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For the question mentioned by the subject, since the rural elderly have no signs of breathing, that is to say, the rural elderly have died of breathing, and then call 120 for rescue, this possibility is not possible to rescue again. Now that we know that the old man has died, but still according to normal thinking to call 120 to call an ambulance for rescue, not only occupies the resources of the society, but also it is impossible to save the life of the old man.
In fact, in some cases, for personal feelings or actual situations, you have to call 120 and then help, which seems to ask for a little personal psychological comfort. After all, when these old people died, they worked their personal feelings, and held a glimmer of hope to save the lives of the old people, but the reality is cruel, since the phenomenon of breathlessness has been determined, it is equivalent to the death of the person. The reality has already had a judgmental result, but for the relatives in their hearts are still working hard to fight for it, for the results of the struggle do not reach the personal psychological satisfaction, and the feeling of all the labor paid for 120 can not be worth so much money.
As a result, many people began to refuse to pay for the business trips of medical staff such as 120, but for medical staff, they only fulfilled their duties, and of course they had to pay a certain amount for their labor.
In fact, in real life, the cost of a 120 business trip is much higher than the cost of other vehicles, which is unquestionable, because they need to bring some equipment for rescue, such as oxygen tanks, including artificial respiration, etc., which are readily available, at least in a short period of time, to ensure that the possibility of recovering the signs of life of the person who provoked the illness is there. Especially for some cerebral thrombosis.
Cerebral infarction, heart disease.
Once 120 arrives in time, it may really save a life, at least make the condition consistent, and control the disease of these people in time. When life is dying, money is not important, life is important, this kind of psychology can be understood by anyone.
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It is difficult to identify a work-related injury because it has been taken on leave to go home.
If there is a sudden illness during working hours or at work, and the death occurs within 48 hours after rescue fails, it can be regarded as a work-related injury.
It depends on the time of onset, the place, and the time of death.
Regulations on Work-related Injury Insurance
Article 14 An employee shall be deemed to have suffered a work-related injury under any of the following circumstances:
1) Being injured in an accident during working hours and in the workplace due to work-related reasons;
2) Being injured in an accident while engaging in work-related preparatory or finishing work in the workplace before or after working hours;
3) Injured by violence or other accidents during working hours and in the workplace due to the performance of work duties;
4) Suffering from occupational diseases;
5) Injured or unaccounted for in an accident while away for work;
6) Injured in a traffic accident or an accident involving urban rail transit, passenger ferry, or train for which they are not primarily responsible;
7) Other circumstances that laws and administrative regulations provide shall be recognized as work-related injuries.
Article 15 An employee shall be deemed to have suffered a work-related injury under any of the following circumstances:
1) Died of a sudden illness during working hours and at work, or died within 48 hours after rescue efforts failed;
2) Suffering harm in emergency rescue and disaster relief or other activities to preserve national or public interests;
3) Employees who previously served in the army, were disabled due to war or duty injuries, and have obtained the certificate of revolutionary disabled soldiers, and were injured after arriving at the employer.
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Summary. Whether the first aid expenses of 120 can be reimbursed mainly depends on how they are charged. There are now 2 modes of first aid in China:
One is served by a dedicated 120 emergency center, and the other is that the 120 emergency center only serves as a dispatch to notify the nearest hospital to get out of the car. The expenses incurred at the 120 Emergency Center are not reimbursable because they are outpatient expenses. That is to say, if the hospital directly visits the emergency for emergency treatment, or is referred to the hospital by the emergency center, as long as the hospitalization procedures are completed at the hospital, then these expenses can be reimbursed within the scope of reimbursement.
The specific reimbursement process varies from place to place and the type of insurance enrolled. However, you can consult the hospital directly, and the hospital will provide assistance.
120 emergency sent to the hospital without success, how to reimburse the cost.
Whether the first aid expenses of 120 can be reimbursed mainly depends on how they are charged. In China, there are now two emergency modes: one is served by a dedicated 120 emergency center, and the other is that the 120 emergency center only serves as a dispatch to notify the nearest hospital to leave the emergency service.
The expenses incurred at the 120 Emergency Center are not reimbursable because they are outpatient expenses. That is to say, if the hospital directly visits for emergency treatment, the dust is coarse or referred to the hospital by the emergency center, as long as the hospitalization procedures are completed at the hospital, then these expenses can be reimbursed within the scope of reimbursement. The specific reimbursement process varies from place to place and the type of insurance enrolled.
However, you can quickly and directly consult the hospital brother, and the hospital will provide assistance.
