Weekly First-aid Topic: Cooperate with telephone medical guidance, the bridge for saving lives
From:Beijing Municipal Health Commission

On January 31, 2024, the dispatchers in the dispatch and command center of the Beijing Emergency Center were working busily and orderly. At around 2 in the afternoon, the dispatch doctor Feng Xian received an emergency call: "Hurry! She just took medicine and suddenly became ill. She has no reaction and her breathing is not good. Please come quickly!" Feng Xian calmly registered the address and quickly dispatched the nearest ambulance, and then continued to contact the patient's family. "The ambulance has already set off. Please cooperate with me to determine whether the patient is breathing. If not, we should immediately perform cardiopulmonary resuscitation." At the same time, Feng Xian turned on the respiratory diagnostic aids of Medical Hierarchical Dispatch System (MPDS). "From now on, tell me every time the patient takes a breath, and I will count. The system shows that the breathing is less than 6 times/min, which is an invalid breathing when dying! Start cardiopulmonary resuscitation immediately, and I will help you. Just follow my instructions. Please move the patient to the floor, place the heel of your one hand on the midpoint of the line connecting the patient's nipples, then place the other hand on the back of this hand, and press the chest quickly and hard for at least twice every second. You should press down to a depth of at least 5 cm, and press according to the frequency I gave. 1, 2, 3, 4, 1, 2, 3, 4. You have to keep pressing until the emergency doctor takes over. Hold on! Don’t give up! "The dispatching doctor Feng Xian clearly gave medical guidance over the phone, and the family members also cooperated very well in providing first aid.

At the same time, the ambulance crew rushed to the scene quickly, and immediately took over the rescue. They checked the patient's vital signs, showing the blood pressure at 50/30mmHg, heart rate at 85 beats/minute, and breathing frequency at only 1 to 2 times/minute. The condition was critical, and the emergency doctors immediately provided appropriate treatment. The on-site personnel worked together to quickly move the patient into the ambulance, and the driver quickly and smoothly drove the ambulance to the nearby receiving hospital. Before entering the hospital emergency room, the emergency doctor checked the vital signs again. At this time, the patient's condition had returned to stable and he was quickly sent to the emergency room for further treatment.

Here are some tips from Beijing 120. When an emergency occurs, you should stabilize your emotions first while ensuring safety, listen carefully to the dispatcher's questions, answer calmly, inform the detailed address, and describe the patient's condition as clearly as possible. The telephone medical guidance provided by the dispatcher is easy to understand. Please follow the instructions and the steps to provide patients with timely, effective and feasible self-rescue or mutual rescue. It is necessary to stay calm because while you are involved in treating the patient, the ambulance is already on its way and will arrive soon.