How to deal with emergency treatment for patients with brain herniation?

First aid for patients with cerebral herniation 1 For patients with increased intracranial pressure, rescue items should be prepared, and changes in consciousness, pupils, blood pressure, breathing, pulse, etc. should be observed at any time, and brain herniation should be detected in time. Notify your doctor immediately if brain herniation occurs2 Remove additional factors that cause increased intracranial pressure: Quickly remove vomit and respiratory secretions, keep the respiratory tract open, ensure oxygen supply, and prevent aggravated hypoxia such as asphyxia and aspiration pneumonia; Monitor blood pressure, pulse, and breathing.

High or low blood pressure is extremely detrimental to the patient's condition, so it is necessary to maintain a normal and stable blood pressure to ensure intracranial blood perfusion; Maintain a good rescue environment, relieve tension, make it cooperate with rescue, and take appropriate safety measures to ensure the implementation of rescue measures Factors such as high body temperature, water-electrolyte imbalance, and acid-base imbalance can further promote the increase of intracranial pressure, and should also be paid attention to. 3. For patients with respiratory arrest, rescue according to cerebral resuscitation techniques on the basis of rapid intracranial pressure reduction: keep the airway open, give tracheal intubation, and perform tracheotomy if necessary; Respiratory support, which can be mouth-to-mouth artificial respiration or the use of a simple respirator or artificial respirator, and pressurized oxygen; Loop Support:

If the heart stops, chest compressions should be performed immediately to maintain the heart's pumping function; Medication support: Respiratory stimulants, vasopressors, adrenocorticosteroids and other comprehensive symptomatic treatment are given according to the doctor's instructions. 4. Comatose patients should keep their airways open and suctioning sputum in time.

Hello, after the occurrence of brain herniation, there is basically no chance of saving life, and at most we will do our best. The main ones are furosemi--- diuresis, mannitol--- dehydration and intracranial pressure reduction, as well as blood pressure control, ECG monitoring, and symptomatic treatment according to the patient's breathing and heartbeat.

First aid for patients with cerebral herniation 1 For patients with increased intracranial pressure, rescue items should be prepared, and changes in consciousness, pupils, blood pressure, breathing, pulse, etc. should be observed at any time, and brain herniation should be detected in time.

In the event of cerebral herniation, notify the doctor immediately 2 to remove additional factors that cause increased intracranial pressure: quickly remove vomit and respiratory secretions, keep the respiratory tract open, ensure oxygen supply, and prevent aggravation of hypoxia such as suffocation and aspiration pneumonia; Monitor blood pressure, pulse, and breathing.

High or low blood pressure is extremely detrimental to the patient's condition, so it is necessary to maintain a normal and stable blood pressure to ensure intracranial blood perfusion; Maintain a good rescue environment, relieve tension, make it cooperate with rescue, and take appropriate safety measures to ensure the implementation of rescue measures Factors such as high body temperature, water-electrolyte imbalance, and acid-base imbalance can further promote the increase of intracranial pressure, and should also be paid attention to.

3. For patients with respiratory arrest, rescue according to cerebral resuscitation techniques on the basis of rapid intracranial pressure reduction: keep the airway open, give tracheal intubation, and perform tracheotomy if necessary; Respiratory support, which can be mouth-to-mouth artificial respiration or the use of a simple respirator or artificial respirator, and pressurized oxygen; Circulatory support: Chest compressions are performed immediately if the heart stops to maintain the heart's pumping function; Medication Support:

According to the doctor's instructions, the bureau gave comprehensive symptomatic treatment of respiratory stimulants, vasopressors, and corticosteroids.

4. Comatose patients should keep their airways open and suctioning sputum in time.

According to experts, brain herniation is a very common phenomenon in life, and people can often see such patients, so what are the first aid measures for brain herniation? In response to this problem, the following is a brief introduction for you, I hope they can be helpful to you. 1. For patients with increased intracranial pressure, rescue items should be prepared, and changes in consciousness, pupils, blood pressure, breathing, and pulse should be observed at any time, and brain herniation should be detected in time.

Once cerebral herniation occurs, immediately notify the doctor, establish intravenous access, and at the same time quickly inject dehydrating drugs such as 20% mannitol 250 to 500 ml, and apply corticosteroids. 2. For comatose patients, the airway should be kept unobstructed and sputum suctioned in time. In patients with difficulty expectoration, a tracheotomy may be performed to prevent carbon dioxide accumulation and aggravate intracranial hypertension.

