Introduction: Outdoor activities must pay attention to safety!
Just in the spring is bright, many friends step on the green, the garden of the garden, everyone has taken this opportunity to bring relatives and friends into nature together, enjoy the beauty of this spring warm blossoms.
To remind everyone, outdoor activities must pay attention to safety, in addition to taking care of their children and valuables, but also be careful of this small "killer" surrounded by beautiful flowers, may bring life risks.
Two patients, one dead and one alive
This is what happened when I was on the emergency night shift. The emergency department at the hospital was always crowded, and a 50-year-old man walked into my office.
"Doctor, show me, I was stung by a bee just now, and now I have itchy all over my body and have a lot of rashes." The patient said as he handed me a bee that had been photographed to death: "This is this kind of earth bee sting, and the strength is quite large." ”
I motioned for him to take off his shirt and look at the neck that had been stung by the bees, and found that there were still bee stings piercing in and not pulling out. I took him to the dressing room and immediately removed the stinger completely. But when I lifted his clothes, I found that my chest, back, abdomen, and thighs were covered with dense red rashes.
"In addition to itching, do you feel like you're holding your breath?" I asked eagerly.
"No, I was stung by the earth bees, and you can prescribe me some external anti-itch medicine." He said nonchalantly.
"Antipruritics are definitely going to be given to you, but you are now allergic, there is no breath holding, breathing difficulties may be temporary, you should go to the rescue room, give you system anti-allergic treatment, to prevent the symptoms from worsening."
"No, no, go to the rescue room, I was stung, no big deal, I didn't want to come over, the child was not at ease, you will prescribe me some antipruritic medicine, I went home, and what rescue room." The patient was somewhat impatient.
"Although the bee sting is a small thing, but you have developed allergies, in order to prevent shock caused by allergies and breathing difficulties caused by laryngeal edema, you must treat and observe before you can go home..." I want to explain further, but at this time the patient suddenly flushed, shortness of breath, eyelids half open and half closed, the body shaking. I quickly hugged him.
The moment I hugged him, his body softened completely, and we almost fell down together. With the help of the patient's child, he was helped to the bed in the examination room, and the child put his arms around him and looked at me in panic.
I quickly notified the rescue room to push the flat cart and push him into the rescue room, epinephrine, oxygen, intravenous fluid expansion, anti-allergic shock therapy, etc., and I even asked the laryngologist to come to the consultation to prevent laryngeal edema from compressing the trachea emergency tracheostomy.
After 10 minutes, the patient opened his eyes, his blood pressure returned to normal, and his breathing became stable. After 3 hours, the patient, without symptoms of discomfort, left the rescue room accompanied by the child.
Before leaving, he went to the clinic and said thank you to me, saying that I had saved his life. I said thank you very much, thank you for yourself, fortunately you were unwell after being stung by bees, followed the advice of the child, and was able to go to the hospital for the first time, which won precious time for yourself and for us. After this incident, I think he will definitely have a more "love" for bees in the future.
This patient was lucky to come to the hospital in time and treat it in time without serious consequences. But it reminds me of a little girl named Duoduo I once treated. It was also in the summer that a pair of young parents in the city took their 5-year-old daughter back to their grandmother's house, whose family was in the countryside.
This season is when the flowers are in full bloom, and when the flowers are playing in the flowers, they are accidentally stung by a bee, crying and crying in pain to their mothers. The family was very anxious to see the flowers crying in pain, and finally Grandpa had a way to take out toothpaste and apply it to the sting. It seemed to have some effect, and the flower stopped crying.
Only then did the family relax and go away to do something else. However, 20 minutes later, when Duoduo's mother cut a plate of fruit to serve to Duoduo, the family rushed into the house with the crisp breaking sound of the plate and the scream of her mother. The flowers were constantly convulsing and vomiting on the ground, the eyelids were swollen and could not be opened at all, the small face was red, and the body was densely covered with red rashes.
The family panicked, picked up the flower and rushed out of the house. However, the family did not choose the nearest hospital, which was only 3 minutes away, but chose a large local hospital that was 30 minutes away.
I happened to be on duty that day, and when Duo duo was taken to the hospital, she had no breathing or heartbeat. We tried to rescue, tried to take the blossom back from the hands of the god of death, and tried to hope for a miracle to appear, but the miracle did not appear in the end.
Mom hugged the cold blossoms, Dad hugged the sad Mom, Grandma was already crying and fainted, Grandpa pounded the floor with his fists, telling the story of what happened... The rescued doctors and nurses all cried, and I held back tears, did not dare to look at them directly, and declared my clinical death.
