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Sudden fainting, first, make the patient lie flat, tilt the patient's head to one side, observe the patient's complexion, judge the patient's heartbeat and breathing, and dial 120 in time.
When someone faints, effective measures should be taken on the spot. First, lie flat and tilt the patient's head to one side. If the patient is unconscious, call 120 immediately and ask for help from the medical staff.
Secondly, observe the patient's complexion, touch the carotid artery in the neck with your fingers to see if there is a pulse, and judge whether the patient is breathing. At the same time, shout the patient's name to see if there is a response and determine whether the patient's consciousness exists. If there is a reaction, it is a shallow coma, and you can try to pinch the person and give the patient sugar water.
If there is no response, you are in a deep coma and should wait for rescue. If the patient's breathing and pulse are stopped, CPR should be performed immediately. Chest compressions and artificial respiration are alternated, after 30 compressions, 2 times of artificial respiration are performed, and the general operation is 5 back and forth, to quickly determine whether the patient's consciousness has recovered.
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If you find a person who has fallen to the ground, you should immediately check whether the person who has fallen to the ground has lost consciousness, pat the shoulder of the person who has fallen to the ground and shout loudly, shake the patient's body and call for help from the people around you, and then carefully check whether the person who has fallen to the ground is still breathing, that is, to see if the chest is undulating, and then close the ear to the patient's nose to listen to whether there is still a breathing sound, and then feel whether the patient still has the feeling of exhaled airflow on the face, and check whether the patient's neck artery is still beating and whether there is still a pulse. If the patient's life is found to be weak, call emergency **120 immediately, and perform cardiopulmonary resuscitation on the spot.
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The first time must be to do artificial respiration, if it is useless, chest compressions, and call 120 for help in time.
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1.Place the patient flat on the ground to prevent bruising; When the condition is unclear, do not move the patient at will. Call an ambulance immediately.
2.Observe the patient's complexion, check the pulse and breathing, and call the patient's name aloud to see if there is a response.
3.If there is a reaction, it is a shallow coma, you can try to pinch the person; If there is no response, it is a deep coma and waiting for rescue.
4.If your breathing and pulse stop, perform CPR while waiting for help.
5.If there are family members around the patient, ask whether the patient has a similar medical history, such as heart disease, stroke, epilepsy, etc.
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Syncope is caused by a transient impairment of the constriction and relaxation of blood vessels, causing temporary ischemia in the brain. There are many people who have been in a situation where someone around them suddenly encountered, so did you know?
How to give first aid when someone suddenly faints
1. First of all, it is necessary to prevent the patient from dying of airway obstruction due to coma. The patient's jaw can be lifted to prevent the base of the tongue from falling; If there is a sputum sound in the throat, it should be sucked out immediately with a small rubber tube; When the patient vomits, the head of the source patient should be turned to the side so that the vomit and secretions can flow out easily, and the fingers can also be wrapped in handkerchiefs and gauze to reach into the patient's mouth to remove the vomit hail signal; If the patient has dentures, they should be removed first.
2. You can acupuncture the acupuncture points such as Hegu, Taichong, Renzhong, Neiguan, Zusanli, etc., and you can also use your fingers to pinch these acupoints to prevent the coma from deepening.
3. Pay attention to keep warm and keep the patient's panel dry.
A common cause of sudden fainting
Neurologic factors of syncope, arrhythmias, and hypoglycemia are the most common causes of syncope, but syncopal episodes can be caused by a variety of causes. There is also a significant proportion of patients with syncope who are unexplained. Neurally mediated syncope accounts for 35-38% of all cases and is the most common type of syncope, with psychiatric illness-induced syncope accounting for and unexplained syncope.
Other factors may also trigger syncope, which, although rare, should not be ignored in clinical practice.
What tests are needed for sudden fainting
1. Physical examination.
Blood pressure should be noted and, if necessary, blood pressure in the upright and recumbent positions, heart rate, heart rhythm, and neurologic signs should be checked. Presyncope symptoms are sudden and short-lived, such as dizziness, nausea, pallor, and sweating. Symptoms of syncope are also transient, sudden loss of consciousness or coma, accompanied by a drop in blood pressure, a slowed and weak heart rate, paleness, and weakness of the limbs.
Attention should be paid to urinary incontinence, limb twitching, biting the tongue, etc.
2. Auxiliary examination.
If necessary, brain CT MRI, electrocardiogram, electroencephalogram, blood glucose measurement and other examinations can rule out some organic lesions to a certain extent. Cerebrospinal fluid examination, cervical spine X-ray, and carotid and vertebral artery vascular ultrasound examination are suitable for brain-derived syncope.
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When witnessing someone falling, the most dangerous condition needs to be ruled out first, which is cardiorespiratory arrest. The person's conscious breathing is checked first, and if consciousness is absent and breathing stops, a cardiac arrest event can be considered to have occurred (the new current guidelines only require non-specialists to check consciousness and breathing to determine cardiac arrest). At this time, if you are the only one at the scene, immediately call for help 120, and then start cardiopulmonary resuscitation; If there are other people at the scene, ask someone to call for help 120, and immediately start cardiopulmonary resuscitation, and should not stop at will during cardiopulmonary resuscitation until the emergency personnel arrive to take over.
If an automated external defibrillator (AED) configuration is known to be nearby, it is necessary to have someone pick it up and use the defibrillator as soon as possible after obtaining it, omitting this step if it is not available.
If the person is unconscious but still breathing, an ambulance should still be called and double-checked for changes in vital signs before the ambulance arrives, noting the risk of open airway and regurgitation aspiration, and if vital signs deteriorate, they need to be treated at any time.
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It is necessary to distinguish the cause of the fall.
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