Observe the electrolyte balance and strictly record the amount of human fluid. 3. Rescue patients with respiratory arrest according to cerebral resuscitation techniques on the basis of rapid intracranial pressure reduction, and the rescue methods mainly include the following three aspects: 1. Keep the airway open, give tracheal intubation, and perform tracheotomy if necessary; Respiratory support, which can be mouth-to-mouth artificial respiration or the use of a simple respirator or artificial respirator, and pressurized oxygen; 2. Circular support:

If the heart stops, chest compressions should be performed immediately to maintain the heart's pumping function; 3. Drug support: according to the doctor's instructions, comprehensive symptomatic treatment of respiratory stimulants, vasopressors, adrenocorticosteroids and so on.

Patient friends, with the correct attitude of treating the disease, understanding the disease is for better prevention and disease, let's take a look at the analysis of experts: if brain herniation can be detected and actively rescued, and the lesion can be removed as soon as possible, the patient can be rescued and recover well. If the rescue time is delayed, even if it can save life, it will be difficult to recover consciousness due to central failure, and eventually death will be due to various complications.

Emergency care for cerebral herniation includes the following: 1. Establish venous access

Immediate intravenous access is established, along with rapid intravenous infusion of dehydration drugs and corticosteroids. Furosemide may sometimes be used in combination to enhance dehydration.

2. Assist in preparing for surgery

According to the doctor's instructions, immediately prepare skin and blood, perform drug allergy tests, and prepare preoperative and intraoperative medications.

Three: Eliminate the additional factors that cause increased intracranial pressure

1. Quickly remove vomit and respiratory secretions, keep the respiratory tract unobstructed, ensure oxygen supply, and prevent suffocation and aggravation of hypoxia such as inhalation pneumonia;

2. Maintain normal and stable blood pressure, so as to ensure intracranial blood perfusion;

3. Maintain a good rescue environment and relieve tension.

Make it cooperate with the rescue, and at the same time take appropriate safety measures to ensure the implementation of the rescue measures;

4. High body temperature

Water-electrolyte imbalances and acid-base balance.

Factors such as imbalance can further contribute to the increase of intracranial pressure, which should be taken seriously.

5. Coma patients should keep the respiratory tract unobstructed, remove secretions in time, and perform tracheotomy if necessary to prevent carbon dioxide accumulation and aggravate intracranial pressure.

6. For patients with respiratory arrest, rescue according to cerebral resuscitation techniques on the basis of rapid intracranial pressure reduction: 4: Respiratory support:

Endotracheal intubation or tracheostomy, pressurized oxygen, and breathing with a balloon or ventilator to support breathing; 5. Circulatory support: If the heart stops, chest compressions should be performed immediately to maintain the heart's pumping function;

1.Local treatment of wounds: Wound bleeding is covered with pressure bandaging and suturing, the latter is more reliable for hemostasis; It can not be devastation, and the referral will be re-processed by the superior unit; Foreign bodies, blood clots, and bone fragments cannot be easily removed to avoid causing heavy bleeding; Open wound tissue is exposed and should be protected; Cerebrospinal fluid (CSF) leakage from the ear and nose cannot be blocked; Nasal bleeding can be filled with oil or salt water sand;

2.Systemic symptomatic management: antiepileptic; If there is shock, anti-shock; Antibiotics should be used early in open head injury and when there are obvious symptoms of intracranial hypertension; General support such as inhalation, infusion, etc.**; Corticosteroids may be used;

3.Transport: Endangered patients with shock, brain herniation, pathological breathing, etc. are not suitable for referral, and should be rescued on the spot until the injury is stable before transport.

1. Actively observe the progress of the disease: the patient's eating situation can be tested, the patient's breathing and blood oxygen saturation can be paid attention to, the patient's speech ability can be observed, and the functional exercise of the paralyzed limbs can be strengthened;

2. Psychological aspect: patients should be patiently enlightened, so that patients and their families can build confidence and cooperate closely**;

3. Diet: Eat high-protein, high-calorie and high-vitamin foods.

4. For patients with indwelling urethral catheters, bladder sphincter function needs to be trained.

The elderly who have been bedridden for a long time can not take care of themselves, the nursing fee may be higher, the cost of living is outside, the salary may be about 3,500 yuan, if the children have no time to take care of it, it is recommended that you can send the elderly to the nursing home, where there are staff to take care of it.