho Avatwoydvnanc tn NéTiac Agptxtc (RCSA), To Inter American Heart Foundation (aieOvéc16puya KapSidc (|AHF), Resuscitation Council of Asia [ZuyodNo Avatwoyvranc mc Aolac] (RCA -ra ‘oneptva yn nepihayBévouy lava, Kopén, Zsykonodpn,TalBav, Oodmmives, Tathavén). Hapyf myc va tay avérrtugy uNKod mepiexopévou ova mpoypéuijata Emergency First Response Baoi(erat axa axéhov8a: + Circulation, Journal of the American Heart Association. Toyoc 122, Ap 18, Zoyadtpaye 3. Nogpnc 2010 nar Topo 132, ApEudc 18, Zounhpaya 2, Notubpec 2015. http//circahajournals.org/content/vol132/18_suppl_2/ xa https//eccguidelines heart.org/index. Php/circulation/epr-ecc-guidelines-2/ + Resuscitation, Journal of the European Resuscitation Council Téyos 95, Omtufpia¢ 2015. httpy/www.esuscitationjournal.com/ + Australian Resuscitation Council, ANZCOR Guidelines, €x6oon: laoudpia¢ 2016. httpy/www.esus.org.au/guidelines/anzcor-guldelines/ + Kvevéurrpec youn tu Eoyodiou eval aoyomanc ry NéacZ—Pavbia, xarevBuvtpc ypauéc ANZCOR wat NZRC, Taboo lavougpiac 2016. http://www anzcororg/guidelines/, ‘Orav o1 nepipeperaxéc Karev@uverptec ypaptiés Care for Children Bapépouv onpavnxd, 70 npSypaya onoUBGN Emergency Fist Response mepiypdie oagiic autés tic Stagopéc, Ze mepirtwon aypiBohiac oxenké pe éva ‘ouyrexpipiévo mputéxohdo f Sadxacia Gepanelac avarpéEre navrore oTic npaypaKéc obnylec Tov GuLBOUNOU Tov opyaviouod nou xe thy e€oUaia aTHVTEpIOXt ac. ‘AueOviig larpiKt Emioxémmon Bas Gorman, BSc, 208, hb, FACOM, FAFGIa, PAD, Dip DUM Emegadii¢ - Enayyeduarucr lap School of Medicine, University of Auckland ‘Auckland, New Zealand panka, MD, MPH Emergency Medicine Alabama, USA “ony Keay HH, DINIC, ACSEdi, Ha, HiAeReiMEd Vice-chairman & Director — BASICS Education Ltd. British Association for Immediate Care (BASICS), UK Jan Risberg, MD, PRD Begen, Norway Bilan Smith, MD ‘Mountain West Anesthesia Utah, USA Hal Mapaimon Suxawijperto¢: 01 5iaBixactec mpdirwn BonBexiv Kat KAPNA nou nepoverdovrar ova npoypduara Emergency First Response Baatovrai ows mo mpbapares avordoa umesBuviy pinay mnyiau. Aoréa0, 1 First Response Emergency, Corp, dev pope va eyyun det wai va Bev avandia kauia ev9Ovn ya Tv opB6tnTa, my EndpKetd fy my mAqpdt Ta autdw Tw mqpopopusy ff avatécewy. Mnopel va anarrouvrat ida f mpdodera veTpa aopaefac und cuprexpyutver oUvErKes.Care for Children Instructor Guide Neptexopeva Etcaywyn Nuva Xpnowonorijaere auré tov Ony6 ExnaiSeuth.. Tepipepeiaxa EuuBoUNa Kat Opyavboerc AvaCwoyovnoNs .- Town Evotnta — Emtoxémon ceipdc pabnparuv Kat oatuna Mpétuma ppovridac aaBEVv. @dovopla pabryar0., Eroyol ceipas aS dTWW Baorkés anartjaeig emBooewv, Aor deipdg Ha@npatuv . Péhoc exmarSEuTh .. . Moioc unopei va mapaxohouBrgeI Th GeIpa HaBNYTWV; . 