Emergency care for pulmonary hemorrhage
Author: ambulance doctor Deryushev A.N. Pulmonary bleeding is the release from the respiratory tract during a cough of clean blood or blood in the form of abundant impurities to the sputum. Pulmonary bleeding is a serious and dangerous complication of various inflammatory, specific or nonspecific respiratory diseases, as well as malignant tumors and lung damage. Bleeding begins with the disintegration of lung tissue, when the vessels do not have time to be thrombosed. In addition, foreign bodies in the trachea, bronchi and lungs, which injure the vessel or cause its damage in the form of a pressure sore, can cause such bleeding. By the amount of blood allocated, such bleeding is divided into small (not more than 100 ml of blood), moderate (100 to 500 ml), and profuse, when more than 500 ml of blood is released. Pulmonary bleeding usually begins suddenly, or after hemoptysis. The secretion of blood is usually pink and red, frothy, if before that the blood was delayed for some reason in the lungs, then its color will be dark brown, sometimes with clots, but there may also be scarlet foamy blood. Blood discharged from the esophagus with gastric or esophageal bleeding, coughing is not accompanied. Insignificant blood loss an adult can tolerate easily, but in children and the elderly, even minor bleeding can disrupt the vital activity of the whole organism. Treatment of pulmonary hemorrhage
The treatment of pulmonary hemorrhage consists in possibly stopping bleeding earlier and compensating for significant blood loss. Among the hemostatic drugs, dicinone, or its domestic counterpart, etamzilate, is most often used today. With significant blood loss already at the prehospital stage, it is necessary to perform venous access and begin intravenous drip infusions. For this, the use of aminocaproic acid is possible. The use of calcium chloride, which has the ability to stabilize the cell wall, including the cells of the vessel wall, is thereby justified, thereby preventing diapedesis (impregnation) of blood through the vascular wall. It is also possible to use the styptic drug Vicasol, but it must be taken into account that its effect develops slowly, within six hours after administration. To restore the volume of circulating blood in the prehospital stage is possible by any available solutions, starting with the usual 0.9% saline solution. However, it is more effective to use modern drugs that are able to fight with a threat or even with a shock that has started on the background of acute blood loss - it is gelofusin, venofundin. Blood pressure control is mandatory, as high blood pressure can increase bleeding, and then ganglion blocking drugs (pentamine) are advisable, and low blood pressure can indicate a hemorrhagic shock that starts, which is a very serious complication of pulmonary hemorrhage. Clarification of the cause of pulmonary hemorrhage makes it possible to determine the tactics of treatment, since it is necessary to act if it is possible on the disease itself, which contributed to the appearance of bleeding. After assisting in the prehospital stage, the patient with pulmonary hemorrhage should be taken to the nearest medical institution.
Ghada Kholief:
What about one get PE without having any of this risk factor and didn’t have any symptoms too. I know I had PE just when check the D-Dimer blood analysis . By the way I was exercising fitness with weight daily
Steven Vicino:
Recovering from a PE just this last week. 61 yr old non-smoker, I sit at a workbench 40+ hours a week with no exercise at all. Picture of health otherwise. Couldn't catch my breath and then the CT scan showed the bad news. Doctor said I was 12 steps away from the widowmaker. Thank God for blood thinners. Get your sorry butt up and walk around.
Jared Leto:
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Becky Weaver:
I’m in the ER right now with multiple bilateral pulmonary emboli, from a DVT in left leg behind knee. I got it by sitting at a desk working for 10 hrs/day. And a cross-country flight.
Linda Wilkinson:
Just got out of the hospital from pulmonary embolism, still have a long way to go to feel better. Still have pain and SOB if I move to much. The doctor who sent me to the ER said you could die from this, I believe him now.
Hasina Bahram:
Long time years I have chist pain and and heart vibration 📳 and ....disness, to day after chest XR I find out I have blood clot in my lungs, thanks from Allah to find it and hope be treating will , if you fill something is wrong with you try to find it and go to doctor until you find it before its to late,
JIMJAMSC:
FYI for anyone concerned about DVT and clots. I had NO warning or signs but do have high blood pressure and high cholesterol. Woke up and my left leg was swollen,foot had no definition, calf hard as granite and leg was warm. DON'T WAIT DAYS like I did. It's not a strain. I had a massive clot and a CT revealed TWO lung embolisms. Using a catheter/vac they removed 3 and 1/2 ft of thrombus "clot" and I will be on blood thinners forever. Also wear compression stockings. Athletes do and they really work both in preventing DVT and preventing a 2nd event.
