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{G BTMWM MGBFEMS\GCM W
G \N[BTN^\GCM
Gk]u]u]u]uuuuuSuNu[uPuGCuGMuLuNu\u[BuEuS@u^uGSuGu0uEuuuu8888888888k(888888u
H BE NI M L N [N BC CGM EN S\[BES@^S"MEBONS
C0lgfm9 BL\ ( T[ ( 336(44>
BO%CBI% %M |B HBWM[LN KMFM\B M(C]
,u/g%%9|%/z'
A99?M%tIh + ( u / % % / ?x + |P'+(+//ghme Kmogpb{
Pn{sg0e9 3
\BKOB LN CME\NEGLM
2% Mkin|gpm
% Bocbecn
3% [nstmesbkon
<% Kbsn Onfbo
>% Pmcbk~ob{gm
0% Tmog|gcbs Fnen{bons lnB~|mcme|{mo
6% Lnsb{{moom
1% [nfgs|{ms
7% Benqms
GGNE\G@GCB
tb%foeb 2 ln 27
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HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm BL\ ( T[ ( 336(44>
Bo%%CBI%%LgB HBWM[
LNKMFM\BM/C/| / g %L!'
uu8:5 &|u%%«eu++&%+&+Sghme Kmogpb{
G
G pn{sgme9 3BTMWM LGBFEMS\GCM W
\N[BTN^\GCMSN[PGCGM LN \[BES@^SGME
2% MKIN\GPM9
Lnsc{gkg{ ob hn|mlmomf`b tb{b no hbenim ln obs [nbccgmens Blpn{sbs b ob
\{bes`~sg0e ![B\' ne no AMSTG\BO SGHME KMOGPB[ GG" EGPNO N%S%N% cme no
`ge ln r~n |mlbs ns|bs snbe {ntm{|blbs mtm{|~ebhne|n/ abcn{ons snf~ghgne|m/
ln|n{hgeb{ sg ob [B\ |~pm {nobcg0e cme ob |{bes`~sg0e w cmemcn{ obs cb~sbs hbs
`{nc~ne|ns ln [B\ ne ob ges|g|~c{me%
;% BOCBECN9
Ns|n t{mcnlghgne|m btenb tb{b ng hbenim ln |mlbs obs {nbccgmens blpn{sbs b ob
|{bes`~sg0e t{nsne|blbs ne c~bor~gn{ sn{pgcgm lno Amstg|bo Sghme Kmogpb{ GGG N%S%N
3% [NSTMESBKON9
Oms hnlgcms sme oms {nstmesbkons ln {ntm{|b{ obs {nbccgmens blpn{sbs b ob
|{bes`~sg0e% NG T{m`nsgmebg Nstncgbogyblm lno Sn{pgcgm ln \{bes`~sg0e lnkn
smcgbogyb{ no t{mcnlghgne|m ne oms lg`n{ne|ns sn{pgcgms ln ob ges|g|~cg0e/% C~belm
{ntm{|ne ~eb [B\ cmei~e|bhne|n cme B~lg|m{gb Hnlgcb w no Hnlgcm b cb{fm lno
tbcgne|n sn lnkn {nbogyb{ no snf~ghgne|m ln ob [B\/ pn{g`gcbelm no c~htoghgne|m
ne no lgogfnecgbhgne|m cmhton|m lng `m{hb|n tb{b ns|n `ge/ no c~htoghgne|m ln ns|n
lmc~hne|m: w s~ ghtonhne|bcg0e w c~htoghgne|m ns mkogfb|m{gm tm{ tb{|n ln |mlms
oms hnlgcms ges|g|~cgmebons r~n abcne tb{|n ln ob b|necg0e ln oms tbcgne|ns ne oms
lg`n{ne|ns sn{pgcgms ln ob |es|g|~cgme%
<% KBSN ONFBO9
• LNC[N\M 2422 LN ;4409 Tm{ no c~bo sn ns|bk"ncn no Sgs|nhb Mkogfb|m{gm ln
Fb{be|`b ln Cbog lbl ln ob B|necgme ln Sbo~l lno Sgs|nhb Fnen{bo ln
Snf~{glbl Smcgbo ne Sbo~l%
• LNC[N\M 2>62 LN 2773 Tb{ no c~bg >n {nfobhne|b tb{cgbohne|n no \g|~om GQ
ln ob Onw 47 ln 2767/ ne c~be|m b `~ecgmebhgne|m ln ns|bkoncghgne|ms
lnlgcblms b ob nq|{bccg0e/ t{mcnsbhgne|m/ cmesn{pbcg0e w |{bestm{|s ln
sbef{n |m|bo 4 ln s~s anhmln{gpblms/ sn c{nbe ob [nl Ebcgmebo ln Kbecms ln
Sbef{n w no Cmesnim Ebcgmebo ln Kbecms ln Sbef{n w sn lgc|be m|{bslgstmsgcgmens smk{n ob hb|n{gb%
• LNC[N\M 2><3 LN 2776 B[\ ;; W ;39 Tm{ no c~bo sn {nfobhne|b no hbenim
ln ob ge`nccg0e tm{ no Pg{~s ln Geh~emln`gcgnecgb A~hbeb !PGA'/ S`el{mhn ln
ob Geh~emln`gcgnecgb Blr~g{glb !SGLB' w obs m|{bs Ne`n{hnlblns ln
\{beshgsg0e Snq~bo !N\S'/ B[\GC^OM ;;% [nbogybcg0e ln t{~nkbs ne oms
kbecms ln sbef{n w m{rbems B[\GC^OM ;3% Kgmsnf~{glbl%
Tbfgeb 9; ln 27
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HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm9 BL\ ( T[ ( 336(44>
BOCBO%M |B HBPM[
LN KMFM\B L%C%• |:B?%%pL
H%9(?&,Pu)& 9:9u%%/%ª'+u]+++{GGG Pn{sgme9 3
G
Sghme Kmogpb{
BTMWM LGBFEMS\GCM W
\N[BTN^\GCM
SN[PGCGM LN \[BES@^SGME
• [NSMO^CGME 742 LN 27709 Tm{ ng c~bo >n blmt|b no hbe~bo ln em{hbs
|ncegcbs/ blhgegs|{b|gpbs w ln t{mcnlghgne|m tb{b kbecms ln sbef{n%
• [NSMO^CGME 206 LN 27769 Tn{ ob c~bo sn ns|bkoncne tb{bhn|{ns r~nbsnf~{ne ob fb{be|`b ln ob cboglbl ln ob sbef{n%
• [NSMO^CGME 24<3 LN ;4409 Hgegs|n{gm ln ob T{m|nccgme Smcgbo% Tm{ ob c~bo
sn ns|bkoncne obs cmelgcgmens r~n lnkne c~htog{ oms t{ns|blm{ns ln Sn{pgcgms
ln Sbo~l tb{b abkgog|b{ s~s sn{pgcgms n ghtgnhne|b{ cmhtmene|ns ln b~lg|m{gb%
• TMOG\GCB EBCGMEBO LN SBEF[N I^EGM LN ;446%
>% PMCBK^OB[GM9
• [NBCCGME \[BES@^SGMEBO9
Pb{gblm f{~tm ln npne|ms cogegcms r~n sn t{nsne|be ~s~bohne|n l~{be|n 4
gehnlgb|bhne|n lnst~ns ln ~eb |{bes`~sgme ln sbef{n 4 ln bof~em ln s~s
ln{gpblms% Bof~ebs {nbccgmens cmes|g|~wne npne|ms cooegcms r~n sn t{nsne|be b
ob{fm tobym w r~n b`nc|be ob sbo~l lno {ncnt|m{ ln hben{b c{megcb%
• [NBCCGME BLPN[SB \[BES@^SGMEBO ![B\'9
[nst~ns|b gelnsnblb n ght{npgs|b bsmcgblb b ob |{bes`~sgme ln sbef{n 4 s~s
ln{gpblms r~n sn t{nsne|b l~{be|n 4 lnst~ns ln ob |{bes`~sgme w b`nc|b ob
snf~{glbl lno {ncnt|m{% Obs [B\ sn t~nlne bsmcgb{ cme ob cboolbl 4 snf~{glbl
ln oms cmhtmene|ns sbef~genms/ 4 kgne/ cme `bc|m{ns t{mtgms ln cblb tbcgne|n/ln hben{b r~n no hgshm cmhtmene|n sbef~genm bo sn{ |{bes`~elglm b m|{m
{ncnt|m{ em cb~sb{ b t{mkonhb bof~em%
• CMBF^OBCGME GE\[BPBSC^OB[ LoSNHGEBLB9
Ns ~eb ne`n{hnlbl cb{bc|n{gyblb tm{ ob t{ml~ccgme ln ~eb nqcnsgpb cbe|glbl
ln lghge~|ms cmbr~oms ge|{bpbsc~ob{ns/ cme cmhtmene|ns hgc{mcg{c~ob|m{gms
ln`nc|~msms w lgs`~ecgme nelm|nogbo/ oms c~bons cb~sbe |{mhkms ne oms
tnr~nems pbsms sbef~`enms/ cmes~hgnelm oms cmhtmene|ns ln ob cbscblb ln
ob cmbr~obcome w obs tobr~n|bs% BG bfm|b{sn oms `bc|m{ns ln ob cmbr~obcgme ns
`{nc~ne|n pn{ ntgsmlgms anhm{{brgcms sgfeg`gcb|gpms% Ob CGL npmo~cgmeb{ntne|gebhne|n w |gnen ~e c~{sm f{bpn% \{ns f{~tms ln tbcgne|ns |gnene oms
hbwm{ns {gnsfms ln CGL9 tbcgne|ns mks|n|{gcms/ tbcgne|ns cme ge`nccgmens
kbc|n{gbebs f{bpns w tbcgne|ns cme cgn{|bs enmtobsgbs%
Tbrgeb 3 ln 27
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C0lgfm9 BL\ ( T[ ( 336(44>BENIM LN [NBCCGMENS
\[BES@^SGMEBONS
BOCB"%%MgB HBWM[
LN KMFM\B(L(C%,B^(/M
& ? 2 5 % 9 ( / / 5 2 & ) 9 º - + ( u++?x% % g % ( ] + % % %(Sghme Kmogpb{
