Category Archives: Natural disasters

Emergency room life

Emergency room life

After 5 years in medical school teacher, I went to apply for graduate students, because I wanted to be a doctor.   Why do doctor? I go on a field trip to a hospital in the 1980 of the 20th century, saw a lot of people suffering from the illness, doctors can relieve the pain of patients, I think that the medical profession is very sacred. I graduate in a few years, into a hospital in Hangzhou has been a physician in hematology. For solid doctor, I read Dr, specializing in hematology.   Hospital me into the Emergency Department as a Department Director. In the Emergency Department did hard, but had a lot of positive, Hangzhou City, won the top ten health youth May Fourth youth Medal, Hangzhou City, Zhejiang Province outstanding young guards … …   Embarrassed to say, I am actually very simple, I just want to be a good doctor.   Help, can’t save a watched pot never boils room only hundreds of square meters, here, reverse sometimes the moment of life and death, here played to death, wonders what happened, grief or joy to face humanity, as is society in miniature. Taxi one day to a cerebrovascular accident, breathing, heart-stopping in the elderly. Accompany with old to his old wife. Busy on our side to open the airway, chest compressions, and open pipes, tense rescue, an old wife aside demands, demands that we save as well as to ensure the patient can work as usual.   At that time, we thought, had never seen anyone in such a crucial time, make such a request. This is a senior engineer for the old man, the man has been working in retirement, more than more than 70 years old, all day without a break.   This morning, he left home as usual, just walked to the door, feeling chest tightness shortness, had not gone home fell. Old rescue, vital signs are stable, but unconscious. The next day, their daughter, was called back from Shanghai, she told us that she has to work, unable to care for her father.   Old lady said to us, I take care of him, too much for me. We do not know what they mean, he said to them, the old man currently in a stable condition, but needs to be hospitalized. Old lady made to remove various rescue intubation. Part with a family like this is unquestionably more than 70 years old, and is rarely seen.   This probably is related to the idea, I was beyond reproach. But the old lady said next shocked me. He lived like this, his pain, my pain.   Besides, he can’t work, there’s no use now?   In the eyes of their relatives, who live only to work, I feel sad for the patient. People really don’t like. There is an old woman, accompanied his wife to the emergency clinic every year.  His wife now has more than 80 years old, 16 years ago, a stroke, and confined to bed for a long time, bent into a whole people, can not speak without consciousness, incontinence, not eating, and ground into a paste-like foods, depends on a gastric tube put in. Old woman served for 16 years, afraid of his long-term urinary catheter infections, as he hand-stitched pockets of urine, the tape is soft, not hurting him, does not get dirty.   In her eyes, the old man just could not speak, he knew everything. Home of delicious, every time she wants him to get a taste. Said the old lady, joys and sorrows of life experience is that three meals a day. She fed him always said: eat, eat! she thought the world fresh, old man can always smacked a taste.   However, the old man mostly unable to swallow, choking the lungs, ranging from choking over, crime is aspiration pneumonia and sent to a hospital.   Every time we and the old lady says, will not be fed from the mouth, the old lady always say: pretty hard when he was young, and children just promise, our day was better, he got the disease.   Old lady and his wife’s story continues, such a relationship, and now people are learning not to, I’m afraid. Man, is not the same, life also varies in the different components of the heart.   Doctor, can save lives, but can’t save. Lightness of life without turning back. Further progress of medicine, birth, has its laws, not a doctor of skills we will be able to back. Some patients see once in a lifetime, on the medical records on only one page, this page is for death records.   Can keep his life, there is nothing more to be proud of? 3 years ago on a hot day, when the ambulance, the patient is not breathing and heartbeat. Lorry says had no vital signs when they arrived.  For such patients, we are usually rescuing, not for anything else, for that 1% or less hope of survival, but also for moral. The Anhui native, after 40 minutes of cardio-pulmonary resuscitation, restored the heart, there is a little breath. What is CPR? is the uninterrupted chest compressions, coupled with advanced life support and mechanical ventilation. Especially the chest compressions, a young doctor was wet with sweat when I was 15 minutes.   Pressing power not too heavy, not too light and heavy ribs are broke, too light, heart jumped up. At night, we are 3 doctors and 3 nurses all night guarding. Night guys and two breathing and heartbeat stop suddenly, are we saved back in time. He is young, we hold a great deal of hope.   Throughout the night, we couldn’t careless as breath curves on the monitor has been unstable, intermittent, always let us not at ease.   At 9 in the morning the next day, been a whole 15 hour, just when his seemingly stable, the young man’s breathing and heartbeat suddenly stopped, this time no matter how much we save, his heart could not jump up again. Looking at screamed at families, then check out our exhausted doctors and nurses, I feel sad, tears dripping down.   This to me is a rare occurrence, with aggrieved constituents, because all of our hard work and pay not the slightest returns, that life and go away magically.   These lives, while there is only one page in the book of records, but it has left a deep mark in my heart. Remember, one scientist said, scientific medicine is not the truth. I think in my mind those lingering cases, hoping to find more individual, more suitable options, such as rescue programmes, administration and dosage details, if bold, can save their life?

