The European Cup had just entered its second day, and the first round of Group B was surprised.

Danish player Eriksson suddenly fainted and fell to the ground

Heartbreaking…

Multiple topics are at the top of the hot search list

The scene shot, Eriksson seemed to roll his eyes and lose consciousness at the moment he fell to the ground.

After 13 minutes of full rescue, he finally managed to snatch the “Eros” Eriksen back from death!

Erickson suddenly fell to the ground

Danish players form a circle to guard against leakage of privacy

At the European Cup, when Eriksson suddenly fell to the ground, the on-site medical staff staged a “speed of life and death” in a race against death. At this time, many people realized that sudden cardiac arrest, a sudden illness, is actually separated from everyone. Very close.

Everyone should master: cardiopulmonary resuscitation

Eriksson’s shocking scene made everyone once again focus on the invisible killer threatening human health—— Sudden cardiac death .

At present, the number of sudden deaths in our country ranks first in the world, and the only direct effect in the face of sudden death is Cardiopulmonary resuscitation (CPR) . Cardiopulmonary resuscitation is a rescue operation performed immediately after a cardiac arrest. The golden resuscitation time is within 4 minutes. It is a life-saving technique for the heart and breathing of a sudden arrest, and is to restore the patient’s spontaneous breathing and spontaneous circulation.

Cardiopulmonary resuscitation includes basic life support and advanced life support, which refers to a series of rescue measures to restore spontaneous circulation and even mentality in response to cardiac arrest in a timely, standardized and effective manner.

Among them, basic life support includes artificial circulation, unblocked respiratory tract, artificial respiration, and defibrillation.

1. Artificial circulation

“Artificial circulation” is an indispensable and important step in cardiopulmonary resuscitation. After a cardiac arrest, the human body’s engine heart stops working, and the “pump” cannot transport blood to the whole body. Through artificial circulation (chest compression), the chest cavity and heart are squeezed, just like we pinch a mineral water bottle. The blood inside is squeezed out and circulates throughout the body.

2. Smooth the airway

“Unblocked airway” refers to opening the airway (such as tilting the head back) so that the patient’s mouth and throat axis are in a straight line to prevent the tongue from blocking the airway opening, keep the airway open, and prepare for the next step of artificial respiration.

3. Artificial respiration

“Artificial respiration” can blow air from the mouth (or nose) into the lungs, temporarily alleviating the hypoxia in the body.

4. Defibrillation

“Defibrillation” is to eliminate the irregular “fibrillation state” of the heart. Generally, a defibrillator (AED) is used to quickly shock the patient’s heart to stop ventricular fibrillation.

Advanced life support is based on basic life support. Professional medical personnel use instruments and drugs to maintain the patient’s breathing and blood circulation.

It is worth mentioning that, The key to cardiopulmonary resuscitation is the start time of cardiopulmonary resuscitation . The earlier you start, the better the prognosis. Studies have shown that the survival rate of patients with cardiopulmonary resuscitation in less than 4 minutes can reach 43%~53%, and the survival rate is extremely low if it is greater than 10 minutes.

Therefore, for patients in cardiac arrest, Pay attention to the “golden 4 minutes” of the best rescue. The sooner the patient is given first aid, the greater the chance of saving lives.

Fortunately, Erickson has a group of partners and team doctors who know first aid knowledge. After the heart-wrenching 13-minute on-site rescue, he regained consciousness and came back to life.

Correct emergency rescue, keep these 5 points in mind

Whether it is for the family or the people around us, we should learn the knowledge of first aid for cardiac arrest and master the first aid skills within our capacity.

First of all, before performing cardiopulmonary resuscitation, it is necessary to determine whether the rescued person has a cardiac arrest.

1. Judge the reaction. You can tap and call out “What’s wrong with you” to see the patient’s response. If there is no response, go to the next step.

2. Determine breathing and pulse . You can judge whether you have breathing by directly observing the ups and downs of the thorax. The pulse is usually judged by touching the carotid artery. The method of judging the pulse is more professional, and it is best to receive formal training.