If the insured person meets the types of acute and critical outpatient (emergency) rescue diseases and rescue standards, the medical expenses (including **fee charging items) that meet the scope of the basic medical insurance policy during the rescue period shall be in line with the medical expenses (including **fee charging items) during the rescue period in line with the scope of the basic medical insurance policy (must include **fee charging items), and the basic medical insurance for employees shall be co-ordinated ** The payment ratio is 70%, and the payment ratio of the residents' basic medical insurance is 60%. In terms of payment of medical expenses, the medical expenses that meet the scope of payment of the basic medical insurance policy for emergency treatment in the 120 ambulance due to the insured person suffering from an acute and critical illness shall be paid by the individual first, and the insured person or agent shall bring the relevant materials to the municipal emergency center for reimbursement after the end of treatment.
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Dear, I am glad to answer for you: the elderly are free to check for sudden myocardial infarction in the hospital, and the hospital is responsible for the death; If the elderly have fulfilled their obligation of reasonable diagnosis and treatment in emergency situations such as emergency situations such as sudden myocardial infarction and ineffective rescue and hospital no responsibility to know that medical care has fulfilled their reasonable diagnosis and treatment obligations, the death of ineffective rescue shall not be liable. Article 1220 of the Civil Code of the People's Republic of China [Special Provisions on Informed Consent in Emergency Situations] Where the opinions of patients or their close relatives cannot be obtained due to emergency situations such as rescuing patients whose lives are in danger, corresponding medical measures may be immediately implemented with the approval of the person in charge of the medical establishment or the person in charge authorized by the person in charge.
Article 1224: [Exemption from Liability by Medical Establishments]In any of the following circumstances, medical establishments are not liable for compensation where a patient suffers harm in the course of diagnosis and treatment activities: (1) The patient or his or her close relatives do not cooperate with the medical establishment's diagnosis and treatment in accordance with the diagnosis and treatment standards; (2) Medical personnel have fulfilled their obligation to make reasonable diagnosis and treatment in emergency situations such as rescuing people whose lives are in danger; (3) It is difficult to diagnose and treat due to the level of medical care at the time.
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Legal Analysis: Death in an accident, see what the accident is. If it is a personal reason, 120 and the cost of treatment cannot be reimbursed.
If it is a traffic accident, it depends on whose responsibility it is, and the responsibility of the other party is borne by the other party, and their own responsibility is borne by themselves. If it is injured by the person who made the mistake, it can be resolved through negotiation, and if the negotiation fails, it can be sued. Honorable.
Legal basis: Regulations for the Implementation of the Road Traffic Safety Law of the People's Republic of China Article 66 Police cars, fire trucks, ambulances, and engineering rescue vehicles may use sirens intermittently when encountering traffic obstruction in the performance of emergency tasks, and comply with the following provisions:
1. Do not use sirens in areas or road sections where the use of sirens is prohibited;
2. Sirens are not allowed to be used in urban areas at night;
3. When driving in formation, if the front car has used the siren, the rear car will no longer use the police pure potato alarm.
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One: If the elderly have a heart attack, first dial 120, and then ask the patient to lie flat and take aspirin in his mouth at the same time.
Or other cardiac emergency medications that you usually take.
2. Do not drive the elderly to the hospital by yourself, because the condition of the elderly will be aggravated in the process of moving the patient.
Three: in the ambulance.
Before coming, guard the old man's side, constantly observe the old man's signs, generally two kinds: very uncomfortable but can speak, or blink, aware of the outside world, in this case quietly wait for the ambulance. The other is very serious, that is, there is no obvious breathing, and you can't wake up, and there is no response, at this time it can be judged that it may be cardiac arrest, and the rescue force of cardiac arrest is **4 minutes.
Cardiac resuscitation is needed immediately, and at the same time, an AED (Intelligent Automated External Defibrillator) is needed, and only the AED is a lifesaver.
Generally in first-tier cities.
Some units in public places, subway stations, and office buildings will be equipped with AEDs, of course, if you have the conditions at home, you can also have one. I am an international emergency instructor certified by the American Heart Association, working in Shanghai Xixin Health Management, specializing in out-of-hospital cardiac first aid, you can also add my WeChat 18516648766, I can provide you with free consultation.
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Life is full of accidents, and looking at it may save a life. This article introduces first aid knowledge of coronary heart disease, first aid for hypertension, first aid for heart failure, and first aid for cardiac arrest. Cardiovascular disease often comes on suddenly, violently, and can quickly threaten the patient's life.