Doctors must be calm, rational people say doctors of stone, where they know, emotional, taboo is to be a doctor.   12 Typhoon blows through sudden, doctors called the eye of the generals to be calm, sensible. Ambulance, patients are on the line, just at the moment of life and death. Patients verbal difficulties, we have only seen symptoms, we must surface, leaving no stone unturned.   Sometimes left doctors only 10 seconds 20 seconds of thinking time, doctors in a very short period of time to make an accurate diagnosis and emergency treatment.   At this point, we usually expressionless, but blustery.   The patient is only 36 years old, come from Guizhou to work, he knows he can’t call home the previous day, mourning let set him back. The next morning, tickets have not had time to buy, people went. Ambulance, and after a brief check, we diagnosed patients is caused by severe pulmonary tuberculosis with respiratory failure.   We spot as he did a tracheotomy, intubation, established venous access, stable vital signs, stable blood pressure, rapid rehydration, and speed related Department doctor consultation, prompt treatment plan, and 24-hour care.   Since we started the rescue, his wife had been kneeling there. They have two sons, aged 10, small Lark was pushed into the pool and drowned. Because the sad, the couple left his hometown to work.  Working mostly do physical work, the man sick, finding a job is difficult, and several cities, and finally to Hangzhou, but could not find work in Hangzhou, is increasing, and only 40 Yuan. Faced with this patient, our hearts are heavy, health care costs and critical illness family pressure to lift the head.   My colleagues and I said, must find a way to save his life, or at least to let him go home alive. By the third day, not to mention the cost of treatment, they even eat into question. Our head nurse bring some food to them from their homes, but it is not a long-term solution, consulting, we decided in the Department initiated donation. Contributions to us like this is often the case, no one would feel inappropriate.   Later contributions is extended to the entire hospital, and then later through the media, there is someone to donate. Patients take the money to the families, to the hospital as the cost of treatment.   I was touched by their simple, because we come across such a thing, as soon as some people get contributions into their own pockets, medical expenses can be dragged in tow. After 12 days, the patient’s endotracheal intubation smooth pull, feed, and also improved markedly. When being discharged from the settlement, except for medical expenses, leaving more than 10,000 yuan of money they can take home.   It makes me feel relieved.   The 15th day, I asked my colleagues to help them buy tickets back to Guizhou, and eating snacks on the road, send them on a train.  But I know the patient’s future is not good, if there is no money to do follow-up treatment, back is waiting to die. In this life, how much can I save lives during the day, I just had dinner at home, cell phones rang, wants me to go to the hospital, said is more difficult. Get a word in here, all our emergency room doctors and nurses are like cell phone is a boot, a phone call, did not demur, rushed to the hospitals to participate in first aid, whether it is before midnight or after midnight, also work as usual the next day, it’s been like this.   Things at home are all to his wife, she is an eye doctor, I understand. To Corey, rescue found no patients on the beds.   If the patient is sitting right there, one of more than 70 years of age, mental state, asks him, there is no discomfort. I saw his lips were purple, not purple. Should be severe hypoxia, oxygen saturation monitoring only 90% not to.   If the status of this hypoxemia continues, will cause systemic hypoxia, multiple organ failure leading to death. Doctors had to give him oxygen, but without any improvement in blood oxygen saturation, this is not a joke.   Good life went, we see more. Cause is unknown, doctors can’t use.   