GGPn{sgme9 3
TMWM LGBFEMS\GCM W
\N[BTN^\GCMSN[PGCGM LN \[BES@^SGME
0% TMOG\GCBS FNEN[BONS LNB^\MCME\[MO9
• \mlns oms cbsms ne lmeln sn smstncan ~eb {nbccgme bsmcgblb b ob
|{bes`~sgme lnkn em|g gcb{sn gehnlgb|bhne|n bo Sn{pgcgm ln \{bes`~sgme%
• NG t{m`nsgmebo nstncgbogyblm lno Sn{pgcgm ln \{bes`~sgme w ~e {nt{nsne|be|n
lno nr~gtm ln b~lg|m{gb hnlgcb/ w no hnlgcm b cb{fm lno tbcgne|n/ sme oms
{nstmesbkons ln ob oepns|grbcgme w cobsg`gcbcgme ln obs {nbccgmens|{bes`~sgmebons t{nsne|blbs ne ob oes|g|~cgme%
• NG T{m`nsgmebo Nstncgbogyblm lno Sn{pgcgm ln \{bes`~sgme ns {nstmesbkon lnob em|g`gcbc|me mkogfb|m{gb hnes~bo b ob [NL MGS\[G\BO LN KBECMS LNSB%EF[N W SN[PGC"MS LN \[BES@^SGME SBEF^GENB cme no `m{hb|m
ln EM\G@GCBCGME LN [NBCCGMENS BLPN[SBS B OB \[BES@^SGMElnkglbhne|n lgogfnecgblm abs|b 1 2 e~hn{bo 24 ne no t{ghn{ {ntm{|n w oms
lnhbs e~hn{bons lnkne lgogfnecgb{sn no l`b abkgo lnst~ns ln {ntm{|blb ob
[B\ ne no snf~ghgne|m cmei~e|m r~n sn {nbggyb %
• \mlbs obs {nbccgmens blpn{sbs b ob |{bes`~sgme lnkne t{nsne|b{sn be|n noCm{eg|n ln \{bes`~sgmens%
6% LNSB[[MOOM9
6%2%FNEN[BOGLBLNS
Sn ab ns|ghblm r~n bo hnems no 24. ln obs |{bes`~sgmens t{nsne|be bof~eb
cobsn ln {nbccgme blpn{sb/ w no 4/>. ln nogbs sme cmesgln{blbs sn{gbs msnpn{bs%
NG {ncmemcghgne|m {btolm w no hbenim ln ob {nbccgme t~nlne sbopb{ ob pglb ln omstbcgne|ns gepmo~c{blms% Oms n{{m{ns ne blan{g{sn b oms t{mcnlghgne|ms cm{{nc|ms
sme ob cb~sb hbs `{nc~ne|n ln {nbccgmens |{bes`~sgmebons anhmog|gcbs r~n tmene
ne tnogf{m ob pglb lno tbcgne|n % Tm{ cmesgf~gne|n ob lncgsgme ln |{bes`~sgme lnkn
ns|b{ kbsblb ne ob pbom{bcgme t{npgb ln ob {nobcgme {gnsfm9 knen`gcgm ln cblbtbcgne|n ne tb{|gc~ob{%
6%2%2 COBSG@GCBCGME9
6%2%2%2 [NBCCGMENS \[BES@^SGMEBONS BF^LBS EM GE@NCCGMSBS9
Sme obs r~n btb{ncne l~{be|n4ne ~e tobym ln tmcbs am{bs |{bs `gebogyb{ ob|{bes`~sgme%
• [nbccgmens `nk{gons em anhmA|gcbs9 Ln`geglb cmhm ~e gec{nhne|m ne ob|nhtn{b|~{b cm{tm{bo ln hbs ln 2´C cme {nstnc|m b ob |nhtn{b|~{b ln kbsn bo
gegcgb{ ob |{bes`~sgme% Ob `gnk{n t~nln ns|b{ bcm{etbeblb ln nscbom {`m 4 |nhkom{%
Oms soe|m{ebs snc~elb{gms geco~wne cn`bonb/ eb~snbs w pmhg|m tn{m ns|ms em
cmes|g|~wne tm{ sg hgshms ~eb {nbccgme `nk{go sge ~e gec{nhne|m ln ob |nhtn{b|~{b%
Tbfgeb < ln 27
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HBENIM LN [NBCCGMENS
\[BES@^SGMEBONS
Gu
BTMWM LGBFEMS\GCM W
G \N[BTN^\GCMSN[PGCGM LN \[BES@^SGME
C0lgfm9 BL\ ( T[ ( 336(44>
Bo%cB '!%m% HBWM[
LNKMFM\Bm(c %%
Sghme Kmogpb{
Pn{sgme9 3
Oms s`e|mhbs sn t{nsne|be fnen{bohne|n l~{be|n ob |{bes`~sgme tn{m t~nlne
btb{ncn{ abs|b ~eb am{b lnst~ns lno t{mcnlghgne|m
Obs {nbccgmens `nk{gons em anhmo`|gcbs btb{ncne ne no 4/>. ( 0. ln obs
|{bes`~sgmens ln n{g|{mcg|ms% Obs {ncnt|m{bs h~o|gtb{bs w oms tbcgne|ns
h~o|g|{bes`~elglms |gnene hbwm{ `{nc~necgb ln t{nsne|bcgme ln ob ne|glbl%
NG hbenim ln obs {nbccgmens `nk{g"ns em anhmo`|gcbs lnkn geco~g{ ob s~stnesgme
gehnlgb|b ln ob |{bes`~sgme% NG c~bl{m `nk{go ~s~bohne|n ns b~|moghg|blm bo cbkm ln
; 4 3 am{bs% Sn t~nln blhgegs|{b{ bor~e be|gtg{n|gcm cmhm no bcn|bhgem`ne !>44
Hf%'% Ob bl{egegs|{bcgme ln bstg{ges ns|b cme|{sgelgcblb tm{ s~ n`nc|m smk{n ob
`~ecgme tobr~n|b{gb%
Ne tbcgne|ns cme be|ncnlne|ns ln ns|n |gtm ln {nbccgmens sn lnkn ~|gogyb{ sbef{n
tmk{n ne on~cmcg|ms w hnlgcbcg0e t{n|{bes{~sgcebo !ns|n{mglns/ be|gags|bh`egcms'%
• [nbccgmens bon{rgcbs9 Sn b|{gk~wne b gb nqtmsgcg0e b s~s|becgbs smo~kons ne no
tobshb lno lmebe|n r~n sn ~ene b cme be|gc~n{tms t{n`m{hblms ln |gtm GfN
smk{n ob s~tn{`gcgn ln oms hbs|mcg|ms/ 24 c~bo cb~sb ob |gkn{bc|me ln ags|bhgeb%
Sn t{nsne|be tm{ {nbccgme ln t{m|n`ebs tobs{eb|gcbs lno t{ml~c|m b |{bes`~elg{
cme be|`fnems lno {ncnt|m{: oms s`e|mhbs sme t{~{g|m/ {bsa/ {~km{gybcgme/ ne cbsm
ln snpn{glbl ln ob {nbccg0e t~nln oGnfb{ b beb`gobqgb cme t{nsnecgb ln
{~tm|nesgme w k{mecmnstbshm% NG |{b|bhgne|m {nr~gn{n s~stneln{ ob |{bes`~sgme/
hbe|nen{ ob pneb tn{hnbkon cme smo~cgme sbogeb w blhgegs|{b{ be|gags|bh`egcm w
ne cbsm ln beb`gobqgb sn blhgegs|{b bl{nebogeb/ ns|n{m gln w mqgfnem|n{btgb%
Ns ob {nbccgme hbs `{nc~ne|n ne ob |{bes`~sgme ln tobr~n|bs%
• [nbccgmens anhmA|gcbs bf~lbs9 Sn t{nsne|be lne|{m ln obs t{ghn{bs ;< am{bs
ln ob |{bes`~sgme%
Ob f{bpnlbl ln ns|n |gtm ln {nbccgmens lntneln lno |gtm ln gecmhtb|gkgoglbl/ ob
pnomcglbl ln ob ge`~sgme w ob cbe|glbl ln sbef{n |{bes`~elglb%
Oms hbs f{bpns sme oms r~n c~{sbe cme anhmogsgs ge|{bpbsc~ob{/ lns|bcbelm ne|{n
nogbs ob gecmhtb|gkgoglbl lno sgs|nhb BKM%
Ob an{emogsgs ge|{bpbsc~ob{ t~nln cb~sb{ ~eb bc|gpbcgme lno sgs|nhb ln
cmhtonhne|m cme ogkn{bcgme ln neyghbs pbsmbc|gpbs/ t~lgnelm lb{ o~fb{ b
gens|bkgoglbl pbsc~ob{/ cmobtsm cb{lgmt~o{emeb{/ cmbr~|bcgme ge|{bpbsc~ob{
lgsnhgeblb cme {gnsfm ln samcj w `{bcbsm {nebo% B ns|n `{bcbsm {nebo cme|{gk~wn ob
kgtm|nesgme/ ob pbsmcmes|{gccgme/ ob `m{hbcg0e ln hgc{m|{mhkms ne pbsms {nebons wob onsgme |~k~ob{ tm{ anhmfomkge~{gb%
Oms sgfems w sge|mhbs geco~wne `gnk{n/ w nscbom`{gms/ eb~snbs/ pmhg|m/ lgsenb/
|br~gcb{lgb/ egtm|nesgme/ sbef{blm w anhmfomkge~{gb% Ob `boob {nebo ns ~eb
cm{etecbcgme |b{lgb% Sn t{nsne|b blnh bs lmom{ ne oms `obecms bklmhgebons/ ob
nstbolb/ no |m{bq/ ob cbknyb w ne no sg|gm ln ob ge`~sgme% N" sbef{blm genstn{blm sn
lnkn b ob cmbr~obcgce ge|{bpbsc~ob{ lgsn{egeblb r~n sn t{nsne|b ne bof~ems
tbcgne|ns%
Tbfgeb > ln 27
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G I M " 9 G ughme Kmogpb{
G BTMWM LGBFEMS\GCM W
G \N[BTN^\GCM
uuuuuuuSuN[uPuGuCuGMuLuNu\u[uBuEuSu@u^uSu20uEu&uuuuuuuuuuuu
HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm BL\ ( T[ ( 336(44>
BOC%BOMGB HBWM[
LN KMFM\B L(C%/
Pn{sgme9 3
^eb pny npbo~blm no tbcgne|n w cme`g{hblb ob {nbccgme anhmog|gcb/ sn lnkn9
%- Hbe|nen{ ob t{nsgme b{|n{gbo sgs|02gcb cme G`r~glms ge|{bpnemsms r~n
fb{be|gcne ob tn{`~sgme tn{g`n{gcb/ !bo{nlnlm{ ln 244 hfAf' %
%- Hbe|nen{ ~eb lg~{nsgs s~tn{gm{ b 244 hooam{b% Cme no ~sm ln `o~glms w
lg~{n|gcms lno |gtm `~{msnhglb 4 ln hbeg|m"%
%- Pgfgob{ ob btb{gcgme ln CGL%
Obs {nbccgmens an{em|o|gcbs nq|{bpbsc~"b{ns sme abkg|~bohne|n cb~sblbs tm{
be|g c~n{tms lgs|ge|ms lno sgs|nhb BKM/ |3" &uS cmhm J ne / L ~ ``w w Jgll% Ns|bs s~none
t{ml~cg{ `gnk{n cme benhgybcgme w b~{ene|m ln gb kggg{{~kgeb/ cme ~e cmmhks
lg{nc|m tmsg|gpm% Fnen{bohne|n em >n bcmhtb{gbe ln sge|m{ebs snpn{ms%Oms aboobyfms ln obkm{b|m{gm gec"~wne anhmfomkge~{gb/ b~hne|m ln ob anhmfomkgeb
ogk{n w ob bc|gpglbl ln obc|b|m lns{~m{mrnensb agtn{kgog{{~kgenhgb w lgshge~cgme ln
ob abt|mfomkgeb% Ne cbsms ln `boob {nebo b~hne|b no eg|{mrnem ~{ngcm ne sbef{n w
ob c{nb|gegeb% Ob t{~nkb lg{nc|b ln be|gfgmk~ggeb t~nln sn{ tmsg|gpb cme ~e tb|{me
ln cbhtm hgq|m sg sn |{bes`~elgn{me n{g|{mcg|ms gecmhtb|gkons%
Obs {nbccgmens anhmog|gcbs hbs snpn{bs sn t{nsne|be c~belm oms n{g|{mcg|ms
|{bes`~elglms ge|n{bc|~be cme be|gc~n{tms t{n`m{h blms ne no {ncnt|m{% Lgcab
ge|n{bccgme gegcgb ob bc|gpbcgme ln ob pgb lno cmhtonhne|m/ ln obs cg|mr~gebs/ ln oms
`bc|m {ns ln ob cmbr~obcgme w ln oms ln{ebs nonhne|ms ln ob {nst~ns|b ge`ob{eb|m{gb
sgs|n{{~cb
%:& Bohbcnebhgne|m geblnc~blm ln ob sbef{n
%:& Smk{ncbone|bhgne|m
%:& Hnycob ln ob sbef{n cme smo~cgmens agtm|megcbs 4 agtn{|megcbs
p ^|gogybcgme ln bf~ibs h~w `gebs 4 |{bes`~sgme cme kmhkbs b nonpblb t{nsgme%
• Anh02gsgs em geh~en9 Fnen{b"hne|n ns|be bsmcgblbs b hbo hbenim lno
cmhtmene|n 4 ln |ncegcbs ln |{bes`~sg0e geblnc~blbs/ cmhm tb{ ninhtom9
Tbrgeb 0 ln 27
Obs hbeg`ns|bcgmens gec"~wne b~hne|m ln |b anhbfomkgeb ogk{n/ anhmfomkge~{gb/
agtn{jbonhgb w b{{g|hgbs cb{lgbcbs
Lnkglm b r~n abw an{emogsgs nq|n{e b / ob cmel~c|b b snf~g{ cmesgs|n ne {n|g{b{ no
cmhtmene|n w hbe|nen{ no bccnsm pnemsm% Ns ghtm{|be|n ob {nbogybcgme tn{gmlgcblno tm|bsgm sn{gcm w ln t{~nkbs ln nonc|{mcb{lgmf{b``b% Lnkn bsnf~{b{sn ~e fbs|m
~{geb{gm blnc~blm%
• Lbem t~ohmeb{ bf~lm {nobcgmeblm cme ob |{bes`~sgme !\[B^'9 Oms cbsms ln
\[BOG sn t{nsne|be abkg|~bohne|n l~{be|n b lnst~ns ln ob |{bes`~sgme%
Fnen{bohne|n sme cb~sblms tb{ ob |{bes`~sgme ln cmecne|{blm ln tobr~n|bs 4
tobshb/ b~er~n oms n{g|{mcg|ms |bhkgne sn abe {nobcgmeblb% Oms soe|m{ebs
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g{(92
GG
"G&Sghme Kmogpb{
92
o
/ ((/(((
\
Ggu((%(%(&(((%((((((((
HBENIM LN [NBCC"MEN9S
\[BES@^SgMEBoNSCmlgrm %BL\( T[ ( 336(44>
BOCBOcH% HBWM[
LNKMFM\B M(C%(
BTMWM LGBFEMS\gCM W
\N[BTN^\GCM
SN[PGCGM LN \[BES@GISgC'E G
g Pn{sgme9 3
geco~wne a{tm|nesgme/ lgsenb/ egtmqnhgb |sc~gcb{mgb/ enk{n w cgbemsgs% Sn lnkn
smstncab{ \[B^ c~becm no {ncnt|m{ ln ob |{bes`~sgme nqtn{g{ene|b ges~`gcgnecgb
{nstg{b|m{gb bf~lb 4 hbeg`gns|b b||n{bcgm{ns {blgmomrgcbs cmesgs|ne|n cme nlnhb
t~ghmeb{ kgob|n{bo/ sge r~n nqgs|b npgln{gcgb cooegcb ln `bo"b cb{lgbcb ^ m|{b cb~sb
ln `boob {nstg{b|m{gb%
NG \[BOG sn ab b|{gk~{lm b ob t{nsnecgb ln be|gc~n{tms ne no tobshb ln ob ~eglbl
|{bes`~elglb r~n S0 lg{grne cme|{b oms Co&o|gfnems lno sgs|nhb AOB 4 ln
f{be~omcg|ms !en~|{m`g|ms' t{nsne|ns ne no {ncnt|m{% \b{ekgne sn ab {nobcgmeblm
cme ob t{nsnecgb ln hnlgbmm{ns
|{bes`~elgmb r~n bc|gpbe oms
cbtg|b{ns t~&{emeb{ns
|I' be|n{gm{% b~hne|b ob
|ceeblms ne ob ~eolbl
!ong !scntgm{ w cb~sbe ~eb onsgme ne oms
F|9C9M"n 9 9b2ns w `bpm{ncn obne {b{bs mcbsgmens sme
oms be|&c~n{tms ln" {ncnm|m{ cme|{b |ms as~cmcg|ms {n{ebene|ns
lno lmebe|n w lnsnecblnebe :MS hgs{ems npne|ms cnsc{g|ms% NG tobshb ln
{eOin{ns h~o||tb{bs t~nln gec{n{ene|b{ no {gnscm ln \[BoON" |{b|bhgne|m bs ln sctm{|n% Sb lnkn s~stneln{ 9b |{bes`~sgme w bi~s|b{ n"
smtm{|n pne|g|b|m{gm%
n Smk{ncb{fb c|{c~ob|m{|b9 Sn hbs g&bcgg+ene|n ne tbcgne|ns cme
bo|n{bcgmens cb{lgm{mr|cbs/ {nebons W&t~ohmeb{ns r~n blnh bs tblncne benhgb%
Oms egens w becgbecs sme gb tmm{bcgme ne b%|m {gnsrm Ob ge`~sgme h~w {btglb 4 ln
lnhbsgblm pmo~{ene SMg&: `bc|m{ns cme|em~wne|ns b ns|b cmht~cbc gme / smk{n |mlm
ne cbsm ln sbef{n cme ob{fm tn{%mln ln bohbcnebhgne|m%
Tm{ ns|n hm|gpn% ns|n |gtm ln tbcgne|ns sn: lnkn |{bes`~emg{ gne|bhne|n/ sge
smk{ntbsb{ obs < am{bs w pb|m{b{ nupmo~{e 3:&2 b ge`~elg{%
Oms sgfems w soe|m{ebs geco~wne l{senb/ cgbemsgs/ m{|mtenb/ cn`b|nb% agtn{|nes|me/
nlnhb/ gef~{fg|bcgme w~f~ob{/ `bgg{9 cb{lgbcb cmefns|gpn l~{be|n 4 tmcm |gnhtm
lnst~ns ln Gb |{bes`~sgme%
• [nbccomens hn|bkmoocbs
%- \mqgcglbl tm{ co|{b|m9 C~belm >0 |{bes`~elne r{belns cbe|glblns ln tobshb
`{nscm cmetnoblm/ sbef{n cmht%n|b 4 tobr~n|bs no cg|{b|m sn{gcm sn nonpb
cmesgln{bkonhne|n/ ne nstncgbo >g n9 cbcgn{%|n |gnen ~eb ne`n{hnlbc antb|gcb lnkbsn% No cg|{b|n t{me|bhne{n sn ~en bg cbocgc gmegyblm w btb{ncn ~eb
agtmcbocnhgb r~n cb{bc|n{gyb ns|b {nscc{me%
Obs {ebeg`ns|bcgmens 99:Ggegcbs geco~wne ng %ec{n{ene|m ln &b nqcg|bkooglbl en~{mebo/
tb{ns|nsgbs/ |nhkom{/ |n|b{~b/ nstnshms/ |bscgc~obcgmens/ agtn{pne|gobcgme w
lnt{nsgme ln 2;2 { ^ eC gC Ig' cb{lgbcb% 2 9 9 " cg|{b|n ns {bmgcb{ene|n {en|bkmogybcm ln
hben{b r~n gbs hbh|ns|bcgmens c&Gegcbs sme |{besg|m{%bs%
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HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm BL\ ( T[ ( 336(44> G
E%%CBOLGB HBWM[
LN KMFM\B L]C%9|::G5%oP!'
