Remember three words, bite off two teeth! Recently, I have been preventing heatstroke and experiencing heat cramps in the ICU. My grandmother, who lives alone in Hangzhou, doesn't turn on the air conditioning, electric fan, and muscle | high temperature | air conditioning
Yesterday, the highest temperature reached 36.8 ℃, marking the 12th hot day of the year. And this "big fire and fast steaming" mode will continue. The Hangzhou Meteorological Observatory released a high temperature forecast today: it is expected that our city will continue to experience high temperatures in the next few days, with the highest temperature reaching 35-37 degrees Celsius and some areas reaching 38 degrees Celsius. Please pay attention to heatstroke prevention and cooling work.
In recent days, Hangzhou Hospital has been receiving patients with heatstroke, heat cramps, and heat stroke due to continuous hot and humid weather.
55 year old male outdoor homework
Heat to convulsions, blurred consciousness
Just the night before yesterday, the Emergency Department of Hangzhou Traditional Chinese Medicine Hospital admitted the first heat stroke patient of this summer.
Dr. Fang Ming from the Emergency Department of Hangzhou Traditional Chinese Medicine Hospital said that the patient, a 55 year old male, came to the hospital for treatment after 9 pm on July 7th. He is a worker working on a construction site. In the morning, while working outdoors at the construction site, he suddenly experienced symptoms such as dizziness, sweating, and nausea. In the afternoon, the symptoms gradually worsened, with severe vomiting and limb weakness. Later, he began to twitch and have blurred vision when seeing things. By around 8 pm, his wife noticed that his symptoms were severe and quickly called 120 to take him to Hangzhou Traditional Chinese Medicine Hospital.
When arriving at the emergency department, the patient's condition was quite severe, with some people having blurred consciousness, severe dehydration, and low blood pressure, with an upper pressure of only over 70, reduced urine volume, and accompanied by renal insufficiency. The creatinine value reached over 300umol/L.
After a series of fluid replacement, oxygen therapy, and other treatments in the emergency room, the patient's condition gradually improved. The next morning, they were transferred to a regular ward, but due to kidney function damage, they are still hospitalized and require further treatment and observation.
Too busy to drink water
As a result, I fainted from heatstroke
"Doctor, hurry up, someone in my car has fainted!" At noon on July 7th, several workers got off the van and anxiously shouted for medical staff at the entrance of the emergency department of Xixi Hospital in Hangzhou. When the medical staff in the emergency department picked up 55 year old Li from the van and brought him into the emergency room, Li's mind had turned clear and he was sweating profusely, without any strength.
According to colleagues, the weather has been hot lately, and people wake up early thinking of doing more in the morning and less in the afternoon, so they can't even consider drinking water when they are busy. Perhaps due to the hot and humid weather, there was no water to drink, and coupled with Lao Li's older age, he couldn't bear it and fainted.
Based on the description of the colleague and the clinical manifestations of the patient, Xia Liang, an emergency intern at Xixi Hospital in Hangzhou, considered that the patient's fainting was caused by heatstroke. Dr. Cheng immediately conducted a blood electrolyte test and fluid replacement treatment for the patient. The laboratory results showed that all electrolyte indicators of Lao Li were abnormal. Fortunately, he sought medical attention in a timely manner and after treatment, his symptoms were relieved and he was discharged. However, it is still recommended that Lao Li regularly monitor his kidney function in the later stage to prevent acute renal failure caused by heatstroke.
To save power, do not turn on air conditioning and fans
The old man had a fever spasm and was admitted to the ICU
Recently, the Linping District Integrated Traditional Chinese and Western Medicine Hospital recently received the first fever spasm patient of the year.
"In 10 minutes, an elderly patient who is in a high fever coma will be sent over. Please be prepared for rescue." With a brief ringing of the phone, medical staff from the Emergency Department of Linping District Integrated Traditional Chinese and Western Medicine Hospital immediately engaged in intense rescue preparations.
On the afternoon of July 2nd at exactly 16:00, 120 pushed forward a 79 year old grandmother named Zhang. She was seen unconscious, convulsing from time to time, sweating profusely, and her body temperature reaching 40.2 ℃.
Considering other indicators, it was considered as fever spasm. The medical staff immediately opened two intravenous routes for rapid fluid replacement, and took treatment measures such as cooling, brain stimulation, and anticonvulsant therapy. However, the situation was not optimistic, and after some diagnosis and treatment, the patient was sent to the ICU for further symptomatic treatment.
To prevent airway blockage, medical staff also inserted an oropharyngeal airway into Zhang's pacifier. However, due to Grandma Zhang's constant convulsions, the teeth biting the tube were constantly exerting force, resulting in two teeth being bitten off! It is understood that Grandma Zhang is a solitary elderly person who sat at home without turning on the air conditioning and fan. Due to the indoor heat being too stuffy, she fell into a coma and was later discovered by her children before being taken to the hospital. At present, the elderly still live in the ICU.
Hot weather
To prevent heat stroke and spasms
Heat stroke is divided into exertion type and classic type. Labor type heat stroke is mainly caused by high-intensity physical activity, which leads to an imbalance between heat production and heat dissipation in the body. Healthy young people who engage in intense summer exercise, such as firefighters, delivery drivers, couriers, construction workers, and other outdoor workers.
Therefore, for this group of people, it is important to minimize exposure to sunlight, especially avoiding the time period from 12 to 14 noon. Adequate sleep should be maintained, and fluids should be replenished by drinking plenty of water. Once you feel unwell, do not forcefully carry it. Move it to a cool place as soon as possible, lower your body temperature, and transfer it to the hospital as soon as possible.
