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Falls are a significant cause of death in the elderly. Falls in the elderly can cause muscle and ligament damage, and due to osteoporosis in the elderly, fractures and joint dislocations are prone to occur. People with cardiovascular disease can aggravate the condition and even have a stroke.
Therefore, first aid for the elderly after a fall is also important. So what should seniors do after they fall?
1. Don't rush to get up after the elderly fall, and stay calm for a few minutes. If you feel injured, it's a good idea to ask for help out loud so that you don't get up on your own.
2. Others should not be in a hurry to move or lift the old man up, and must first check the situation of the fallen old man, such as his breathing, heart rate, consciousness and other important signs, and then deal with it.
3. If it is only a soft tissue injury, do not rush to rub, rub, press or apply hot compress to the injured site, which will aggravate the bleeding and swelling of the injured site.
4. If the old man is conscious when he falls, you can ask him if he has any special pain; If there is a particularly painful area that gets worse when you move the area, it is likely that the area is fractured. At this time, remember not to blindly move or lift up, because the more you move the fracture end, the more likely it is to be misplaced, and the fracture surface is easy to puncture blood vessels and nerves, which is even worse. In this case, it is best not to help the elderly up, but to let the elderly stay where they are, and quickly call first aid** and go to the hospital for treatment.
5. If the old man falls unconscious and vomits, then he should lie flat on the ground, head to the side, keep the airway unblocked, and at the same time unbutton his clothes, if the weather is cold, pay attention to keep the old man warm, and immediately call the first aid**. Because if you fall and you are an elderly person with cerebral hemorrhage or subarachnoid hemorrhage, if you blindly move or lift up immediately, it will only aggravate the intracerebral hemorrhage. If the syncope is caused by insufficient blood supply to the brain, the patient should lie down, but if he is lifted up, the cerebral ischemia condition is aggravated, and the syncope is worsened.
6. If it is only a soft tissue injury, do not rush to rub, rub, press or apply hot compresses to the injured site, which will aggravate the bleeding and swelling of the injured site. It is recommended to apply a cold compress to the red and swollen area for 10 to 20 minutes each time, which can elevate the affected limb above the level of the heart, reduce walking on the ground, and rest more.
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The guidelines suggest that if the elderly are unconscious, those present should immediately call for emergency services**. If there is trauma or bleeding, the bleeding should be stopped and bandaged immediately; If there is vomiting, the head should be tilted to one side, and the vomit from the mouth and nose should be cleaned up to ensure smooth breathing; If there are convulsions, they should be moved to a flat soft ground or soft objects under the body to prevent bumps and abrasions, and if necessary, hard objects should be placed between the teeth to prevent tongue bites, and do not break the convulsions of the limbs to prevent muscle and bone damage; If breathing and cardiac arrest, first aid measures such as chest compressions and mouth-to-mouth artificial respiration should be carried out immediately; If you need to move, you should ensure that it is stable and lie flat as much as possible.
The guidelines suggest that if the elderly are conscious, they should be asked about the fall and whether they have any memory of the fall process. If you can't remember, it may be syncope or cerebrovascular accident, and you should immediately escort the elderly to the hospital for diagnosis and treatment or call for emergency services**; If there is a severe headache or crooked mouth, unfavorable speech, weakness of hands and feet, etc., which suggests stroke, if so, immediately lifting the elderly may aggravate cerebral hemorrhage or cerebral ischemia, and make the condition worse, you should immediately call the emergency **; If there is trauma or bleeding, the bleeding should be stopped immediately, bandaged and escorted to the hospital for further treatment; Check whether there is a hint of fracture, if you do not have relevant professional knowledge, do not move casually, so as not to aggravate the condition, you should call the emergency immediately**; Check whether there is lumbar and back pain and incontinence and other conditions suggesting lumbar spine damage, if you do not have relevant professional knowledge, do not move casually, so as not to aggravate the condition, you should call emergency immediately**; If the elderly try to stand up on their own, they can be assisted to stand up slowly, sit and lie down to rest and observe, and only leave after confirming that there is no obstruction; If you need to move, you should ensure that it is stable and lie down as much as possible; In the event of a fall, a family member or family health worker should be accompanied by a family member or family health worker to the hospital for diagnosis and treatment, to find out the risk factors for falls, assess the risk of falls, and formulate preventive measures and plans.
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Emergency treatment: If you fall and injure yourself with your hands on the ground, it is recommended to find cardboard and cloth strips immediately to temporarily fix your wrist joints and other parts before going to the hospital. If the injured wrist is wearing a bracelet, remove it immediately if it can be removed; If you can't take it off, you even need to break it to prevent the joint from getting stuck in the wrist and blocking blood circulation when the joint continues to swell.
If the hip or buttocks are injured first, do not rush to pick up the injured person, but should observe carefully, if there is a problem with the lumbar spine or numbness or even loss of sensation in the foot, you should find a hardwood board for the injured person to lie flat and then carry to the hospital.