First aid for stroke
Author: ambulance doctor Deryushev A.N. Stroke is a disorder of the cerebral circulation. The arteries supplying blood to the brain may become clogged, and then an ischemic stroke occurs, or the artery may break and this is a hemorrhagic stroke. First aid for bleeding and wounds
Author: ambulance doctor Deryushev A.N. At home and at work, on the street and in the apartment, you can always face injuries that are accompanied by bleeding. In medicine, it is common to divide bleeding into capillary (with minor wounds, cuts, scratches), when the smallest vessels are damaged - the capillaries, the venous ones - with damage to the veins (in the figure under "b"). These bleedings can already be serious and cause acute blood loss, even with the threat of life! First aid for bleeding
Author: ambulance doctor Deryushev A.N. First aid for bleeding covers not only first aid for bleeding and wounds, but also fractures, including closed injuries. The medical definition of trauma sounds like this - a sudden impact on the body of an external object, which causes anatomical and functional disorders. First aid in arrhythmia
author: ambulance doctor Saturday AA Each of us periodically with physical exertion or after them, sometimes with complete rest during sleep, there are sensations in the heart area in the form of interruptions, fading, rapid heartbeat. This does not necessarily mean that there is any heart disease. Even in healthy people, there are irregularities in the heart, but this happens rarely and, as a rule, does not last long and passes by itself. Atypical resection of the lung
author: pulmonologist Maleva O.V. Surgical operations on the lungs are performed to remove lung tissue, altered by irreversible painful processes. Some lung diseases can not be cured otherwise than by physically removing the focus of inflammation or tumor degeneration of the parenchyma and surrounding structures. This work is performed by highly qualified specialists - thoracic surgeons, and the thoracic surgery section is called "thoracic surgery". Attack of bronchial asthma
Author: ambulance doctor Deryushev A.N. Bronchial asthma is a disease of the respiratory tract, it is based on chronic inflammation and hyperreactivity of the bronchi, with their obstruction. The disease manifests itself periodically with bouts of shortness of breath and suffocation. Nursing process with abscess of the lung
author: pulmonologist Leonova Т.V. The duties of paramedical personnel include a nursing examination, on the basis of which the patient's problems are borne. Inflammation of the pleura - causes, symptoms, diagnosis and treatment
author: doctor Saplonov KN Pleura is a shell lining the surface of the lungs on one side, and on the other hand lining the thorax from the inside. As a result, between the leaves of the pleura, not a large cavity is formed, containing normally not a large amount of pleural fluid that lubricates the surface of the pleura during movements of the lungs. Pleuritis is called inflammation of the pleura. On its surface, deposits of fibrin are formed, and inflammatory fluid (exudate) accumulates in its cavity. Causes of nasal bleeding
The causes can be divided into local, nasal and general, arising from certain diseases of the body. Nasal haemorrhages in frequency rank first among spontaneous bleedings, and according to different sources 3-5% of the total number hospitalized in the ENT hospitals. Nasal bleeding often occurs suddenly and may be accompanied by significant blood loss. Symptoms of internal bleeding
Author: Surgeon Denisov M.М. In modern surgery, special attention is paid to internal bleeding. This is due to the fact that internal bleeding is much more difficult to diagnose than open one. This means that the medical assistance provided may be too late. Internal called bleeding, characterized by the outflow of blood into the natural cavity of the body or artificially created spaces. Depending on the amount of blood flow, three degrees of bleeding are distinguished: moderate, medium and heavy. Internal bleeding - causes, diagnosis and treatment
author: traumatologist Usanov EA Internal bleeding is the release of blood from the vascular bed into the lumen of the hollow organ or any of the body cavities. Symptoms of gastric bleeding
Gastric bleeding is an urgent problem of emergency surgery. Accelerated rates of life, stress, irregular and poor-quality nutrition, uncontrolled intake of non-steroidal anti-inflammatory drugs, peptic ulcer of stomach and duodenum, banal vomiting can lead to such a terrible complication. Bleeding from the upper parts of the digestive tract is most often associated with peptic ulcer of the stomach or duodenum. In the elderly, the frequency of bleeding increases due to the use of non-steroidal anti-inflammatory drugs. |
When pulmonary hemorrhage is detected, it is necessary first of all to put the patient on his back and raise the head end. Further it is necessary to provide a person with free breathing, and for this to unfasten clothes, remove removable dentures. If the bleeding is massive, or if the person has lost consciousness, it must be laid on its side. The patient needs to be reassured. Do not give to drink and eat. If possible, it is necessary to find out - what a person is sick with, what preparations he took to inform the arriving medical workers (ambulance, paramedic of the FAP).