My eyes blurred after turning around. I didn't even dare to tell this family: if I had been holding the child and going to the nearest hospital for treatment in 3 minutes, there was a 90% chance that Duo Duo would survive.
They are wrong, they delay the best rescue time for the child. I felt so bad in my heart, and later in a class, a nurse told me that the little girl was really sorry that day, and when she came home, her mother held her daughter and cried for a long time.
Please pass on these self-help skills and common sense to everyone
These two cases are dead and alive, and the lessons are extremely painful! I want to tell everyone when you or the people around you
After being stung by a bee:
First: immediately use a needle or syringe to pick out the stinger;
Second: bee sting, because its venom is acidic, can be applied to the local sting with soapy water, 3% ammonia or 5% sodium bicarbonate. Wasp venom is not the same as bee venom, which is weakly alkaline, so the wound can be scrubbed with vinegar or 1% acetic acid locally;
Third: local redness, swelling and itching can be observed with external ointment;
Fourth: If there are uncomfortable symptoms such as rash, nausea and vomiting, panic and breath holding, urinary and urinary incontinence, etc., you must remember to seek medical attention immediately;
These experiences are popular science articles I once wrote. The reason why I posted it again today is to tell more people: this article has recently saved another life!
Some time ago, when I was busy in the office as usual during my day shift, the rescue room suddenly called: "Bee sting, anaphylactic shock, coma!" ”
I dropped everything in my hands and ran to the rescue room. This is a farmer in his 50s, with a large rash all over his body, difficulty breathing, flushing face, swollen eyelids that cannot be pulled out, incontinence, blood pressure undetectable, and heart rate of 130 times per minute.
My colleagues and I carried out a quick rescue, and after 20 minutes the patient was out of danger.
The patient was sent by 120 from a local community, and 120 was given oxygen at the first time, open venous channels, fluids, and hormone therapy. After the patient's condition gradually improved, I said to the patient's daughter: "Thanks to the first time to the nearest treatment 120 sent to my hospital, otherwise it may be too late to wait until the throat is severely edema to completely compress the airway." ”
Unexpectedly, I heard the doctor with the 120 car say: "Don't thank me, you should thank you, his daughter said that she read an article about allergies after a bee sting should be treated nearby, she has been saying it all the way." ”
The patient's daughter listened to the conversation between the two of us, looked at me in surprise and asked, "You wrote the article about the little girl being stung by a bee?" She quickly pulled out her phone and handed me the collected article.
I smiled and nodded. Unexpectedly, she "pounced" a sound, really pounced, and actually knelt in front of me: "God open your eyes, my father's life is great, it is your article that saved my father!" ”
I squatted down and the nurse next to me helped me lift her up. Later, I learned that when the old man was stung by a bee, he did not go to the hospital, but went home, saying that his whole body was weak and his eyelids could not be lifted. His daughter found that it was not right, quickly asked the neighbor to drive the elderly to the hospital, at first everyone agreed to come directly to our hospital, his home distance to our hospital is about 40 minutes by car, but the daughter read my article after insisting on going to the nearest hospital to use medicine first, and then use 120 transfer.
The old man turned around on the ghost door, I did not have some chills behind my back, but at the same time I also more deeply realized that science has a temperature! It's alive! It's a lifesaver at a critical moment!
Finally, I would like to remind everyone once again to pay more attention to outdoor activities or play!
After being stung by a bee:
First: immediately use a needle or syringe to pick out the stinger;
Second: bee sting, because its venom is acidic, can be applied to the local sting with soapy water, 3% ammonia or 5% sodium bicarbonate. Wasp venom is not the same as bee venom, which is weakly alkaline, so the wound can be scrubbed with vinegar or 1% acetic acid locally;
Third: local redness, swelling and itching can be observed with external ointment;
Fourth: If there are uncomfortable symptoms such as rash, nausea and vomiting, panic and breath holding, urinary and urinary incontinence, etc., you must remember to seek medical attention immediately;
Remind again, during the Qingming Period to step on the spring flowers, do not pay attention: the bee is wrong to pull out the sting after the sting! The correct way to do this is to pick out the stinger with a needle or syringe. Because when you clamp the stinger with tweezers or pliers, it is possible to inject the residual venom inside the stinger into the human body again, aggravating the allergic reaction.
Source: Medical Road Forward Weizi