Classic heat stroke is commonly seen in young people, pregnant women, and elderly individuals with physical decline, as well as those with chronic underlying diseases or impaired immune function. It is usually caused by passive exposure to a hot environment, leading to an imbalance between heat production and dissipation in the body. Although they may stay indoors, prolonged exposure to stuffy and poorly ventilated environments can also lead to heat stroke.
The elderly are a vulnerable group who are very vulnerable to extreme heat weather. Especially for elderly people living alone, special attention should be paid. Many elderly people do not turn on air conditioning and are particularly prone to heatstroke in hot weather. Dr. Fang Ming from the Emergency Department of Hangzhou Traditional Chinese Medicine Hospital said, "In previous years, during the summer, we received many elderly people who refused to turn on air conditioning in order to save electricity, resulting in heatstroke, and some even endangering their lives."
In addition, children's temperature regulation function is not perfect enough, and their body's "air conditioning" - skin sweat gland function is relatively insufficient, so they are more sensitive to changes in the external environment and temperature, and are more prone to heatstroke or similar diseases. If you have children at home, try not to stay in a place exposed to direct sunlight during hot weather and stay in a cool place.
Zhu Shaojie, a doctor from the Emergency Department of Linping District Integrated Traditional Chinese and Western Medicine Hospital, said that heat spasms belong to a type of severe heatstroke, which refers to the loss of a large amount of water and sodium salts due to excessive sweating in a high-temperature environment, and insufficient salt supplementation due to excessive drinking water, resulting in muscle spasms and pain. If left untreated, it can develop into heat exhaustion, heat stroke, and even life-threatening conditions. After timely treatment, it usually takes 30 minutes to several hours to recover.
"Recently, there have been 7-10 heatstroke patients being treated in the emergency department every day, with the majority being elderly and children. In hot weather, it is recommended to reduce outdoor activities or activities. When working under scorching sun, it is necessary to take sun protection, hydration, and salt supplementation." Zhu Shaojie reminds elderly and weak residents to do a good job in heatstroke prevention and cooling. Many elderly people do not turn on air conditioning to save electricity bills, and family members should often provide care and advice. If severe heatstroke patients such as heat spasms are found, they should be promptly sent to nearby hospitals for treatment.
How to distinguish easily and effectively
Is it heatstroke
Introduction by Dr. Xia Liang from the Emergency Internal Medicine Department of Xixi Hospital in Hangzhou, mainly based on the following aspects:
1. Symptoms of heatstroke: Generally, in high temperature environments, there will be some signs of heatstroke, such as headache, dizziness, thirst, excessive sweating, weakness and soreness in the limbs, lack of concentration, and uncoordinated movements. Normal or slightly elevated body temperature. If this situation is promptly transferred to a cool and ventilated place, supplemented with water and salt, it can be restored in a short period of time.
2. Mild symptoms of heatstroke: The body temperature is often above 38 degrees Celsius. Besides dizziness and thirst, there are often symptoms such as flushed complexion, excessive sweating, and burning skin, as well as symptoms such as damp and cold limbs, pale complexion, decreased blood pressure, and increased pulse. If handled in a timely manner, it can often be restored within a few hours.
3. Symptoms of severe heat stroke: can be divided into heat spasms, heat exhaustion, and heat stroke. It is the most serious type of heat stroke, and if not treated in time, it will be life-threatening. Heat stroke can also be divided into exertional heat stroke and non exertional heat stroke. Labor induced heat stroke is more common among firefighters, construction workers, athletes, and others. Non exertional heat stroke is more common in elderly and weak individuals, children, and those with underlying diseases.
Tips for preventing heatstroke
Dr. Cheng Xialiang introduced several tips for preventing heatstroke: drink, avoid, and prepare.
Drink: Increase your water intake and do not wait until you feel thirsty before drinking. But for some patients who need to limit their liquid intake, the amount of water to drink during high temperatures should follow medical advice. Pay attention to supplementing salt and minerals. Alcoholic and high sugar beverages can cause the body to lose more water and should not be consumed at high temperatures. At the same time, it is important to avoid drinking excessively cold frozen beverages to prevent stomach spasms.
Avoid: Pay attention to sun protection, reduce outdoor activities in high temperatures, and try to move indoors as much as possible. Although using an electric fan can temporarily alleviate heat, once the temperature rises above 32 degrees Celsius, the fan will not help reduce the occurrence of heat stroke and other high-temperature related diseases. Washing your face with cold water, wiping your body, or turning on the air conditioning is more effective in cooling your body.
Preparation: If there is a high-risk group for heatstroke at home, such as infants and young children, elderly people over 65 years old, those with mental illness, heart disease, hypertension and other chronic diseases, some heatstroke relieving drugs can be prepared, such as Huoxiang Zhengqi Water, Shidi Water, and Rendan. Pay attention to the alcohol content in Huoxiang Zhengqi water, and use with caution for those who are allergic to alcohol.
Finally, Dr. Cheng suggests that as summer approaches, everyone should pay attention to sun protection and heatstroke prevention while participating in activities. Drink 2-4 non-alcoholic beverages per hour during outdoor hot sports. For example, sports drinks can help replenish salt and minerals lost through sweat. It is best to avoid the noon period. If you feel unwell, please go to a regular hospital for treatment in a timely manner.
