Died from trying to take the victim to a big hospital

09/04/2022 07:24 GMT+7

Hung Vuong General Hospital, Phu Tho has just treated a patient with a labor accident and multiple injuries in Luc Yen district, Yen Bai province. The patient was given first aid by relatives and then taken straight to Hung Vuong Hospital, nearly 200 km away, when he was close to the hospital, the patient fell into a state of traumatic shock and stopped circulation, in the emergency room the doctors tried their best. exertion, cardiac compression, intubation, use of vasopressors… but it was all too late.

The patient passed away with the regret of both relatives and doctors. Doctors believe that far away water cannot save the fire near, when there is an accident or injury, anyone should contact the nearest medical facility for proper first aid, when everything is temporarily fine. Then, take the patient to the emergency room for treatment at a higher level.

When the patient was brought to Hung Vuong Hospital, it was too late.

Dr. Duong Duc Hung – Bach Mai Hospital said that he once received a patient with severe trauma. The patient was injured in a traffic accident. Immediately afterwards, the patient’s relatives were so worried that they took the patient directly to Viet Duc Friendship Hospital without providing first aid on the spot or asking for the nearest medical assistance.

On arrival at the hospital, the patient died of shock. If the first aid is correct, it will help the patient to be safer after the correct first aid should take the patient to a medical facility.

According to Dr. Huynh Ba Tan – 115 Emergency Center, Ho Chi Minh City, multiple trauma is a situation where a patient has 2 or more severe injuries in different body areas or organ systems, of which there are few At least 1 injury is life-threatening.

These lesions are often very complicated, with a lot of blood loss, and the patient is at risk of impaired consciousness and respiratory and circulatory failure. Therefore, it is best to call 911 for assistance.

First aid for the victim is to temporarily immobilize the broken part. If the fracture is near the joints, the whole joint must be immobilized. Particularly for open fractures, do not wash but only wipe around the wound, apply antiseptic and sterile compresses. Never press the tip of the broken bone inward. Then quickly take the victim to the nearest medical facility for treatment.

Pay special attention to those who have had an accident that resulted in a cervical vertebrae fracture. Do not arbitrarily move the victim. If you arbitrarily move the victim improperly, it can easily lead to the risk of total paralysis or death. If the first aider does not know how, it can harm the patient.

For patients, the goal of multi-trauma emergency treatment of 115 Emergency Department is to always brace the cervical spine in all multi-traumatic situations, especially when the victim is comatose or unconscious. Emergency medical management of life-threatening problems, securing airways, respiration and lines, monitoring of cardiovascular circulation and external hemostasis, assessment of consciousness through AVPU and GCS panels, antirespiratory resuscitation stunned.

When approaching 115, the patient will ensure ventilation, stop bleeding, monitor blood pressure, consciousness, vital signs, resuscitation, check for injuries carefully.

Victims are also guaranteed the ABCDE rule:

A: Airway (ensure airway and protect cervical spine).

B: Breathing (respiratory assessment and management of life-threatening chest injuries).

C: Circulation (evaluate circulation and control bleeding).

D: Disability (assessment of neurological status and level of consciousness).

E: Exposure (expose and examine the whole body to not miss the lesions).

Moreover, when calling 911, the patient is transported more safely. For safe transportation of multi-trauma patients after securing airway, stabilizing the cervical spine and fracture sites, having at least 2 lines and attaching a monitor to monitor stable vitals within control. control. Check every 5 minutes during patient transport to Hospital

Khanh Chi