Mr. NPT (66 years old, in Hanoi ) was taken to the Central Hospital for Tropical Diseases by his family in critical condition: deep coma (G3d), no pulse or blood pressure, both pupils dilated 5mm, no light reflex.
According to family members, about 15 minutes before being discovered, the patient was repairing a water tank on the rooftop when he suddenly lost consciousness and was discovered by family members and taken to the hospital. Although no one witnessed the incident directly, based on clinical signs, doctors diagnosed: The patient suffered cardiac arrest due to electric shock.
Upon admission, the doctors immediately performed CPR: chest compressions, adrenaline injection, endotracheal intubation, and two electric shocks. After 30 minutes of intensive CPR, the patient regained his pulse. However, blood gas results showed that the patient was in a state of severe metabolic acidosis, high blood potassium, and had to maintain two vasopressors due to shock after CPR.
After the pupils showed signs of constriction, the doctors decided to perform advanced resuscitation with measures such as mechanical ventilation, continuous blood filtration, and placing the patient on a controlled hypothermia system to protect brain function. The patient is currently receiving intensive treatment in the Emergency Department.
Master, Doctor Le Son Viet said that this is a case with a risk of very severe neurological sequelae after cardiac arrest. However, the patient is currently making certain progress, the pupils have returned to normal and have reflexes, the vasopressor has been stopped and the dialysis has been stopped. Doctors will gradually reduce the sedative and assess the state of consciousness in the coming days.
Doctor Viet recommends that to prevent electric shock accidents in daily life, people need to be especially careful when repairing electrical equipment or systems in the home. Before operating, the power source must be completely disconnected by turning off the circuit breaker or circuit breaker.
Repairs should only be carried out with dry hands, on a dry surface and using specialized insulated tools such as gloves, screwdrivers and insulated pliers.
Never climb onto the roof, water tank or high places related to the electrical system without ensuring safety. Old electrical equipment, showing signs of damage or leakage, should be checked and replaced promptly. In addition, regular inspection and maintenance of the electrical system is also an important solution to prevent electrical shock accidents in the family.
In case of electric shock, everyone in the family needs to stay calm to handle the situation properly. First of all, quickly turn off the power source or use an insulating object such as a wooden stick, broom handle, etc. to separate the victim from the electric current. Absolutely do not touch the person being shocked directly.
Call 115 immediately and check the victim's response. If the victim stops breathing and has no pulse, perform chest compressions and artificial respiration, if the attendant has been trained in the technique.
For conscious victims, keep them still, keep them warm and monitor them continuously until medical personnel arrive. Never pour water on the victim and limit movement in case of suspected spinal injury.
Source: https://nhandan.vn/cuu-song-benh-nhan-ngung-tuan-hoan-nghi-do-dien-giat-post892176.html
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