01 The elderly have a heart attack, and the urban management car becomes an "ambulance"
On the afternoon of May 7, several law enforcement team members in the Jianxi District of Luoyang City were patrolling as usual, when suddenly an old man helped another old man to the front of the duty car to shoot the window for help, only to see that the old man who was being supported was pale, his body was weak, and his consciousness was slightly blurred. Before they could ask in detail, the team members quickly helped the old man onto the duty vehicle and rushed to the hospital.
It turned out that the two old people were sisters, when the sister had a heart attack, although she had taken the usual medicine, but the situation of chest tightness was not alleviated, the sister could only help the sister to rush to the hospital, but when she arrived at the door, she did not successfully call the taxi, so she had to turn to the city management.
Graph source network
02 The elderly had a heart attack on the bus, and all the staff saved people
On May 11, Lanzhou Bus Group No. 105 received a "special" greeting from a passenger on the afternoon of April 28, who said that she had a heart attack on the bus, thanks to the help of the driver and passengers, she brought her medicine in time and sent her to the hospital to save her life. Now that she has made a basic recovery, I would like to express my heartfelt thanks to all those who have helped her.
Fortunately, the above two patients were successfully rescued, however, not all of them received help in time when they had a heart attack, so the middle-aged and elderly people who knew the emergency drugs and used them correctly were the first step to "save their lives".
<h1 class="pgc-h-arrow-right" data-track="9" > common heart disease emergency drugs</h1>
Heart disease, also known as coronary heart disease, is the narrowing or blockage of the vascular cavity caused by atherosclerotic lesions in coronary arteries, resulting in myocardial ischemia, hypoxia or necrosis, the most common coronary heart disease in the clinic is angina, the most serious is myocardial infarction.
According to cardiologists, if a heart attack is not handled correctly, once the breathing and heartbeat stop, every second is the end of life.
After 18 seconds of stopping breathing, the patient develops cerebral hypoxia;
After 30 seconds of stopping breathing, a coma appears;
After 60 seconds of stopping breathing, brain cells begin to die;
After 6 minutes of stopping breathing, all the brain cells die...
For people with cardiovascular disease, sudden heart attack, medication is the key. Timely and correct medication can save the patient's life in a matter of seconds, and in the first aid drug, aspirin, nitroglycerin, and quick-acting heart-saving pills are used as clinical classic drugs.
<h1 class="pgc-h-arrow-right" data-track="9" >2, nitroglycerin: the preferred drug for angina</h1>
Nitroglycerin is the most widely used and effective short-acting anti-angina drug in clinical practice, and is the preferred drug for angina, which is used to expand coronary arteries, increase blood supply, and also expand other peripheral arteries and veins, reduce peripheral vascular resistance, reduce the front and back load of the heart, and thus reduce the burden on the heart.
In use, it is best to use a seated or semi-recumbent position when taking nitroglycerin under the tongue, which can reduce the amount of blood returned to the heart and prevent orthostatic hypotension caused by insufficient blood supply to the brain. The dosage is generally 0.5 mg, which takes effect 2-3 minutes after taking, and the effect can last for 20-30 minutes.
If the chest pain is not relieved, the interval of about 5 minutes can be taken again, if the symptoms of taking 3 tablets in a row are still not relieved, you should be vigilant against acute myocardial infarction, it is recommended to call "120" immediately for medical treatment.
Special reminder, patients with severe hypotension, severe anemia, glaucoma and increased intracranial pressure, nitroglycerin will further exacerbate the state of hypotension, and even lead to cardiogenic shock, so when patients have contraindications to nitroglycerin, quick-acting heart-saving pills should be selected.
<h1 class="pgc-h-arrow-right" data-track="9" >3, quick-acting heart-saving pills: angina emergency medicine</h1>
Quick-acting heart-saving pills belong to proprietary Chinese medicines, which have the effect of activating blood, dispelling stasis and relieving pain, increasing coronary blood flow, and relieving angina.
However, quick-acting heart-saving pills are only emergency medications and are suitable for patients who do not work well on nitroglycerin or have contraindications to nitroglycerin. In addition, if there is no nitroglycerin around when there is a sudden angina, you can also use a quick-acting heart-saving pill for emergency, but it cannot fundamentally treat the disease, and you should see a doctor as soon as possible after the symptoms are relieved.
Taking quick-acting heart-saving pills should be taken 10 to 15 capsules under the tongue at one time, which can be chewed first and then pressed under the tongue to take, and should not be swallowed. After swallowing, the drug will enter the gastrointestinal tract, the onset of action will be slow, and the efficacy will become worse. If one dose is ineffective, you can wait 10 minutes and then take it again, and there is still no relief after 15 minutes, and you need to seek medical attention immediately.
<h1 class="pgc-h-arrow-right" data-track="9" >4</h1>
Aspirin is one of the commonly used drugs for cardiovascular diseases, which plays a pivotal role in reducing the mortality rate of myocardial infarction, and is an emergency drug for acute myocardial infarction. However, almost all doctors will tell patients that they should immediately dial 120 in the event of acute myocardial infarction and be cautious about taking aspirin first aid.
Aspirin is effective for chest pain caused by coronary heart disease, but after taking chest pain caused by aortic dissection, it will increase bleeding, resulting in more serious consequences, and aspirin is taken in a larger dose, requiring 300mg and taking it in 3 times, and it is difficult for ordinary patients to grasp the dose.
Although the above three drugs are the "life-saving artifacts" of heart first aid, they all have their own characteristics and contraindications, if you can not judge the patient's situation, can not grasp the correct way to take the drug, it is recommended to immediately dial 120, it is not recommended to take the drug without authorization, otherwise it may be because of the wrong medication, resulting in a more serious patient's condition.
<h1 class="pgc-h-arrow-right" data-track="9" > extension: First aid kits are recommended</h1>
Coronary heart disease can occur suddenly at any time and anywhere, especially during travel, patients face unfamiliar environmental factors, dietary factors, emotional factors, etc., will be coronary plaque instability, or even rupture, resulting in the occurrence of acute coronary syndrome.
Therefore, it is recommended that when patients with coronary heart disease go out, they can use the first aid kit to pack different drugs and carry them with them, and it can save lives at critical moments!
First aid drugs, take correctly to "first aid", it is recommended that patients mark contraindications and dosages on each drug, so as not to make mistakes in their busyness.
#39 Health Super Group ##Rumor Zero Plan ##健康热力计划 #
Resources:
[1] Three major misconceptions about the use of nitroglycerin. Peking University Third Hospital. 2018-04-03
[2] Sudden heart disease, self-help is very important! Choosing the right first aid medicine is more important!.Personalized pharmacy services. 2019-06-28
Yuan Yifeng. Efficacy of Quick-Acting Heart-Saving Pills and Nitroglycerin Tablets for Emergency Angina[J]. Latest Medical Information Digest, 2019, 019(094):156-157.
Reproduction without the author's permission is prohibited