u % ( ] % +% + + + / s % 9 % % %%'/%/gg(((+%u%+
Amstg|b"
Sghme Kmogpb{"
G Pn{sgme9 3
G
BTMWM LGBFEMS\GCM W
\N[BTN^\GCM
SN[PGCGM LN \[BES@^SGME
%- Agtm|n{hgb9 Oms tbcgne|ns r~n {ncgkne f{belns pmo~{enens ln sbef{n `{gb
t~nlne t{nsne|b{ b{{g|hgbs pne|{gc~ob{ns% Ns|n n`nc|m bo tb{ncn{ ns|b {nobcgmeblm
cme ob blhgegs|{bcg0e ln sbef{n tm{ cb|n|n{ cne|{bo omcbogyblms cn{cb lno sgs|nhb
cb{lgmcmenc|m{% Ob agtm|n{hgb t~nln bf{bpb{ oms n`nc|ms ln ob agtmcbocnhgb w ob
agtn{jbonhgb% Blgcgmebohne|n bo|n{b ob `~ecgmeboglbl ln ob anhms|bsgb w b~hne|b
ob s~scnt|gkgoglbl b ge`nccgmens% Ne cbsms ln |{bes`~sg0e hbsgpb ns ghtm{|be|n
cbone|b{ ob sbef{n be|ns ln s~ |{bes`~sgme %
%- Agtn{jbonhgb 4 agtmjbonhgb9 NG egpno ln tm|bsgm b~hne|b ne obs ~eglblns
bohbcneblbs b ~e egpno r~n tmcbs pncns ns sgfeg`gcb|gpm tb{b no egpno sn{gcm lno
tm|bsgm lno tbcgne|n% Hbs `{nc~ne|n ns ob agtmjbonhgb lnsb{{mooblb tm{r~n oms
n{g|{mcg|ms/ lnton|blms ne tm|bsgm l~{be|n no bohbcnebhgne|m/ |{bestm{|be bo sn{|{bes`~elglms hbsgpbhne|n tm|bsgm b s~ ge|n{gm{% NG hn|bkmogshm lno cg|{b|m
cme|{gk~wn |b{ekgne bo lnsb{{moom ln agtmjbonhgb w ln bocbomsgs hn|bk0ogcb% Ob
agtmjbonhgb cmes|g|~wn ~e t{mkonhb sn{gm ne egens t{nhb|~{ms w {ncgne ebcglms/
nstncgbohne|n ne cg{~fgb cb{lgmpbsc~ob{ w nqbef~gem|{bes`~sg0e% Ne ns|ms cbsms
sn t{n`gn{n ob |{bes`~sg0e ln ~eglblns `{nscbs/ ln em hbs ln 6 lobs ln
bohbcnebhgne|m %
%- [nbccgmens agtm|nesm{bs9 sn lnsc{gkn cmhm no lnscnesm ln ob t{nsg0e b{|n{gbo
r~n mc~{{n l~{be|n ob |{bes`~sg0e ne b~snecgb ln m|{ms sgfems 4 sge|mhbs lnm|{bs {nbccgmens |{bes`~sgmebons !`gnk{n/ nscbom`{`ms/ lgsenb/ ~{|gcb{gb'% Ob
hbfeg|~l lno lnscnesm ln ob t{nsg0e b{|n{gbo t~nln sn{ ln`geglm cmhm ~eb
{nl~ccg0e ln 24 hh Af ne ob t{nsg0e sgs|02gcb 4 lgbs|02gcb b tb{|g{ lno pbom{ ln
kbsn t{n|{bes`~sgmebo% Ob agtm|nesg0e sn t{nsne|b l~{be|n ob |{bes`~sg0e w sn
{ns~nopn {btglb{ene|n c~belm ob |{bes`~sg0e ns ge|n{{~htglb%
%- [nbccgmens \{bes`~sgmebons |b{lgbs em ge`nccgmsbs9 Sme obs {nbccgmens r~nbtb{ncne ne ~e tn{gmlm hbwm{ b ;< am{bs/ !lgbs/ snhbebs n geco~sm hnsns'/tn{m r~n sme b|{gk~gkons b ob |{bes`~sg0e %
%- [nbccgmens anhmog|gcbs |b{lgbs9 sn t{nsne|be ;< am{bs lnst~ns ln ob
|{bes`~sg0e/ h~cams tbcgne|ns hbeg`gns|be ob {nbccg0e abs|b lms snhbebs
lnst~ns ln ob |{bes`~sg0e% Ns|bs {nst~ns|bs sme cb~sblbs tm{ ~eb {nst~ns|b
bebhensgcb b oms bombe|`fnems n{g|{mcg|b{gms b oms c~bons no tbcgne|n ns|bkbt{npgbhne|n snesgkgogyblm% @{nc~ne|nhne|n em sn ln|nc|be oms be|gc~n{tms ne no
s~n{m lno tbcgne|n l~{be|n ob {nbogybcg0e ln obs t{~nkbs t{n|{bes`~sgmebons%
Obs {nbccgmens anhmog|gcbs |b{lgbs |gnelne b sn{ hnems snpn{bs r~n obs bf~lbs%Ob anhmogsgs r~n sn t{nsne|b ns fnen{bohne|n nq|{bpbsc~ob{% Bof~ems tbcgne|ns
smobhne|n hbeg gns|be ~e c~bl{b benhgcm genqtogcbkon% M|{ms aboobyfms cogegcmsgeco~wne `gnk{n w nscbom`{oms% gc|n{gcgb/ lmom{ bklmhgeb" w lgsenb% NG t{mf{nsm b
`boob {nebo ns tmcm `{nc~ne|n% Lne|{m ln oms lb|ms ln obkm{b|m{gm sn geco~wnebenhgb/ bc|gpglbl ln obc|b|m lnsagl{mrnebsb nonpblb/ lgshge~cg0e ln
Tbrgeb 1 ln 27
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BOCBOMGB HBWM[
L%N KMFM\B L(C]+g:t"%%%%~M
uutH" g &g o+ / +: &/ %% / u % ' % % + + /u
HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm9 BL\ ( T[ ( 336(44>
Amstg|bo
Sghme Kmogpb{
BTMWM LGBFEMS\GCM W
\N[BTN^\GCM
SN[PGCGM LN \[BES@^SGME
Pn{sg0e9 3
abt|mfomkgeb/ on~cmcg|msgs w ~eb t{~nkb ln be|gfomk~ogeb lg{nc|b tmsg|gpb% Ob
agtn{kgog{{~kgenhgb lntneln lno f{blm ln an{emogsgs w ln ob `~ecgme antb|gcb%
Ob gmne|g`gcbcgme ln oms be|gc~n{tms n{g|{mcg|b{gms ns ob cobpn ne ob t{npnecgme ln
obs {nbccgmens anhmoo|gcbs %
%- T~{t~{b tms|{bes`~sgmebo9 npne|m tmcm cm{e~e cb{bc|n{gyblm tm{ no gegcgm
bk{~t|m ln |{mhkmcg|mtnegb snpn{b bt{mqghblbhne|n ~eb snhbeb lnst~ns ln ob
|{bes`~sgme% Oms tbcgne|ns t{ml~cne bombe|gc~n{tms ne {nst~ns|b b oms be|`fnems
tobr~n|b{gms t{nsne|ns ne ob sbef{n |{bes`~elglb% L~{be|n ~e tn{gmlm ln |gnhtm/ns|n be|gc~n{tm cb~sb ob lns|{~ccg0e ln obs tobr~n|bs b~|momrbs%Oms sgfems w oms sge|mhbs geco~wne |{m{ekmcg|ctnegb snpn{b/ t~{t~{b w sbef{blm%
Ob |{mhkmcg|mtnegb ns ~e c~bl{m oghg|blm r~n sn {ns~nopn ne ;2 lobs%B`nc|b hbs cm{e~e{ene|n b h~in{ns h~o|gtb{bs w tbcgne|ns tmog|{bes`~elglms cme
t{ml~c|ms tobshb|gcms 4 r~n cme|nefbe ns|n cmhtmene|n%NG |{b|bhgne|m cmesgs|n ne tobshb`n{nsgs n geh~fomk~ogebs %
%- Ne`n{hnlbl gein{|m cme|{b a~nstnl9 ns ~eb cmhtogcbcgme fnen{bohne|n `b|bo/
bsmcgblb bo gein{|m w nqtbesgme comebo ln oms oge`mcg|ms lno lmebe|n ne ~e {ncnt|m{s~scnt|gkon% Lgcams oge`mcg|ms hme|be ~e b|br~n b~|mgeh~en cme|{b oms |niglms lno
{ncnt|m{/ lmeln geco~wne obs cno~obs an{eb|mtmwn|gcbs w cb~sbe tbecg|mtnegb{n`{bc|b{gb cme sbef{blm w ~eb t{nlgstmsgcgme hb{cblb b obs ge`nccgmens/ r~n sme
{nstmesbkons ne h~w k~neb tb{|n/ ln ob hm{|boglbl ln ns|ms tbcgne|ns%Oms s`e|mhbs w sgfems btb{ncne lgny l`bs lnst~ns ln ob |{bes`~sgme/ n geco~wne
`gnk{n/ ln{hb|g|gs 4 n{g|{mln{hgb/ antb|g|gs/ ne|n{mcmog|gs/ w tbecg|mtnegb%