Symptomatic drugs are there, but the drug itself is toxic if not used the right way, patients are not only invalid, but worse. Over and over asking doctors did not find the cause. Based on experience, the elderly should be nitrite poisoning, poison generally come from food, for example, salted, moldy things can cause food poisoning.   But the old man and his wife were denied eating such foods. Asking without success, I started flipping through the old records, a page after page in the past, found that surgery in the first half for the elderly see cholecystitis, medical records show, the old man refused to cut instead of taking Chinese medicines. I was moved, asked the old man, separately whether there is a need to take prescription medicine? the old man thought for a moment, saying yes, needs a separate package of white powder and then drunk. What is it? the saltpeter.   Is it! my name out.   I said to the doctors and nurses, all removal of guardianship, intravenous injection with methylene blue, 15 minutes later, the old man can go home. As I expected, after injecting the drug, oxygen saturation quickly rose to 100%, the old man’s lip color back to normal. Our young doctors and nurses, said Director Hello niua! in fact, I am the origin of traditional Chinese medicine, heard when taking Chinese medicines for the elderly, I think of saltpeter, which is commonly used drug for TCM treatment of cholecystitis.   Element of saltpeter is potassium nitrate, nitrite content is extremely high, it is entirely possible poisoning.   That day I was standing in front of the Department, watched as the old man out of the hospital, there is a calm sense of satisfaction, that idea in my mind: this life, how much can I save lives? Still want to be a good doctor and we doctors in the Emergency Department, and cardiovascular and cerebrovascular diseases every day, fall, stab wounds, injuries, drowning, suicide by taking poison people.   The human eye is extremely sensitive to the things we have in common, but there is still negative impact on us.   Most of us sleep well, but we have to even take sleeping pills at the time, not just to eat, such as night shift, before midnight dare eat? can’t. Now we all know of the medical environment, tense doctor-patient relationship, from a variety of factors in the community too much, not unilaterally caused by the doctor, have their roots in the society.   Especially the crisis of trust between doctors and patients, hampering doctors on patient care innovations, we must always communicate with families, repeatedly sought advice from a certain perspective, we lose our rescue patients should take the initiative. We used to save a patient, coronary heart disease, myocardial infarction of large area. When sent, that tone Watch has no, but being saved back.   You must do a stent as soon as possible, and the patient’s family is not to trust us, request transfers. Later in a provincial hospital, after a successful surgery, patients give doctors sent to pennants. Doctors, they say, our operation is a success, is thanks to the front of the hospital first aid, they were pretty successful cardiopulmonary resuscitation, is an opportunity for us to do surgery, you have to thank a doctor in that hospital.   Patients came later, sends banner, said this remark. Sometimes, I really want to say to families, regardless of opinion about doctors in society, no matter what rumors throughout physician groups, good doctors are in the majority. What doctors don’t want to cure patients? cure almost every doctor’s ultimate wish. I know these may now say that no one wants to hear, but it’s the truth.   Especially when saving the patient, patients and their families should stand together and doctors, trust the doctor, it’s good for the patient, the doctor.   Hard kick everybody knows of the doctor, let us let go don’t say, I don’t like to complain, because as a doctor, something must have tolerance. Doctor, doctor is more difficult. But as long as a day patient back from the dead, that sense of accomplishment sufficient to keep me to be a doctor, but is to be a good doctor.

