According to reports, a 68-year-old woman in Wuhan suffered a cardiac arrest in the parking lot of Yaxin Hospital, and happened to meet a doctor in the intensive care (CCU) who worked the night shift and was immediately successful after cardiopulmonary resuscitation. After examination, it was confirmed that it was "acute inferior myocardial infarction".
To say that the patient is very lucky, cardiac arrest occurred in the hospital parking lot, and encountered is the cardiac intensive care doctor, rescue is very timely, the treatment is very appropriate. However, looking back at the patient's onset of illness to the hospital, the three key steps were made wrong.
We said that the onset of heart disease should be sent to the hospital in time to dial 120, and we must not move around to go to the hospital by yourself. Seeking medical attention in time, dialing 120, and not moving around on your own, patients and their families have done wrong in these three key links.
The report said that because the patient had chest pain for 9 hours, accompanied by asthma and sweating, the family drove a private car to the hospital at about 1 a.m., arrived at the hospital parking lot and got out of the car, helped the patient to walk to the emergency department, and the cardiac arrest occurred at this time.
First, severe chest pain persisted for 9 hours before visiting the doctor, late. Be early! The sooner the better.
Patients with acute myocardial infarction require coronary arteries to be opened within 2 hours or 120 minutes after the onset of the disease, and the sooner the better, so that the dying myocardium can be saved as much as possible. This patient is obviously late (acute myocardial infarction, it is important to remember two "120s"!). ）。
Before the patient was admitted to the hospital, chest pain persisted for 9 hours, accompanied by wheezing and sweating. Chest pain with heavy sweating indicates the severity of chest pain, and chest pain with heavy sweating is also a more common and typical manifestation of acute myocardial infarction. If such chest pain lasts for 20 minutes and does not relieve for half an hour, it must be sent to the hospital. If you start to consider angina, take nitroglycerin once every 5 minutes, then up to 3 times ineffective also need to be sent to the hospital. The patient had severe chest pain accompanied by heavy sweating before being sent to the hospital for 9 hours, too late. In patients with myocardial infarction, the longer the onset, the more myocardial ischemia and necrosis. Over time, the myocardial necrosis is more, and even if it is treated, the patient's long-term prognosis is not good. Therefore, be sure to seek medical attention as soon as possible.
Push back the onset time of the patient, it should be the onset of the disease in the afternoon, it is still daytime, and it should be sent to the hospital as soon as possible.
Second, drive a private car to the hospital, wrong! To dial "120", use an ambulance.
If you send acute chest pain and suspected myocardial infarction to the hospital, you should dial "120" and inform the condition, and be sent to the hospital by a special 120 ambulance.
Ambulances for heart disease rescue have monitors, defibrillators, and various rescue drugs, which can be monitored, treated and rescued if necessary on the way to the hospital. Because of the myocardium after the infarction, the ECG is unstable, malignant arrhythmias can occur at any time, the heart stops beating, and it needs to be monitored, prevention is needed, and timely treatment is needed. The 120 ambulance is the mobile cardiology intensive care unit - CCU. Moreover, ambulances are special vehicles and can have driving priority to shorten the time for hospitalization. Therefore, if you are sent to the hospital for chest pain with heart disease, you must not drive a private car. Of course, the exception is when there is no ambulance (acute myocardial infarction rescue, why doctors emphasize two "120"!). ）。
Third, the patient walks around on his own to go to the doctor, wrong! Be sure not to move around on your own, rest quietly, and avoid all kinds of irritations.
When acute myocardial infarction occurs, the myocardium is affected due to ischemic necrosis, the electrical activity of the heart is affected, the ecgromic is unstable, the pacing and conduction of the heart will have problems, and if there is a slight stimulation, malignant arrhythmias may occur, and in severe cases, it is ventricular fibrillation and cardiac arrest. During this period, the patient's mood swings, slight activities, and force can trigger ECG disorders, and malignant arrhythmias occur, let alone move around on their own. Cardiac arrest, even under witness rescue, the survival rate of successful rescue is less than 50%, so it is best to avoid it. Patients must rest quietly after the onset of the disease, waiting for the hospital for emergency treatment, emotionally overexcited, unstable patients, you can also take oral diazepam (diazepam).
Only by holding these three links, doing these three things, and transferring patients safely to the hospital in time can we carry out the next step of effective treatment.
(GIF transferred from World Wide Web)
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