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Evowpérwon pa®npdtwy Emergency First Response ‘Agbtepn Evétyta — Avartugn, aon A€iohdynon ywons OULPETEXOVTUW 2... . 24 Mepinrtikéc Mnpo@oples AvartuEns Tdioewy (Knowledge | Development Outlines) HE Tapadoan and Tov exnraiSeutt} . sannaeen eee Ded = Opiopot repianone Tipsatwy Bon Bei Kat manpotpopieg IpOnyoupEevy BGEWV. 22 - H Advoi6a emBlwan¢ kat eoeic - O AroKprttic Extaxtn¢ AvayKn.. 27 += Xprjgn tov AB-CABS Kai tou Cycle of Care [Kéxhos ppovridad] via npotepaioroinan amy MowroBa®ya Opovriba ..... soeeeeees sone cect 8, seseseses ID 243 27 2419 +. 2-20 221 we 224 sees cveee 225 226 2.27 2:28 + AEA Kat amivi6won...--.++ : * oBapA ewoppavia eavarangla (shock) Ka\-spauyaopsc onovBUAKTcOTAANC «- “Tlpoopopé Bor{Ge1ac o¢ marbid mow xpetatovrat BoriGela....... + vopo! 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Agia GE OpIOLEVEC yeipEC "TAG A@puKtic Kal Nfjow TOU EipnviKod + Ovxatevduvtripies ypaupéc Tou European Resuscitation Council (ERC) [Evpuncixov SupBounov Avatwoyéynand] xenoiponoiobvrat omy Eupiorin, Tv AMPIKt,, 1] Méon AvaTOA Kat ™ Pwaia + Tic karevOuvrripiec ypappés yia tv Australian and New Zealand Committee on Resuscitation [Emrpom} Avazwoyévnang tm< Avatpaniac Kat tng Néac Znhavblac] (ANZCOR) kat ARC / NZRC. ‘Orav 01 nepipeperaKés kaTeveuvTplec ypayLéc diapEpouV ONpLavTKG, To MPSypapLa oNOVEV Emergency First Response nepiypdgel oapuic autés Tic Siagopéc, Ze nepimmwan apiBodiac oxeuKd pe Eva ouyKeKpiuévo npuTKoNo fh SiadiKkagia Depamteiag, avarpéfte ndvrote on npayatikés OBnylec Tov oupBouNou H Tov opyacyod mou éxer my e£ovata otnv MEpIOxt Oa.Care for Children Instructor Guider Ndr Evornta — Emoxénnon oeipds paOnpétwy xa npéruTia ‘Eva Emoxonnon Kal npotuna padnpatwv H ceipd wadnudtwy Emergency Fitst Response Care for Children di5GoKel ae yn entayyehartieg vyeiag va napéxouy @pavtiba éxraxtn¢ avaykn¢ o& éva dppworo fh tpavLaTioyévo Tal6l. 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H oeipd poSnpdruv uToGére: Ori UNdpyel L1G TOMY latpiKH Ynnpegia EKraKtn¢ AvayKng (EKAB) yla Thy uroom}pign Tou AnoKprt Exraxty¢ AvayKn, Hotipd waqyétuy Emergency First Response Care for Children akohouBobv ta Géyara éxtoKTn¢ vdykn Kat Ta npwTSKoAAa Oma avartoxenkav and To [EA9¢ TH¢ International Liaison Committee on Resuscitation [Ate6vouc Enrtpomc EuvSEquou Avatwoydunondl (ILCOR). Hapxn mytic via thy avarrrugn uk meptexopévou oTa mpoypayipata Emergency First Response Baoifetai ora aKédou8a: + Girculation, Journal of the American Heart Association. Toloc 122, ApiOuds 18, Eupmdipuia 3. NoguBpI0¢ 2010 Kau Top0¢ 132, ApIB US 18, EuumMAF|pwa 2. NokuBproc 2015, hhttpy/circahajournals.org/content/voi1 32/18_suppi_2/and https://eceguidelines.heart.org/index php/circulation/cpr-ecc-guidelines-2/ + Resuscitation, Journal of the European Resuscitation Council. Téyoc 95, OxriiBpiog 