If everyone knows the common sense of first aid, it can give patients a hope of survival. The cold winter season is the season of high incidence of cardiovascular disease. Recently, Mr. Ma Ji, a cross talk master, died suddenly due to a heart attack, which made people feel cardiovascular disease again, and the "number one killer" of Beijingers' health threatens the lives of quite a few people at all times.
Experts commented that angina pectoris is an emergency that patients with coronary heart disease are prone to, and it mostly occurs when they are tired, emotional, full-fed, cold weather, and smoke excessively. Onset is oppressive or asphyxiating pain in the precordial area and lasts 5 to 10 minutes. Once the attack occurs, immediately stop any activity, rest quietly on the spot, and take 1 tablet of nitroglycerin or 1 to 2 tablets of heartache under the tongue, which will be effective within 2 to 5 minutes.
Patients and their families can better protect their lives if they can help themselves. In addition to angina, the following are some first aid methods for cardiovascular diseases. Hypertension Hypertensive patients with headache accompanied by nausea or even vomiting, often with a sudden increase in blood pressure, should be placed on bed rest; If a blood pressure monitor is available at home, the patient's blood pressure and heart rate should be measured immediately; If blood pressure is high, nifedipine (heartache) or captopril (Kaibotong) 1 to 2 tablets may be given orally or sublingually, and blood pressure may be repeated after 20 to 30 minutes.
Acute myocardial infarction Patients have pain in the same location as angina, but with longer duration, severe severity, nausea, vomiting, sweating, and a sense of impending death, with symptoms and consequences much more severe than angina. At this time, the patient should be placed on absolute bed rest, the neckline should be loosened, and the room should be quiet and well ventilated. Oxygen can be given immediately if available.
Take 1 tablet of nitroglycerin or 1 to 2 tablets of heartache under the tongue and call the emergency center immediately. Do not take a bus or walk the patient to the hospital to prevent the myocardial infarction from expanding. Heart failure Elderly people with pre-existing rheumatic heart disease, coronary heart disease, hypertensive heart disease and pulmonary heart disease, if they suddenly have difficulty breathing, they should be allowed to rest quietly, semi-recumbent, with their feet drooping, and oxygen can be inhaled immediately if conditions permit, and drugs should not be administered at will.
You should be taken to the hospital as soon as possible. Cardiac arrest Cardiopulmonary resuscitation takes within 4 minutes, regardless of the cause of breathing, cardiac arrest of the patient, whose life is in the most critical state and most in need of emergency assistance. This is because the brain needs a lot of oxygen, and after breathing and heartbeat stop, the brain will soon be starved of oxygen, and half of the brain cells will be damaged within 4 minutes; If the patient can get effective cardiopulmonary resuscitation within 4 minutes of the sudden onset of the disease, the cardiac resuscitation rate is 50%, so these 4 minutes are called the "**4 minutes" that save lives.
If more than 5 minutes are used, CPR should be performed.
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Then you first need to give first aid at home, and then call 120, let professional personnel come to the rescue, and take it to the hospital to use professional drugs**, so that the elderly are out of danger.
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It's definitely a bit of both.
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It depends on whether the management agencies or hospitals at all levels have relevant regulations on green channels for rescue. If not, then there is nothing wrong with the medical staff insisting on first and then rescuing, this is the irrationality of society, and there is no place to reason.
Regulations on the management of emergency green channels in a city hospital of traditional Chinese medicine.
In order to systematically standardize the reception, examination, rescue and treatment of acute critically ill patients, so that acute critically ill patients can receive timely, standardized, efficient and thoughtful medical services, improve the success rate of rescue, and reduce medical risks, these provisions are formulated.
1. Patients who need to enter the green channel for emergency treatment refer to patients who become ill in a short period of time and may endanger the patient's life. These conditions include, but are not limited to:
1. Trauma caused by acute trauma, such as: body surface cracking and bleeding, open fracture, visceral rupture and hemorrhage, craniocerebral hemorrhage, hemopneumothorax, eye trauma, airway foreign body, acute poisoning, electrical injury, etc. and other potentially life-threatening trauma.
2. Acute myocardial infarction, acute pulmonary edema, acute pulmonary embolism, massive hemoptysis, shock, severe status asthmaticus, gastrointestinal hemorrhage, acute cerebrovascular accident, coma, severe ketoacidosis, hyperthyroid crisis, etc.
3. Emergencies such as: ectopic pregnancy hemorrhage, obstetric hemorrhage, amniotic water rupture, etc.
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