Weekly First-aid Topic: Climbing mountains and crossing hills to treat fainting patient
From:Beijing Municipal Health Commission
Date:08/30/2024

Recently, an ambulance team of Beijing 120 received a task that a young female tourist on a mountain in a park had transient syncope symptoms. The crew rushed to the scene. On the way, the doctor contacted the person there to confirm the patient's specific location and current situation and provided medical guidance through the phone.

When the ambulance arrived at the spot, it was difficult to drive to the patient because she was on the mountain. The crew immediately carried the relevant items to go to the patient. The medical staff carried the diagnosis and treatment box and first-aid equipment while exploring the way. The road is mountainous, long and steep. The crew worked together to carry the stretcher to the location and climb forward to try to reduce the patient's waiting time at the forest in the mountain.

The doctor performed a physical examination for the patient immediately by their arrival. The patient reported that she had a history of hypoglycemia. After testing, it was found that the patient's blood sugar was low, and other vital signs were stable. The medical staff judged that the fainting might be related to hypoglycemia, and immediately treated her and recommended her to go to the hospital for further examination. Afterwards, the ambulance crew secured the patient, lifted her onto the ambulance, and quickly sent her to the hospital for treatment.

Transient syncope is caused by transient insufficient blood supply to the brain. It is mainly classified into cardiogenic syncope, orthostatic hypotension syncope, and reflex syncope. Cardiogenic syncope is the most common in clinical practice, which may be caused by acute myocardial infarction, arrhythmia and other problems, leading to reduced cardiac ejection and acute cerebral blood supply disorder, causing cardiogenic syncope. Syncope caused by neurogenic factors, such as orthostatic hypotension and severe diseases of the nervous system, may cause patients to have orthostatic hypotension and transient syncope in the late stage. Neurological reflex syncope, it is mainly caused by increased tension of the vagus nerve. For example, male patients may experience urination syncope after urinating at night. There are also many patients who have cough syncope under specific situational stimulation, such as coughing.

Here are some health tips from Beijing 120. It is necessary to keep calm after a transient fainting. You could call 120 immediately and describe your exact location. It is recommended to sit or lie down to rest in a safe environment to wait for the ambulance instead of moving around. The 120 crew will contact you on the way to provide medical support.