How do I resuscitate a patient who has been electrocuted (electrocuted)?

  The specific operation of rescuing electrocution patients is mainly based on the degree of electric shock. For light patients, such as transient exposure to low voltage, weak current, only manifested as nervousness, pale, dull expression, accelerated heartbeat and respiration, sensitive people have transient syncope or coma, but can soon recover. For this type of patients, as long as the power supply has been disconnected, no special first aid measures, rest can be recovered, but should closely observe the changes in vital signs, and pay attention to local electrical burns, and give the appropriate symptomatic treatment. If the patient is subjected to greater current intensity, electrocution for a longer period of time, the symptoms are very heavy, and even cardiac and respiratory arrest, the following principles of resuscitation should be followed to deal with: 1, be sure that the patient has been removed from the power supply to prevent their own electrocution; if possible, immediately cut off the contact power, but do not remember to pull away from the electrocution of the person leaving the leakage of electrical appliances or switches, because this will make the current flow through the electrocuted body to the rescuer The human body, the occurrence of secondary electrocution. Insulated rods and other non-metallic objects can be used to force the electrocution and power separation, it is best to pull down the electric switch.  2, cardiopulmonary cerebral resuscitation immediately after cardiac arrest, unobstructed airway, mouth-to-mouth artificial respiration, chest cardiac compressions and other operations, while resuscitating the organization of the patient’s transport work, and strive to reach the hospital as soon as possible to perform tracheal intubation, high concentration of positive pressure oxygen, the early use of external chest DC defibrillation. Epinephrine hydrochloride should be used as the drug of choice for cardiopulmonary resuscitation after cardiac arrest, if the heartbeat exists after electrocution, epinephrine is prohibited, and this drug should be used with caution in the absence of electric defibrillation and drug defibrillation conditions at the scene. After early cardiopulmonary resuscitation, arrhythmias may reoccur or persist and should be monitored.  3, after successful cardiopulmonary resuscitation should further clarify the nature of electrocution, current strength, voltage size, current access, contact time, the presence of compound injuries such as falling from a height, and do the appropriate treatment, protect the trauma, avoid contamination.  4, for light electrocution, clear consciousness, only feel panic weakness, numbness of the limbs, should rest in place, close observation 1 to 2 hours, and symptomatic treatment, preferably under cardiac monitoring 1 to 2 days.  5.Ankylosing myospasm can cause long bone fractures and damage to the spine, and appropriate measures should be taken when handling the patient to avoid aggravating the trauma.  6. The degree and severity of internal tissue damage cannot be confirmed from external burns, and the patient should be sent to the hospital even if he or she is rapidly awake after the electric shock.  The simultaneous existence of electric shock, burn shock and traumatic shock needs to be taken into account when performing life support in the hospital. Monitor the patient’s general status, peripheral circulation, heart rate, central venous pressure, urine color and specific gravity, erythrocyte pressure product, blood gas analysis, and hourly urine volume to adjust the nature and rate of fluid replacement. In the case of electrical burns, there is often severe destruction of deep tissues, and the amount of rehydration fluid is more than that for burns of the same area. Severe burns should be transfused, but those with severe combined heart and brain injury should be prevented from heart failure and cerebral edema. Once hemoglobinuria is detected, diuresis and alkalinization of urine should be used to protect renal function, and dialysis should be used if necessary.