In the morning, I saw a few messages in the 120 first aid group, which is very regrettable!
This group is 120 doctors who have treated patients with myocardial infarction or chest pain in emergency, and will send relevant information, especially ECG information, to the group. The doctors in our hospital will see it as soon as possible and make various rescue preparations.
If this patient can follow the advice of Doctor 120 and go to the nearest hospital for rescue, the possibility of being rescued is relatively high. However, the patient’s family heard that the patient had a myocardial infarction and needed stent surgery. So they discussed and asked to go to the “biggest and best” hospital in the city for surgery.
8:10 a.m. 120 The doctor passed an electrocardiogram showing acute anterior myocardial infarction, prompting the nearest hospital to prepare for rescue.
8:11 a.m. The doctor at the nearest hospital immediately replied that the cath lab had been activated.
8:29 am120 The doctor reminded that the patient’s family requested to go to another hospital for treatment.
8:30 a.m. The doctor in the hospital requested by the patient’s family replied: The patient is in critical condition and his life will be in danger at any time. It is recommended to go to the nearest hospital for rescue, not me hospital visit.
8:30 am 120 The doctor replied that the patient’s family strongly requested to go to your hospital (that is, not the nearest hospital). Please get ready.
8:31 a.m. Hospital response ready, go to emergency room.
9:23 a.m. The doctor sent a letter at 120, and the patient suffered from ventricular fibrillation. After three times of electric shocks and defibrillation, the patient’s electrocardiogram was straight, and the patient was undergoing continuous cardiopulmonary resuscitation. Get the emergency room ready.
11:33 p.m. The hospital emergency room sent a message that the patient with myocardial infarction was sent to the emergency room in the morning. When sent to the emergency room, there was still no heartbeat. After continuing CPR, Resuscitation was unsuccessful and the patient was pronounced clinically dead.
The patient was only 51 years old and left just like that…Why do we keep popular science, chest pain persists for more than 15 minutes and does not relieve, we must call 120 and go to the nearest hospital capable of rescuing the patient Hospital. Opening blood vessels as quickly as possible is the only way to save more myocardium, reduce the risk of heart failure, and reduce the risk of sudden death.
The risk of ventricular fibrillation in the first hour of an acute myocardial infarction is 25 times higher than that in the hour after. So sudden myocardial infarction, must go to the hospital as soon as possible, as soon as possible to open the blood vessels. Once the blood vessels are opened, the blood vessels restore blood flow, which can greatly reduce the risk of ventricular fibrillation or cardiac arrest.
But the family members of this patient insisted on staying away from the nearest hospital and not going to the nearest hospital. This nearby hospital also has a chest pain center, which can also perform thrombolysis and stent surgery.
But the so-called best hospital in the family’s opinion is nearly 50-60 minutes away from this hospital. Myocardial infarction is the blockage of the blood vessels in the heart, the heart will continue to be ischemia, and the myocardial cells will continue to die.
The total number of cardiomyocytes is limited and non-regenerating, so once necrotic, it cannot be harvested again. The only correct way is to open up the blood vessels as soon as possible and save more myocardium.
The necrotic area is about 30% of the total ischemia area after 40 minutes of complete occlusion of the cardiac vessels; if the blockage exceeds 3 hours, the necrotic area is about 50% of the total ischemia area; The longer the time, the longer the time to open the blood vessels, the more necrotic myocardium, and not only the higher the risk of sudden death. Even if sudden death does not occur, the risk of heart failure is greatly increased.
So, today’s popular science knowledge point:
Once the 120 doctor informs the patient’s family that the patient is suffering from acute myocardial infarction, he must listen to the 120 doctor’s advice, follow the principle of proximity, and do not choose the so-called largest and best hospital.
When you choose to choose a hospital, so does death!