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1. After the fracture of the elderly patient, due to long-term bed rest, the blood circulation may be relatively poor, and it is easy to develop bedsores. After the appearance of bedsores, they should also be removed in time.
2. Elderly fracture patients should eat more foods containing calcium, because after the fracture, the elderly lose a large amount of calcium, and the elderly absorb calcium relatively slowly, so the elderly should try to eat more calcium in the diet to absorb calcium, and can also take some drugs containing calcium to speed up the healing of fractures.
3. In the early stage of fracture, elderly patients should be on bed rest, and after three weeks, the family should help patients do some light exercises, and patients who recover faster can get out of bed and move slowly, so as to promote blood circulation and speed up bone healing. Elderly patients should not be burdened or anxious, and should cooperate with their families to take care of them.
4. Elderly fracture patients may have constipation due to long-term bed rest, so it is necessary to give elderly patients more vegetables or fruits containing more fiber to promote gastrointestinal peristalsis and prevent constipation. If constipation is severe, you can take some medications to relieve constipation.
The healing speed of the elderly after fracture is relatively slow, and the elderly must also prevent the occurrence of fractures in their daily life, do not do strenuous exercise in their daily life, and eat more calcium-supplementing foods. Middle-aged and elderly women should prevent osteoporosis after menopause, go to the hospital in time after the fracture, and do a good job of comprehensive care in the process.
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Don't rush to help right away!
Why can't you rush to help?
1. If you are a patient with cerebrovascular disease, you should help immediately after falling, which may aggravate bleeding or hypoxia.
For people with sequelae of cerebrovascular disease, it may be dangerous to help them immediately.
When a patient with sequelae of cerebrovascular disease falls suddenly, it may be the following:
One is hemorrhagic cerebrovascular disease, which may aggravate bleeding if the patient is active;
the second is ischemic cerebrovascular disease, when the brain is in a state of hypoxia, and it may further aggravate hypoxia when it is lifted;
The third is transient ischemic attack, and the patient is also in a state of hypoxia.
2. If you break a bone after falling, you should help it immediately, which may cause joint dislocation.
Some elderly people will feel unbearable pain after falling, which does not rule out the possibility of fractures. Do not rub and move, if you have low back pain, do not move at will, because if you move at will after a lumbar fracture, it is likely to cause joint dislocation, and in severe cases, the lower limbs may be paralyzed.
3. If you fall on the head, you are unconscious, and you may be life-threatening if you blindly support you.
If the old man is no longer conscious, then the old man is likely to faint. This condition is likely to be a heart attack, such as cardiac arrest, acute myocardial infarction, or cerebrovascular attack, such as cerebral infarction, cerebral hemorrhage, etc. Blindly lifting up may even induce breathing disorders, which can be life-threatening.
4. If there is a spinal injury in a fall, lifting up may cause secondary injury.
Similarly, in the face of slips and falls, the best way to deal with them is still "immobile patients".
Falling may cause spinal cord injury, but lifting or moving without authorization, and poor handling may cause spinal cord injury, so that the secondary injury is even more serious than the primary injury.
What should I do when I see an old man falling?
1 Try to keep him lying flat and call 120
Unless there is an obvious safety hazard in the surrounding environment, such as a vehicle passing by rapidly or there may be falling objects in the air, etc., it is best not to help him up immediately, but try to let him lie flat, call 120 in time, and go to the hospital as soon as possible.
2. If you think it's okay, you have to go to the orthopedic department of the hospital to check it.
Sometimes, I don't think I'm in a big deal after a fall, but I recommend going to the orthopedic department of the hospital for a follow-up.
Many fractures are not felt at first, it is best to go to the orthopedic department for a check-up within 24 hours after falling, no more than a week or so at the latest, especially for elderly friends over 70 years old, due to relative osteoporosis, the probability of fracture after falling is close to 80%, which must be paid attention to.
