Abe's assassination scene, if there are anesthesiologists, will never be rescued like that

The Abe incident not long ago has become one of the hot events of the media and even the public. It can be said that this is the first time in the peaceful age that has felt such a big incident.

As a doctor, the perspective of seeing the problem must be different. Even how annoying the other is the other person, in the eyes of a doctor, he is just an ordinary patient and a life.

However, with the death of this life and recent media reports, we even questioned the rescue at the time. If that's not the case at the time, did he still have a chance to live?

Of course, we must put aside emotions and talk about this issue. At this point, he was just a patient who was severely shot.

We noticed that an eye -catching report was titled "Abe was anesthetized after being shot without anesthesia and opened the belly ...".

At first glance, how shocking this is! But calm down: This is completely possible. Because Abe was in a state of cardiopulmonary stop and severe shock.

In that state, it is impossible for him to feel pain.

This can be seen from the definition of pain. Pain is a unpleasant experience of the human body's adverse stimuli.

When the brain has lost consciousness, there will be no pain.

Another perspective: Today, the essence of modern anesthesia is only to eliminate the pain experience, not let the entire body press the pause button. In the process of surgical anesthesia, although it has the effect of anesthesia, important organs such as heart, liver, spleen, lungs and kidney still have to continue working.

It can be said that the public may be a little cruel to see the words "opening the belly", but there is no pain from medicine.

In fact, we are not paying attention to the rescue work after sending Abe to the hospital. Because in the eyes of anesthesia doctors, those rescue may be stunned.

Why do you say that, please look down, let's take a closer look:

First of all, he suffered a serious shooting. From the second shot to his fall, it was only a few seconds. This shows that either hurts the heart or hurts the big blood vessels to the brain. This is confirmed from subsequent reports.

Some people say, will it be a head in the head?

Will not. In the head, he would not have the steps to take the steps and cover his chest, but directly lost any conscious movements.

Secondly, there are big problems at the site rescue. Therefore, the later rescue is basically useless.

The biggest problem for the rescue at the scene was that the cardiopulmonary resuscitation was immediately carried out.

Some people say that the cardiopulmonary resuscitation is wrong? Now that they have implemented cardiopulmonary resuscitation to Abe, it shows that cardiopulmonary stop at that time. This will make a judgment for a person who is trained slightly.

From the perspective of anesthesiologist, the mistake is wrong here!

It can be learned from various reports that at that time, not only did the chest compressor, but even an automatic vitro -AED was used.

Automatic external vibrator, also known as an automatic vitamin, automatic electric shock, automatic defibrier, cardiac defibriller, and fool electric shock. It is a portable medical equipment.

It can diagnose specific arrhythmia and give electro -cutting fibrillation. It is a medical equipment that can be used by non -professional to rescue cardiac arrest patients.

When the heartbeat stops, only in the "golden 4 minutes" of the best rescue time, using an automatic vitro -vibration device (AED) to define and cardiopulmonary resuscitation of patients is the most effective way to stop sudden death.

All signs showed that the heart stopped at the time.

However, we must know how the heart stops beating!

Starting from the cause, it is not only suitable for chronic diseases, but also for diagnosis and treatment of acute diseases. In the process of racing and racing in life, the wrong direction is not allowed. Therefore, the more critical times, the more you need to figure out the reasons as soon as possible.

At that time, I don't think anyone thinks he thinks that he has a sudden heart disease, nor is he stopped by heart bleeding or hypoxia.

The only fatal cause is that the heart suffers from destruction or blood loss.

Judging from subsequent rescue or anatomy, it is confirmed that there are indeed heart damage and large blood vessel destruction and great blood loss.

In this case, the heart is like a car -leaking car engine. No matter how you fire or drag the car forcibly, it is impossible to run it.

The only thing that can save him is that there is a operating room at the shooting scene with a strong cardiac surgery team, in vitro circulation team, blood supply team, and anesthesia team.

Some people say that there is still time anesthesia?

The answer is, no.

But the role of anesthesiologist is not anesthesia, but the commander under the operating table. At this time, the commander on the operating table controls everything on the operating table; the commander under the operating table controls everything under the operating table. The two groups must cooperate closely in order to grab this person from the hands of death.

