Weekly First-aid Topic: Scientifically prevent heatstroke and take medicine with caution
From:Beijing Municipal Health Commission
Date:07/26/2024

A high temperature warning was issued on June 11, 2024. At 10 a.m., Dr. Li Qing of the Economic Development Zone Emergency Center had just completed her mission. On the way back to the station, she received an emergency task from the dispatch and command center. An adult male fainted at the door of a bank, and a passerby called 120 for him. Dr. Li immediately dialed the on-site phone number to inquire about the situation. The driver turned on the navigation to send the crew to the scene immediately. It was learned that the patient suddenly became unconscious when he went out after handling business at the bank. He was unconscious and sweating all over. Dr. Li asked the caller to move the patient to a cool place first and tilt his head to one side to avoid suffocation caused by vomiting. When he arrived at the scene, he saw that the patient had woken up and was lying in the shade, with bank staff guarding him. When Dr. Li checked the patient's condition, he found that the patient spoke fluently and his limbs could move, but his face was sallow, his body was sweating, and he could not recall what happened in the past hour. The ambulance team quickly sent the patient to a cool place in the bank for blood pressure, blood sugar and electrocardiogram examinations. The patient's blood pressure was lower than normal, and other examinations were normal. During the examination, the patient continued to sweat. Dr. Li immediately asked the nurse to give the patient rapid intravenous rehydration and asked the patient again about the situation before the onset of the disease. The patient said that he took Huoxiang Zhengqi Oral Liquid with an empty stomach today to prevent heat stroke and did not eat anything afterwards. After treatment, the patient felt that his fatigue was relieved and his memory was restored after about 15 minutes. The ambulance crew contacted the patient's family and transferred the patient to the ambulance, continued to monitor his vital signs, and gave continuous rehydration treatment. On the way, the team asked the Beijing 120 Dispatch and Command Center to establish a green channel, sent the patient to the hospital safely, and completed the handover with the doctor in the hospital.

According to a follow-up interview by Dr. Li, the patient recovered and left the hospital in the afternoon of the same day. The doctor diagnosed that the patient had collapsed and fainted because he did not eat anything after taking Huoxiang Zhengqi Oral Liquid.

Here are some tips from 120. Huoxiang Zhengqi Oral Liquid is a well-known Chinese patent medicine dispelling dampness, and regulating and neutralizing qi. It has a certain effect of relieving heatstroke. However, it should be used according to the patient's symptoms and personal constitution, etc., or it may cause adverse reactions. It is recommended to take it with the guidance of a doctor.

Beijing 120 kindly reminds you that in summer, it is necessary to reduce outdoor activities or work in high temperatures for a long time. If symptoms of premonitory heatstroke such as dizziness and fatigue occur, the patient should immediately leave the high temperature environment and move to a cool environment to rest, replenish water and electrolytes in time, and maintain the water and salt balance in the body, then the general discomfort symptoms could be relieved. High temperature accelerates the energy consumption of the body, so it is more important to pay attention to regular diet. When symptoms such as shortness of breath, confusion, nausea, vomiting, and convulsions occur to a patient with heatstroke, it is necessary to call 120 in time to seek professional help. At the same time, physical cooling could be adopted, by quickly wiping the body with cold water, or cooling down the body as soon as possible with ice packs to prevent the condition from worsening.