This is a successful case of resuscitation of a cardiac arrest patient. Due to the emergency situation, I did not record the specific time of each step at that time, so I can only go by memory, so please forgive me for not being very accurate. There is no shortage of successful experiences, I hope it will be enlightening and please correct us. On May 15, 2012, around 19:30, at the Pinnacle Hotel in Beibei District, Chongqing, we were eating dinner when we received a call from my aunt and uncle, saying that my cousin Yang Gang (a pseudonym), had a heart attack and had been hospitalized. Yang Gang was hospitalized in the department 3 years ago for myocardial infarction three years ago, and then did not undergo heart stent surgery for some reason, and this attack was probably sooner rather than later. I contacted the chief of the department and the doctor in charge by phone to understand the situation, and learned that his condition was serious and he was under critical condition. Almost 20 o’clock, we finished dinner, rushed to the ward, at this time Yang Gang is lying on the hospital bed, oxygen, cardiac monitoring shows that the heart rate of 86 beats / min, rhythm, electrocardiogram suggests the anterior anterior wall, right wall myocardial infarction, has been or is using anticoagulation, thrombolysis, crown expansion and other drugs. Upon seeing me heel, Yang just greeted me, slightly poor in spirit, but able to answer questions correctly. At about 20:00, Yang Gang wanted to say something, but his mouth moved a little and did not come out, then suddenly his eyes rolled over, his limbs went into tonic spasm, his hands were in the shape of chicken claws, he did not respond to calls, his face was red, his teeth were clenched, his throat was in spasm, his chest and abdomen were slightly heaving, but no gas came in or out of his mouth and nose, he could hear intermittent laryngeal sounds, his carotid artery pulsation could not be palpated, and his ECG monitor showed that his heart rate was beating frequently above and below 210 times, his wave pattern was irregular, and then Ventricular fibrillation wave appeared, which lasted for one minute and then the ECG was in a straight line. The skin of the face and the whole body was cherry red and quickly changed from dark red to cyanotic, and the whole body was sweating profusely. While immediately reporting to the doctor and nurse on duty, he immediately tilted his head back and held his jaw forward while performing chest cardiac compressions. I (chief physician of hepatobiliary surgery), chief resident Guo Qing, and Dr. Liu Guojin took turns to perform cardiac compressions and hold the jaw to keep the airway open for about 1 hour and 40 minutes (this is the core and key of the whole resuscitation process), Dr. Luo Fashu, chief physician, was mainly responsible for giving emergency verbal medical orders, and two nurses, one of whom quickly and accurately carried out verbal medical orders, gave epinephrine, niclosamide, lopressor, dexamethasone, and sodium bicarbonate intravenously. The other nurse assisted in the resuscitation process by recording the various medications and recording the resuscitation process as carefully as possible. Electrical resuscitation was performed four times during the resuscitation process. During this continuous resuscitation process, in this short but very tense period, the patient showed a series of manifestations and reactions, and after 2 minutes of resuscitation, the whole body muscles were loose; at 20:20, sigh-like breathing began, once every 2-3 minutes, the pupils were narrowed, about 1mm in diameter, no reflex to light, no pulsation of the aorta, the electrocardiogram was a straight line, and under manual chest compressions, the blood pressure was 80/ 60mmHg, SO280%; 20:30, the number of voluntary breathing increased, 1-2 times per minute, ECG, pupil did not change significantly; 20:40, the first electrical resumption rate, after the emergence of a dozen ventricular heart rate wave pattern, ECG was trembling wave pattern, voluntary breathing 3-4 times per minute, the whole body skin was marbled pattern changes, skin sweating, skin temperature was high; 20:50, the voluntary The second electric cardioversion was given at 20:50, the electrocardiogram was still in a straight line, the skin color of the whole body was obviously better, slightly purple, blood pressure was 90/60 mmHg, SO290%; at 21:00, the ICU physician arrived, the implementation of the tube intubation was unsuccessful, because the patient’s larynx was spasming after laryngoscopic stimulation, under chest compressions, blood pressure, SO2, could be maintained, the autonomic breathing was about 10 times per minute. The electrocardiogram was still ventricular fibrillation wave after two consecutive electrical resuscitations, and continued chest cardiac compressions; 21:20, swallowing movements appeared, spontaneous respiration was 20 times per minute, it was a deep large respiration, the right pupil diameter was 3 mm, the left pupil was 2 mm, the reflex to light was weak, and the electrocardiogram was still ventricular fibrillation wave pattern; 21:40, there was involuntary movement of both lower limbs, and the electrocardiogram appeared wide QRS wave, which continued to appear more than 10 wave patterns, and then again At 21:50, the QRS waves were close to normal, interspersed with ventricular QRS waves, and at 21:55, the ECG wave pattern was close to normal, the call was answered, the pupils were 4 mm bilaterally, the response to light was delayed, the blood pressure was 110/86 mmHg, the heart rate was 100 beats/min, and the chest cardiac compressions were stopped. 22:30, the patient was transferred to the ICU. Initial CPR was successful! A few points of inspiration: 1, cardiovascular disease, has become the main killer of modern people, ranking accidental death and cancer before the first, and the trend of youth, everyone is threatened by it, mainly myocardial infarction, cerebrovascular rupture and cerebral infarction, we must pay great attention to everyone, prevention before it is too late. 2, the emergence of prodromal symptoms, we must pay great attention to the timely medical treatment; 3, in case the patient suddenly fainted, convulsions, sweating, to quickly call 120 emergency, before the arrival of professionals, is the best time to rescue the patient, the most important thing is to keep the patient’s airway unobstructed, if the heart has stopped, to carry out chest cardiac compressions as soon as possible. Of course, many people will not, so it is necessary to popularize the knowledge of first aid. 4, the brain tolerates complete ischemia and hypoxia for only 5 minutes, if the heartbeat and respiration stop completely and are not rescued, it will be irrevocable after 5 minutes. But if you start resuscitation within these 5 minutes, even if it is not professional enough and the effect is not too good, it is better than no resuscitation, as long as there is blood circulation, the brain cells can take in oxygen and buy time to save lives. 5, it must be stressed that resuscitation of patients with cardiac arrest is a professional extremely strong and complex process, must call 120 as soon as possible, so that the former unseen ancient people get professional treatment as soon as possible. On May 16, 2012, at 7:40 am, 9 hours and 30 minutes after successful CPR, the patient’s right upper chest and left lower chest, rectangular traces left by electric defibrillation were still visible. Early morning, busy ICU ward. My cousin is holding my hand very affectionately. ECG monitor images taken today.