2015. http://www.resuscitationjournal.com/ + Australian Resuscitation Council, ANZCOR Guidelines, Exon: lavoudpio< 2016. httpu/www.resus.org.au/guidelines/anzcor-guidelines/ + Karevduvtripies yeas tov ZupBouriou avatwoydvnanc ms Néac Znavélac, KarevBuvifipiec ypappéc ANZCOR kat NZRC, Ex60on; lavoudpioc 2016, ttpy/wwwanzcororg/guidelines/.Care for Children Instructor Guide Mrdooogia capac padnpatwv H ceip4 wadnérwv Emergency First Response Care for Children kabrrre: ny enetyouoa repfOahiyn via 16 repioostepec aneiAnTiKéc Via T Cun KatacTécElG, O1 oUppETExoVTEC S1SAOKOVTAL TOV KOKNO gpovtlbag Via va tous KaBoSnyoEL. Cycle of Care: AB-CABS™ gore HEX el ew cant BORDER AEA anna, AB Aiovay_ Breath Open? Normally? (traomyreicngt) Owns ‘Breathing for Patient ron ae) ‘trou Bleeding Sr ener ‘Sheek tangs) ‘Spinal inary igen Lrdxot paBhpatoc OrorSyor me oeIpdc HaBNETWW Care for Children eivat: -- Na auéjouy inv mpéaBoon ae exnaidevan KAPNA, va auéjoouy ty aroteheoHaTiKérATa Kat an6600n m¢ 6iSacKaXiac, va BEAtiaCOUY TH Siarrpnon Twy BefioTrTUV Kal va HENGOOUY Ta e4m661a oth Spdon via tous Mapsyous Baouric uNoaTHIEN TC Cathe. “k Namapéxouv éva Benxé Kai evGappuvTiK6 Wa8na.aKd nepiBéNRov nov augave thy KaTaKpaT|AN Sefjour wv Kal evBappiver tn SpGon Tw CUNpETEXEVTUV. Na 516d€¢t éva pa8nya nov avkével to aprBL pn entayyehparid uyeiac mow eivar exnia\BevHEvot ‘oe KAPMIA Kat Mpcstes Bor Bete nov Oa urtopouv va xpnowonoloby TIc wKaVETTTEG TOUS KUPIC Biotayps via va Bon@r}couv Goous éxouv avayKn. + Na. ouv6vacouv thy KAMA xai nc Mptires BoriOe1ec o¢ éva npurtoxohho avriperdomians enceryévTUw MeplotaTiKGV Na 6184€ouv Eva anid mpurrdxoh\o KAPTIA Kat riptTwy Bon deliv Wore ot ouppeTéxovtes va Ta Svyodvrat waxponpsBEdHa. Na peytotorotcouy my avértugn Kat my rpaKnKr e&GoKnON Tw CUNETEXOVTUN, eaxtoToTIOKivTag NapAANAa th LETa5OoN yuwanc and TOU exrraiBeUtéc (Edw Sradéfewv). Opiopévec anamnjoeic ot0 xp epyaciag wordco, amartouv va cAoKAnpwHEl Evac OPIOHEVOS api®udc wpav StSa0KaAiac.. Ee autd To Malato, ymopei va xpeiaorouv cuvedpiec avartuens ‘yudon Tou €xouv opyavibaet ot exnaiSevtés. Na evowporiae my avetdorntn wedern, ‘ouppetexovtw, Sriote elvat Suvardv, yi tHv ‘anoteheouanikomra tg Mopeiag Tw paGNHETUV Ka va oéferat tov mohiTIyo xpsvo TwY OUNETEXOVTIN. 4 Na 6iS4fouv éva WAOnHa aKchouBkiveag TI¢ m0 Cc mpbagpates karevOuvTptes yaUEC TI« ILCOR International Liaison Committee on Resuscitation (AteOwric Enrpom EuvSéouoU via thy Avaciwoydvran) kat yeviKés ‘oBnyiec, apéxovtac Ero éva SieOviis cuverniKO HEONUA ‘ap Kerd evERIKTO via Ta MePIpEDEIGKG MPUTOKONAA KAT mrohmonxés Stapopéc.Fptirn Evétnra—Emoxénnan cerpdc paPnyétiv nar mpéruma Baoixéc anartijoetc emddcewv e Merd thv okoKAfpwon ins CEI HAN UaTWW Care for Children, o1 AnoKprréc Exraxrng Avaykng 6a nopobv va: + Kavouv napouaiaan diabikaouiy yia thy