Emergency room

Emergency room
I live in a small city, after graduating from school, came to this place. From earthly Chushe ignorant, to gradually understand the troubles of life, from taste to the joy of life and work to slowly to get a thorough understanding of the mundane world many weakness and helplessness.
As the years return cycle, red dust in the ups and downs, time is the own hard to promote the marriage and family of the journey. With the advent of new life in the family, the life of the poem will add a new fun and content, life and work has also been a qualitative change – there are elderly parents, there is a young life. Since then, work, life, family, like three mutually complementary gear, tightly combined with together, firmly maintain the. Whether it is sunny spring, or poison day such as tiger on a hot summer afternoon, whether it is golden everywhere in the full autumn, or of icy snow winter night. The three boxes of gears are you leaning on me, I rely on you, maintain a unified whole, tirelessly in steady transmission, and spinning.
However, when the earth rotates to a warm winter in the imperceptibly, this guy is very heartless years. Hey a pair of parents, vigorous walking, stout, dark haired and smooth body, simply by pressing it into the bent back Tuo, shambling octogenarian.
Parents in the singing “sunset song” of the day, I feel deeply in mind that parents. Work, as far as possible by their side, to maximize their life in the warm heart Xu huai. Said they like the fun, Lao with them happy topic, to explore the things they care about, do they have to do housework. As possible so that they look forward, let their spiritual pillar keep optimistic, guide them to overcome the difficulties, longing for the good things, so don’t waste it valuable energy and time to lament their frail, make them happy to live each day.
However, when the son tried the filial piety, parents are always constantly suffering. Parents do not have the fairy also difficult to advanced in age, Fu fu. One morning, three years ago, I went to my mother’s house to take care of her daily life, who knows that her mother was dying in bed because of a heart attack. Critical juncture, quickly called the hospital emergency ambulance, rushed to the hospital emergency room to rescue. But the 86 year old mother because the age is too high, the heart and disease, the body is too weak, heart once stopped beating, Huitian pan force. Therefore, the final is irreparable. In nervous, frightened, sad state, that died in the emergency room will in my heart indistinct on the back a layer of gloomy.
And after a lapse of one year after, 97 year old father due to sickness danger and sent to the the emergency room, after a tense rescue, but in the end is not the father to rescue the back. The last day of my parents’ life was in the first aid room, finishing their hard, simple, good, honest life. But the emergency room, but remember once again left me sad and dark in my heart.
From the parents of the rescue and invalid reality, I saw the fragility of life, small, short, and the world’s helplessness and weakness. Yesterday was good for a parent, pronto. But they have to go to the another world, walk on and completed his way in life.
And in my dreams, I’m always waking up in the emergency room. The sad and alarming call, in deep midnight, so make people scared, make people sad, make people cry. The awakened after Chen was bathed in a wet towel, deer tears.
Now, whenever I passed from this section of the road, when I saw that in the emergency room, my heart produced a deep pain, a kind of unspeakable discomfort in my heart torture, channeling tour, kicking, tears will be in imperceptible in condensate orbital. Parents in the rescue scene or so deeply memory, always so vivid, even though so many years or so
Sometimes, I really want to, if you want to go through the road, you can bypass it, take another road, so, maybe his feelings will be better, it will not be so heavy. But then I thought, everyone is such a way to go, and even the emperor and the president. And, now those things have become history and once, so, let it in the long river of life gently floating over it, let it deep in the heart of a suitable location is good. People can not always live in the memories, always face the new life, new challenges, new issues, new future. In my parents’ generation did not pass through the road, you have to work harder, work harder, create a happier tomorrow.

