Implement the heart and lungs and recover in 4 minutes

Implement the heart and lungs and recover in 4 minutes Persons who die suddenly of half can be brought back to life
The expert guides the paint deeply

Refined associate professor of treatment of cardiovascular dept.(internal medicine) of hospital of Hunan of middle and southern university

At 26 past 5 am on June 26 Beijing time, the king of circle of singers Michael and Jackson prevails in U.S.A. all rescue measures proved ineffectual because of heart disease, passed away in Los Angeles, died at the age of 50 years old.

The expert claims, " time is a life " . After the heartbeat is breathed and stopped, the blood circulation is stopped immediately. The brain cell is very sensitive to oxygen deficiency, circulate and stop for 4 to 6 minutes, receive the serious injury promptly, can't even resume. Recover, begin early, survival rate high, go on person who recover can have half bring back to life in the 4 minute.

So, we must improve the whole people's first aid consciousness, the popularization making the persons as many as possible accept the heart and lungs recover is trained, once meet this kind of patient, the witness at first rescues the patient in time.

Why heart disease die suddenly easy to take place to before dawn

Media's passage

According to " Los Angeles Times ", Jackson is sent to before the Los Angeles medical central hospital of branch school of University of California, state of already falling into a coma. After reaching the hospital, because the doctor treats and cures invalid, declare Jackson's death. News claims, previous Jackson has been taking prescribed medicine, these medicines have been suspected and related to heart attack before this.

The expert answers questions

Have a lot of people ask heart disease die suddenly why be easy to take place to before dawn? The coronary heart disease and brain apoplexy is the most common to cause the main disease dying suddenly, and aptest to break out before dawn, " devil moment " considered to die suddenly before dawn . Why is this?

At the time of the sleep, the moisture is distributed out through channels such as the human skin, breathing,etc. at night, the human body is relatively ischemic, the blood is sticky, the velocity of flow is slowed down, the blood platelet is apt to assemble, thus form the thrombus; In addition it is that one from sleep state to sober state people replace time before dawn, namely human the intersection of plant and nerve control by nervus vagus as, turn to, control sympathetic nerve as one of main fact, replace course (human the intersection of plant and nerve divide into sympathetic nerve and nervus vagus mainly, the sympathetic nerve contributes while or devote oneself to work when people are nervous, but the nervus vagus contributes when relatively leisurely or quieter in the human body) ,The adaptability of all viscera organ of this period is bad, it can make myocardium oxygen consumption increase that the orthosympathetic activity increases. Therefore, it causes the blood vessel to shrink that the blood sticks the increase of consistency, orthosympathetic activity and strengthens, and people's blood pressure is on the high side causing the high main factor of breaking out rate of cerebrovascular diseases of heart in the morning.

How to prevent? Work and rest on time, not staying up, dinner is unsuitable to satiate, does not eat the oil high food, drink more water before sleeping.

It excessively means chasing the death that tired

Media's passage

Jackson demonstrates music and dance natural gift at 5 years old, it reaches more than 40 years to sing the career, 750 million special editions are sold, gain supreme reward Grammy Awardses of 13 items of American music, with " cat's king " , " beetle " And the band calls the greatest immortal symbol in the pop history. His former broker says: " For many years, Michael's life is very difficult, he has been destroying oneself, his talent is blameless A person is totally unable to bear such a long-term high pressure. "

The expert answers questions

The expert thinks, " it excessively means chasing the death that tired " . " overwork very much " One word folk to propose by Japan first, at present in the world, majority upper and lower middle-aged person treat with courtesy more 40 year, busy, high pressure, often in continuously tired state. American center for disease control makes the corresponding diagnostic standard and points out and behaves as follows to confirmed fatigue and syndrome:

By the physical power or overweight fatigue difficult to relieve that causes of psychological load; The muscles without clear reason are unable; The general existence of insomnia symptom, or there are many dreams and wake up early; The head rises, giddy or having a headache; It is difficult for attention to concentrate, memory fails; Lose the appetite; Shoulder back uncomfortable and chest have tighten sense, have the intersection of waist and have a backache, indefinite myalgia and arthralgia of location; The mood is depressed, anxious and or tense, frightened; The interest fails or loses; The sex function fails; Low-heat; Swallow and do, swallow and ache or the throat tightens senses.

Studies have suggested, the time of sleep is scarce, the rhythm of diurnal sleep is even disorderlily inverted, mental work or manual labor load, will lead to the fact for a long time human plant nerve problems and sympathetic nerve are excessively excited, thus cause the arrhythmia of mortality to take place, cause and die suddenly.

Artificial respiration and chest should race against time to press

Media's passage

It is reported, when the rescue group gets to Jackson home, Jackson has not breathed yet. The medical personnel has made heart and lungs to recover as soon as possible for him, but his pulse has never resumed.

The expert answers questions

Face a patient falling down to the ground suddenly, how should we judge and deal with correctly?

Whether judge it in order to die suddenly at first. Need to emphasize heartbeat breathe judgement that park suddenly, to watch, react, think and breathe, but not takes too much time as beforing touches pulse, listen to the heart sound. The heartbeat can be shown as while breathing the unexpected stop: Consciousness was lost suddenly, fainted in any occasion, looked pale or transferred to cyanosis, some patient can have transient sighing kind or releasing angry kind breathe slowly, companion brief to twitch, incontinence of feces and urine.

Comprehensive to judge, if reactionless having breathing, the intersection of skin and the intersection of mucous membrane and cyanosis while being above-mentioned, can't touch the arterial carotis and beat, can judge as the sudden cardiac death. The above-mentioned course should be finished within extremely short time.

How to rescue correctly? Must race against time. It shouts patients to be if reactionless, nip the intersection of philtrum and cave with finger immediately, about 5 second, if he appear the intersection of agony and expression, four limbs activity or eyeball stop nipping and pressing immediately after rotating. Judge it has not breathed and after the unobstructed air way, employ and press on thumbs, forefingers of the hands of the forehead, clutch the underpart of wing of nose, and then in one breath, open the mouth and stick to the patient's mouth closely, exert oneself to breathe down in patient's mouth. Breathe down, want soon but not deep, should last over 2 o'clock. If the arterial carotis beats and can not fumble or the result is inaccurate, should begin the heart and recover in time.

Try the heart and thump and reply law at first: Clench fist, from 20- 25cm highly in the brestbone, go to 1/3 of the intersection to thump for 1- 2 times, has not resumed the heartbeat, breathed such as the patient, should not retry. Should begin the chest to press at once immediately: Don't move patients, make it lie supine in the hard plank bed or on the ground. Will slap roots on one hand, put in pressing the brestbone of position, go to 1/3 of the places, slap the root pile and put and shoulder hand of this hand on the other hand separately, keep parallel, the dual tactics finger deducts the lock each other. While pressing, one pair of upper arms should be exceptionally straight that rescue, the vertical patient's body is pressed downwards hard, it is 4- 5cm to press the depth. This course should go on steadily, regularly, can't be disconnected, the time to press and relax upwards is roughly equal, the palmar root does not leave and press some all the time, need to press 100 times every minute.

Make artificial respiration and press how with the chest to cooperate? Recover, want successive to press for 30 times, and then breathe down two times. After going on 4 ship so, reexamine a patient and circulate physical sign in about 10 seconds, have, resume, continue, operate while being above-mentioned, until rescue train, get to. Resume already, check, breathe, have person who breathe carry on artificial respiration (10- 12 times / divide 5 second while being every) . (Yang WeiRan)
Implement the heart and lungs and recover in 4 minutes Persons who die suddenly of half can be brought back to life