How to deal with dangerous cardiovascular situations?

Early identification of emergency signs in cardiovascular disease and proper initial treatment can help patients avoid unfortunate outcomes later.

Early identification of emergency signs in cardiovascular disease and proper initial treatment can help patients avoid unfortunate outcomes later.

Below are some cardiovascular emergencies:

1. Stop circulation

Symptoms of circulatory arrest: The patient is normal and suddenly collapses, loses consciousness, does not respond to calls, turns blue all over the body, cannot see breathing, cannot feel the carotid or inguinal pulse. , there may be incontinence.

When encountering this situation, it is necessary to quickly give first aid to the patient and call people around for assistance and ask someone to call 115 immediately. Quickly have the patient lie down on a hard floor and perform chest compressions and rescue breathing.

The chest compression position is as follows : The rescuer kneels next to the victim, places his right hand on the back of the left hand, both hands on the lower 1/3 of the patient's sternum, presses firmly with both hands to flatten the chest. . You need to do continuous chest compressions, even without rescue breathing if you are the only one providing emergency care. You can take turns doing chest compressions if someone is helping you and continue doing chest compressions until medical staff are present or when the patient regains consciousness.

Picture 1 of How to deal with dangerous cardiovascular situations?

External chest compressions.

2. Angina in myocardial infarction

After exertion, the patient suddenly experiences severe pain in the left chest area or behind the sternum, feeling as if the pain is being squeezed in the chest. The chest feels compressed, the pain spreads to the chin or the left shoulder, the inside of the left arm, or the pain spreads to the back, possibly accompanied by cold sweat. The pain can last about 5-10 minutes. minutes or longer.  This is a suspected manifestation of chest pain in myocardial infarction .

When encountering a patient with the above symptoms, you should quickly let them sit and rest in a comfortable sitting position, lean back, loosen their belt or tie if they have one, and call 115 for an ambulance. Try to calm the patient down and advise them to breathe deeply and slowly, which will help relieve chest pain and reduce stress. If you cannot call an ambulance, you need to call people around for assistance, take the patient to the nearest hospital by means of transport such as a taxi., do not let the patient drive to the hospital themselves.

3. Acute stroke

Signs of acute stroke, abbreviated as FAST, include: sudden F (face) imbalance, distorted mouth; A (arm): numbness or weakness of half the body (arm and leg on the same side); S (Speech): slurred speech or inability to speak; T (time): take the patient to the nearest medical facility with a stroke center because the brain's "golden time" only lasts about 4.5 to 6 hours, possibly up to the first 9 hours from the time of onset. sick.

Picture 2 of How to deal with dangerous cardiovascular situations?

Signs of acute stroke are abbreviated as FAST

If the patient receives emergency treatment during this time, the possibility of recovery is very high. In many cases, there may be sudden slowness, poor response to calls, or visual disturbances (sudden blindness, blurred vision, double vision.), or severe headaches with lots of vomiting.

When meeting patients with the above symptoms, you should avoid the following behaviors:

  • Do not give the sick person any extra food or drink
  • Do not arbitrarily take available brain supplements or anti-stroke medications
  • Do not prick blood on the fingertips
  • Do not try to delay lying down and rest longer to wait for these symptoms to go away.

Need to quickly: record or take a photo of the medications the patient is taking, if any; Record the time of onset of symptoms and quickly take them to the hospital with the nearest stroke center. This information will be of great help to doctors when treating patients, shortening waiting times and bringing many benefits to patients. If the patient loses consciousness, has no breathing or heartbeat, perform first aid to stop the circulation.

4. Difficulty breathing

The patient suddenly finds it difficult to inhale or exhale, has rapid breathing, and may speak short sentences with sweating. The patient needs to lie with their head elevated (put one or two pillows under the head) or sit in a relaxed chair, leaning forward slightly or sitting with their back against the wall. A comfortable sitting position will help the patient relax and their breathing become more stable; Loosen clothing, belts or ties, give oxygen if available, or use a handheld fan to blow air over the nose and face. Then, quickly call 115 for an ambulance or call someone to help take the patient to the nearest hospital.

First aid in the community and initial emergency care as soon as possible to maintain the victim's vital functions as temporarily as possible before being taken to the hospital. Therefore, developing an out-of-hospital emergency system as well as having each individual equipped with basic first aid knowledge will help minimize the risk of death and reduce the level of injury for patients in dangerous situations. Drama, especially helpful in families with elderly relatives, young children, relatives with cardiovascular disease or underlying diseases that need monitoring.

Update 28 March 2024
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