Learn to judge critical emergency
Learn to judge the emergency is to really make the dying persons can get site timely and necessary emergency rescue. At the same time as soon as possible to inform the first aid center, first aid station, near the medical institutions of the pediatrician or family doctor to come to the emergency, so as not to delay the disease.
Emergency performance is dying but differ in thousands of ways, has its own characteristics, in general can be from the following four aspects to identify.
Look at the overall situation of the patient
Patient’s condition. At a glance, such as severe trauma, bleeding, giving a person with the feeling of dying, some need to be carefully identified, because it may give people a false impression.
The general need to distinguish patients sanity. It is usually called concepts or gently patient body, observe whether there is reaction. Was still awake patients in the call and will gently push the eyes open or have other effects. If no response is that patients, loss of consciousness, is in critical condition. The patient suddenly fell to the ground, call it should not, then the situation is very serious, need to actively rescue. In addition to the patient’s mind, others such as the patient’s complexion, limb whether activity can reflect the severity of the illness. Pale or purple, cold sweat, limbs can not move, lips, nail cyanosis, are critical illness.
Severe trauma, in addition to pay attention to determine whether there is active bleeding, but also special attention to identify the head, spine injury, because these injuries may endanger life or cause serious sequelae.
Examination of the patient’s pupil
The pupil also called black eye pupil, is located in the central. Under normal circumstances, the pupils of the eyes are large, round (cataract, glaucoma, keratitis except), encountering strong light will rapidly shrinking, again a few minutes gradually return to original (with the flashlight suddenly irradiation a pupil can be observed pupillary reaction).
When the patients with brain injury, cerebral hemorrhage, severe drug poisoning, pupils may narrow as the tip size may also extend to the edge of the black eye, to light not responsive or unresponsive sometimes because of brain edema and hernia of the smallest in the pupils of the eyes, the change of pupil suggests the severity of brain lesions. In the rescue, the doctor also often observe the pupil changes in order to understand the disease is in the improvement or deterioration.
When the patient’s pupil is gradually enlarged and fixed, the light reflex disappears, it indicates that the patient has been in a “clinical state of death.
Check the heartbeat, pulse
Heartbeat is the existence of the phenomenon of life, the normal heart beats per minute 60-80 with breathing stops, the heart stops, or is the heartbeat, breathing at the same time to stop. Heartbeat is reflected in the wrist is the pulse. The heart stopped and the pulse was too. The heartbeat is very weak or irregular, the pulse is also touched or not easy to touch.
Severe acute myocardial infarction, arrhythmia, and severe trauma, bleeding and other life-threatening, heart rate or faster, more than 100 times per minute, or 40 times per minute, to 50 times or irregular, suddenly and then slowly, suddenly strong and weak. When the heartbeat is above these cases, often the heart for help signal, should pay special attention to. There are other ways to check the heartbeat. Such as observation of the left-hand side of the chest and heart beat, or by the side of the hand on the chest wall hit, but in weak heartbeat or stop when this method is invalid. Equipped with a stethoscope to try its heartbeat. In the folk, indirect method of inspection is to touch the pulse of the heart. The most common touch is the radial artery at the wrist. When the patient is dying, weak pulse, it is not easy to touch, can be replaced by a method of touch the carotid pulse and femoral artery pulsation. The former is located in the neck on both sides of the flat of his Adam’s apple, which is located in the middle thigh. Critical if unable to ascertain heart whether to stop pulse in the Qing, do not repeatedly check delay time, and should actively carry out cardiopulmonary resuscitation (CPR) or by other methods timely rescue.
Breathing is a sign of the existence of human life. The baby born first cry, which started the new life of the first breath. Since then, breathing with the entire life of the people, until the last moment of life.
Normal people breathe 12 ~ 18 times per minute. Critically ill patients breathe faster (30 to 40 times per minute), light or irregular, tidal breathing (tidal breathing is a kind of abnormal breathing form, it is the two process is a shallow breathing, breathing shallow slow two breathing pause), the second tidal breathing sustained 5 ~ 30 seconds, so repeatedly, similar to the tide of the lake falls, a serious respiratory function. A similar situation can occur when the individual elderly in deep sleep. Before the patient died, breathing slowly (6 to 8 times per minute), irregular, a sigh, until the breath stops. In the event of an electric shock, breathing is usually stopped suddenly.
Check breathing, usually observe the patient heart undulating situation, so that is not breathing. But when the patient has been in a very failure, critical, respiratory movement was weak, chest heaving imperceptible. In this case, we can use a thin slice of leaf, or cotton, silk wadding, a piece of paper and so on, put in front of the nostrils of patients, observation of blade with the breath flowing to determine the presence of respiratory, breathing is normal. If you find that the breath stops, the artificial respiration should be performed immediately.
In short, the identification of the above four aspects of the situation, to help us understand the extent of the patient’s critical. In addition, there are many other ways to judge the disease, but in an emergency situation, the non professional staff can not grasp the patient’s condition, after the initial judgment, should immediately take a simple and feasible rescue measures, and call the emergency center.