First aid common sense

First aid common sense
We are in work and life, from time to time will encounter trauma. Damage to the skin, blood vessels and nerves, fractures, and so will inevitably lead to bleeding. Accounts for about one’s circulating blood volume weight of 8%, and the blood loss was less than the total blood volume 5% (200 ~ 300 ml), the body can be automatically compensated; blood loss more than 20% of total blood volume (about 800 ~ 1000 ml), the injured have pale, indifference, limb cold, as well as the rapid shallow breath symptoms, early into the shock. Once the blood loss too fast, especially acute massive blood loss, the injured not the positive and effective first aid, there will be life-threatening. The consequences of acute bleeding is very serious, therefore, to stop bleeding is an important measure to rescue the wounded, to save the lives of the wounded has a special significance. The author teaches you a few strokes on the spot to stop bleeding quickly first aid method.
1, the scene how to quickly stop bleeding?
(1) bundled with tourniquet hemostasis. If there is no tourniquet around, can use wire, cloth, rope, rubber band and other bundled hemostasis.
(2) can be used to stop bleeding by pressing, pressing, etc..
Pressure: when I saw the wound bleeding, immediately hold the bleeding area by hand, this is the compression hemostasis, compression hemostasis and divided into two kinds. One is the direct oppression of the wound, whether with a clean gauze or other cloth items directly in the bleeding area, can effectively stop bleeding. Another is acupressure hemostasis and finger pressure in the bleeding artery proximal adjacent bone, blocking blood supply source, in order to reach the purpose of hemostasis. When looking for the point of oppression with the index finger or ring finger, do not use the thumb, because the middle of the thumb has a gross artery, easy to cause miscarriage of justice. When the arterial compression point is found, then change the thumb to press or a few fingers at the same time pressing.
Two pack: no matter what kind of bleeding, and ultimately to be used to solve the bandage. The material used is a gauze, bandage, elastic bandage, or a clean cloth or a pad made of cotton fabric. The principle of dressing is to cover the first package, the intensity is moderate. After the first cover, cover the wound on the first cover (large enough, enough thick cotton fabric liner), and then use a bandage or triangular bandage. After the completion of the dressing to check the tightness, moderate intensity of the bandage to stop bleeding is effective.
2, the use of tourniquet hemostasis when bound to pay attention to what?
(1) the tourniquet should be tied to the proximal end of the wound, the upper arm and thigh should be tied to the 1/3 site. Arm in the 1 / 3 position can not be the use of a tourniquet. In order to avoid oppression of radial nerve injury, caused by upper limb paralysis; below the mid thigh level should not be used, thigh below the middle of the artery was located deep, not easy compression lived, sometimes not enough pressure, no pressure deflated artery and only pinned the venous reflux, bleeding but more, and they will cause limb swelling and necrosis.
(2) tourniquet must use pad to protect the skin, smooth skin can not be directly tied to. The tightness of the tourniquet to moderate, to touch to the distal pulses and the cessation of bleeding is appropriate, not too tight, so as not to hurt the nerve, also can not be too loose, only to suppress venous return, bleeding but more.
(3) tourniquet limb should be well protected, special attention should be paid to warm in winter, to avoid frostbite.
(4) to be elastic tourniquet bleeding is appropriate, as far as possible in the 1~2 hours were rushed to the hospital. This method is effective, but it is easy to damage the body, and it affects the late recovery. So, every 30~50 minutes to relax a tourniquet, relax for 2~5 minutes each time. At this time, but also with finger wound, avoid large hemorrhage.
The 3 time is too long, tight binding tourniquet what risk?
Improper binding and hemostasis can cause distal limb ischemia and necrosis. In the clinical work often encounter some injured patients, wire, cloth, rope, rubber band and the injured limb above the strapping hemostatic came to the hospital, the doctor to the patient examination was injured when, often found due to bundling too tight or binding in the wrong place, tying the skin, nerves, blood vessels and muscle damage, serious induced ischemic necrosis of the distal limb.
If bundles have been more than 9 hours the wounded to transport to the hospital, doctors generally do not immediately relaxing tourniquet. Due to the distal limb survival is no longer possible, necrotic cells will release toxic materials potassium ion, myoglobin, and peptide limb at this time if the release, these toxic substances will with vein into the whole body, poisoning, can lead to cardiac arrest and sudden death. So, unless it is necessary, you can use other methods to stop the bleeding.
4, other magical tourniquet
Summer is the season of snakes, scorpions, centipede snake very active, outdoor travel once bitten by a snake, should take timely remedial actions. First, don’t panic run, acuteness activity will accelerate the blood circulation, accelerate the body of toxins absorption, increased symptoms of poisoning; then quickly with a tourniquet or string in from the wound 5-10 cm strapping, prevent the spread of toxin in the body, to suck the poison out, with water or tea wash the wound, and quickly sent to the hospital.
Anyway, in the normal working life, if the occurrence of physical injury bleeding, we can according to the emergency treatment, if the situation is serious, should promptly to the hospital by the medical staff to professional treatment, avoid illness of incur loss through delay cause greater damage.

Fainting occurs first aid methods

Fainting occurs first aid methods
At the time of our life, sometimes there will be some unexpected things occur, is there will be some unexpected behavior encountered when it is more difficult to deal with, this time we are supposed to know that some methods, so that, if met, can also be good to end hunger, or relieve. Specifically if some sudden fainting condition we should know and will do some simple emergency treatment, this is a great deal of help, is right.

If this is the case in General, largely is caused by anemia due to temporary circumstances. Find a will in a very short period of time there is no consciousness. This time. Patients first, suddenly have the strength, but is particularly weak in erhai Lake, the eyes are black and white special skin and lips are pale. And limbs were to sudden chills, and sweating occurs. Some people had received some shock, or stop time is particularly long and is very likely the case.

Encounter such a case, we should do some processing. We should be patient to lie down at this time, we should use is lower, feet are a little high, so, can make the brain’s blood supply is increased, then keep warm, is the need for more quiet, you can feed them sugar water. After General do, be sober, and if not, is the need to rush to the hospital.