a€iohoynon wlac Kardotaonc éxtaKmC avdyxng yt aogddeia. EmBelfouv nc iabikaciec via to gépEua, THY apalpean Kal T andppuph yavTiby. AUT TeepthapBével thy apaipean yavuiy xwplc va tivaxTobV H va Ta oxigouv. Enianc, va TomOBerowv ‘oworé pia MpootaTeutiKt HELBodvn etmvor|c ae éva mpooopoWwTt. ++ Extehodye éAzyyo anéxpian¢ Ge maid Kai BpEgoS, + EAgyyoune via avorxtd agpaywyd xonoyortoKivrac pia and Tic 640 weBSbouceKtan ts KEPAAC Tp0¢ Ta Miaw Kat avixpwon tov MnyOUVIOS f THY TEXVIKH| TIC AABIIC TOU MarOAION, ERéyxouv via quatohoyixt avanvor}. + Extehoov pia MowroBa@uia AGiohSynon oe éva natSi mou Exe! Tic atoBrhaExG TOU Kal avTanoKpiveTat, ~> Exrehouv pia NowtoBé@ua Agiohoynon oe éva naiSi nov Sev éxe1 Tc axoEr}GEIG TOU Kat Sev avtanoxpiverat Tomo8etouv éva mai6i mou Sev avraroxplverat Kal avanvéet otn Agon avavnipnc. ~ ExteAouv @upaxixés ounméaets o& nai6ié pe pUBN6 100 Ec 120 oUpMEsEwV avi Aer Kat méovtac to oTH80¢ Kard To Eva Tpito TOU BABOUG TOU Biipaka ~ nepinow 5 em /2 ivrOES, Extehoov KAPIIA o€ raidi ue @wpaKikés CupMEdEIC Ge OUVSUGOHS HE EYpLCHoEIG SdowoNG HE (PUBHS 30 cupMésEwy npOG 2 euguarcewn Eidowonc. ++ BdaxtoToroiowv nic SiaKonés onic BwpaKixes cUMMEDE:C, ~ ExteAouv KAPMIA ae vijmto pe QwpaKiKés oupmiéce¢ 0€ OUvoUAOLO pe ELIpuOT|OEIC SiéoWaNC He Pvbu6 30 cULMECEWW npOC 2 EUgUGrGEWY SiGoWaNC. ~Extehotv Swpaxikéc oupmécers o¢ vifmia ye UBS 100 éux¢ 120 oUpMECEtV ave herTS Kat méKovtas to oTH}B0¢ Kara to éva Tpiro Tou PABOUG TOU BipaKa— nepinoU 4 cm /2 fvraEs, Enibetén oro mic va napéxouv Por\Geta oF éva naibt mov unowépel ard muyyove Kat éyer Tc aIBFfoeIc tou HE HEpIKT} H GoBapH and@pagN Tu depaywyiav. EniBeifn oro mic va napéxouv Bor\@eia ge éva viimo ou unowépel a6 mvtypovt Kau éxEtTIG GloBroEKc TOU HE HEpIKH F GoBapH andepagn Tuv aepaywyiiv. EniSeién oto mac va xonoono1oGv craB_py dyse0r nieon kal eniGeouo mleonc via Srayelpton ja ‘coBapric aiwoppayiKric MANY. Enibeién otov tpér.0 dioxeipanc m¢ Karannéiac (shock), npayaTono\dvtac pia NpwroBasua AGiokSynon, npooTarebovrac To TaI6i KaL ctaBeporIOKiVTAG tO KEEN TOV. + EniBeign otov tpémo diaxeipions unowplag KaKwang oT orovuiKth OTHAN , NpayLiaronoKavTac a NpartoR68w1a A€odSynon, Npoctarevovtac To maiSl ka ctaBEpoMOKdvTaG TO KEGAN TOU. Enideién otov tpéno ronoBérrjons Evd¢ Ma\SIOU GE UrTTG BEN, HE Xprion TNS TexIKtI¢ “TEpIoTpPOgH Koppod 6év7pou" via va ehax.ctortoirjaouv ty Kivnon ms onOVEUNKKS OTHANC Kal TOU ACIOD. + Enlgeign atov tpéro bieaywyric lac exrlunon¢ TpaypaTiopav ané Thy KOpUC WE Ta ViXia Ge va reu5{ xa anyexavouy tpaupaTiopods via va avarpEpOWW GTO MpoowTIKE EKraKTNG (ATpUKTIG Uunnpeciag (EKAB). EnibeiEn ovov tpéro tonoSémanc emBéoHuv TpETo roMOBeMONK EMBEDLWV GE MBI, KATW AKO, @ xépt 4 Beaxiova xpnoortonivtac KuAvpIKoUs emBELOUC Kai TpIywVIKOLG ETIBEDLOU. Puodv nic avoBaverat Eva nauSt