Summer health "ask the heart" how to emergency heartbeat and respiratory arrest

Many people feel this way. It's easy to be impatient in the summer. Even if it's a small, unimportant incident, it often makes people angry and like explosives. This is because the emotional regulation center of the human hypothalamus is very easy. Affected by the hot environment outside, there are irritability, emotions and other emotional changes. Patients with arrhythmia can easily induce arrhythmias if they do not control their own emotions, because emotional excitement can cause the sympathetic nerves in the body to excite, which can lead to rapid heartbeat, shortened diastole, and rapid conduction in the heart chamber, causing various types of arrhythmia. The arrhythmia.

In addition, the summer nights are short and long, the nighttime sleep time is reduced, and the weather is hot, the quality of sleep will be greatly reduced, lack of rest and lack of sleep is also one of the incentives for arrhythmia to easily relapse.

[What patients with heart disease need special precautions]

Coronary heart disease: Due to high blood lipids, smoking, obesity, etc., can cause coronary artery atherosclerosis. Atherosclerotic plaques accumulate on the coronary intima. Over time, the coronary arteries are severely stenotic or even obstructed, resulting in a significant decrease in blood and oxygen required for the heart muscle. The hot weather will exacerbate myocardial ischemia and hypoxia in patients with coronary arteriosclerosis, resulting in damage or necrosis of some myocardial cells.

Rheumatic heart disease: rheumatic heart disease. In the chronic phase, aortic valve, mitral valve, tricuspid valve, valve stenosis, and/or insufficiency are formed. Most of the patients were female, half of them had no history of rheumatic fever, but they had repeated history of streptococcal tonsillitis or pharyngitis. Hot and humid conditions will also aggravate the condition.

Pulmonary heart disease: pulmonary heart disease. Causes heart disease caused by increased pulmonary circulation resistance due to lung, pulmonary vascular, or thoracic diseases. Sweltering weather can lead to poor breathing and heart problems, aggravating the condition.

Hypertensive heart disease: high temperatures in the summer, hot weather makes the arterial blood pressure persistently higher, will overload the ventricular pressure, and reduce the ventricular soothing function, leading to hypertensive heart disease.

Other high-risk groups with high blood lipids, high blood pressure, high blood sugar, and high blood viscosity: High blood pressure can cause a variety of complications. For the heart, it is one of the major causes of coronary heart disease. After long-term high blood pressure, left ventricular overload, long-term overload work will lead to cardiac hypertrophy and expansion, the disease can progress to heart failure. At the same time, persistent high blood pressure is conducive to the deposition of lipids in the large and middle arterial intima, thereby accelerating the formation of atherosclerosis, leading to the occurrence of coronary heart disease. In addition, people with high blood lipids, high blood sugar, and high blood viscosity are very prone to thrombosis during the summer, so special protection is needed.

When heartbeat and respiratory arrest occur, the tolerance of brain cells to hypoxia at room temperature is usually 4 minutes. Over 10 minutes, brain cells will undergo irreversible necrosis, that is, they cannot be recovered. Even within a sound emergency network community, it is difficult for emergency personnel to ensure that they arrive at the scene within 4 minutes of receiving the report. Before the doctor arrives, it is of utmost importance whether the “first witness” can properly rescue.

To sum up, on-site emergency recovery can be roughly divided into ten steps:

The first step: Once a patient with sudden cardiac arrest and respiratory arrest is found, he should dial 120 immediately, pat the patient's shoulder, call the patient while he is clapping, and ask in a loud voice, “Hey, what are you doing?”. If you know, you can call the patient's name directly.

The second step is to determine that the patient is not aware of the need to urgently perform emergency recovery. He should immediately call the people around to come to the rescue. The cooperation and assistance of the surrounding people are very important.

The third step is to place the patient in a resuscitation position, that is, immediately place the patient lying flat on the floor, keeping the airway open, and biasing the patient's head to one side.

Step 4: Untie the patient's belt and belt, which is conducive to relaxation, and it is convenient for emergency personnel to implement emergency measures after arrival.

Step 5: Remove obstructions from the nose and mouth, hold the patient's jaw in one hand and remove it with one hand; when removing foreign bodies by hand, be careful not to bite the patient.

Step 6: Lift the patient's jaw to keep the airway open.

Step 7: Observe whether the patient has breathing. Breathing can be done by observing whether the chest and abdomen have regular fluctuations.

Step 8: Hold the patient's nose and perform artificial respiration.

Step 9: Touch the carotid artery to see if the patient has a heartbeat. Normally, the carotid artery should be touched, and the position of the carotid artery should be identified. The index finger and the middle fingertip touch the midpoint of the trachea and slide 2 to 3 cm to the side and the inside of the sternocleidomastoid muscle. It was found that the patient did not have a pulse or breathing, and two important things to do were to perform mouth-to-mouth artificial respiration and chest compressions.

Tenth step: chest compressions should pay attention to accurate positioning, moderate force. Left palm root is placed in the lower 1/3 of the sternum. The right palm root overlaps on the back of the left hand. The fingers are lifted off the chest wall. The elbows are straight. The shoulders are in the middle of the patient's sternum. The shoulder hand keeps the vertical force. Press down (pay attention to the fact that the wrong position, or the wrong angle of the hand, or excessive force will lead to fracture). The depth of the press is 4 to 5 centimeters, the frequency of press is 100 times per minute, and the press and relaxation times are approximately equal. Chest compressions and artificial respiration were performed at the same time, with a ratio of 30:2.

Summary: A simple emergency method of heart attack can hopefully help you. If an accident occurs, it should be immediately taken to the hospital for treatment so as not to delay the illness.

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