Cardiac arrest warning, pay attention to the "three pains"
We can't predict when cardiac arrest will occur, but some cardiac arrests are preceded by some warning signs, namely the "three pains," chest pain, abdominal pain and headache.
1. Chest pain
Chest pain is a common and life-threatening symptom of disease, the causes of chest pain are complex and varied, including coronary heart disease, pulmonary embolism and myocardial infarction that can induce cardiovascular disease such as cardiac arrest.
2. Abdominal pain
Abdominal vascular and organ diseases are prone to induce cardiac arrest, and it is also the starting manifestation of some myocardial infarction patients.
3. Severe headaches
are often the main cause of cerebral vascular diseases such as cerebral hemorrhage and cerebral infarction, which are prone to cardiac arrest.
The causes of cardiac arrest are different for patients in different age groups. Children should be prevented from accidents, teenagers from diseases, middle-aged and strong-aged people from fatigue, and the elderly from chronic diseases. Middle and strong age should be careful to prevent heart disease and overwork death, while the elderly cardiac arrest is mostly due to chronic diseases are not effectively controlled or acute exacerbation, the elderly should be prevented and controlled chronic diseases.
Cardiac arrest prediction, grasp the "three stops"
In the premise of ensuring the safety of the surrounding environment, the key point to identify in advance whether the collapsed patient cardiac arrest is mainly "three stops", i.e., consciousness stops, respiratory stops, heartbeat stops. The key to recognizing in advance whether a collapsed patient has suffered cardiac arrest is the "three stops", namely, cessation of consciousness, cessation of breathing, and cessation of heartbeat.
1. Cessation of consciousness
In the face of sudden collapse or immobility of the patient, the first thing to determine is the patient's state of consciousness, the general method commonly used is to forcefully beat, call the patient to respond or not.
2. Respiratory arrest
If the patient's consciousness stops, it is necessary to quickly determine whether the patient is breathing. Generally used method is to put a finger in front of the patient's nose to feel whether there is airflow, and the side of the head to look at the patient's chest whether there is a change in the ups and downs.
3. Cardiac arrest
Cardiac arrest is the most important point of cardiac arrest.
Commonly used method: one hand index finger and middle finger together straight, the rest of the fingers are bent, placed in the middle of the patient's trachea (equivalent to the position of the laryngeal knot), next to the opening of the two fingers of the depression, the judgment of the time 6-10 s, with the abdomen of the finger to feel whether there is a beat.
Once cardiac arrest occurs, the most typical manifestation is a sudden loss of consciousness, which can be characterized by a sudden, unexplained fall with no response to calls; followed by the absence of circulatory (heartbeat) signs, such as speech, vocalization, physical activity, and loss of pulse; and finally, the patient experiences respiratory anomalies, respiratory arrest, or near-death sighing respiration, which is the prolonged intervals of forceful sobbing respiration.
Often, when we find a person who has suddenly fallen or is unresponsive, we tap him or his shoulders and ask loudly, "Hey, what's wrong with you?" If the person is still unresponsive and the breathing stops (no rise or fall of the chest) or is abnormal for more than five seconds, we can recognize it as cardiac arrest and should immediately activate the EMS system and begin CPR.
Sometimes the patient can present with an unconscious generalized convulsion with generalized paralysis, which is also cardiac arrest. Unlike a seizure, the patient does not experience stiffness or tonus in the muscles of the body, and the patient does not regain spontaneous respiration or consciousness after the convulsions stop.