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First of all, it is necessary to determine whether it is sudden death. The patient should be placed on a rigid plate immediately, and it is strictly forbidden to move. In the case of sudden cardiac death, cardiopulmonary resuscitation should be performed immediately, that is, percussion of the precordial area, chest compressions, mouth-to-mouth artificial respiration, etc., and emergency doctors should be called for treatment immediately.
Second, it is necessary to determine whether it is a transient ischemic attack (TIA) or a stroke. TIA refers to transient localized neurologic deficits or defects caused by lesions of the carotid arteries, vertebral arteries, and large arteries in the brain. Diabetic patients have a 2-3 times higher risk of TIA and stroke than non-diabetic patients.
Cerebral infarction often manifests as dizziness, vertigo, weakness of one limb, hemiplegia, and movement disorders. For such patients, they should be avoided as much as possible, and they should not be held by the patient and shaken and shouted in an attempt to wake the patient. The correct way to do this is to bring a chair to support the patient if he is sitting on the floor and has not yet collapsed, or he or she can be supported by a chair.
If the patient has completely collapsed, the patient can be slowly lowered to the supine position while carefully tilting his head to one side to prevent suffocation due to vomit entering the trachea. At the same time as the first aid at the scene, you should call a doctor to come to the rescue as soon as possible.
Third, it is necessary to determine whether there is a fracture. Do not rush to lift a person who has suffered a fracture due to a fall, otherwise, not only will the injury and bone misalignment be aggravated, but some fractures, such as spinal fractures, may damage the spinal cord and cause paraplegia. All those suspected of having fractures will be treated according to fractures, that is, let them be quiet, keep warm, stop bleeding, relieve pain, and prevent shock; Wrap it with gauze and bandages, and then fix it in place; If a spinal fracture is suspected, the injured person's body should be kept still, and it is strictly forbidden for one person to hold his head and another person to lift his feet and other uncoordinated movements.
Immediately transferred to the hospital after fixation.
Through the above introduction of the reasons for the fall of so many elderly people, we all know that the elderly with some special diseases really can't be in a hurry to get up after falling, otherwise it may cause serious consequences. The treatment methods for these elderly people after falling are very practical, and if we go out and encounter an elderly person who has fallen similarly, we can use these good methods to help rescue.
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One of the most impressive problems is the problem of whether the elderly can be helped when they fall, and I have been struggling with this problem for a long time.
Prevent the elderly from blackmail.
1.The elderly are not in a hurry to get up when they fall, and when conditions permit, consult an emergency doctor first, and then carry out early treatment to avoid secondary damage.
When you see an old man falling, you must save it. Instead, carefully observe the condition of the elderly, consult an emergency doctor when possible, and then carry out early treatment. According to the Ministry of Health's "Technical Guidelines for Fall Intervention in the Elderly", it is proposed:
Don't rush to get up, deal with it according to the situation, if the elderly Wang disturbs the source of consciousness clearly, the rescuer should ask the elderly about the fall and whether he has 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 person to the hospital or emergency treatment**. And try calling for help to see if there are any medical professionals nearby.
2.Do a good job of collecting evidence before rescue, seek the help of a third party to jointly rescue, or relevant information of a third party, and keep it as a witness.
Combined with social reality, before rescuing the elderly who have fallen, we can refer to the "evidence reversal" system that medical staff have to face, and collect evidence before treatment. When helping the elderly who have fallen, they can seek the help of a third party to rescue them together, or seek relevant information about the third party and keep them as witnesses. Only when the truth of the incident can be completely restored, and the rescuer can get rid of the possibility of being falsely accused.
In November 2013, in Dazhou, Sichuan, "three children picked up the old woman who fell down, but was framed for compensation", and afterwards ** said that three eyewitnesses confirmed that the injured old lady Jiang Moumou fell by herself, not by the three children. His behavior was extortion, and he was sentenced to 7 days of administrative detention (because he was 70 years old, he decided not to enforce it in accordance with the law).
3.In addition to witnesses, the rescue process should also be photographed and recorded, which can be used as evidence to protect rights and interests in the future.
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If the situation is light, help yourself up and send it to Jia Minsu.
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