kal va avaKahoouv Mnpopoplec oXETiKA HE TO taTPIKS loropIKs evdc MAISiON.Care for Children Instructor Guide EXéyyouv my avanvor, Tous Mahpous, tn BepHOKPaaia, tv LYpaaia Kal TO xpdua SépHATOG rou natS100. ‘Avapépouv 1a euphyara oto mpocumxé larpikric Yrmpeotac Exraktne Avarykn (EKAB). Na extehouv 6Xec tic Se€lSTNTEC HE TPSTIO THOU EhaxtoTorTOlE! Tov KivSuvO yi Tov ArioKprtH "Exraxrng AvayKng Tov agBevi} Kall TOUS TMApEUPIOKOHEVOUG, Npoaipetixéc arrartijoeic emb60ewv + Xprion evéc auropatonoinévou e€wrepiKod ammidur| (AEA) de éva PpodOHOUTH GdypwVG HE Tig oSnyieg Tou KataoKevaoTh) Ge éva nawdi. + TonoBémon twv nrektpodiwy tov AEA oe éva TIPOGOLOWTH. ExreAgote KAPIIA Kara ty avaKtnon AEA, puGpicete Kat xpnoiporoirote yia va EhaxtoTonoihaEre iG SraKonés GTI BWPAKIKEG GULTIECENC. Napoxr Bori@eias oe éva raid! nou éxet rou éxer amividw6ei He emrtuxia He AEA. Aopih pabnpatwv H ceipd pa8nudtwy Emergency First Response Care for Children ywpierat o¢ tpia trpata: 1) Avarrugn Fvacoew, 2) Avarrtugn Aeforttuv kat 3) ‘Levapia Mpaktixns. Xenjoworowvrac to Eyxeipi6i0 Eupyerexovewy Care for Children Manual m¢ Emergency First Response, ot cunperéxovtec prropouv va eheTf}GOUV USvoI TUG To aMarTooyEVO UNIKS via TAY AvaTTTUEN vdidew, Me Th xprhon TOU Bivteo Care for Children tc Emergency First Response 01 OUpMETEXOVTES NOpouy va TapaKOAOUBrGOUV SEC TIC ‘eanapatrntes Se&iotr tec Kat EgaPLOYN Bekiorf{twW Uvot TOUS, ‘YYndipxouv TpEIc TOTTO1 opyavwons Kat Sopri¢ TwV B00 paSnpatww: 1, Ppooéyyton avegaptntns HehEMS 2. ButeoKatev@uvopevn mpodeyyion, 32. Mpovéyyion we KaGoSriynon and exnawSeuth Tia nepioodtepes MANpo@OPies GXETIKG HE GUTEG TIC TPEIG mpooeyyioec, avatpééte oTHY MipWITN Gas enelyouga avti5paon oTov OSny6 exnarBeutiov Primary and Secondary Care Instructor Guide tq¢ Emergency First Response. Podoc exrratdevTh O pddog tou Exmaideutt) Emergency First Response Instructor elvar: Na Bon del tous cUnpeTéxovTec va cloBavovtat dveta Kata Th SIGPKEIG THY paSnperww Tapéxovttic tous Eva BetiKé, xahape Kat XOLINAO GE GYXOS TIepiBGAAov HaS8nan¢ Na emBerxviei Tic iKavOTTES HE TIaIKvi6i POAwY MO’TATAG Kal va UToyPAHHICel THY EAPHOYE kara tig outA TAGES CEvapiwy. Na napéxe: crous cupperéxovtec GeriKés Kal erroukoSopntiéc OBNVlEC. + Moré va un BrdGete tous ouppetéyovtes Kata Tr SiGoKEIa TIS avarrtusns Seforrrw. Na e€aTopiKeviel To xpdvo avarrtuens: Se€iorr|Twv pe Bdon uc iKavoTN|TES TOU KGGE CULPETEXOVTOS ote va avramoxpiverat oni anartrGeIc anSoan¢, Na Eritpémet TOU GUBHETEXOVTEG apKETS xp6vo va efaoxnBouv. Na Tovifer Thy avayKn via MpOOWMKr} aopadeia péow a€ioAdynans okNViby Kal: xprions TIpooTaTEUTIKiDY EEaPTHLATIWV. Na evBappivel tous OUpPETEXOVTEG va XONOILOTIOOUY Tig yuuboei< Kal TIC SEEIOTNTEC TOUS yia va BonSovv dcouc xpe1aZovtat enetyoudd TrepiBahiyn HONG OAOKANPUwOOUV To HAEGNHA.