Sudden plawv arrest is a clinical emergency, most of which occur in public places outside the hospital. The survival rate outside the hospital is less than 10%. Every year, sudden cardiac death takes the lives of nearly 540,000 Chinese people. On average, one person is unfortunate every minute. fall down. For patients with sudden cardiac arrest, if the first aid is immediately performed within 1 minute after the cardiac arrest occurs, the success rate of treatment can reach 90%. However, the success rate decreased by 7% to 10% per minute as the first aid time was delayed. After 5 minutes of cardiac arrest, the rescue success rate was only 50%, and the brain cells had already caused irreversible damage. 10 minutes will cause brain death.
Qhov tseeb, hauv ntau thaj chaw, nws nyuaj rau cov neeg teb thawj zaug kom ncav cuag qhov xwm txheej ntawm kev sib tsoo hauv 5 feeb. Lub sijhawm rau lub tsheb thauj neeg mob hauv tsev tuaj txog ntawm qhov chaw sib tsoo yog ntau tshaj 10 feeb, thiab feem ntau ntawm lawv tau plam lub sijhawm tseem ceeb los kho mob plawv. Raws li kev txheeb cais ntawm kev paub txog kev kub ntxhov yav dhau los, feem ntau cov neeg mob uas muaj myocardial infarction lossis plawv nres tau tuaj txog ntawm lub chaw kho mob xwm txheej ceev. Hauv kev tuag, txoj hauv kev tau txais kev cawmdim tsawg dua 1%.
Yog li ntawd, nws yog ib qho tseem ceeb heev kom nrov cardiopulmonary resuscitation thiab thaum ntxov defibrillation. Yog tias cov neeg nyob ib puag ncig tus neeg mob muab kev pab thawj zaug thiab siv AED hauv lub sijhawm, nws zoo li yuav cawm nws txoj sia. Txawm li cas los xij, tom qab tshawb xyuas kev siv cov tshuab hluav taws xob sab nraud tsis siv neeg nruab rau hauv nroog cov chaw pej xeem, nws tau pom tias qhov no" cov khoom siv cawm txoj sia" yuav luag dhau los ua zaub. Feem ntau ntawm cov pej xeem nyob ib puag ncig tsis paub cov cuab yeej pab thawj zaug no, cia nyob ib leeg lub rooj sib tham. siv, lossis twv tsis siv.
Qhov tseeb, lub defibrillator yog ib qho khoom siv kho mob uas tuaj yeem saib xyuas tus neeg mob' lub plawv dhia thiab xa hluav taws xob cuam tshuam los kho lub plawv kom ua haujlwm zoo. Sib txawv ntawm cov phau ntawv defibrillators siv los ntawm cov kws kho mob cov neeg ua haujlwm hauv tsev kho mob, AEDs tau tsim tshwj xeeb rau kev siv los ntawm pej xeem. Kev ua haujlwm ntawm cov cuab yeej yog qhov yooj yim heev, thiab nws kuj muab cov neeg cawm siav nrog kev ceev faj ntawm lub suab, uas tuaj yeem hu ua" ruam-theem". . Feem ntau tsuas yog yuav tsum tau qhib lub hwj chim thiab lo lub thaj rau tus neeg mob, AED yuav txiav txim siab lub plawv dhia thiab txiav txim siab seb puas yuav tsum muaj hluav taws xob poob siab. Tus neeg teb xov tooj tsuas yog yuav tsum ua raws li cov lus qhia ntawm lub tshuab kom txog thaum cov kws kho mob tuaj txog.
1. Yog hais tias ib tug neeg poob rau hauv av, koj yuav tsum xub ua ib qho kev ntsuam xyuas, suav nrog seb qhov chaw ib puag ncig puas muaj kev nyab xeeb, kev nco qab thiab ua pa ntawm tus neeg raug mob. Thaum koj pom tias tus neeg raug mob tsis nco qab, tsis ua pa lossis ua pa tsis zoo, koj yuav tsum hu rau kev pab tam sim, thiab cia ib tus neeg hu 120 lossis nqa ib qho AED. .
2. Before AED arrives, chest compressions and artificial respiration should be performed. When the AED arrives, it is used first, with the patient lying flat on their back on a firm surface and clothing removed.
3. Tig lub AED hloov, so lub hauv siab ntawm daim tawv nqaij, thiab xyuas kom meej tias lub hauv siab phab ntsa ntawm daim tawv nqaij qhuav. Cov tawv nqaij qhuav thiab dermatome tshem tawm cov plaub hau yog tias tsim nyog.
4. Tshem tawm cov ntawv electrode los ntawm lub hnab ntim khoom, tshem tawm cov yeeb yaj kiab tiv thaiv ntawm cov electrode zaj duab xis, thiab lo cov electrode kom nruj rau tus neeg mob' lub hauv siab. Feem ntau hais lus, ob daim hlau electrode txuas rau sab xis ntawm lub hauv siab thiab sab nraud ntawm sab laug hauv siab lub txiv mis raws li. Rau cov haujlwm tshwj xeeb, thov xa mus rau cov duab kos ntawm AED rooj plaub lossis daim duab piav qhia ntawm lub phaj electrode.
5. Ntxig lub plug ntawm lub electrode board rau hauv lub jack, thiab lub tshuab yuav cia li pib soj ntsuam lub plawv dhia. Tsis txhob kov tus neeg mob thaum lub sijhawm txheej txheem no, txawm tias qhov kov me ntsis tuaj yeem cuam tshuam rau kev tsom xam ntawm AED. Tom qab kev tshuaj ntsuam xyuas, AED yuav tshaj tawm cov lus pom zoo rau defibrillation.
6. Thaum qhov kev ntsuam xyuas AED qhia tias defibrillation, tsis txhob hu rau tus neeg mob, thiab qhia rau lwm tus neeg nyob ze kom nyob deb ntawm tus neeg mob. Tom qab paub tseeb tias tsis muaj leej twg nyob nrog tus neeg mob, tus neeg teb xov tooj nias lub" tso tawm" khawm rau defibrillation raws li cov lus qhia.
7. Tom qab hluav taws xob poob siab, AED yuav txheeb xyuas lub plawv dhia dua. Yog tias qhov ua tau zoo ntawm lub plawv dhia tsis rov qab los, tus neeg teb xov tooj yuav tsum ua 5 lub voj voog ntawm CPR (txhua lub voj voog suav nrog 30 compressions thiab 2 ua pa dag), thiab tom qab ntawd txheeb xyuas lub plawv dhia rov qab, defibrillation, CPR, rov qab mus txog thaum muaj xwm txheej ceev. cov neeg ua haujlwm.
