1 case when the devastating earthquake in the ambulance elderly critically ill patients.docVIP

 PAGE \* MERGEFORMAT 5 1 case when the devastating earthquake in the ambulance elderly critically ill patients [Keywords:] Earthquake senior critical care May 12, 2008 14:28 PM, Wenchuan 8.0 Richter earthquake, the epicenter Wenchuan, 92 km straight line from the strong tremor was felt in Chengdu, located in the northern suburb of Chengdu, the Chengdu Military General Hospital cadre ward building was shaking , especially on the fifth floor, a large area roof collapse, the House, many cracks in the corridor, dust, constant fear of falling bricks, dust overflowing wards, to ensure the safety of the emergency evacuation of hospitalized patients, patients with medical personnel to the building transferred to the downstairs lawn, setting up temporary tents to relocate the patients, 48h after the unification move back wards, five wards were seriously damaged hug temporarily divert the five patients in one ward, second ward. About 1 case Male patient, 89 years old, the Department of retired military cadres, due to coronary heart disease, complete right bundle branch block, speed syndrome, cerebral infarction sequelae of diseases such as irritable bowel syndrome on March 13, 2008 revenues dry five patients District treatment. life of patients can not take care of themselves, caused by irritable bowel syndrome, intractable diarrhea, malnutrition, based on evaluation of body mass index table [1] determine the severe weight loss, while patients with cerebral infarction sequelae of neck muscle clonus, repeated consultation can not place a pacemaker, given to improve myocardial blood supply, nutritional support, protection, treatment of myocardial cells, etc. .5 12 afternoon when the earthquake occurred in patients with irritability, ECG showed supraventricular tachycardia, heart rate 156 ~ 182 beats / min, and immediately given oxygen, 0.9% sodium chloride adduct shell cool 10ml 10mg bolus, 15m after the heart rate to 70 ~ 86 times / min, with a flat car jump