Pre-hospital emergency and trans-shipment for hypertension.

Hypertensive stress is a critical clinical condition of acute impairment of critical target organs such as heart, brain and kidneys, when the blood pressure rises sharply and significantly under specific induced conditions. In recent years, the incidence of hypertension has risen as a result of rapid socio-economic development, such as irregular living conditions, increased work stress and poor eating habits. When blood pressure rises sharply in a short period of time, it is considered to be hypertension. The disease can cause direct damage to vital organs such as the heart, brain and kidneys and, if the symptoms are severe, directly endanger the life of the patient.Hypertensive stress is a common and severe acute medical condition, defined in our country as a convulsion pressure greater than 130 mmHg or a constriction pressure greater than 200 mmHg, accompanied by damage to target organs. If only blood pressure rises but the target organ is not damaged, it is classified as hypertension sub-emergency. Hypertensive stress can lead to severe consequences such as brain haemorrhage, brain infarction, acute heart failure, acute coronary syndrome, and serious threats to the physical and mental health of patients with very high rates of disability and death. The cold, fatigue, high stress, and sudden interruptions in the treatment of depressive drugs all have the potential to cause severe convulsions of small arteries, mainly in the form of severe headaches, irritation and vomiting, which require rapid and effective first aid measures to save the lives of patients.I. Pre-hospital first aid approach1. Emergency responseOnce the first aid centre is on first aid, the on-duty paramedics and drivers must act immediately to ensure that they leave the first aid station within three minutes and arrive at the scene of the accident within five to eight minutes.Rapid medical assessmentUpon arrival at the scene, medical personnel are required to immediately assess the patient ‘ s condition, to rapidly measure his or her vital signs (pulse, breathing and blood pressure) and to observe changes in his or her mind, pupils and whether he or she suffers from vomiting, severe headaches, convulsions, and, if he or she vomits, to reverse his or her head to one side, to clean up vomiting in his or her mouth and to ensure the flow of the respiratory tract. If necessary, tube intubation to prevent suffocation.3. Oxygen inhalation(c) Provide immediate high-flow oxygen inhalation to patients in order to effectively mitigate brain aerobic deficiency, reduce the heart burden and reduce disease and death rates.4. Establishment of a vein channelConnect patients with electrocardiograms and blood pressure monitoring equipment and establish effective veins. If necessary, two veins can be established and the treatment of depressive drugs provided in conjunction with the initial diagnosis. The choice of an intravenous drug and the choice of an effective and short-lived drug, such as Uradir, Labelore, Nicadi, are equal. Uradir, which is an alpha receptor retardant, has a combination of external and central depressive effects, which can contribute to the reduction of renal vascular resistance and does not affect the heart rate. For the use of Uradir, the maximum concentration was 4 mg/ml, the rate of the infusion had to be adjusted to the patient ‘ s blood pressure, and possible adverse effects included dizziness, nausea and heart attack. Labelore is a beta-receptor retardant, whose pressure-relief effects are closely related to the dose, and there is no reactionary ulteriority or retardation, especially for patients with high blood pressure during pregnancy. Nicadrin is a dihydrogen calcium-like blocker, with a high vascular selectivity, which at the same time can significantly improve the flow of blood from organs such as the heart and the brain at the same time as pressure relief, and is effective 5 to 10 minutes after intravenous injection, lasting 1 to 4 hours.II. TRANSFER OF EMERGENCYDuring pre-hospital first aid trans-shipment, the movement must be carried out gently and, in the case of patients whose spine has been damaged, the spine must be maintained at the axle level and in a stable state, with a hard-boarding on the lower side, with a single password as follows: “I.Two, three, then co-location. In the case of patients in shock, the stretcher should be placed in a horizontal position or slightly lower in the head, and when down the stairs, the person carrying the stretcher in the front will be required to raise the stretcher appropriately to ensure the overall balance of the stretcher. When placing a patient in the car, he/she shall be given a head in front of the vehicle, a foot in the rear and steady to ensure the comfort of the patient. In transit, it is important to be both fast and safe and to avoid, to the extent possible, violent vibrations. In the case of patients who are unconscious or vomiting, their head should be tilted to one side to ensure that the respiratory tract is free. In the event of a change in the condition during the course of the trans-shipment and when medical attention cannot be provided as the vehicle moves, it is necessary to stop immediately and to proceed with immediate first aid.Summary:Rapid and effective pre-hospital first aid is essential in the event of an outbreak of hypertension, and the importance of pre-hospital first aid should be actively disseminated to the public, the correct call for help should be taught and emphasis should be placed on avoiding the arbitrary movement of patients to reduce the risk of disability and death. Therefore, if you feel ill, call the emergency telephone immediately and a professional emergency medical team is able to provide the necessary protection to the patient.