|
Arrhythmia
-
Heart
-
Ambulance
|
First aid for cardiac arrhythmia
Author: ambulance doctor Deryushev A.N. Arrhythmia is the wrong rhythm of the heart, which can be too fast - more than eighty beats per minute (tachycardia) or too slow - less than sixty beats per minute (bradycardia). Palpitation accelerates when doing exercises, under stress, or stress (sudden fright). But a rhythm disorder can happen in the most unexpected moments, even in complete rest. The heart rate is regulated by electrical signals that are generated in the sinus node in the right atrium. This signal along the pathways of the conduction system of the heart passes through the atria and ventricles of the heart, and causes their contraction. If the transmission of such a signal occurs at some site, an arrhythmia occurs. The cause of such violations are coronary diseases. In addition, it can occur with high blood pressure, with thyroid disease, can be triggered by smoking, drinking alcohol, and also with scarring in the myocardium, after a heart attack. What kind of first aid is needed for angina pectoris and myocardial infarction , as well as more detailed information in the relevant material. Symptoms of arrhythmia may not manifest at all. In some cases, the bradycardia manifests itself as weakness, a feeling of fatigue, dizziness, and even loss of consciousness, as there is inadequate supply of blood to the brain and other organs. Symptoms of tachycardia - rapid heartbeats can be expressed in fever, dizziness, rapid breathing, and pain in the chest may appear. Interruptions in the work of the heart, that is, rhythm disturbance, are not always perceived by man as a subjective sensation and can be detected only when listening to the heart, or counting the pulse. A slight arrhythmia, when the heart rate is in the range of 60 to 80 beats per minute, often does not need treatment. And with serious rhythm disturbances, drug therapy is required, or the use of technical means such as a pacemaker. To establish an accurate diagnosis of arrhythmia, electrocardiography is necessary. To adjust the rhythm used a number of drugs. However, in some cases, special techniques can also help, they are called vagal. So tachycardia in patients of a young age can be tried to eliminate with the help of a massage of the sinocarotid area. Such massage should be performed in the patient's position on the back, the doctor stands to the right of the patient's head, brings his hand under the patient's neck, so that his head leans back. The other hand, the doctor finds a pulse on the right carotid artery and listens to the vessel using a phonendoscope without pressing. In the absence of noise and good filling, a gentle massage of this area is carried out, then, for no more than 4 seconds massage the carotid artery quite intensively. If such a method does not cause a recovery of the rhythm, further attempts are not made, as this can harm the patient. The anti-arrhythmic effect is medicated with novocainamide when administered intravenously. In elderly patients with signs of heart failure, intravenous cardiac glycosides are used - digoxin, korglikon. In paroxysmal tachycardias, when the heart rate exceeds 159 beats per minute, it is recommended to use veropamil - in the form of slow intravenous administration, under the control of the pulse, the isoptin preparation is also used. With bradycardia, which can also be very threatening conditions, it is recommended to use atropine at the prehospital stage. If the medication is ineffective, it is possible to use electropulse therapy. Transesophageal electrostimulation of the heart belongs to the same method. In some cases, the pacemaker is used, which accelerates the heartbeat (in particular, in such a state as the weakness of the sinus node). The implanted defibrillator controls the rhythm disturbances that occur in the ventricles of the heart. To restore the rhythm, this device generates an electrical discharge. Warning: include(comment.php): failed to open stream: No such file or directory in /home/cscop693/public_html/en.surgeon-live.com/content_pervaya-pomoshch-pri-serdechnoi-aritmii.htm on line 285 Warning: include(comment.php): failed to open stream: No such file or directory in /home/cscop693/public_html/en.surgeon-live.com/content_pervaya-pomoshch-pri-serdechnoi-aritmii.htm on line 285 Warning: include(): Failed opening 'comment.php' for inclusion (include_path='.:/usr/lib/php:/usr/local/lib/php') in /home/cscop693/public_html/en.surgeon-live.com/content_pervaya-pomoshch-pri-serdechnoi-aritmii.htm on line 285
VanillaBeanJr:
Who's here because they had 4 monsters and currently feel like they cant breathe and are having slight headache and becoming spacey
Lady Fianna:
Many people that I know died from a heart attack, so now I'm here to learn how to save the next victim :)
Pro Gamer:
"me seeing this video to save a guy who is having heart attack"
Youtube with 2 long unskipable ads :
Emily Geto:
While my problem. Is that I feel totally normal and then in a moment my heart starts to beat really really fast that. I feel like my heart will pop out of my body and I’m only 12
Doc Ray:
Oh no! You don’t put the patient in supine position! Sit them up with legs flexed and with pillow supporting their back!
