First, identify heart attacks and deal with them accurately
Angina pectoris, myocardial infarction, aortic dissection and pulmonary embolism can be typical chest pain. Toothache, left shoulder pain and even vomiting may also be signs of myocardial infarction.
After 15 minutes of chest pain, please clarify these problems:
1. Can you specify a clear position?
- If so, it may be other diseases, which are generally not life-threatening. If not, enter the second step.
2. Is there wet and cold skin?
- If yes, please call 120 and wait for the emergency personnel to arrive. If not, proceed to the next step.
3. Take a tablet of nitroglycerin sublingually and wait for 5 minutes. Is it significantly relieved?
- If yes, it may be angina pectoris. If the skin is wet and cold at the same time, please do not take nitroglycerin. If not, please call 120 and wait for the emergency personnel to arrive.
If nitroglycerin can be significantly relieved after sublingual administration, this condition is generally not myocardial infarction. If it occurs repeatedly within a few days, further examination is required at the cardiovascular internal medicine clinic.
The following two special circumstances should be kept in mind:
Severe torn back pain: Please call 120 immediately and wait for emergency personnel to arrive.
Upper abdominal pain, vomiting, left shoulder pain, toothache: When the symptoms last for 15 minutes or more, hitch to the emergency room. The doctor on duty may recommend electrocardiogram examination and continuous observation.
- If the skin is wet and cold, do not take nitroglycerin. Patients with chest pain cannot drive to the emergency room by themselves!
There are many contraindications to nitroglycerin, but contraindications do not often occur. Taking 5-phosphodiesterase inhibitor within 24 hours or having severe hypotension is an absolute contraindication of nitroglycerin, that is, it cannot be used! Right ventricular myocardial infarction is not an absolute contraindication for nitroglycerin use.
Aspirin may aggravate aortic dissecting aneurysms and may even directly lead to bleeding death. Aspirin is not recommended for non-emergency personnel.
Instructions for medical treatment
You must go to a hospital with the ability of emergency stenting 24 hours a day, 7 days a week. If you are not sure, confirm this with the other party when calling 120.
If the hospital with emergency operation capability cannot be reached due to geographical reasons, intravenous thrombolysis should be performed at the nearest most advanced medical facility and immediately transferred to the nearest capable medical facility.