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Fall prevention in the elderly is not only a topic that the elderly themselves need to pay attention to, but also needs to be addressed by the family and society.
It can rely on advanced technology, rich activity monitoring data, multi-dimensional and multi-level insight into the elderly, and form a complete fall risk assessment. Prevent and effectively reduce the risk of falls for the elderly in advance, and truly care for the health of the elderly from multiple aspects and perspectives, so that more elderly people can have a safe and dignified life in their old age.
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(1) Sober consciousness.
1. If you fall because of uneven roads or decreased motor function, or if you trip because you can't see the road clearly, it will cause some falls, bruises and other problems, and in severe cases, it may hurt bones or have the risk of bleeding.
2. If the elderly person who fell does not have severe pain, limb inability to move and other feelings, and the injury may not be serious, you can try to help him up, but the action must be slow, and do not use brute force.
3. If the elderly have a particularly painful place, or feel that their physical activity is impaired, it may be that the bones or nerves are injured, and moving at will at this time may cause greater damage, so it should be handled carefully. 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.
4. If you can see the wound and there is bleeding, you should first use clothes, towels, handkerchiefs, etc. to stop bleeding. Of course, this fracture is not serious.
5. If you hurt your spine by falling, especially the cervical spine, blindly moving the elderly may cause spinal cord injury, which can take several months to recover and paralysis. Therefore, in this case, the patient should not be moved at will, but an ambulance should be called immediately, or a professional first aid personnel should be called for treatment and transport.
2) Unclear consciousness.
1. When you encounter an unconscious old man who falls to the ground, you can first try to wake him up, and at the same time test whether the old man's breathing and heartbeat exist. If the elderly person's breathing and heartbeat stop, cardiopulmonary resuscitation (including chest compressions, artificial respiration, etc.) should be started immediately, and 120 should be dialed in time to call an ambulance.
2. If the elderly still have symptoms such as vomiting after falling, then the old man's head must be tilted to one side to prevent the vomit from being attracted by mistake and suffocating, and you can also use your hands or tools around you to take out the old man's vomit.
3. If the elderly have convulsions and other problems after falling, you can use a wallet and other hard objects to put between the upper and lower teeth to prevent biting the tongue, and call for help in time, find someone to deal with it, and never try to fix the convulsive limbs of the elderly with brute force to prevent secondary injury.
4. If the elderly at home have a history of heart disease, the elderly suddenly fall to the ground and lose consciousness is likely to have myocardial infarction.
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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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