It was a great pity to see a few messages in the 120 emergency transmission group in the morning!
This group is 120 doctors who have emergency myocardial infarction patients or chest pain patients, and will transmit relevant information, especially electrocardiograms and other news to the group. The doctors in our hospital will see it at the first time and make various rescue preparations.
If this patient can listen to the advice of 120 doctors and go to the nearest hospital for rescue, then the possibility of being rescued is still relatively large. However, the patient's family heard that the patient had a myocardial infarction and needed stent surgery. So they asked to go to the "biggest and best" hospital in the city for surgery.
At 8:10120 a.m., the doctors transmitted an electrocardiogram showing acute anterior myocardial infarction, prompting the nearest hospital to prepare for rescue.
At 8:11 a.m., the doctor at the nearest hospital immediately replied that the catheterization room had been activated.
At 8:29120 a.m., the doctor prompted that the patient's family asked to go to another hospital for treatment.
At 8:30 a.m., the hospital doctor who was asked by the patient's family to go replied: The patient is in a critical condition and will be in danger of life at any time, it is recommended to go to the nearest hospital for rescue, and it is not recommended to come to our hospital for treatment.
At 8:30120 a.m., the doctor replied that the patient's family strongly requested to go to your hospital (that is, not the nearest hospital). Please be prepared.
8:31 a.m. Hospital response is ready, please go to the emergency room.
At 9:23120 a.m., the doctor sent a letter, the patient suddenly had ventricular fibrillation, after 3 times of electric shock to defibrillation, the patient's electrocardiogram was straight, continuous cardiopulmonary resuscitation, please prepare the emergency room.
At 11:33 noon, the hospital emergency room sent a message, sent a myocardial infarction patient in the morning, when sent to the emergency room, there was still no heartbeat, after continuing cardiopulmonary resuscitation, failed to recover successfully, and then declared the patient clinically dead.
The patient was only 51 years old and left... Why we have been popularizing, chest pain lasts more than 15 minutes and is not relieved, we must dial 120 and go to the nearest hospital that has the ability to rescue patients. Opening the blood vessels as quickly as possible can save more myocardium, reduce the risk of heart failure, and reduce the risk of sudden death.
The risk of developing ventricular fibrillation in the first 1 hour of acute myocardial infarction is 25 times greater than that of 1 hour later. Therefore, sudden myocardial infarction, we must go to the hospital as soon as possible and open the blood vessels as soon as possible. After the blood vessels are opened, the blood vessels return to blood flow, which can greatly reduce the risk of ventricular fibrillation or cardiac arrest.
However, the patient's family had to go far away and not go to the nearest hospital. The nearest hospital also has a chest pain center, which can also dissolve thrombolysis and stent surgery.
But the so-called best hospital that the family thinks is nearly 50-60 minutes away from this hospital. Myocardial infarction is when the heart blood vessels are blocked, the heart will continue to be ischemic, and the heart muscle cells will continue to necrosis.
The total number of cardiomyocytes is limited and non-renewable, so once necrotic, it cannot be obtained again. Only by opening up the blood vessels as soon as possible and saving more heart muscle is the only correct approach.
After 40 minutes of complete blockage of the heart vessels, the necrosis area is about 30% of the total area of ischemia; if the blockage is more than 3 hours, the necrosis area is about 50% of the total area of ischemia; the longer it is dragged on, the longer the time of opening the blood vessels, then the more necrotic myocardium, not only the higher the risk of sudden death. Even if sudden death does not occur, it can greatly increase the risk of heart failure.
Therefore, today's popular science has a knowledge point:
Once the 120 doctor informs the patient's family that the patient is an acute myocardial infarction, it is necessary to listen to the advice of the 120 doctor, the principle of proximity, and the so-called largest and best hospital cannot be selected.
When you choose a hospital, Death also chooses!