From the details, there is no need to disinfect, no needle medicine, and open the chest directly, and even the abdomen to have the opportunity.

Of course, if he still had a little consciousness at the time, he also needed hemp medicine. At this time, the medication is to eliminate the pain experience; on the other hand, the organ metabolic rate can be reduced in the anesthesia state, thereby protecting the organs in the state of blood loss.

The in vitro team next to the body does not need to be disinfected, and various tubes are directly inserted.

If you are lucky, establish the in vitro before the blood flow. In particular, the timely recovery of blood supply to the brain will determine the final result.

Anesthesia doctors can puncture in the femoral vein pipes on the thighs on both sides. Two thick pipe roads are still likely to repay the dry blood within a few minutes in time. From the perspective of details, there is no need to strictly turn off the blood loss process at this time. Not to mention, in the process of losing each bag of blood, you must slowly observe for more than 10 minutes for more than 10 minutes. This cannot be done. Because there is no time!

If blood supply to important organs such as brain blood supply in 4-6 minutes, and recovering the heart of the heart within 30 minutes, this life has the opportunity to rescue it.

However, the premise is not to rescue the wrong direction.

Just like the media questioned, the first time the chest pressed was the last drop of blood in the heart of Abe's heart. There is no doubt that this is accelerating his death.

Who can judge the direction as soon as possible?

At present, the divisions of various disciplines are becoming more and more specialized, and surgeons do not have internal diseases. This is normal.

It is also internal medicine, internal medicine, intra respiration, digestion, and the middle seems to be separated by a mountain. At this point, everyone can experience it when you go to the hospital. It's not "half a doctor", it is difficult for you to hang the department.

However, in some, doctors in several departments still know multiple discipline knowledge.

Why use "knowing" instead of "proficient"?

Because there is too much knowledge in medicine, it is difficult for a doctor to understand the content of his subject throughout his life, let alone so many disciplines!

So, which discipline is it?

Take a few examples: general doctors, emergency doctors, intensive medical doctors, and anesthesiologists.

The anesthesiologist on the list may be the most surprising thing. But this is the fact.

Once, President Putin's accompanying person would insert an anesthesiologist.

Some people say that it is necessary to perform surgery at the scene of the attack?

of course not.

The role of anesthesia doctors at this time is not anesthesia, but first aid. At this time, the anesthesiologist will immediately integrate the knowledge of various disciplines and judge what happened to the president as soon as possible? Where is the most deadly injury? What are the best ways to deal with?

For example, Abe incident. If he finds a large amount of bleeding in his neck as soon as possible, he will hold the blood bleeding point as soon as possible. If the heart is injured, it will not be pressed directly. Because the more blood presses more blood. In addition, the heart has been damaged, and pressing the heart will not make the heart play the role of the blood pump again.

Here, we must make it clear: the meaning of pressed the chest is not to let the heart jump up again, but to let the heart play the role of the blood pump again.

Therefore, Abe's assassination scene is also a waste of time to find AED. At that time, it was better to raise him to the hospital, maybe there was a little chance.

In terms of specific rescue, the anesthesiologist said that the second, and few dare to say that the rescue skills would exceed the anesthesiologist.

Most of the critical situations, as long as the two lines of breathing and cycle of the wounded, have the opportunity to save. At this time, it is necessary to use artificial airway establishment and blood transfusion channels to establish technology, and these technologies are basic technologies of anesthesiology.

In terms of cycle maintenance management, anesthesiologists are also masters of medication and can use various drugs to retain their lives.

Among them, it is not only technology, but also art. For example, patients with severe bleeding cannot be rising blindly. Excessive blood pressure may cause blood loss.

Some people say that re -blood transfusion.

The quality of blood is not comparable to the quality of blood. In addition, a large amount of blood transfusion can also affect the coagulation function and the body temperature. Once the body temperature is too low, the coagulation function will be disordered, each organ function will decrease, and the entire body will enter the vicious cycle and the condition will continue to deteriorate.

By the way, aside from emotions and national hatred, we not only sighs from the perspective of medical and only from the perspective of medical: If a anesthesiologist was present at the time, the ending may be different!

[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~

- END -