Lne|{m ln oms `bc|m{ns r~n ln|n{hgebe no {gnsfm ln oms tbcgne|ns b ns|b {nbccgmesn nec~ne|{be ob geh~emln`gcgnecgb ln c~b"r~gn{ cb~sb/ no f{blm ln sghgog|~l AOB
ne|{n no lmebe|n w no {ncnt|m{ w no e~{en{m ln oge`mcg|ms cbtbcns ln t{mog n{bcgme%Em nqgs|n ~e |{b|bhgne|m nstnc``gcm tb{b ns|b ne|glbl% Ob g{{blgbcgme fbhhb ln
oms cmhtmene|ns cno~ob{ns sn bcnt|b cmhm no hn|mlm ln t{npnecgme ns|belb{%Ns|n t{mcnlghgne|m abcn r~n oms oge`mcg|ms tgn{lbe s~ cbtbcglbl {ntogcb|gpb sgeb`nc|b{ no `~ecgmebhgne|m ln obs tobr~n|bs 4 oms n{g|{mcg|ms%
Obs gelgcbcgmens ln g{{blgbcgme geco~wne9 {ncnt|m{ns geh~emcmht{mhn|glms ln
cno~obs t{mfneg|m{bs an{eb|mtmwn|gcbs 4 ln |{bstobe|n ln m{rbems/ tbcgne|ns cmelnsm{lnens an{eb|momrgcms r~n ns|be kbim |{bstobe|n ln cno~obs
an{eb|mtmwn|gcbs/ |{bes`~sgmens ge|{b~|n{gebs/ enmeb|ms ne nqber~gem|{bes`~sgme/ne`n{hnlbl ln Amlfjge n geh~emln`gcgnecgbs cmerneg|bs%
%- N`nc|ms geh~emhml~oblm{ns ln ob |{bes`~sg0e9 Ob |{bes`~sgme |gnen ob
cbtbcglbl ln bo|n{b{ ob {nst~ns|b geh~eg|b{gb bsmcgblb cme n`nc|ms blpn{smscmhm ob {nc~{{necgb ln |~hm{ns s02glmsw ob ge`nccgme kbc|n{gbeb%
%- Smk{ncb{fb ln agn{{m9 Cbcb |{bes`~sgme ln cmecne|{blm ln fo0k~oms {mims
btm{|b bt{mqghblbhne|n ;44 hf ln agn{{m/ ns|m t~nln sn{ ~e t{mkonhb ne
Tbrgeb 7 ln 27
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HBENIM LN [NBCCGMENS
\[BES@^SGMEBONS
BOcBG%%LgB HBWM[
MNKMFM\Bm(c %%|:%%%%%%%Lo'
C0lgfm BL\ ( T[ ( 336(44>
Sghme Kmogpb{
BTMWM LGBFEMS\GCM W
\N[BTN^\GCM
SN[PGCGM LN \[BES@^SGME
G Pn{sgme9 3G
tbcgne|ns tmog|{bes`~elglms !hbs ln 244 |{bes`~sgmens' ne oms r~n ob smk{ncb{fb
ln agn{{m t~nln m{gfgeb{ ~e ns|blm ln anhmsgln{msgs snc~elb{gb/ lnkglm b ob
bc~{e~obcgme t{mf{nsgpb ln agn{{m sge ob tmsgkgoglbl ` gs|momrgcb ln s~ nqc{ncgme%
Oms lntmsg|ms ln agn{{m b`nc|be ob `~ecgme cb{lgmpbsc~ob{/ nelmc{geb/ antb|gcb w
cmel~cn b ~eb sgfeg`gcb|gpb hc{kg~lbl w hm{|boglbl%
NE@N[HNLBLNS \[BESHG\GLBS TM[ OB \[BES@^SGME
%- Cme|bhgebcg0e kbc|n{gbeb ln oms cmhtmene|ns sbef~genms9 Ns ~eb
cmhtacbcgme {b{b r~n s~non mc~{{g{ lnkolm b ob cme|bhgebcgme lno t{ml~c|m/
l~{be|n s~ bohbcnebhgne|m%
NG gegcgm ln oms sgfems w s`e|mhbs s~cnln l~{be|n 4 tmcm |gnhtm lnst~ns ln ob|{bes`~sgme% Oms s`e|mhbs hbs cmh~ens geco~wne `gnk{n/ nscbom`{`ms/ agtm|nesgme/
camr~n/ eb~snbs/ w pmhg|m/ lgsenb/ lmom{ bklmhgebo w lgb{{nb %
%- Ge`nccgmens pg{bons9 ne ob bc|~boglbl |mlms oms t{ml~c|ms sbef~`enms sme
ogkn{blms lnst~ns ln oms ns|~lgms ln sn{momf`b w PM[O enrb|gpms/ tn{c b~e
nqgs|n no {gnsfm ln oms lmeblm{ns r~n sn nec~ne|{be ne tn{gmlms ln gec~kbcgme
!tn{gmlm ln pne|beb' tm{ 2 4 r~n oms {ns~o|blms sn{momrgcms t~nlne em sn{ ~eb
fb{be|`b ln snf~{glbl% Ob bo|n{eb|gpb tb{b lgshge~g{ no {gnsfm ln cme|b{egebcgme
cmesgs|n ne ~eb ns|{gc|b snonccgme ln oms lmebe|ns ln bc~n{lm b be|ncnlne|ns
tn{smebons w cmel~c|b snq~bo%
Ne|{n obs ge`nccgmens pg{bons r~n t~nlne |{beshg|g{sn lnkglm b ob |{bes`~sgme sn
nec~ne|{be9
%- Antb|g|gs
%- Pg{~s ln ob geh~emln`gcgnecgb a~hbeb
%- Pg{~s a`m|{mtocm a~hben !A\O P'
%- Cg|mhnfbompg{~s
%- Pg{~s ln Nts|nge Kb{{
%- An{tns pg{~s 0 w 1
%- Tb{pmpg{~s
%- M|{bs ge`nccgmens9
%- S``gogs
%- Necn`bomtb|`bs nstmefg`m{hns
%- Hbob{gb
%- Cabfbs
Tbrgeb 24 ln 27
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i
GHBENIM LN [NBCCGMENS G\[BES@^SGMEBONS g C0lgfm9 BL\ ( T[ ( 336(44>
gGu(((\(
BTMWM LGBFEMS\GCM W 9\N[BTN^\GCM G Pn{sgme9 3
SN[PGCGM LN \[BES@^SGME G
B"%%CBo%M|B HBWM[
MNKMFM\Bm%%c%
Sghme Kmogpb{
HBENIM LN OBS [NBCCGMENS \[BES@^SGMEBONS9
BG mc~{{g{ ~eb [nbccgme Blpn{sb b ob \{bes`~sgme ns lg``cgo ns|bkoncn{ gegcgbohne|n ob
snpn{glbl w no |gtm ln {nbccgme wb r~n oms sgfems w s`e|mhbs sme genstnc` gcms% Sgenhkb{fm/ cme ob nqcntcgme ln gb {nbccgme ~{|gcb{gbo w obs {nbccgmens `nk{gons emanhmo`|gcbs/ |mlbs sme tm|necgbohne|n hm{|bons%
Oms sgfems w s`e|mhbs ln ~eb {nbccgme anhmo |gcb fnen{bohne|n mc~{{ne l~{be|n oms
t{ghn{ms > b 24 cc ln ob |{bes`~sgme sbef~`enb% Ns gelgstnesbkon hmeg|m{gyb{
blnc~blbhne|n b |mlms oms tbcgne|ns r~n {nlkne smtm{|n |{bes`~sgmebo/ cme ~et{m|mcmom ln {emeg|m{gybcgme r~n lnkn sn{ m{lneblb tb{ no hnlgcm |{b|be|n w GGnpblb
b cbkm ne cmei~e|m cme no tn{smebo ln ne`n{hn{gb b cb{fm lno tbcgne|n%
^eb pny ges|b~{blb ob |{bes`~sgme no tn{smebo b cb{fm lno tbcgne|n lnkn ns|b{ b|ne|mb obs hbeg`ns|bcgmens co`egcbs r~n s~fgn{be ob t{nsnecgb ln ~eb {nbccgme blpn{sb%
Ne no BENQM 2 sn sge|n|gybe w cobsg gcbe oms aboobyfms co egcms snr~e ob snpn{glbl/lnkn {nsbo|b{sn ob genstncg`gcglbl ln ns|ns/ tm{ 2 4 |be|m no hbenim lnkn ne`mcb{sn
t{gecgtbohne|n ne ob ln|nccgme t{ncmy w ne ob ghton{ene|bcgme lno t{m|mcmom lnhbenim {nobcgmeblm b cme|ge~bcg0e%
Lnkn |nen{sn ne c~ne|b r~n ne ~e tbcgne|n gecmescgne|n 4 kbim oms n`nc|ms lnbens|nsgb fnen{bo oms ~egcms aboobyfms ln gb t{nsnecgb ln ~eb |{bes`~sgme
gecmhtb|gkon t~nlne sn{ ob agtm|nesome w n" sbef{blm gecme|{mobkon%
Obs {nbccgmens snpn{bs ~s~bohne|n sn hbeg`gns|be lne|{m ln oms t{ghn{ms 2>hge~|ms ln ob ge`~sgme ln > b 24 ho ln sbef{n% %