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1.If you can't remember the process of falling, it may be syncope or cerebrovascular accident, you should immediately call 120 for help, and you can't get up immediately.
2 If the elderly have severe headache, crooked mouth, unfavorable speech, weakness of hands and feet, etc., indicating that the elderly may have a stroke, and lifting up immediately may aggravate cerebral hemorrhage, and it is necessary to call 120 for help urgently.
3.If you can see the wound and there is bleeding, you should first use clothes, towels, handkerchiefs, etc. to stop the bleeding and bandage, and then immediately take the wound to the nearest hospital.
4.If the elderly fall and injure their arms or legs, radial fractures, ulna fractures, humeral shaft fractures, etc., may occur, the elderly will feel numbness in the hands and feet, pain in the hands and feet, and the fracture will be swollen and deformed, etc., and the elderly should be sent to the nearest hospital immediately.
5.If the elderly complain of pain in the lower back and cervical spine, abnormal movement or paresthesia in both legs, incontinence, etc., it indicates that the elderly have lumbar spine damage, and do not move the elderly or lift the elderly up.
If you have injured your spine, especially your cervical spine, blindly moving the elderly may cause damage to your spinal cord, which can take months to recover or paralyz.
For the consciousness after falling to the ground is not.
How to deal with the old man of Qing.
If you encounter an unconscious elderly person who has fallen, you should immediately call emergency **120 and send it to the hospital for rescue.
1.If the elderly person's breathing and heartbeat are stopped, cardiopulmonary resuscitation (including chest compressions, rescue breaths, etc.) should be started immediately.
2.If the elderly person has symptoms of vomiting after falling, tilt the elderly's head to one side and clean up the mouth and nose to keep breathing smooth and prevent the vomit from being inhaled into the airway and causing suffocation.
3.If you have convulsions after falling, immediately move to a flat soft ground or soft objects under your body to prevent bruises and abrasions. When moving, it is necessary to ensure that it is stable and lie flat as much as possible.
At the same time, you can place hard objects such as wallets between your upper and lower teeth to prevent biting your tongue and call for help in time. Do not use brute force to immobilize the convulsive limbs of the elderly to prevent secondary injury.
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With the increase of age, the physiological functions of the elderly are declining, and if you don't pay attention to it, you will fall. Once falling, it may lead to intracranial hemorrhage and fractures in the elderly, which will affect the health of the elderly. If you want to help them get relief quickly, you must treat the symptoms and not blindly.
so as not to aggravate the injury. So, how exactly should you deal with an elderly person falling? The detailed method is as follows:
1. The elderly should not be in a hurry to help after falling, especially the elderly who fell down because of cerebral hemorrhage or subarachnoid hemorrhage, and should not be lifted up immediately, otherwise it may lead to serious bleeding symptoms, accelerate deterioration, and affect the health of the elderly. The best way to deal with this is to help the elderly person stop the bleeding and then call for emergency services**. However, when stopping bleeding, it is necessary to pay attention to the collapse, and do not use gauze, handkerchiefs, etc., so as not to increase the intracranial wisdom pressure, cause secondary infection, and aggravate the condition.
2. If the elderly fall and have obvious fracture symptoms, they need to be helped to fix the fracture site. If a vertebral fracture is suspected, the person is slowly transferred to a hardwood plank, held in a supine position, and then immobilized with a bandage. If a femoral neck fracture is suspected, a wooden board should be used to fix the fracture site to reduce pain and relieve the symptoms of the elderly.
3. If a patient with cardiovascular and cerebrovascular diseases or diabetes falls, it is necessary to be vigilant against transient cerebral ischemia and stroke, and at this time, it is necessary to treat the patient according to the actual fall. If the old man is sitting on the ground and has not completely collapsed, he should step forward to hold him up to avoid falling down again. If the patient is completely on the ground, slowly adjust the supine position and carefully tilt the head and face to one side to avoid suffocation of vomit into the trachea.
The symptoms of the elderly after a fall are different, and it is necessary to deal with them in a targeted manner to avoid wrong first aid and affect the health of the elderly. But in general, the elderly should not rush to help after falling, and do not shake the elderly, so as not to aggravate the symptoms after the fall and endanger their lives. The best way is to treat the symptoms of the elderly after falling, and if you don't know how to deal with it, you should call the emergency in time and seek professional help.
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The most impressive question is: whether the old man can be helped when he falls.
For a long time, the topic of "whether to help or not" when the elderly fall has always attracted attention. If you don't help, you're afraid that the elderly will be in danger.
Aside from everything else, from a medical point of view, the answer to this question is very clear: do not help indiscriminately, and save people must also be professional.
Falls can be mild or severe, and the methods of dealing with them vary. When an elderly person falls, the first thing to do is not to help him up, but to make a decision after judging according to different on-site conditions.
Most of the elderly have severe osteoporosis, and relatives are prone to fractures after falling, such as local pain and limb movement disorders after the elderly fall, and fractures may have occurred. If the elderly person is lifted up in a hurry, it may aggravate the injury and lead to bone misalignment, so it should be treated on a case-by-case basis.
