It was learned that Bai Xiaohui, an expert in clinical medical examination at Shandong Provincial Hospital in Weihai, Shandong Province, died at 6:45 on March 20 due to a sudden illness. The clinical expert’s preliminary diagnosis was sudden cardiac death. In remembrance of the heartache of Dr. Bai Xiaohui, “the most beautiful worker in Qilu”, we should pay more attention to sudden cardiac death, the sudden death of patients with cardiac arrest syndrome caused by diseases inside and outside the heart.
According to relevant data, the number of sudden cardiac deaths in my country is as high as 550,000 every year, which is equivalent to about 1,500 deaths due to cardiac arrest every day. There are secondary and induced extracardiac factors. Amplifying the sudden cardiac death to the full cycle, all-round and full-time consideration, there are three crisis moments that will determine the direction of people’s life and death – namely, the “purple gold” time of 60 minutes to survive the death, the “golden” time of 5 minutes to come back to life, and the direction of life and death. The “black gold” time of death regeneration is 10 minutes.
The first is the “Zijin” time to survive the death
The “Zijin” time – refers to the 60 minutes before the occurrence of cardiac arrest. The early causes and symptoms of sudden arrest, early detection, early identification and early intervention, in order to achieve the purpose of preventing and resuscitating cardiac arrest and cardiopulmonary resuscitation. To trace the “medical history” is to understand the basic medical history of the patient before the cardiac arrest; to trace the “symptom” is to understand the discomfort symptoms of the patient before the cardiac arrest; to trace the “sign” is to understand the clinical manifestations of the patient before the cardiac arrest. Identify cardiac arrest clinical syndrome “4321” (4 pain – headache, chest pain, abdominal pain, limb pain; 3 fast – rapid heartbeat, rapid breathing, rapid discoloration; 2 less – less movement, less speech; 1 – vague ), the occurrence of the above symptoms within 60 minutes alerts people to the possibility of cardiac arrest and alerts people to take corresponding prevention and control measures. Usually pay attention to the “three tests” of the heart – test “three blood” (blood lipids, blood sugar, blood C-reactive protein), do “three pictures” (electrocardiogram, ambulatory blood pressure, sleep monitoring), and take “three shadows” (heart Yuanda anteroposterior chest X-ray, cardiac color ultrasound, coronary CT angiography) can be said to be the first post to move forward and prevent sudden cardiac death.
Second is the “golden” time to come back to life
The “golden” time refers to the type of cardiac arrest within 5 minutes after cardiac arrest (ventricular rest, ventricular Cardiac separation, ventricular fibrillation) to take chest compressions, abdominal lifting pressure, electric shock defibrillation and other resuscitation measures to rescue cardiac arrest, establish artificial circulation and breathing, in order to achieve the purpose of resurrection and cardiopulmonary resuscitation. Clinical data show that the golden rescue time for cardiac arrest is usually 4 to 6 minutes, because after 3 seconds of cardiac arrest, people will feel dizzy due to lack of oxygen, when 10 to 20 seconds, people will lose consciousness, 30 seconds Afterwards, the pupils will be dilated, breathing will stop and the bladder will become incontinent in 1 minute, and irreversible brain damage will occur in about 4 minutes. Therefore, the rescue time of cardiac arrest must race against time. It is especially important to respond to cardiac arrest and take appropriate rescue measures within minutes. When we judge that the patient has suffered cardiac arrest, it must be within 5 minutes of the “golden” time for recovery, that is, standardized cardiopulmonary resuscitation ≈ cardiac arrest + chest compressions (artificial respiration) + ≤ 5 minutes; diversified cardiopulmonary resuscitation ≈ heart Sudden arrest + abdominal lifting and compression method (circulation and breathing) + ≤ 5 minutes; individualized cardiopulmonary resuscitation ≈ cardiac arrest + extracorporeal electric shock (type of ventricular fibrillation) + ≤ 5 minutes.
The third is the “black gold” time for regeneration from death
The “black gold” time – refers to the cardiac arrest within 10 minutes of termination of rescue, targeting organs including the heart, Tissues and cells continue to undergo artificial circulation and respiration to meet the needs of their transplantation and regeneration, from “life-saving” to “savior” to achieve the purpose of prolonging life and regenerating cardiopulmonary resuscitation from death. How to terminate the organ in cardiac arrest within 10 minutes of the “black gold” time and take corresponding rescue measures? We need to understand the concept of warm ischemia time in body organs, tissues, and cell medicine—that is, after cardiac arrest is terminated, artificial circulation and respiration will continue to be provided for organs, tissues, and cells of the body, and the reduction of human organs, tissues, and cells to the greatest extent. During this period of tissue and cell damage.
Data show that a large number of end-stage heart failure patients are eagerly awaiting heart transplants, with far fewer organs. It is of epoch-making significance to carry out CPR with organ extension≈cardiac death + organ perfusion +≤10 minutes, tissue regeneration≈cardiac death + tissue protection +≤10 minutes, cell regeneration≈cardiac death + cytotrophy +≤10 minutes. The development of modern transplantation has given people a new understanding of death, that is, the function of the body as a whole ceases permanently, but it does not mean that all organs, tissues and cells die at the same time. “Savior” regenerates “black gold” from death for 10 minutes and takes active action to make our due contribution to the human life cycle.