The critical condition of a person is determined by a set of symptoms that are defined by a separate area of medicine. Patients with chronic diseases are more often among the risk group. Less common are patients after emergencies. Systematization of diseases leading to dangerous outcomes helps to reduce the number of severe cases.
Directions of rehabilitation medicine
The purpose of studying patients becomes:
- improving the quality of life of terminal patients;
- help to prolong life;
- exclusion of such advanced cases in he althy people.
Timely rehabilitation of patients in extremely serious conditions helps to fully study the problem of incurable diseases. Each new successful experiment suggests that such incidents can be completely prevented. But at the moment, classical approaches are not able to save people from a near-death diagnosis.
Moving towardsemergency care to patients, it is possible to achieve significant improvements in the condition of the patient's body. It follows from the above: medicine that excludes a critical condition gives people with severe forms of illness a chance to return to normal life in the future. Science is constantly moving forward, and perhaps there will be a solution to problems that are not yet available to doctors.
Patient rescue problem
The basics of resuscitation of each patient should be known to all doctors in any field. The direction of returning to human life lies on the shoulders of even an ordinary therapist in order to recognize the critical conditions of the body in time. However, the most experienced professionals in this field are:
- ambulance workers;
- resuscitators;
- anaesthetists;
- intensivists.
Resuscitation is aimed at the area in which pathological changes have occurred in humans. The developed methods allow to return patients to life even at home, on their own. Replenishment of the experience describing the critical state is carried out daily. Each positive outcome is studied in detail, new methods are introduced that exclude deaths.
Classification of the area of resuscitation
Critical he alth differs by type of chronic disease:
- Central nervous system - polio, Creutzfeldt-Jakob disease.
- Internal organs: liver - cirrhosis, hepatitis, cancerous foci; kidneys - subacute glomerulonephritis,kidney failure, amyloidosis.
- Circulatory system - leukemia, coronary heart disease, hypertension, thrombosis.
- Respiratory system - cancer, obstructive disease, emphysema.
- Cerebral cortex - cerebrovascular disease, tumor, vascular sclerosis.
Each area is distinguished by the specifics of the rehabilitation approach and has its own characteristics of the recovery period. Mixed types of diseases are also taken into account.
Infections included in statistics:
- Parasitic - ornithosis, toxoplasmosis, heartworms are dangerous only in advanced stages with abundant colonization.
- Viral - Ebola, dengue, lupus erythematosus, AIDS.
- Bacterial - plague, cholera.
Mixed types pose the greatest danger to humans. They can provoke serious conditions and clinical forms of inflammation. Critical conditions in children are associated with mixed infections, especially in newborns.
What has already been achieved in the field of resuscitation?
Critical Illness Therapy has already helped reduce the following cases:
- The first benefit of rehabilitation measures is saving the lives of patients on the brink.
- Decrease in disability of the population.
- Incurable diseases can be operated on.
- Significantly reduced treatment time.
- Recurrence of chronic inflammation is excluded.
Restoring the body of terminally ill patients is the main task of the field of medicine. There are practical examples of helping people who were previously diagnosed as near-death. The essential value of the resuscitation approach lies in the economic return on such investments.
In the future, not only the patient's current chronic diseases should be assessed, but also a possible critical condition. Substances for resuscitation are selected in advance in order to use them immediately at the time of deterioration of he alth.
What are the prospects for the development of resuscitation?
The main directions of the movement of medicine in the field of studying conditions bordering on death are the search for fundamentally new approaches to resuscitation of the patient. Classical therapies no longer meet modern requirements.
In case of clinical death, heart massage and exposure to the chest can be replaced by technological methods of pumping blood and supplying oxygen to a suddenly deceased person. Computer intelligence can be used to perform such a function. Such devices have already been successfully used in isolated cases.
When a patient's critical condition requires urgent care, the tasks of critical care medicine include returning the person to a normal state. Classical methods only postpone the hour of death. There is a constant search for ways that at first glance seem absurd and incredible.