If the patient is found to be unresponsive and not breathing, the following first aid measures should be implemented immediately:

1. When you find that the patient is lying on the ground, you should Call the local emergency number immediately (120) , Ask for professional help.

2. After confirming that it is a cardiac arrest, start immediately High-quality cardiopulmonary resuscitation , Strive for the best time for first aid.

Heart compressions outside the chest. The rescuer is on the right side of the patient and selects the lower half of the patient’s sternum as the compression point. Place the root of the left palm at the pressing point, press the root of the right palm on the back of the left hand, clasp the fingers tightly without touching the chest wall of the patient, straighten the arms, and press down with the root of the palm as the focus point without bending the elbow.

Note: The pressure should be appropriate. The compression frequency is 100~120 times/min, and the compression depth is not less than 5 cm but not more than 6 cm for adults. (Children are 1 cm to 2 cm). The trained rescuer is capable of artificial respiration and should be rescued according to the pressure: artificial respiration ratio of 30:2. Usually a rescue cycle is three rounds, that is, 90 compressions and 6 artificial respirations.

If there is a defibrillator on site, use the defibrillator as soon as possible after chest compressions.

3. Repeat chest compressions and artificial respiration alternately for rescue until the medical staff arrive at the scene or

Spontaneous breathing and pulse have been restored.

Here, it should be noted that chest compressions, artificial respiration and defibrillator use operation requirements are high, and professional training should be received in advance to improve the survival rate of rescued persons.

In the race between the gods of death and the god of love, it may be those minutes or even seconds that determine the final victory. If we can learn professional first aid knowledge and skills, we may save a life in the event of cardiac arrest.

Dr. Hu Zhen, expert reviewer of Daoyitong

Former Attending Physician of the Department of Internal Medicine of Chongqing Top 3 Hospital

references

[1]Wang Lixiang, Meng Qingyi, Yu Tao. 2016 China Cardiopulmonary Resuscitation Expert Consensus[J].Chinese Critical Care Medicine, 2016, 28(12):1059-1079.

[2]Wang Xiaogang, Gao Ding. Clinical experience of 505 cases of cardiopulmonary resuscitation in patients with prehospital cardiac arrest and analysis of its success factors[J].Chinese Journal of Clinicians, 2015,43(04):39-41.

[3]https://news.zhibo8.cc/zuqiu/2021-06-13/60c50dea4750b.htm.

Sun Group sponsors the complete installation of equipment for an ICU with a scale of 100 multi-purpose beds. Facing the complicated situation of the COVID-19 epidemic with the number of cases increasing rapidly in Bac Giang in recent days, Sun Group has decided to sponsor complete installation equipment for a center. Intensive resuscitation ICU with a scale of 100 multi-function beds at the Psychiatric Hospital (in Song Mai commune, Bac Giang city, Bac Giang province). All medical equipment that Sun Group sponsors for Bac Giang will comply with specific technical standards set forth by experts of Bach Mai Hospital and the working group of the Ministry of Health, in order to ensure the quality of equipment. qualified, meeting the requirements of treating severe COVID-19 patients. Accordingly, the ICU ICU will be equipped with the most modern ICU machines and equipment today, such as: Central oxygen coordinator; Compressor; Air dryer; digital portable X-ray machine; Patient monitor ≥ 5 parameters; Low pressure continuous suction machine; Cyclic dialysis machine (HD); Non-invasive hemodynamic… The time for equipment supply and installation is expected to be completed within 07 days from the date of handing over the site which is eligible for construction. With some special machines that need to be imported from abroad, the handover time may take longer, but Sun Group said it will try to push the progress as soon as possible so that the Center can be put into operation in a timely manner. treatment for critically ill COVID-19 patients. Sharing about the decision to sponsor Bac Giang at this time, Ms. Bui Thi Thanh Huong, Vice Chairman of the Board of Directors, General Director of Sun Group said: “Bac Giang is the most complicated epidemic center in the country, demanding with the support and help of the Government and the whole community to be able to overcome. Helping Bac Giang fight the epidemic is also helping the whole country to overcome the pandemic soon.” Since the beginning of the epidemic season, Sun Group has been one of the pioneering enterprises, accompanying many localities across the country in the prevention and control of COVID-19. Right from the days when Vietnam had the first COVID-19 case, Sun Group’s Van Don International Airport has pioneered to welcome back flights carrying Vietnamese citizens from the “epidemic centers” in the world. Up to now, Van Don airport has welcomed 200 rescue flights, bringing about 40,000 Vietnamese people back home and foreign experts to Vietnam to work. During the 2nd and 3rd COVID-19 epidemics, Sun Group sponsored and directly installed and constructed two large-scale field hospitals, creating a “steel shield” for Da Nang city and Da Nang city. Hai Duong, further strengthen the conditions to overcome the pandemic when these two localities become epidemic centers. In addition, this group has also actively supported the epidemic prevention and control in many provinces and cities across the country such as Hanoi, Quang Ninh, Bac Ninh, Lang Son, Tay Ninh, etc. with various forms such as monetary donations. face, donating PCR testing machines and COVID-19 test kits, as well as providing necessities for border guards and epidemic prevention work in border provinces… Thus, up to now, not to mention two field hospitals During the war in Da Nang and Hai Duong, the total cost Sun Group has supported for the prevention of COVID-19 in localities across the country is nearly 90 billion VND.