First aid: paid transportation
Author: ambulance doctor Deryushev A.N. The ambulance service delivers patients in cases where emergency hospitalization is required. That is, in such patients, as a rule, there is a referral with the indication of the date of hospitalization and the name of the medical institution. In addition, it must be borne in mind that the patient is in a condition that does not allow him to independently reach the medical institution, in some cases transportation is required in a semi-sitting or lying position using a stretcher. 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. 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. First aid for drowning
Author: ambulance doctor Deryushev A.N. For the type and reasons - drowning is true or "wet", if a large amount of water enters the bronchial tree and is "dry" or asphyxic - when the first drops of water, entering the trachea, cause a reflex stopping of breathing and cardiac activity, to This type includes cold shock, as well as secondary drowning. First aid for angina and myocardial infarction
Author: ambulance doctor Deryushev A.N. Angina pectoris and myocardial infarction refer to such a common concept as ischemic heart disease. Coronary heart disease (CHD) is characterized by a mismatch between the intake of blood rich in oxygen to the cells of the myocardium and the oxygen demand for these cells. This lack of oxygen generates oxygen starvation (hypoxia), and then ischemia of cells and tissues. With a heart attack, this process ends with necrosis. Blockade of the right ventricle of the heart
author: cardiologist Kulagina Yu.V. It often happens that the terms of cardiologists and incomprehensible records in the description of ECG frighten and confuse patients, which leads to the appearance in the everyday life of non-existent diagnoses. The blockade of the right ventricle of the heart is the wrong name for a completely different concept. Therefore, it is not superfluous to clarify and understand the "blockades" and "ventricles." CA-blockade of 1 degree of 2 type
author: doctor Subbota AA Conduction through the sinoatrial connection in the heart can be disrupted for various reasons. It can be of several degrees, each of which has a different effect on the patient's well-being. The lightest degree of this blockade is the 1st degree. This is the initial and minimal damage to the conduction system in the heart, namely, its sinoatrial connection. Complete blockade of the right bundle branch legauthor: doctor Pyataeva Margarita The attending physician appointed you an electrocardiogram: a squeaking apparatus, a whole heap of wires with suction cups and a long tape covered with mysterious curves, as a result. What do these teeth and knolls say? In a nutshell, unfortunately, the technique of decoding the ECG will not tell. However, it is possible and necessary to understand the causes and significance of those changes that the specialist will identify. For example, if it is an inconvenient abbreviation - PBSCH, also known as a complete blockade of the right leg of the bundle. 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. Atrioventricular block of degree 2
author: doctor Tatintsyan VA Atrioventricular blockade of degree II or cardiac blockade of grade II is characterized by impaired, delayed or interrupted atrial pulse transmission through the atrioventricular node to the ventricles. Incomplete blockade of the right bundle branch leg
author: cardiologist Merter M.V. Incomplete blockade of the right leg of the bundle of His (abbreviated as NBPPG) is a partial violation of the patency of the electric pulse through the right leg of the bundle. Partial blockade of the right bundle branch leg
author: doctor Subbota AA The bundle of the Hyis is a system that provides the delivery of an electrical impulse to the cells of the heart, as a result of which these cells contract. The correct operation of all structures of the bundle of the Hyis provides an organized reduction of all cardiac cells, and the heart contracts as a solid organ. |