The patient, Mr. N.P.T, 66 years old, residing in Hanoi, was admitted to the hospital in a deep coma ( via Glasgow 3), unable to capture the pulse and blood pressure, the commune of both sides had anastomach 5mm wide, no more light reflection. The body had many burns on the knees, palms, navels and penis tip - a typical sign of suspected electric shock.
According to the family, about 15 minutes ago, the patient was repairing a water tank on the rooftop when he suddenly lost consciousness. Although no one witnessed it directly, based on clinical signs, the doctors diagnosed the patient with cardiac arrest due to electric shock.
As soon as they received the heart, the emergency team urgently pressed the heart out of the chest, placed an endotracheal tube and gave him electric shock twice. After 30 minutes of intensive care, the patient had a pulse back, but fell into a state of severe metabolism, high blood potassium and had to maintain two types of pulse transport due to shock after circulatory arrest.
After the male candidate began to contract, the doctors continued to improve resuscitation with measures: mechanical ventilation, continuous blood filtration and cooling down the command body to protect brain function. The patient is currently receiving intensive treatment at the Emergency Department.
Master, Doctor Le Son Viet, Central Hospital for Tropical Diseases, said: This is a case with a high risk of leaving severe neurological sequelae after stopping circulation. However, up to now, the patient has had certain progress, the co Infertility is normal in size, has reflexes, has cut off vasopressors and stopped blood filtration. We will gradually reduce sedatives and assess consciousness in the coming days.
To prevent electrical short circuit accidents in daily life, people need to be especially careful when repairing household appliances or electrical systems. Before the operation, the power source must be completely turned off by turning off the cutting bridge. The repair should only be done when the hands are dry, standing on a dry foundation and using all specialized isolation tools such as gloves, screws, and isolation screws. Absolutely do not climb to roofs, water tanks or high places related to the power system if safety is not ensured. Old electrical equipment with signs of damage or leakage needs to be inspected and replaced promptly. Regular maintenance of the power system is also an important solution to limit the risk of accidents.
Doctor Viet recommends: In case of electric shock, keep calm to handle it properly. First, you must quickly turn off the power or use an electrical isolation device such as a wooden stick or broom roll to separate the victim from the power line, absolutely do not touch the person being kicked directly. Immediately call 115 for emergency care and check the victim's reaction. If the victim no longer breathes or has no pulse, it is necessary to perform an exotherental coronary heart attraction and artificial respiratory training if he has been trained in technique. For victims who are still conscious, they should lie still, keep warm, and be monitored continuously until medical staff arrive. Absolutely do not pour water on the victim and limit movement in case of suspected spinal injury.
