The elderly in the family suddenly can't wake up, and the first thing we may think of is a stroke, or low blood sugar.
The old man we rescued today is neither a stroke nor a low blood sugar.
The old man suddenly lost consciousness and could not wake up, the family quickly dialed 120, before the arrival of 120, the family took turns to rescue:
First pinch people, then chest massage Shunqi, open the mouth to stuff the heart pills, there are people suspected of hypoglycemia, quickly flush sugar water to the elderly, and even some people say whether to take sewing needles, needles and bleeding.
This is thanks to the fact that 120 is very close to home, and in less than 10 minutes, 120 arrived, and after 120 arrived, the call to the old man did not answer. Subsequently, the touch of the aorta fluctuated clearly, so the cardiac arrest was basically ruled out, and the blood pressure was quickly measured for electrocardiogram.
ECG prompts: heart rate 100 beats/min, V123456 extensive anterior lead ST segment elevation, lower wall II.III.AVF lead ST segment also elevated.
Generally speaking, the ST segment of the II.III.AVF lead belongs to the acute inferior myocardial infarction; the ST segment elevation of the V123 lead belongs to the acute anterior wall myocardial infarction; the V1234ST segment elevation belongs to the acute anterior wall myocardial infarction; and the elevation of the ST segment of the V123456 lead belongs to the acute extensive anterior wall myocardial infarction.
Inferior myocardial infarction is generally blocked by the right blood vessel or left posterior cyclotropic branch; the anterior medial wall is generally the gyratory branch, or the right crown, or the anterior descending branch, which is the largest vascular blockage; the extensive anterior wall is generally the largest blockage of the opening of the anterior descending branch of the blood vessel.
The old lady's inferior wall leads, extensive anterior wall leads, all had myocardial infarction. Then this situation is very, very, very critical, generally either the three large blood vessels have serious stenosis or blockage, or the left trunk is blocked, that is, the root of the two blood vessels in front of the left and the left posterior is blocked. It is precisely because the old lady's largest blood vessel is suddenly blocked, so the old lady is not conscious, and the success rate of this myocardial infarction rescue is very low.
1. What should I do if I lose consciousness?
When we encounter a sudden loss of consciousness from a family member or friend or someone around us, how should we rescue it?
Some people, hurry up chest compressions, CPR; some say hurry up electric shock defibrillation.
The first step is to determine whether the patient is safe around, assess the safety, and then start to implement treatment. And initially assess whether you need to call 120, or look for an AED.
The second step, in the patient's ear, tap the patient's shoulder, call the patient, see if there is a response, if you can agree, it means that there is no loss of consciousness, and there is no heart arrest. CPR or electroshock defibrillation must not be tolerated at this time.
Third, if there is a loss of consciousness, at this time, touch the patient's aortic artery to see if there are aortic fluctuations. Doctors generally touch the carotid artery, but the common people have no medical knowledge, sometimes can not accurately judge, can touch the radial artery of the wrist. But sometimes touching the wrist artery, there is a drawback, that is, some people do not have cardiac arrest, but the blood pressure is low, sometimes the radial artery can not be touched, so it is recommended that non-medical personnel, can see whether the patient's chest has breathing range, or close to the patient's nose, observe whether there is breathing, if there is no breathing, then it can be judged as cardiac arrest, the next step is chest compression or electric shock defibrillation.
Step 4: Remove the dentures or food in the mouth so as not to block the trachea, press the center point of the two nipples with the extrathoracic heart, press the heel of the left palm against the patient's chest, the hands overlap, the five fingers of the left hand are upturned, the arms are straight, and the upper body is used to press 30 times (at least 100 times / min, the depth of compression is at least 5-6 cm). The arms are pressed perpendicular to the patient's body and the roots of both palms. Heart compression 30c9, artificial respiration 2 times.
Second, how to simply distinguish between stroke, myocardial infarction and hypoglycemia:
In fact, this kind of unconsciousness or loss of consciousness is manifested as a manifestation of myocardial infarction, which is very rare.
Manifestations of stroke: asymmetrical strength of arms and legs, crooked mouth, tongue deviation, unclear speech, and deviation of walking. There are also dizziness, headache, limb numbness, non-answering, drowsiness, hemianism, drinking water and coughing, difficulty swallowing, intellectual disability, and loss of consciousness.
Manifestations of myocardial infarction: sudden post-sternal compression-like pain, persistent unresolved, accompanied by chest tightness, sweating, frequent death, etc. Of course, there are many manifestations of myocardial infarction, such as headache, toothache, back pain, shoulder pain, abdominal pain, pharyngeal tightening, malignant vomiting, or, as the patient is unconscious.
Hypoglycemia manifestations: common palpitations, sweating, mostly sweating, tremors, hunger, and in severe cases, there may be changes in consciousness. Severe hypoglycemia lasting >6 hours can cause irreversible damage to the brain and may cause epilepsy.
Therefore, generally low blood sugar will have some precursors, and it is rare to be directly unaware.
In short, no matter what kind of disease, as long as it is unconscious or unconscious, dial 120 first. At the same time, the judgment is that the heart stops beating, if the heart stops, cardiopulmonary resuscitation, if the heart does not stop beating, do not do the wrong rescue.