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These signs of a stroke should alert any person! They are an indication for immediate call of an ambulance team. Here’s what you can do before arrival of physicians.


Dear readers, today on the blog I have the final article from the doctor Eugene bullfinch on the topic of stroke. This article focuses on first aid in case of stroke. Agree, there are situations when a person becomes ill, it is very important for everyone to know exactly how to help him. But when a stroke of particular help is needed because everything is decided by minutes, the first hours (especially during the first 3-6 hours). If time help with stroke is not provided, then it is very difficult. The loss of time here could be equal to the loss of life. And such examples personally of my friends very much.



Stroke. Symptoms, indications for first aid.


Characteristic symptom of acute cerebrovascular disease is a sudden onset of neurological symptoms with rapid progression to the degree of maximum severity. Consider clinical manifestations that should alert any person and are an indication for immediate call of an ambulance team.





Headache may develop suddenly in some cases, the patients the feeling of “hitting a hammer on the head”, which is a characteristic symptom of subarachnoid hemorrhage. In this case, a headache combined with a stiff neck – inability to raise the head and bend your chin to your chest. Very often the brain hemorrhage is a severe headache accompanied by vomiting and subsequent loss of consciousness.


Localized or throbbing headache, combined with the gradual increase the other neurological symptoms may indicate increasing intracranial arteriovenous malformations.


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At the beginning of ischemic stroke headache may not be, it may appear only a few days from the onset of the disease due to the increase of brain edema.


Cause of stroke is often severe hypertension, so the headache can be combined with other manifestations of hypertensive crisis – high blood pressure levels, dizziness, tinnitus. In this figure the blood pressure can be very high – so the body tries to compensate for impaired blood supply of the brain.





With the defeat of the Central parts of the nervous system may cause a sensation of rotation of himself or surrounding objects – the so-called systemic dizziness.



Visual disturbances


With the development of stroke can be a sense of double vision (diplopia). The sudden development of diplopia is typical of acute ischemic or hemorrhagic brain damage.


For short-term (transient) ischemic attack is characterized by episodic bilateral dimming of vision.



Muscle weakness


The sick man weakness can be observed in the muscles of the face, tongue, one limb, one half of the body or muscle weakness may be bilateral.



Sensitivity disorders


Sensitivity disorders in ischemic or hemorrhagic stroke usually occur in the form of numbness. Numbness may be unilateral or bilateral in nature and felt in the region of the face, trunk or extremities.



Impaired speech and swallowing


When strokes often occur, and slurred speech.


Can develop dysphasia – loss of ability to produce or perceive the oral or written speech.


May develop dysarthria – specific difficulty of articulation.


In the localization of lesions in the nuclei of the cranial nerves is often a violation of swallowing – the patient can not take a SIP of water, constantly poprivate.



Movement disorders and gait disorders


Can develop an instability when standing, standing up, walking.


The most striking manifestations of neurological deficits paresis and paralysis when distinctly limited or even impossible a movement of the limbs. These manifestations can be bilateral and unilateral. A characteristic manifestation can be paralysis of the facial muscles there is a feeling of twisted faces.



Disturbance of consciousness


The most mild form of mental function is short-term memory loss – the patient does not remember what happened to him in the near future. Very often this symptom is reversible and the most characteristic transient ischemic attack.


From the elderly the first manifestation of disturbances of cerebral krovatka may be strengthening signs of dyscirculatory encephalopathy – grandparents become very aggressive or Vice versa is foolish, frivolous, no longer adequately communicate with their loved ones, their behavior begins to cause serious concerns of relatives. In this case, when joining the other rapidly progressive neurologic symptoms call ambulance should be mandatory.


For more severe forms of cerebrovascular disorders characterized by altered levels of consciousness, the person becomes inadequate, is completely oriented in place, time, self.


May develop stupor – the feeling that a person is asleep, there is minimal contact or perform simple commands only when a loud cry of pain or irritation.


Very severe brain damage evidenced by the coma – man is impossible to Wake, he ceases to engage in pain and irritation at the reprimand.


In a coma may experience respiratory, circulatory, what is the most dangerous to life. As a rule, in the absence of a quickly rendered the qualified medical aid and consultation of cardiologist they are the main reasons for the rapid death.





Very often convulsions accompanied by impaired consciousness.


Seizures can have a tonic character – there is a maximum tension of skeletal muscles.


Can be clonic seizures – there is a volley of intense twitching of body, limbs.


Thus, the emergence of such symptoms is a mandatory indication for emergency call ambulance. The hope that “all will pass” leads to late admission and delayed receiving qualified medical assistance, which significantly worsens the prognosis of the disease.



First aid for stroke.


Before the arrival of the doctor if you suspect a stroke you must do the following:


If a close person is conscious:


1. To give the patient supine position, better on the back.


2. Elevate head end by 30 degrees upwards – thereby increasing venous outflow from the cranial cavity and decreases brain swelling.


3. To measure blood pressure, the pulse count, to remember these figures and report the arriving ambulance. With the purpose of differential diagnosis the physician needs to know what started the critical state.


4. Try to calm yourself and reassure a loved one. The progression of a stressful situation causes a further rise in blood pressure and deterioration of the clinical picture.


5. Close person not to feed, not to drink. First, the food and fluids may increase vomiting and secondly, the possible future accession of seizures with loss of consciousness when “full stomach” is very dangerous – gastric contents may enter the respiratory tract and cause the development of aspiration pneumonia.


6. To collect medications, documents (passport, insurance card), all available at home the necessary medical documentation, and personal hygiene items in one package, so you do not delay the ambulance chaotic charges. The faster your relative will be taken to the hospital, the faster it will begin the necessary examination and emergency care.

Arrived doctor will do everything necessary the injection preparations according to the standard of assistance in acute ischemic stroke.



If the patient is unconscious:


1. The patient is put on back, elevate head end by 30 degrees.


2. The main task before the arrival of the doctor is to try to assess the state of the vital functions of the body – cardiovascular and respiratory systems.


To measure blood pressure, calculate pulse rate and respiratory function. If breathing is irregular, there is no adequate inhalation – to perform a triple reception Safar, Peter: throw back close to the man’s head, open his mouth and push the lower jaw.


This position of the head provides for normal breathing in an unconscious state. If in the mouth you will see vomit, then they need to remove a clean, dry cloth. Dentures to remove. These are fairly simple manipulation will provide the airway and will save your relative’s life. Later arrived doctor put the duct or perform tracheal intubation, depending on the severity of respiratory disorders.


If triple reception cannot be performed, it is possible to turn a close person lightly on the right side – the tongue in this position will not block the entrance to the airway and breathing will improve.


If breathing is not impaired, it is possible to turn his head to the side. If vomiting occurs, the head position is more secure to prevent ingress of gastric contents into the upper respiratory tract.


3. While You provide first aid, ask relatives to collect the necessary documents, taking the medicine in the package.


4. Waiting for the ambulance, believe and hope for the best!


Good health!published econet.ru.

Eugene Finch

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P. S. And remember, just changing your mind – together we change the world! © econet


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