Sudden management of epilepsy Keep the person with epilepsy lying down during a seizure to prevent falls or injuries and notify the doctor immediately. The collar and belt must be unfastened to allow for unobstructed breathing. Insert a towel, handkerchief or tongue depressor between the teeth to prevent tongue bite. Do not press on the limbs of the epileptic patient during convulsions to avoid fractures and dislocations. A soft pillow behind the back can prevent vertebral fractures. Turn the epileptic patient’s head to the side to allow secretions to flow out and avoid suffocation. Sudden shock treatment measures When shock occurs, patients often have wet and cold skin, sweating, pale or blue face, cold expression, and decreased body temperature, which is a manifestation of insufficient blood flow in microcirculation. In addition, the patient is accompanied by irritability, unresponsiveness or even coma, which is a manifestation of cardio-cerebral ischemia. Once the patient is found to have accelerated heart rate and weak pulse, be especially alert, which is the harbinger of shock. 1, immediately notify the doctor, try to move less, less disturb the patient, keep it quiet. 2, loosen the patient’s collar, trouser belt, so that they lie flat. In severe shock, the head should be lowered and the feet slightly elevated. But head injury, breathing difficulties or pulmonary edema should not use this method, but should be slightly elevated head. 3, pay attention to the patient to keep warm, but not too hot. 4.Sometimes the patient can be fed with hot drinks such as ginger candy water and strong tea. 5.People with pulmonary edema and respiratory distress should be given oxygen inhalation. 6.For some clear causes of shock, such as traumatic haemorrhage, a tourniquet should be immediately tied, but attention should be paid to the regular relaxation so as not to cause limb necrosis for too long; for shock caused by fracture pain, the affected limb should be fixed and painkillers should be taken to relieve pain. Brain infarction patients recovering from sudden acute cerebral infarction how to treat 1, general treatment should be bed rest, head flattened, and if necessary, give oxygen. In addition to exceptionally high blood pressure is generally not lowered. Turn over regularly, pay attention to the smooth flow of the respiratory tract, prevent respiratory and urinary tract infections, and prevent bedsores. 2.Low-molecular dextrose drip 500ml daily for two weeks. 3.Vasodilator intermittent inhalation of gas mixture (6-7% carbon dioxide, 50-95% oxygen), 5% sodium bicarbonate 250 ml sedative, 1-2 times a day, poppy bases 100 mg added to 250 ml glucose solution slowly sedative, once a day for a total of two weeks. Vasodilators are only used for 1-2 days at the beginning of the disease or after 3 weeks after the disease, otherwise, intracerebral blood theft syndrome may occur, which will instead aggravate the damage of brain tissue hypoxia. 4, anticoagulation treatment treatment is as follows: Heparin 12,500 units added to 5% glucose, saline or 10% glucose solution 1000 ml in slow intravenous drip (maintained at a rate of 20 drops per minute for 24 to 48 hours. Oral anticoagulants such as neo-dicoumarin 300 mg, dicoumarin 100 to 200 mg, neo-anticoagulation 4 to 8 mg can be given at the same time on the first day). 5.Chinese herbs that activate blood circulation and resolve blood stasis, such as Salvia, Chuanxiong, Pueraria Mirifica, Angelica, Safflower, etc. Can be used at your discretion. 6, surgical treatment of carotid artery obstruction can be thrombectomy. For transient cerebral ischemic attack and intracranial arterial system obstruction, anastomosis of superficial temporal artery and middle cerebral artery can be performed on the diseased side. 7.New needle, head injection, laser or ultrasonic treatment can be used. How to deal with sudden cerebral hemorrhage in an emergency First of all, the patient should be carried carefully and gently to the bedroom and spacious place to minimize the vibration, shaking and bumping of the patient’s body and head, which may aggravate the intracranial hemorrhage and occur brain herniation. Keep the airway open. Untie the collar and trouser belt of the patient, and if necessary, cut the blouse with scissors to reduce the resistance to breathing; remove the dentures if there are dentures, and position the patient on the side to make oral secretions and vomit flow out easily. If the tongue falls back and the breath snores loudly, use your hand to hold the jaw up. When the patient is convulsing, a half-inch wide bamboo plate wrapped with soft cloth can be stuffed between the upper and lower teeth to prevent the tongue from being bitten. Also use intravenous 20% mannitol or 50% glucose for dehydration to prevent brain herniation. The treatment of sudden fractures in sports The treatment of fractures at the scene is more diverse, depending on the specific situation to take different treatment methods, such as a mild woundless fracture, not yet swollen, if possible, should first cold compress treatment, using ice water, ice or freezing agent dressing fracture parts to prevent swelling, frozen mineral water and pure water can also be, simple fixation and sent to the hospital for treatment. If there is a wound then cold compress is not appropriate, use sterile gauze to compress the bleeding, if the bleeding is seriously inconvenient or cannot be compressed to stop the bleeding (generally refers to open thigh fractures or other parts of the serious bleeding) apply a tourniquet or cloth, etc. ring tie the proximal end side of the part and immediately send it to the hospital, compression can also be used to stop the bleeding, it is important to remember that once the cloth tape or rope is used to tie the bleeding, the time of the tie must be recorded, generally It should not exceed 1 hour to avoid ischemic necrosis of the limb due to prolonged time. The tourniquet should generally be relaxed for at least 5 minutes every hour. If the bleeding is dark red and slow, it is venous and the dressing is done at the distal end of the wound. If the bleeding is bright red and rapid, it is arterial and should be dressed at the proximal end of the wound. If the fracture end is exposed, do not try to put the fracture end back in place, but continue to keep it exposed so as not to bring bacteria into the deep part of the wound causing deep infection. If the fracture end or dislocated joint is repositioned, it should be given a note and clearly explained to the physician at the time of transport to the hospital.