Sg no tbcgne|n ab t{nsne|blm t{npgbhne|n {nbccgmens ~{|gcb{gbons {ntn|glbs ns
{ncmhnelbkon s~hgegs|{b{ t{m gobc|gcb{ene|n be|gags|bh`egcm 34 hge~|ms be|ns ln ob|{bes`~sgme%
Sg nqgs|n smstncab ln r~n no tbcgne|n ns|b lnsb{{moobelm ~eb [nbccome
Blpn{sb b ob\{bes`~sgme sn lnkn9
%- Ln|nen{ Gehnlgb|bhne|n ob |{bes`~sgme %
%- Hbe|nen{ no bccnsm pnemsm cme smo~cgme sbogeb 4%7.
%- Ge`m{hn gehnlgb|bhne|n |mlbs obs {nbccgmens |{bes`~sgmebons/ bo hnlgcm{nstmesbkon lno tbcgne|n w bo Sn{pgcgm ln \{bes`~sgme %
%- Sn lnkn {nfgs|{b{ ne gb ags|m{gb cooegcb lno tbcgne|n no |gtm ln [nbccgme
Blpn{sb b ob \{bes`~sgme ln bc~n{lm b ob cobsg`ocbcgme lnsc{g|b ne ns|nlmc~hne|m %
%- \gnhtm |{besc~{{glm lnsln no cmhgneym lnob |{bes`~sgme abs|b r~n mc~{{gmno gegcgm ln oms s`e|mhbs w sgfems%
%- \mhn obs sgf~gne|ns h~ns|{bs w nep`nobs bo Sn{pgcgm ln \{bes`~sgme%
Tbfgeb 22 ln 27
8/2/2019 ADT-PR-337-005 Manejo de Reacciones Transfusionales
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G(G HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm9 BL\ ( T[ ( 336(44>
Bo%(cB|% %MoB HBWM[
LN KMFM\Bm%%%c%
Sghme Kmogpb{
BTMWM LGBFEMS\GCM W
\N[BTN^\GCM
SN[PGCGM LN \[BES@^SGME
Pn{sg0e9 3
• H~ns|{bs ln sbef{n gehnlgb|bhne|n tms|{bes`~sg0e !2 cmbf~oblb
!\BTB [MIB'/ 2 be|gcmbf~"blb NL\B !\BTB OGOB' ln ~eb pneb/
mt~ns|b bo sg|gm ln ob ge`~sg0e tb{b9
• [nc~ne|m sbef~genm cmhton|m !C^BL[M ANHB\GCM'
• \ns| lg{nc|m ln be|gfomk~ogeb !CMMHKS LG[NC\M'
• K^E• C{nb|gegeb
• Nonc|{mog|ms• Ob ~eglbl ln sbef{n w no nr~gtc ln blhgegs|{bcg0e ln sbef{n r~ncme|gnen {nsgl~ms ln fo0k~"ms {mims w tobshb ln ob sbef{n
|{bes`~elglb%• T{ghn{b h~ns|{b ln m{geb lno tbcgne|n o~nfm ln mc~{{glb ob|{bes`~sg0e%
• Snr~e sge|mhbs/ |mhb{ |~kn |btb by~o tb{b t{~nkbs ln cmbf~obcg0e %
%- Smogcg|n bo Sn{pgcgm ln \{bes`~sg0e no `m{hb|m tb{b em|g`gcbcg0e ln {nbccgmens
blpn{sbs b ob |{bes`~sg0e tb{b {nfgs|{b{ |mlms oms aboobyfms w tn{{eg|g{ obgepns|gfbcg0e ln ob {nobcg0e ne|{n ob |{bes`~sgme w oms sge|mhbs w sgfems
t{nsne|blms tm{ no tbcgne|n% Ob kbc|n{gmocrb lno |~{em lnkn ne|{nfb{ no `m{hb|m w
cn{cgm{b{sn r~n no hnlgcm ges|g|~cgmebo b cb{fm lno tbcgne|n 2 4 lgogfnecgm ne s~
|m|boglbl abs|b no e~hn{bo 24: sg ns|n em Gonfb ne ob ne|{nfb ln |~{em lnkn bpgsb{b ob t{m`nsgmebo cme no `ge ln r~n 2 4 nepgne ne no sgf~gne|n |~{em w lnkn bpgsb{ bo
t{m`nsgmebo nstncgbogyblm lno Sn{pgcgm ln \{bes`~sg0e ns|b empnlbl%- Cme obs h~ns|{bs t{n w tms|{bes`~sgmebons/ ob kbc|n{gmomrb ln |~{em lnkn {nbogyb{9
t{~nkb ln cmmhks lg{nc|m/ {bs|{nm ln be|gc~n{tms/ anhmcobsg`gcbcgmens lntbcgne|n w kmosb lnp~no|b/ anhb|~{gb hbc{m w hgc{msc0tgcb/ {ntn|g{ ob t{~nkbc{~yblb w c~g|gpm ln ob ~eglbl r~n sn smstncab cb~s0 ob {nbccg0e ! ne cbsm ln
{nbccgmens `nk{gons/ w-m b~hne|m ln ob |nhtn{b|~{b ne hbs ln ~e f{blm
cne|gf{blm ' w {nfgs|{b{ oms {ns~o|blms ne m{gfgubo w cmtgb lno `m{hb|m GE@M[HNLN [NBCCGME BLPN[SB B OB \[BES@^SGME %
%- Nepgb{ no m{gfgebo lno `m{hb|m lgogfnecgblm bo sn{pgcgm tb{b sn{ geco~glm ne ob
ags|m{gb cogegcb lno tbcgne|n w ne|{nfb{ ob cmtgb bo T{m`nsgmebo Nstncgbogyblm lno
Sn{pgcgm ln \{bes`~sg0e %
%- Lgogfnecgn no `m{hb|m SNF^GHGNE\M B [NBCCGMENS \[BES@^SGMEBONS
{nfgs|{belm no emhk{n ln ob tn{smeb ln b~lg|m{gb hnlgcb b ob r~n sn Gn em|g`gc0 ob
{nbccg0e w ob am{b% Ne ob cb{tn|b ln Snf~ghgne|m b [B\ lnkn b{cagpb{ ~eb cmtgbln cblb @m{hb|m w ~eb cmtgb lno `m{hb|m ln gb SLS tb{b no {ntm{|n ln [B\
%- Em|g`gcb{ ln ob {nbccg0e w ln oms {ns~o|blms ln obs t{~nkbs {nbogyblbs boT{m`nsgmebo Nstncgbogyblm lno Sn{pgcgm ln \{bes`~sgme% Sg ob {nbccg0e mc~{{n
pgn{ens tm{ ob |b{ln/ 4 ne `ge ln snhbeb/ sn lnkn ge`m{hb{ bo b~lg|m{ hnlgcm ln|~{em tb{b r~n i~e|m cme no hnlgcm |{b|be|n {nbogcn n" bebogsgs lno cbsm%
Tbfgeb 2;ln 27
8/2/2019 ADT-PR-337-005 Manejo de Reacciones Transfusionales
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S++kIL
uu%/%/5%/u9+Iu + %!5 o g ( c % 2/ / & % % % % %
HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm BL\ ( T[ ( 336(44>
Pn{sgme9 3
BOCBOm|B HBWM[
LNKMFM\BM(C%mstg|b"
Sghme Kmogpb{
BTMWM LGBFEMS\GCM W
\N[BTN^\GCMSN[PGCGM LN \[BES@^SGME
GEPNS\GFBCG0E LN OB [NBCCGME \[BES@^SGMEBO9 Ob gepns|gfbcg0e w
bebogsgs ln obs [B\ sn {nbogyb no mgb abkgo sgf~gne|n b ob [B\ cme ob tb{|gcgtbcg0e lno
B~lg|m{ Hnlgcm/ no Hnlgcm b cb{fm lno tbcgne|n w no T{m`nsgmebo Nstncgbogyblm lno
Sn{pgcgm ln \{bes`~sg0e/ |negnelm ne c~ne|b oms sgf~gne|ns cmecnt|ms9
• \{bybkgoglbl9 glne|g`gcbcg0e toneb ln oms cmhtmene|ns sbef~`enms r~n tn{hg|n
abcn{ ~e snf~ghgne|m cmhton|m ln |mlb ob cblneb |{bes`~sgmebo%
• Snpn{glbl9 sn ln|n{hgeb ln bc~n{lm b" BENQM 2 lno t{nsne|n lmc~hne|m9
%- ONPN9 c~belm em sn tmen ne tnogf{m ob pglb lno tbcgne|n w ob hm{kgoglbl ns
oghg|blb !{nbccgmens bon{rgcbs c~|benbs% `gnk{n w nscbom`{ m ne|{n m|{ms' %
%- HMLN[BLB9 c~belm sn t{nsne|b {em{kg~lbl b ob{fm tobym cme 4 sge {gnsfm tb{b
ob pglb lno tbcgne|n !antb|g|gs 1/ C/ PGA/ anh02gsgs|b{l`b ne|{n m|{ms'%- SNPN[B9 c~belm sn tmen ne {gnsfm ob pglb lno tbcgne|n ln `m{hb gehnlgb|b !