Localities must review and increase their capacity for emergency, active resuscitation and treatment of Covid-19 patients. Illustration The official cable stated that, from April 28, 2021 up to now, the situation of the Covid-19 epidemic has had very serious developments. The whole country recorded over 2,000 cases of Covid-19 in 30 provinces and cities; 9 deaths. About 10% of cases have severe and very severe course. Some localities do not have good preparation for emergency and active resuscitation conditions, so when there are serious cases, they are awkwardly handled and transferred to higher levels, putting pressure and overloading on end-line hospitals. Faced with this serious challenge, the National Steering Committee for Covid-19 Prevention and Control is the head of the Steering Committee for Covid-19 Prevention and Control; Chairman of the People’s Committees of provinces and cities urgently consolidate the conditions of facilities, equipment and emergency vehicles, especially ventilators, central oxygen systems, compressed air, consumables, medicines. necessary; strengthen the capacity of emergency and active resuscitation at provincial and municipal general hospitals and hospitals assigned to collect and treat Covid-19 cases. Provinces and cities that have not detected Covid-19 cases immediately send treatment teams to train and improve their diagnostic and treatment capacity at last-line hospitals (or train online). The National Steering Committee for Covid-19 Prevention and Control criticized hospitals assigned to treat Covid-19 in some provinces and cities for their lack of initiative in emergency work, active resuscitation, and case treatment. disease Covid-19. The Steering Committees for Covid-19 Prevention and Control in the provinces and cities direct the directors of the health departments and the directors of the hospitals to review the capacity of hospitals to treat Covid-19 patients in the area; prepare conditions to receive, isolate and treat patients according to the motto “4 on the spot”. The Department of Health and hospitals report daily case progress, treatment capacity, emergency, and active resuscitation on the online software cdc.kcb.vn. Localities are ready to prepare plans to assign at least one hospital in the area as a field hospital (based on the local population size), including arranging emergency and intensive care areas and prepare medical equipment and other conditions. Step 1: Visit https://www.bluezone.gov.vn or download directly at App Store or CH Play. Step 2: Once downloaded, the application will ask for permission to use Bluetooth to record contact with other users who have installed Bluezone. If Bluetooth is not already on, drag the status bar and turn on Bluetooth; or go to Settings, select Bluetooth and turn it on. Step 3: Once the installation is done, click Scan Around. If someone near you less than 2m has used Bluezone, the application will automatically identify these users and put them in the contact list.

