Pre-hospital Emergency Plan: Symptom Diagnosis and Cardiac Emergencies

Author: Wu Jiaping
Publisher:
Publish Date: 2005-04-01
Features: The title of this book is unique. "Plan" refers to a pre-prepared scheme. The main content and purpose of the plan are pre-hospital emergency care, which means that when a patient develops a disease or suffers an injury on the spot, grassroots medical personnel and professional pre-hospital emergency workers face sudden critical and severe conditions. How to quickly and accurately assess the condition, how to take the most suitable emergency measures to save the patient's life or minimize the loss. As the saying goes, "Preparedness prevents misfortune." Only by being well-prepared for sudden critical illnesses and their prevention and treatment measures can one remain calm and act systematically in difficult and complex situations, maximizing the chances of saving the patient's life. The content of the pre-hospital emergency care plan mainly consists of two parts: the preparation of specific rescue procedures. This book introduces the basic diagnostic steps and treatment methods for pre-hospital rescue of critical and severe conditions and presents them in a clear and concise flowchart format, aiming to give readers a comprehensive understanding of the diagnostic and rescue steps. The second is theoretical preparation, which includes the basic medical knowledge and theories that emergency responders should or must understand and master in relation to critical illness rescue. This book provides popular and detailed explanations. Additionally, an important part of this book is the introduction of methods for assessing the risk level of various emergencies at the scene of onset. First, it confirms whether the patient's life is threatened, analyzes the risk level, and quantifies it, which is the premise for taking the correct measures and an important step in protecting the patient's life and improving the prognosis. What is pre-hospital emergency care? A simple answer like "rescuing the patient before they go to the hospital" is too simplistic. Such a response is obvious to everyone. The difference between pre-hospital emergency care and in-hospital emergency care is not just in time and location. Compared to hospital settings, rescuing sudden critical illness patients on the spot involves significant differences. First, the environment is different. Pre-hospital emergency care conditions vary greatly, from the location to lighting to various interference factors, and cannot be compared to hospital conditions. Second, the number of personnel is different. During pre-hospital emergency care, responders often work alone, lacking guidance and advice from senior doctors, as well as collaboration, discussion, and exploration among peers. Third, the equipment is different. Pre-hospital settings lack complex and expensive examination and treatment equipment, with at most a portable ECG machine. How do emergency doctors work under these special conditions, rescue patients, and protect themselves? This is the essence of pre-hospital emergency care and the issue this book explores. Therefore, the on-site examinations and emergency methods introduced in this book do not require large-scale equipment or complex instruments, and can be performed by ordinary responders at the scene. There are many types of emergencies, some of which require on-site emergency care, while others have no significant meaning whether they receive pre-hospital emergency care or not. The emergencies introduced in this book belong to the former category. Emergencies with no clear significance for pre-hospital emergency care, no matter how severe, are outside the scope of this book. Therefore, the core of this book is the indications, related measures, and corresponding basic theories of pre-hospital emergency care. The target readers of this book are professional pre-hospital emergency care personnel, general practitioners, medical workers working in communities, grassroots health stations, clinics, and individual medical practitioners. In short, any medical staff who can suddenly face emergency patients and provide on-site rescue outside large hospitals can be the readers of this book. Pre-hospital emergency care is a relatively young discipline in emergency medicine, but it often plays a crucial role in a patient's life. Many patients lose their lives unnecessarily because they did not receive proper pre-hospital emergency care, which is a pity. Currently, senior talents specializing in pre-hospital emergency care research are rare, and there are few specialized monographs on the topic, which is another pity. The author has worked in the pre-hospital emergency care field for many years, experiencing the joys and happiness of success, the frustration and regret of failure, the lessons and punishments after mistakes, and the confusion and helplessness of being misunderstood or even insulted. I believe that to avoid many regrets, we need a book, the grassroots doctors need a book—a book that introduces basic emergency skills and theories, a book that ordinary, lower-educated responders can understand and read, a practical book with specific reference and guidance for clinical emergency care, and a book that integrates basic medical theory with practical operations. Therefore, I have attempted to write this book, summarizing my years of research and insights, accumulated experience and lessons, and combining them with the latest theories in emergency medicine, to present them to readers in book form and hope to inspire them. Let us take fewer detours and save more patients, worthy of the sacred title of medical staff.