anh02gsgsbf~lb/ ne`n{hnlbl gein{|m cme|{b a~nstnl/ sntsgs/ ne|{n m|{ms'%-H^N[\N
%- EM LN\N[HGEBLB9 sg ob cobsg`gcbcg0e ln ob snpn{glbl ln ob [B\ r~nlb ne ns|n{befm/ ns|b lbelm gelgcgm ln tmcb mksn{pbcg0e lno t{mcnsm ln ob |{bes`~sg0e w
ln`gcgnecgb ne no snf~ghgne|m/ bebogsgs n gepns|gfbcg0e lno cbsm%
• GHT^\BKGOGLBL LN OB [B\9
%- F[BLM 49 nqco~glb/ c~belm |mlb |b npglnecgb cogegcb gelgcb r~n ob |{bes`~sg0e emns ob cb~sb ln ob {nbccg0e blpn{sb |{bes`~sgmebo% Ns lncg{ ns cmeco~wne|n r~n
a~km m|{m ~ m|{ms `bc|m{ns r~n cb~sb{me obs hbeg`ns|bcgmens cogegcbs ne notbcgne|n %
%- F[BLM 29 tmsgk"n !t~nln sn{'/ c~belm ob npglnecgb em tn{hg|n ns|bkoncn{ r~n ob|{bes`~sg0e ns ob cb~sb ln ob {nbccg0e blpn{sb/ sgem r~n t~nlne nqgs|g{/ cme obhgshb tmsgkgoglbl/ m|{b ~ m|{bs cb~sbs {nobcgmeblbs cmeno npne|m%
%- F[BLM ;9 t{mkbkon !pn{ms`hgo/ r~n sn `~elb ne {byme t{~lne|n/ r~n sn t~nln
t{mkb{'/ c~belm ob npglnecgb sn gecogeb cob{bhne|n abcgb ob |{bes`~sg0e cmhmcb~sb ln ob {nbccg0e blpn{sb |{bes`~sgmebo/ b~er~n nqgs|n ne ~eb t{mkbkgoglblhnem{/ ~eb ~ m|{bs cb~sbs%
%- F[BLM 39 ln`geg|gpb/ c~belm ob npgmnecgb ns cmeco~wne|n tb{b b|{gk~g{ b ob
|{bes`~sg0e ln sbef{n 4 s~s ln{gpblms cmhm cb~sb ln ob {nbccg0e blpn{sb|{bes`~sgmebo%
Tbfgeb 23 ln 27
8/2/2019 ADT-PR-337-005 Manejo de Reacciones Transfusionales
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Sghme Kmogpb{
HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm9 BL\ ( T[ ( 336(44>
Bo%%%CBOmgB% HBWM[
LNKMFM\Bm(c%
BTMWM LGBFEMS\GCM W
\N[BTN^\GCM
SN[PGCGM LN \[BES@^SGME
Pn{sgme9 3
%- EM NPBO^BKON9 em nqgs|ne lb|ms s~`gcgne|ns tb{b ln|n{hgeb{ r~n ob {nbccgme
blpn{sb ns|b {nobcgmeblb cme ob blhgegs|{bcg0e ln" t{ml~c|m sbef~genm%
6%; @O^IMF[BHB
{ gEGCGM G" '
[NBCCGME BLPN[S/c% B OB \[BES@ SGME
\[B\BHgNE\M GEHNLiB\M {_ &(B [NBCCGMGu T[NSNE\BLB
((((/%((((((((]%]((((&G
\MHB LN H^NS\[BS TMS\[BES@^S"MuGBONS W NEPgm BOu]]I&((( ]] ((((/
SN[PGCGM LN \[BES@ SGME ! h~ns|{bs cm{etmene|n sbef~g98e] R?%6(&' 2Bo
[NBOoYBC"ME LN T[ NKBS T[N W TMS\[BES@^SGMEBONS
GEPNS\GFBC"ME LN OB TMSGKON[NBCCGME BLPN[SB
COBSG@GCBCGME LN OB [NBCCgME
BLPN[SB
G
2G
T[NSNE\BCgME NE CMHg\N
\[BES@^SGMEBO
2EM\G@GCBCGME B B^LG\M[G%+ HNLGCB W B OB [NL LN KBECMS LN
SBEF[N W SN[PGCGMS LN \[BES@ SGME
//g /
G @GE G]]i
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BG%%CBo%%L!B HBWM[
knKMFM\BL%C%,H%|IL
¶¶¶¶uu¶uu::¶jgg:/::::9¶¶
HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm9 BL\ ( T[ ( 336(44>
Amstg|bo
Sgh0e Kmogpb{
BTMWM LGBFEMS\GCM W
\N[BTN^\GCM
SN[PGCGM LN \[BES@^SGME
Pn{sg0e9 3
6%3 HB\[GY [NSTMESBKGOGLBLNS
Em Bc|gpglbl Nqtogcbcgme ln ob [nstmesbkon [nfgs|{m Mksn{pbcgmens
bc|gpglbl {gnsfms w
cme|{mons
2 Ln|nccgme ln ob Ln|nccgme ln Tn{smebo hnlgcm BL\(@M(336( NG hnlgcm w in`n
tmsgkon [nbccgme sgfems w sge|mhbs w ln ne`n{hn{gb 421 {nfgs|{m ln ne`n{hn{gb
Blpn{sb b ob r~n gelgr~ne r~n {nstmesbkons |{bes`~sgmebo% {nstmesbkons lno
\{bes`~sgme% ![B\' no tbcgne|n ns|b lno tbcgne|n% Ags|m{gb cogegcb tbcgne|n lnkne
t{nsne|belm ~eb lno tbcgne|n% ns|b{ t{nsne|ns
{nbccgme blpn{sb tm{ 24hnems 2>
bo cmhtmene|n r~n hge~|ms o~nfm lno
`~n 4 ns|b sgnelm gegcgm ln ob
|{bes`~elglm% |{bes`~sgme w ne no
hmhne|m `gebo ln
ob hgshb%
Ne n{hn{gb lnkn
pgfgob{ w {nfgs|{b{
oms sgfems pg|bons
ne no `m{hb|m
; \{b|bhgne|m ln ob \{b|bhgne|m Tn{smebo Hnlgcm [nfgs|{m [nfgs|{b{ oms
tmsgkon [nbccgme gehnlgb|m ln ob ges|g|~cgmebo |{bes`~sgmebo% sgfems pg|bons lno
Blpn{sb b ob tmsgkon [nbccgme {nstmesbkon lno Ags|m{gb cogegcb tbcgne|n%
\{bes`~sgme Blpn{sb bob tbcgne|n% lno tbcgne|n Ln|nen{ ob
\{bes`~sgme ln |{bes`~sgme
bc~n{lm b oms gehnlgb|bhne|n%
sge|mhbs w sgfems
t{nsne|blms tm{ no
tbcgne|n/ ln
bc~n{lm b obs
gelgcbcgmens
t{nsne|blbs ne no
e~hn{bo 6%2%; lno
t{nsne|n
lmc~hne|m%
3 \mhb ln h~ns|{bs \mhb{ obs In`n ln Ags|m{gb Cogegcb \mhb{ ob h~ns|{b
tms|{bes`~sgmebons h~ns|{bs ne`n{hn{gb lno ln ~e sg|gm ln
encnsb{gbs tb{b sn{pgcgm pnemt~ecgme{nbogyb{ ob cm{{nstmelgne|n% lg`n{ne|n b ob pgb
gepns|orbcome ln ob Cbhgoon{m 4 ln bl{egeos|{bcgme
tmsgkon {nbccgme b~qgogb{ ln lno
blpn{sb/ ne k~scb ne`n{hn{gb lno anhmcmhtmene|n/
ln sge|mhbs sn{pgcgm% c~htognelm ms
cogegcms r~n {nr~gsg|ms
m{gne|ne abcgb no ns|bkoncglms%
|gtm ln {nbccgme !|~km |btb ogob/
Tbfgeb 2> ln 27
8/2/2019 ADT-PR-337-005 Manejo de Reacciones Transfusionales
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B|%CBOL`B ] WM[LN KMFM\Bm%c%%%%%%%%%%%%%%%%%%" Gg u" /u ] %] ] %]%uuS`em0?"&mG2h{
HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm9 BL\ ( T[ ( 336(44>
Amstg|bo
Sgh0e SmApb/%
BTMWM LGBFEMS\GCM W
