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Step 1 Judge whether you are conscious or not.
First of all, shout to the patient: Comrade, what's wrong with you? Wake up, someone will come to save you. At this time, you should touch the patient's carotid artery 10S, observe the chest fluctuation, and judge it as unconsciousness, and immediately perform cardiopulmonary resuscitation.
Step 2: Artificial circulation ★ Put the patient on the hard board, take off the pillow and unbutton the clothes.
★ Find out the pressing position. Place the root of one palm on the lower part of the patient's sternum (the junction of the nipple and the anterior midline), and press the root of the other palm on the back of the front hand, with both arms straight and vertically pressed against the upper body weight.
★ Grasp the strength to make the sternum sink 5cm, and make the chest fully rebound after each press, but the palm never leaves the press position. Press and relax for roughly the same time.
★ The pressing frequency is so repeated, at least 100 times per minute.
Step 3: Open the respiratory tract.
After chest compressions, patients may vomit, so it is necessary to open the airway. If there is airway obstruction, foreign bodies (including nose and mouth) in the airway should be removed first. Foreign bodies can be taken out of the mouth with gauze or handkerchief, and dentures can be taken out with dentures. If there is no neck injury, open the airway by raising your head and chin; If you have a neck injury, hold your jaw with both hands.
The fourth step is mouth-to-mouth artificial respiration, which should be carried out quickly after the airway is unobstructed. The patient lies on his back, holding his chin with one hand to make his head lean back, opening his lower lip and pinching his nostrils with the other hand. After inhaling, he blows hard into the patient's mouth, then loosens his nostrils and exhales when his chest retracts. First of all, blow twice in a row, and each blow is only effective if there is obvious fluctuation in the chest.
If the following signs show that the recovery is successful, the patient should be quickly placed and transferred to the corresponding department.
★ Effective signs of chest compressions: aortic pulsation; The systolic blood pressure is above 8.0kPa(60mmHg); Pupil shrinkage and cyanosis; Even spontaneous breathing has returned.
The above are the first-aid nursing measures after carbon monoxide poisoning coma. For more information about the nurse qualification examination, please pay attention to the Global Medical Education Network/China Health Talent Network, or pay attention to the global online school nurse qualification examination WeChat: zghsks, so as to know the fresh physical examination information in time.