Emergency treatment of febrile convulsion in children

Emergency treatment of febrile convulsion in children
Febrile convulsion is a common emergency in pediatric clinic. More than 6 months to 3 years of age, children often occur in the upper respiratory tract infection, the sudden rise in body temperature, the general performance of generalized convulsions, the duration is short, the recovery is fast, the majority of the prognosis is good, the general to school age is no longer, but about 40% of children will relapse. Children with recurrent seizures of the brain will be damaged, so the parents and kindergarten teachers should learn to master some of this knowledge, to prevent the occurrence of seizures and brain damage, reduce sequelae. Once the child in the home of high fever convulsions, do not panic, but in the following steps:
1, keep quiet and let children prostrate immediately
Face to the right, unlock the buttoned to facilitate breathing, timely removal of mucus in the nose, to prevent inhalation of vomit or other secretions and suffocate.
2, to prevent the child bitten tongue
Put your chopsticks around the cloth pad between the upper and lower molars, if trismus is not necessary to interpolation. Immediately with a finger down people, hegu.
3, physical cooling
Unlock the child’s collar, belt, wipe the head and neck, armpit and thigh with warm water or alcohol, can also be used to apply to large amount of cold water towel head cooling, but must not wet the chest and abdomen.
4, send medical examination
After the child to stop the seizure, and then sent to the hospital after the smooth breathing. If more than 5 minutes of the seizure can not be relieved, or repeated attacks in a short period of time, a serious illness, must be rushed to the hospital. In transit, pay attention to the nose and mouth exposed, straighten the neck to maintain airway patency. To closely observe the child’s complexion is pale, pale, shortness of breath is difficult, or even suspended. It should be noted that some parents lack of medical knowledge, a child will be at a loss what to do with the clothing ventilation, hurriedly wrapped the child to the hospital, but also a very tight package, very easy to cause the child nose by blocking the respiratory tract obstruction, suffocation and even death.

Emergency treatment of stroke patients

Emergency treatment of stroke patients
People to old artery sclerosis, if the original hypertension, encounter complex emotion, anger, force or the morning after, headache, vomiting, paralyzed on one side, Kouyanwaixie, drooling, confusion, breathing snore or incontinence and other symptoms, should think of stroke. It is actually a mixture of cerebral hemorrhage and cerebral thrombosis.
Main symptoms
1, the performance of headache, dizziness, tinnitus aura, body numbness and nausea.
2 common clinical manifestations of stroke: coma, vomiting, hemiplegia, aphasia. However, the incidence of each patient is different, can be expressed as the following one or a few. Specific performance:
(1) disorder of consciousness suddenly coma light trance or lethargy, wake up and sleep soon.
(2) body weakness or numbness of the face, upper limb, lower limb sensory disturbance, there is a sense of ants, no pain.
(3) unilateral upper limb or lower limb movement is not flexible, can not lift the weight, Yang Shuaijiao.
(4) the language barrier suddenly do not speak fluent or speechless.
(5) the pupil changes the side of the side of a small, or the size of the tip of the needle, or the enlargement of the bilateral.
(6) understanding the ability to decline or sudden memory loss.
(7) visual impairment is not clear on one side of the eye.
(8) the rotation of the eyeball is not flexible.
(9) urinary incontinence.
(10) the imbalance of the balance, the standing is not stable.
First aid method
1, keep quiet, immediately patientsupine. In order to maintain airway patency, the head to one side, to prevent inhalation of the trachea sputum, vomit. If the patient in a coma, issued strong snoring, tongue has been falling, available a handkerchief or gauze bag to patients with tongue, gently pulled forward.
2, with buttons, agitated solution belt, the holder and the air flow over the quiet. Don’t push the patient, pad high pillow or shake the head of the patient. Can gently twist the patient’s skin, in order to check the unconscious reaction.
3, check the patient’s vital signs, such as breathing, heartbeat stop, should immediately do cpr.
4, if the patient vomiting should be let the face turned to one side, remove the denture in the mouth, and with a clean handkerchief series around the fingers and stuck it into the clearing vomits and to prevent airway obstruction, causing suffocation. Do not use a towel and other things through the mouth, impede breathing.
5, the prohibition of water absorption to the patient, in order to prevent the wrong person caused by choking. If the patient is dry, use a cotton swab dipped in boiling water to moisten the lips with temperature.
6 when the patient had a seizure, wrapped in a handkerchief to the sick people, in order to prevent the tongue. Also called the handkerchief rolled. Mat between the upper and lower teeth.
7 conditions can be significantly elevated blood pressure of oxygen, but he can give Qing Wei oral antihypertensive drugs.
8 when the weather is cold to keep warm, hot days should be cooling. The patient’s head covered with a cold towel, due to vasoconstriction in the cold, can reduce bleeding. For a coma patient, if the doctor’s head. Hypothermia can play a role in protecting the brain. Carefully placed in the disease
9, in order to prevent the increase in cerebral hemorrhage, should be as far as possible to the doctor to treat. If you need to be sent to the hospital, near the hospital. In transit, the vehicle should be as smooth as possible, reduce the bumps and vibrations, and the patient’s head slightly higher, the nurse should always pay attention to changes in the condition of the patient.