\N[BTN^\GCM
SN[PGCGM LN \[BES@^SG0E
Pn{sg0e9 3
Em Bc|gpglbl Nqtogcbcg0e ln ob [nstmesbkon [nfgs|{m Mksn{pbcgmens
bc|gpglbl {gnsfms w
cme|{mons
t{nsne|blb w ob |btb {mib 4
snpn{glbl ln ob bhb{goob w h~ns|{bhgshb% ln m{geb'%
< \{bestm{|n ln Ne|{nfb{ obs Cbhgoon{m Ags|m{gb Cogegcb/ Ob kbc|n{gmomrb
H~ns|{bs/ h~ns|{bs ogk{m ln gef{nsm lnkn ne|{nfb{ no
cmhtmene|n w tms|{bes`~sgmebons/ ln h~ns|{bs bo `m{hb|m tb{b no
`m{hb|m% no cmhtmene|n r~n Sn{pgcgm ln {ntm{|n ln obs
t{nsne|m ob [B\ W \{bes`~sgme% [B\ bo cbhgoon{m
no BL\(@M(336( tb{b r~n ns|n 24
421 b ob ne|{nf~n bo
kbc|n{gmomrb lno hnlgcm |{b|be|n
Sn{pgcgm ln
\{bes`~sgme%
> Em|o`ocbcgme ln ob [nfgs|{m ln oms Hnlgcm @m{hb|m tb{b no Lgogfnecgb{ oms
tmsgkon [nbccgme sgfems w soe|m{ebs ges|g|~cgmebo b {ntm{|n ln obs cbhtms lno
Blpn{sb b ob ln ob {nbccome cb{fm lno {nbccgmens `m{hb|m abs|b no
\{bes`~sgme% blpn{sb tbcgne|n blpn{sbs b ob e~hn{bo 24 cme
t{nsne|blb tm{ no |{bes`~sgme on|{b cob{b w
tbcgne|n/ ne no sbef~genb onfgkon%
{nfgs|{m ln [B\% NG hnlgcm lnkn
|{bes`~sgme w ne|{nfb{om b
em|g ocbcgme bo ne`n{hn{gb tb{b
sn{pgcgm ln r~n no cbhgoon{m
|{bes`~sgme% lnp~nopb ne no
Smogcg|~l lno hgshm |~{em ns|n
`m{hb|m ln {ntm{|n `m{hb|m bo Sn{pgcgm
ln obs {nbccgmens ln \{bes`~sgme
blpn{sbs b ob
|{bes`~sgme tm{
ge|n{hnlgm lno
cbhgoon{m bo
sn{pgcgm ln
|{bes`~sg0e%
0 [nbogybcgme ln [nbogyb{ b obs Kbc|n{gmomrb ln Ge`m{hn ln Pn{g`gcb{ oms lb|ms
t{~nkbs h~ns|{bs t{n w |~{em lno {nbccgme ln obs h~ns|{bstms|{bes`~sgmebons% tms|{bes`~sgmebons Sn{pgcgm ln |{bes`~sgmebo% t{n w
t{~nkbs ln \{bes`~sgme% tms|{bes`~sgmebons
cmmhks lg{nc|m/ Snf~ghgne|m b Cmhton|n no
{bs|{nm ln {nbccgmens `m{hb|m tb{b no
be|gc~n{tms \{bes`~sgmebons {ntm{|n ln obs
g{{nf~ob{ns/ @M[HB\M {nbccgmens
an{emcobs`ocbcome/ TB[B NO blpn{sbs b ob
anhb|~{gb hbc{m w [NTM[\N LN |{bes`~sgme
Tbfgeb 20 ln 27
8/2/2019 ADT-PR-337-005 Manejo de Reacciones Transfusionales
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HBENIM LN [NBCCGMENS
\[BES@^SGMEBONSC0lgfm9 BM\ ( T[ ( 336(44>
BOCBI%% %M|B% HBWM[
L`9KMFM\BM%%c%,95/u/^!5
:u:++g5+º |u+uz og(%++ o?Sghme Kmogpb{
G BTMWM LGBFEMS\GCM W "GPn{sg0e9 3
2 u ] ] 88888888888uuuu\uNu[uB8TuNu^u\uGCuMuuuuo//"8888888888888888u88888888uSN[PGCGM LN \[BES@^SGME
Em Bc|gpglbl G Nqtogcbcg0e ln ob g [nstmesbkon G [nfgs|{m Mksn{pbcgmens
G bc|gpglbl {gnsfms w
" cme|{mons
c~o|gpm sg noG
[NBCCGMENS no e~hn{bo 6 abs|bG
tbcgne|n t{nsne|m BLPN[SBS B n27%`gnk{n% OB
\[BES@^SGME Em|g gcb{ boSBEF^GENB t{m`nsgmebo[B\% nstncgbogyblm lno
Gsn{pgcgm ln
|{bes`~sgme bcn{cbln ob tmsgkon
{nbccg0e blpn{sb%Nepgb{ ~eb cmtgbln&o `m{hb|m
ge`m{hn ln
{nbccg0e
|{bes`~sgmebo bo
sn{pgcgm tb{b r~n
snb benqblm b ob
ags|m{gb co egcb lno
tbcgne|n%
F~b{ln ne obenpn{b obs
g h~ns|{bs lno
tbcgne|n t{n wtms|
|{bes`~sgmebons w
oms tgom|ms ln obkmosb/ w-m
anhmcmhtmene|ng tm{ sg ns
" en|nsb{gmnepgb{obs tb{bt{~nkbs
cmhtonhne|b{gbs
bo Anhmcne|{m%Gepns|gfbcg0e ln ob
{nbccg0e blpn{sb bob |{bes`~sg0e/
G [B\%
GG G
g GO]]o]]]]]]
/6 Ln|n{hgeb{ no T{m`nsgmebo / @M[HB\M Ln|n{hgeb{ no
G f{blm ln NstncgbAyblm G TB[B NO f{blm ln
g cmht{mhgsm lno lno Sn{pgcgm ln [NTM[\N LN snpn{glbl w ob GG anhmcmhtmene|n \{bes`~sgme/ G OBS ght~|bkgoglbl ln ob
G ne oms sgrems w Hnlgcm G [NBCCGMENS {nbccgme ln g
Gs`e|mhbs ges|g|~cgmebo b g BLPN[SBS B bc~n{lm b ob Gt{nsne|blms tb{ no • cb{fm lno G OB G& cobsg`gcbcgme G
G tbCgne|n% &%t%bCgne|nw g \[BES@^SGME t{nsne|blb ne G]]]o] uuG%u"_~lg|m{ hnlgc?;%9]oSB|("R^GEf0]]g]nuIuuRmc~hne"R]O]i
Tbfgeb 26 ln 27
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Pn{sgme9 3
B2%CBOLGB HBPM[
LN9KMFM\B M%C%«E %_%I!'
2 2 ( / / / // / // / // : u u % % %+s+ | ] : 5 %
HBENIM LN [NBCCGMENS
\[BES@^SGMEBONS
g
gg C0lgfm BL\ ( T[ ( 336(44>
Sghme KmApb{
BTMWM LGBFEMS\GCM W
G\N[BTN^\GCM
G SN[PGCGM LN \[BES@^SG0E]k]uuuuuuuuuuuuuuuuuuuu]uuuu ]]u]uuuuuuuuuuuuuuuuuu
Em Bc|gpglbl G Nqtogcbcgme ln ob G [nstmesbkon G [nfgs|{m Mksn{pbcgmens G
G bc|gpglblG
{gnsfms wG"
Gcme|{mons
g % [B\% cbe kbsn ne oms
sgfems/ sge|mhbs/
{ns~o|blms ln obs
t{~nkbs
{nbogyblbs w ob
gepns|grbcgme ln ob
ags|m{gb cooegcb lno
tbcgne|n%
Sn lnkn
lgogfnecgb{ no`m{hb|m tb{b no
{ntm{|n ln obs
{nbccgmens
blpn{sbs b ob
|{bes`~sgme
sbef~genb lnsln
no e~hn{bo 22
abs|b n22>%
\mlbsobs
G {nbccgmens
G blpn{sbs sn
lnkne t{nsne|b{
ne no cm{eg|n ln
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8/2/2019 ADT-PR-337-005 Manejo de Reacciones Transfusionales
http://slidepdf.com/reader/full/adt-pr-337-005-manejo-de-reacciones-transfusionales 19/19
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