Hospital E doctors have saved a patient’s life by applying command hypothermia. This is a highly effective method of neurological protection in the treatment of post-discontinuation of the 2015-2016 season, which minimizes the brain and nerve damage of post-emergency patients who stop patrolling.

Accordingly, N.A.T patients (26 years old, in Cau Giay, Hanoi) were transferred to the Emergency Department (Hospital E) in a state of apnea, cardiac arrest, maximum dilated plyotosis, low light reflection, full-body cyanosis, very heavy dimming.

Patients are admitted to the hospital in a state of apnea, cardiac arrest, maximum dilated dilation of the two sides, cyanosis of the whole body, a very severe redection.

After receiving the patient, emergency department doctors quickly carried out emergency cyclic discontinuation for the patient, restoring the heart rate but the patient remained in a deep coma and had to maintain coordination of high-dose vascular medications to maintain heart rate – blood pressure.

Immediately, the consultation between doctors of the Emergency Department, Cardiovascular Center and The Department of Active Resuscitation – Anti-toxicity to find the cause and discuss effective treatments to save the patient’s life.

Finally, doctors have come up with a moderate plan to apply resuscitation measures to save the patient’s life, while minimizing the leave of severe brain damage to the patient.

Doctors have applied command hypothermia techniques to save the patient’s life.

Thanks to the quick emergency coordination of the emergency department doctors and the efforts of the doctors and nurses of the Department of Resuscitation actively fighting poison, timely resuscitation and the application of early hypothermia techniques have helped save the patient’s life from the “death scythe”.

Conduct hypothermia techniques to protect the brain, minimize neurological relics for patients, in addition to resuscitation measures such as mechanical breathing, continuous dialysis …

The good sign is that after conducting the intervention of active resuscitation measures and the 24-hour process of command hypothermia, the patient has been more stable, has a self-breathing rhythm, the patient’s students have shruilated, have clear reflexes

After the 5th day of treatment, the patient has had reflexes of the limbs when stimulating pain, the patient’s blood pressure is almost stable again. After day 7, the patient opened his eyes as ordered. Up to now, after more than 1 month of treatment, the patient’s health condition is stable, alert, in good contact, restoring movement, eating and walking on his own.

Dr. Vu Hai Vinh – Head of Active and Anti-Toxic Resuscitation Department, Hospital E, explained that cardiac arrest (also known as cardiac arrest) is the cause of many different medical conditions. Although the emergency cardiac arrest was successful, the heart beat again, but for patients with external cardiac arrest, the survival rate was just under 10%, many survivors had severe neurological conditions, the main causes after cardiac arrest: brain damage, heart damage and other harmful inflammatory reactions … As a result, cerebral edema, inflammation and necrosis lead to brain death and death.

The patient is stable, alert, in good contact, recovering movement, eating and walking on his own.

Therefore, doctors have chosen to apply targeted hypothermia techniques to save the patient’s life after stopping the cardiac arrest. Targeted hypothermia is a treatment that uses a technique that helps control the patient’s temperature at 32-36 degrees Celsius within 24 hours – 72 hours after the emergency stops 32-36 degrees Celsius successfully.

It will then remain at this temperature for 24 hours to help protect brain cells from damage and recovery. After 24 hours, the machine will warm the patient according to the program very closely to gradually raise the patient’s temperature by 0.25 degrees / hour until the normal temperature is reached.

Gs. Ts. Le Ngoc Thanh – Director of The Hospital affirmed that Hospital E is a complete general hospital with the close coordination of many key specialties: cardiovascular, neurological, emergency, active resuscitation, anesthesia … with the application of many intensive emergency resuscitation techniques such as ECMO artificial cardiography, command hypothermia techniques and coronary imaging and intervention techniques, CVVH continuous dialysis, artificial ventilation …

Now patients are in critical condition with cardiovascular diseases, cardiac arrest due to various causes, severe brain damage due to trauma or cerebral vascular accidents … will be able to apply intensive techniques to bring more chances to be saved.