What are the possible complications after death periods?
If the patient managed to get out of such a phase as a critical state of he alth, the bodyThe person is still at risk of relapses. To prevent the development of complications, it will be necessary to carry out a long rehabilitation treatment.
When a person is in critical condition, there are psychological shifts in his mind. During the period of post-traumatic syndrome, deviations are observed:
- the patient discovers that he cannot, as before, lead a full life;
- difficulties arise when doing mental work (mathematical calculations, the ability to draw logical conclusions);
- partial memory loss occurs;
- patient notices he is unable to make responsible decisions.
PTSD is accompanied by a decrease in the number of brain cells, which is reflected in all areas of life. Recent studies have shown that a patient who has survived the line between life and death needs not only to return to his former physical condition, but also to carry out treatment in the direction of returning the psychological component.
Method of recovery of the body
New methods allow patients to fully recover, subject to the following rules for caring for a sick person:
- the patient needs to avoid nervous situations, even the slightest experience for any reason;
- observe sleep conditions, silence is recommended here, no light;
- the patient needs constant support from loved ones;
- the emotional state of the patient is affected by the noise of working devices and loud conversationclinic staff;
- necessary to reduce the supply of drugs after visible improvements in the patient's condition;
- constant exercises are carried out with the patient to return physical capabilities.
For a person to be completely cured, a long period of treatment with several specialists from different fields of medicine will be needed. Attempts with the help of relatives or independently to return to the social world may not be successful. An integrated approach and systematic execution of tasks will help reduce the duration of therapy.
Distinctive features of resuscitation
There is a significant difference between the treatment of a normal patient and a critically ill patient:
- The treatment method of a classical specialist is aimed at maintaining the viability of the patient's body. He needs periods of examination of a person's he alth to make corrective changes to therapy. In intensive care, there is absolutely no time to carry out such actions.
- The first step in a critical situation is efforts to restore the patient's viability, and only then make the necessary clarifications about the state of he alth. The usual doctor has a different approach: first you need to determine the cause of the ailment, then act according to the prescriptions for the treatment of a particular disease.
- The classic doctor follows the path of analyzing the diagnosis. In intensive care, the approach of identifying noticeable syndromes is used.
- Lack of time affects choicea drug that eliminates a critical condition. Sometimes doctors can confuse substances due to the lack of a patient's medical history, but if a person still survives, then this is due to the efforts of the body. The average specialist has a chance to study the full picture of what is happening.
How is the plight of the sick determined?
To prevent death, doctors rely on the main syndromes that indicate critical conditions. These preconditions may be:
- loss of breath;
- intermittent cardiac arrest;
- sagging tongue, a person suffocates due to spasms of the larynx;
- complete immobilization of the patient, loss of consciousness;
- bleeding, dehydration;
- change in the shape of the limbs, head, body due to internal hemorrhage;
- analysis of symptoms in stroke, heart attack, pupil condition, heartbeat, respiratory rate.
Which patients are at risk?
For the analysis of preresuscitation events, the concept of "critical state of development" is used. It is based on the collection of the following information about the patient that affects the development of syndromes:
- congenital predisposition of the body;
- chronic diseases;
- pain and abnormalities in the functioning of organs;
- gathering general tests or necessary x-rays;
- assessment of injuries in case of mechanical damage to the body.
What are the typicalcomplications requiring resuscitation?
Among the huge list of critical conditions, let's highlight a few:
- Shock conditions: infectious nature, toxic, hemorrhagic, anaphylactic.
- Embolism: renal arteries, pulmonary, vascular.
- Peritonitis: general, local. The peritoneal region is affected.
- Sepsis: latent and with acute symptoms.
All of the listed conditions have their own syndromes, according to which resuscitators are guided for emergency care. Rehabilitation treatment and the choice of drugs depend on the type of development of a critical condition.