First aid for patients with acute myocardial infarction

First aid for patients with acute myocardial infarction
Myocardial infarction is a sharp decrease or interruption of coronary blood supply, leading to severe acute myocardial ischemia, cause myocardial necrosis of the disease, often occur in the elderly over 40 years of age, of which the male incidence is higher than women. The disease is accompanied by hypertension, angina, obesity, diabetes, etc.. The most common wells in the disease are heart failure, cardiac shock and cardiac arrhythmia.
Main symptoms
Myocardial infarction occurs, the patient felt a sudden severe precordial pain, accompanied by nausea, vomiting, shortness of breath, melancholy sense, complexion is cadaverous, limbs, hair cool, thready and rapid pulse, serious will happen shock. If not timely rescue, the patient often died within 2 hours after onset.
Interest saving method
1. Myocardial infarction occurred during the first few hours is the most dangerous period, should according to the illness makes the patient lying on the bed, on the table or on the floor to rest on the spot, do not move or helped patients to walk. Family members must not panic hectic, prohibited immediately move, but should be notified as soon as the doctor came to the rescue.
1 to the patient’s tongue containing 1 – 2 or 2 pieces of nitrite, with a handkerchief after crushing to the patient’s nose can also be taken by the mouth of the crown and the heart of the Su Wan Wan Wan Wan 1 or 10 pills, while 5 mg of diazepam tablets.
. to observe the changes of the patient’s pulse and respiration, consciousness, once with a weak pulse, heartbeat can’t hear, breathing stops should be immediately chest cardiac massage and mouth to mouth resuscitation until adhere to the doctor to come.

How to compress

How to compress
Hot compress can make muscle relaxation, dilation of blood vessels, promote blood circulation, therefore, it has antiphlogistic, detumescence, relieving pain, reduce deep tissue congestion and maintain body temperature, it has anti-inflammatory effect.
Hot compress method
Hot compress method has two kinds: one is the dry heat therapy, with a hot water bag for hot compress, water temperature of 60 to 70 Eve joy, C, to the back of the hand test temperature not too hot is appropriate. Coma or local sensory paralysis patients and the elderly, children, when hot temperature should be withered to 50 Eve joy, C, will be hot water irrigation to the hot water bag 1 / 2 or 1 / 3 can discharge air in the bag, tighten the screw cap, put into the cloth sleeve or with a towel wrapped Hsueh, on the diseased parts. For the elderly and children, hot water bag can not be in direct contact with the skin, salt, rice or sand fried hot into a bag, instead of hot water bottle. Usually hot compress 20 ~ 30 minutes, every 3 to 4 times. Another hot compress is heat therapy, namely the towel soaked in hot water, wring to the Banzai after folding, compress temperature measured by hand, to hot for the degree, apply on the diseased part, outside the hot towel can then cover a layer of towels or cotton pad, to retain more heat. Generally every 3 to 5 minutes to replace a towel, preferably with two towel used. Each hot compress time is 15 to 20 minutes; the number of 3 to 4 times a day. After winter wet compress, the patient should go out more than half an hour later, in order to prevent a cold.
1. No matter what kind of hot compress method should prevent burns, especially children, coma patients and the elderly, and blood circulation of the paralysis, diabetes and nephritis not 26 or feel insensitive patients. Use hot compress, should always check the changes of local skin, such as red scar, should immediately stop.
2. Hot compress as therapy combined with application to early cloth swollen, sty, arthritis, dysmenorrhea, cold induced abdominal pain and low back and leg pain. However, when the abdomen of undiagnosed, such as acute appendicitis, the face or mouth purulent infection, various visceral hemorrhage, early joint sprain, soft tissue contusion of early (within 48 hours of) edema, disable the hot compress. The hot compress is contraindicated in patients with shock.

