Recently, a 63-year-old male patient suddenly lost consciousness near the parking lot of our hospital, and the medical staff of our hospital passed by, quickly judged the patient to be cardiac arrest, and immediately called the emergency department and the security department to send a flat car, while organizing the transfer of the flat car, while carrying out cardiopulmonary resuscitation for rescue.
The patient was quickly transferred to the emergency department of our hospital for treatment, the whole process was directed by Huang Tao, deputy director of the emergency department, the whole process was rescued, the patient was unconscious, no aortic pulse, no spontaneous breathing, bilateral pupil dilatation, the light reflex disappeared, the diagnosis was sudden death, the emergency department continued to carry out high-quality cardiopulmonary resuscitation, deputy chief physician Xing Xiaojia quickly carried out tracheal intubation ventilator assisted ventilation, doctor Zhang Xuebing, Kong Hongxia and the nurse of the emergency department continued to give chest compression, every 4 minutes to give epinephrine 1mg static push, defibrillator preparation, Rescue measures such as rapid and targeted medical history, monitoring, and blood collection were carried out in an orderly manner. After 6 minutes of cardiopulmonary resuscitation and one electrical defibrillation for the patient, the patient recovers sinus rhythm 120 times per minute, with palpable carotid pulses.
Unexpectedly, after the patient recovered sinus rhythm, there was soon again pulseless ventricular tachycardia, the condition deteriorated rapidly, the emergency department once again took multiple defibrillation, drug cardioversion and other measures, blood gas analysis returned to the patient acidosis, hyperkalemia, the doctor continued to give drugs to lower potassium, correct acidosis and other comprehensive treatment methods. Rescue was carried out for 1.5 hours, during which the patient intermittently had a heart rate recovery, it seems that the hope of survival is getting slimmer and smaller, but the emergency department medical staff did not give up at all, always maintained high-quality cardiopulmonary resuscitation and orderly and accurate drug treatment, respiratory support, etc., finally, after completing the 15th defibrillation, which lasted 1 hour and 50 minutes of rescue, the patient returned to sinus rhythm again, palpable carotid artery beat, effective circulation and spontaneous breathing recovery, dilated pupils began to retract and appear to reflect light, His bruised face and limbs began to turn rosy, and he was smoothly transferred to the internal medicine intensive care unit for follow-up treatment.
After intensive treatment by the intensive care unit of the Department of Internal Medicine of our hospital, the patient's condition was soon stabilized, and he was transferred to the general ward of the Cardiovascular Medicine and Cardiac Rehabilitation Center of our hospital for follow-up rehabilitation treatment.
This successful rescue of patients fully reflects the strong comprehensive rescue ability, exquisite business level, standardized operation quality, do not give up, do not abandon the feelings of the doctor, save the patient's life, save a family, protect the health and life of the people, the emergency department silently adhere to the bottom line of life, always uphold the life of the injured, the doctor's benevolence.
Emergency Department Tips:
Correct and effective cardiopulmonary resuscitation is the only effective way to rescue sudden death patients, judging whether the patient has sudden death is the key in the key, time is life, when non-medical workers witness someone falling to the ground, first of all, the patient should be called loudly to judge whether there is consciousness, and then touch the patient's aorta (carotid artery) with your hand, and observe whether the patient has spontaneous breathing, observe whether the thoracic cage has undulations is the key to judging whether there is spontaneous breathing, such as patient unconscious, no spontaneous breathing, you can think that the patient suddenly died, immediately perform chest compression, And the first time to ask for help, call others to help dial the 120 emergency number, and continue chest compressions before 120 arrives, if you can get "AED" (automatic external defibrillator), then press the "AED" prompt, follow the steps.
The main points of chest compressions are as follows:
1. Compression site: middle chest, middle and lower sternum.
2. Pressing frequency: 100 to 120 times / min.
3. Depth of compression: move the sternum down 5 to 6 cm.
4. Duration: Until the professional arrives at the site.
Precautions for compression:
1. The pressure should be in the middle of the chest, not on the ribs.
2. Do not violently impact compression, to maintain steady, rhythmic compression.
3. Minimize the number of compression interruptions, effective chest compressions are the core of successful CPR.
4. If possible, replace the operator every 2 minutes of compression to maintain the quality of the compression.
!["Work can't go away!" The man refused to be hospitalized with chest pain and fell to the ground before leaving the hospital gate[fig]](data:image/gif;base64,R0lGODlhAQABAIAAAP///wAAACwAAAAAAQABAAACAkQBADs=)