Director of the Emergency Department of Shanghai Three -A Hospital: This method of rescue is unreliable, and it may be a disaster!

Recently, the news of "lifting your legs, quickly and effective rescue of heartbeat breathing arrest (without any risk)" spread on social platforms. The news said that when someone fell to the ground, he couldn't wake up, it should not be indifferent, and silent, quickly flattened the upper body, raised the patient's legs to 45 degrees below 90 degrees, and it only took about 1 minute to practice, and the patient could wake up. ... The news also said that there were 194 practices in the operation and saved 194 lives.

The Shanghai rumor platform received a message from netizens: Is the above practice really useful?

"This statement is the key to incorrect domestic and foreign guidelines that the key to rescue heartbeat and breathing arrest is the rapid and effective chest compression"

Tang Lunxian, director of the Department of Emergency Department of Oriental Hospital affiliated to Tongji University, introduced that the golden time of rescue of patients with cardiac arrest was only 4-6 minutes. If the prime rescue period failed to be effectively intervened, the patient's risk of death would be great. "Imagine how disasters are such valuable rescue time for errors."

So how does this rumor be produced? Tang Lun first speculated that the spread of this statement may be because some scholars in the past believe that raising the patient's legs during cardiopulmonary resuscitation can help return blood backflow and strengthen the effect of cardiopulmonary rescue. However, this method affects the duration of blood flow for a short period of time, only less than 1 minute, and the effect lacks sufficient clinical evidence. Therefore, this operation has long been removed.

What is the correct way of first aid when encountering someone's cardiac arrest? Tang Lun first introduced that the following steps need to be carried out in order:

First, confirm whether the surrounding environment is safe.

Second, judge the patient's consciousness, arteriosclerosis, and autonomous breathing. To judge the patient's consciousness, you can beat the patient's shoulders, bow your head to call "how are you" in the patient's ears, and then use the middle and index finger to move from the middle of the trachea to the outer cervical artery touches for 5-10 seconds. Let's judge the patient's breathing 5-10 seconds.

Third, if the patient cannot respond, it cannot touch the carotid arteries, and does not breathe autonomously, that is, the judgment is a cardiac arrest, and 120 should be called immediately, and at the same time, let the people around you help look for an automatic body tremor (AED).

Fourth, place the patient on a solid ground, lying on his back, loosen the patient's shirt and belt, and perform chest presses and artificial breathing (compressing each 30 times with two artificial breathing).

The main point of pressing the chest is: find the midpoint of the nipples on both sides of the patient, the rescuer puts the other hand on the back of the hand -positioned hand, the hands overlap and cross the fingers, and the root of the palm is touched with the patient's skin. Press the frequency of 100-120 times per minute, a depth of 5-6 cm, and pressing 30 times in a row. Note that the palm of the hand cannot be lifted away from the patient's chest during the pressing process, and at the same time, the patient's chest is completely rebounded.

The main point of artificial breathing is to make the patient's head bias on one side, clean up the patient's mouth in the mouth, fully open the airway, and give it two artificial breathing at the same time, the ventilation time is 1 second.

Thirty chests are pressed and added 2 artificial breathing as a cycle. After 5 cycles, it is recommended that companions alternate.

Fifth, if you find an automatic body tremor (AED), it is recommended to use it for defibrillation.

6. Continuous rescue, wait for 120 rescue personnel to arrive to further transfer.

Tang Lunxian emphasized: "Finally, please remember that high -quality chest compression is the key to the successful treatment of cardiopulmonary resuscitation. Please minimize the interruption time of pressing and avoid excessive ventilation. Personal role. "

Liberation Daily · Shangguan News Original manuscript, reprinting without permission

Author: Shi Jiani Ren

WeChat editor: Miss Pi

School pair: nano

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