What to do when you are conscious:
1 The old man did not feel severe pain.
If the elderly person who fell does not have severe pain, limb immobility, etc., and the injury may not be serious, you can try to help him up, but the movement must be slow, and do not use Zhaochangling brute force.
2. Severe pain is obvious.
If the elderly have a particularly painful area on their body, or feel that their physical activity is impaired, it may have injured bones or nerves, and moving around at this time may cause greater damage and should be handled with care.
For example, if the elderly fall and injure their arms, they may have radius fractures or ulna fractures, and the elderly will feel numbness in the palms of their hands, pain in their arms, and swelling and deformation of the fractures.
In short, when you encounter a problem, you should choose a rational way to do it, and when you help others, you should also consider which way to help is more appropriate, so that you will not find Ma Xun to bother yourself.
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Ms. He's mother-in-law fell at home not long ago, but fortunately, the family was there that day and called 120 in time to take the elderly to the hospital. In this case, is there anything I can do to give first aid?
Experts said that in daily life, the common reasons for the fall of the elderly are as follows:
One is stroke, which is mainly caused by high blood pressure with arteriole sclerosis in the brain, which causes it to rupture and bleed suddenly, and patients often have symptoms such as coma and hemiplegia;
the second is vertigo, which is mainly caused by cardiac and cerebrovascular diseases and cervical spondylosis, and generally has no conscious disorders;
the third is syncope, a temporary severe hypoxia and ischemia of the brain, resulting in transient loss of consciousness; fourth, acute attack of angina; Fifth, accidental fall leads to fractures, etc.
If a sudden fall is caused by the above reasons, others must not rush to help or blindly rescue, such as pinching people, feeding sugar water, etc. If you have suffered a stroke or subarachnoid hemorrhage, lifting them up immediately will only worsen the bleeding symptoms.
If you find that the old man has fallen suddenly, you should first observe the old man's expression and consciousness. If you are conscious, ask about the cause of the fall and the uncomfortable part of the fall, and then give help. Patients with angina pectoris should be given first-aid medication immediately before being sent to the hospital for emergency treatment.
If you are in a coma or have a speech impediment, you can immediately call the emergency number 120. Patients who vomit should take care to turn their head to the side to prevent the vomit from flowing back into the respiratory tract and causing suffocation. Lifting should only be performed when the absence of spinal injury is confirmed.
One person supports the head and chest, one person supports the waist and buttocks, and one person supports the legs and feet.
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What are the methods of fall care measures for the elderly?
Generally speaking, most of the falls of the elderly are caused by the abrupt unevenness of the ground, damp and slippery, and there are also old age, vision loss, and it is easy to see the obstacles on the road and cause fall accidents!
Most of the elderly have osteoporosis, and it is easy to cause fractures, local pain, and even inability to get up after falling.
If you find that the old man has fallen, it hurts when you touch him, at this time, don't come forward to help the old man, because you don't know about his injury, it is easy to cause secondary injury!
After the fall, first check the physical condition of the elderly, you can come forward to ask the elderly, if there is bleeding, quickly stop the bleeding, help dial 120, don't forget not to move the fall patient at will! If you find that after falling, the elderly are confused or unconscious, don't learn to hold the old man on TV and shout and shake and shout, stay calm, and if you can give first aid, quickly take first aid to implement cardiopulmonary resuscitation, and call 120 for help!
How to prevent falls in older adults.
Be clear about your situation.
The elderly must first be clear about their own situation, and their actions remain unchanged when they are old, which is the law of nature, and they must accept the reality that they have entered the ranks of the elderly. In addition, you should be clear about your physical condition. If you have some medical conditions such as high blood pressure, you should pay more attention because some diseases can cause dizziness and the chance of falling is greater.
Be careful when going to the toilet.
Falls and injuries are more common in older people when they go to the toilet because when they squat or stand up, their blood pressure is affected, and they are more likely to experience dizziness or weakness in their legs. If possible, it is better to choose a toilet, which is safer. Therefore, the elderly must be careful of falling and injuring themselves when entering the toilet.
It's best to have a family to take care of you.
If the elderly have limited mobility, it is more convenient to ask the young people at home to take care of them, and the young people at home should also take the initiative to take into account the fact that the elderly are prone to accidents when they are unable to move at home. If you should ask someone to take care of it, please ask someone to take care of it, and if you ask for it, you can arrange it yourself. It is best not to leave the elderly with limited mobility at home alone.
This is the most likely way to get surprised.
The light is suitable at night.
For the night, if the elderly want to get up at night, they must first turn on the light, the light may be stronger when the light is turned on suddenly, and the elderly may not be able to stand it, so it is best to turn on a night light with suitable light at night, and it does not use much electricity, after all, safety is the best. In this way, it can ensure that the light intensity is appropriate throughout the night, and the elderly can get up at any time conveniently.
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