How to clean the bath with alcohol

How to clean the bath with alcohol
The body of the patient with alcohol, alcohol, the evaporation of the body away from the heat of the body and to reduce the heat, this method is also known as the physical cooling method.
Rub bath method
Alcohol sponge bath cooling, sponge bath before the first to use ice packs placed at the head of the patient, to help cool, and can prevent a sponge bath when superficial vascular contraction, blood is concentrated in the head caused by too much congestion of the brain. Immersed in a small gauze 30% ~ 50% alcohol 200 ~ 300 ml, from the side of the neck to rub the back of the back of the upper arm, and then from the same side of the chest with the palm of the hand to rub the palm of the hand from the hip along the thigh to the foot, and then from the groin along the medial side of the thigh. Rub in the big blood vessels in the place such as the groin, armpit place focus massage, promote blood vessel expansion in order to heat. Rub the other side with the same method. Finally help the patient clean the back and limbs. Limbs, back rub 5 minutes. The same as 15-20 minutes when the whole body is clean. Towel dry skin after bath towel.
1 high fever, chills or sweating with the children, generally should not use rubbing alcohol. Because the chills when the skin capillaries in the state of contraction, less heat dissipation, such as reoccupy cold alcohol stimulation causes the blood vessels contract more, skin blood flow reduced, thus impeding the body heat of the sporadic.
2. High fever without chills and no sweat in children with alcohol sponge bath cooling can receive a certain effect, but should avoid catching cold and pneumonia. A site was once exposed, all parts can’t wipe exposed a part of. And in the process, because the skin is very fast cooling, can cause peripheral vasoconstriction and blood stasis. Must massage the patient limbs and trunk, in order to promote blood circulation, speed up the heat.
3 general should not be in the chest and abdomen for alcohol rub bath, so as to avoid internal organs and organs, causing discomfort and complicated by other diseases. Such as chest rub can cause reflex bradycardic rub abdominal catch cold catch cold, can cause diarrhea, abdominal cramps and abdominal pain, wipe the occiput posterior can regulate heartbeat, respiration, blood pressure central, if too cold will cause serious consequences I soles of the feet of cold sensitive. Wipe with alcohol can cause heat production increase, the impact of heat.
How cold
Cold compress can make local capillary contraction, reduce local vascular congestion, inflammation, bleeding, pain, inflammation and purulent control, lower the body temperature.
Cold compress method
The cold way has two a is ice cold, in ice packs mounted L / 2 or 1 / 3 bag of crushed ice or cold water, to exhaust the air inside the bag, clip the bag is clamped on the patient’s forehead, armpit, thigh root, no ice, with a plastic bag. If used to reduce body temperature, but also can be used in a towel or gauze wrapped in ice. Another is wet and cold compress method, the towel or distribute soaked in cold water or ice water, wring dry after the defeat in the affected area, it is best to use 2 piece of cloth used interchangeably. 3 minutes every 5 minutes to replace a coating, a total of 15-20 minutes. Cold can be carried out in the back, limbs, Po fossa, fossa and groin, use dry towel after dressing at.
1 cold, to observe the local skin color, check whether local spots appear red or gray. When the skin appears blue, burning, numbness to immediately stop. The cold time should not be too long, so as not to affect the blood circulation. Not old, young, weak patient body cold.
2 cold, for a long time, so it becomes hot towel or spread, will lose the therapeutic effect, so often needs to change.
. contusion, laceration of muscles and internal bleeding disease patients, available at the start of the cold, 2-3 days in the recovery period, local edema formation, in order to promote blood circulation, should use hot compress.
4. The hot and cold compresses the two wet compress to according to the different condition and choose to use, but also to remember the treatment principle of different.
5., ear pillow ministry, scrotal skin is thin, small amount of blood circulation, cold easily form frostbite; measles in children with disabling whole body cryotherapy antipyretic, due to cold stimulation will make vasoconstriction of the peripheral circulation reduce, cause rashes plummeted. Because of rash is in the process of fever and sweating in fever vascular extension have to rash all through and toxins excluded, and therefore should not be the systemic application of cryotherapy.