First aid algorithm for a stroke to an outsider, yourself, on the street and at home

Ideally, even first aid for a stroke should take into account the type of disease. Most likely ischemic stroke, if:

  • arose in the morning or at night alone;
  • the patient’s condition is moderately disturbed, consciousness is preserved;
  • signs of speech impairment, weakness of the right or left limbs, distortion of the face are expressed;
  • no cramps.

Such patients receive first aid according to the classical algorithm described above.

This type of disease is more serious than a microstroke, so first aid comes down to an immediate call to a neurological team of specialists who need to be told about a suspected stroke. Then you can completely focus on the assistance process.

First aid for ischemic stroke is as follows:

  • A person is laid so that the shoulders, as well as the head, are raised and are at an angle of about 30 degrees to the body;
  • Cotton wool soaked in ammonia or, for example, wine vinegar to bring a person into consciousness.
  • Do not allow the tongue to sink, closely monitor the presence of breathing;
  • If an ischemic stroke is detected, no medicine should be used, with the exception of Piracetam, as well as Glycine;
  • Wipe the victim’s face with cold water;
  • Rub the limbs, it is better to do this with a soft brush;
  • Provide warmth to lower limbs, cover.

Hemorrhagic stroke

First aid for hemorrhagic stroke is carried out in accordance with a similar algorithm, but has features. It is important to do everything necessary as quickly as possible, because you need to understand that this disease is characterized by a rapid deterioration.

In case of cerebrovascular accident, possible measures should be taken to reduce the risk of consequences that are very dangerous for health. The following are the measures that need to be taken if a hemorrhagic stroke is detected, with first aid being such:

  • It is necessary to lay a person with a raised head and shoulders;
  • Completely immobilize him;
  • To remove or at least unfasten the pressing elements of clothing, making breathing easy and unhindered;
  • Remove dentures from the mouth;
  • Tilt your head;
  • Apply cold to parts of the head where numbness is absent;
  • Put the person’s legs in heat;
  • Rub the limbs with a mixture of oil and alcohol.

Symptoms in favor of hemorrhagic stroke:

  • arose sharply at the height of physical or psychoemotional stress;
  • lack of consciousness;
  • have cramps;
  • the occipital muscles are tense, it is impossible to bend the head;
  • high blood pressure.
  1. The position is strictly with a raised head end (except for convulsions or resuscitation).
  2. Putting an ice bladder on the head (better on the half where the hemorrhage is supposedly the opposite of immobilized tense limbs).

Features of street assistance

If a stroke occurs on the street, first aid has the following features:

  • Get a few people involved. Organize the actions of each of them, clearly distributing responsibilities (someone calls an ambulance, and someone evaluates the general condition, etc.).
  • Having laid the patient in the desired position, release the neck and chest so that it is easier for him to breathe (remove the tie, unfasten the buttons, loosen the belt).
  • Wrap your limbs, cover a person with warm things (in cold weather), massage and rub them.
  • If you have a mobile phone or contact with relatives, let them know what happened.

Features of assistance at home or in any indoor environment

If the stroke occurred indoors (at home, in the office, in the store, etc.), then in addition to standard first aid, pay attention to:

  • Free access of fresh air to the patient: open the window, window, door.
  • Free your chest and neck.
  • If possible, measure your blood pressure. If it is elevated (more than 150/90 – 160/100 mm Hg), hypotensive drugs can be given under the tongue (Kaptopress, Pharmadipine, Metoprolol), slightly press on the solar plexus or closed eyes. If it is lowered, raise your legs, but you can’t lower your head, massage the area of ​​the carotid arteries on the sides of the neck.

How to provide first aid for a stroke indoors

First Aid Performance and Forecast

According to statistics, correctly provided emergency care for patients with stroke with delivery to a medical institution in the first three hours:

  • saves the lives of 50-60% of patients with severe massive strokes;
  • 75–90% allows people with mild strokes to recover fully;
  • by 60–70% improves the recovery ability of brain cells in any stroke (better with ischemic).

Remember that a stroke can happen in every person at any time. Be ready to take the first step in helping to combat this disease!

If you believe the statistics, then the correct provision of medical care to the victim and the coordinated actions of people who help people before the arrival of doctors give huge advantages in terms of recovery.

If all the actions for a stroke are done correctly, the chances are:

  • 50-60% of massive strokes end in saving the patient’s life;
  • 75-90 percent likelihood of a full recovery with a mild stroke;
  • The chance of recovery and restoration of the ability of brain cells is improved by 60-70%, regardless of the type of stroke.

You need to understand that an attack can occur in any person, regardless of age and location. In order to prevent a stroke, you should carefully monitor your diet, physical and mental condition. It is advisable to give up smoking, forget about excessive drinking. The benefit will have control of their own blood pressure and timely access to a doctor if it is exceeded.

Minimal stress will also help you feel healthy longer. It is important to treat any vascular disease, and especially heart disease, even if they are not so dangerous. With diabetes mellitus, it is necessary to constantly be observed by a doctor.

First aid before the ambulance arrives

Stroke is a life-threatening disease, in most cases leading to disability and even death. The likelihood of developing dangerous consequences depends on the time interval between the peak of the attack and the provision of medical care in a hospital.

The victim of a stroke, the people around him and the doctors have no more than 4 hours to restore blood flow to the brain.

Therefore, promptly rendered first aid for a stroke is extremely important, during this period it is necessary to recognize the attack by characteristic symptoms, reduce the impact of the attack by primary care before the doctors arrive, deliver the victim to the hospital and prescribe him treatment.

You can recognize a stroke and the nature of its development mechanism by a set of general neurological and specific symptoms in order to provide first aid in a timely manner. Common primary symptoms that occur spontaneously without any precursors include:

  • numbness of the limbs – in most cases on one side of the body;
  • darkening and double vision;
  • violation of coordination and orientation;
  • short-term attacks of amnesia;
  • speech impairment.

Manifestations of ischemic stroke have their own characteristic features:

  • paralysis of the body or limbs develops on the one hand, almost always the opposite side of the damage to brain cells;
  • the gait becomes uncertain and shaky, often the victim cannot stand on his own;
  • speech is difficult, articulation and perception of what is said is reduced;
  • dizziness occurs, accompanied by bouts of vomiting.

An attack of hemorrhagic stroke is often preceded by a sharp increase in blood pressure – a hypertensive crisis. As a result, artery rupture and hemorrhage in the brain tissue occur. At the time of an attack, a person has:

  • sharp and unbearable pain, felt to rip head;
  • rapid heart rate;
  • facial distortion on the background of increased muscle tone;
  • paralysis;
  • high photosensitivity, dots and blurry circles in front of the eyes.

Signs that allow you to finally diagnose a stroke before the arrival of doctors include:

  • asymmetric smile and the inability to lift one of the corners of the lips;
  • impaired articulation and inhibited speech;
  • asymmetric movement of the limbs when trying to simultaneously raise them up.

If, with a sudden deterioration in well-being in a person, at least several of the described symptoms are detected, you should immediately call resuscitation ambulance and deliver it to the hospital.

At the first sign of a stroke, despite the fact that the victim has consciousness and confidence that everything is in order, people nearby should promptly call an ambulance, and at the same time describe in detail to the dispatcher the symptoms of cerebral failure. Prior to the arrival of doctors, the patient must provide primary care to alleviate the condition:

  1. In the case of special instructions from the dispatcher, follow them unconditionally.
  2. Carefully lay the victim in a position in which the head is raised to 30 ° and turned slightly to one side. This is necessary so that with sudden vomiting, food residues do not enter the respiratory organs, and also in case of loss of consciousness, the tongue does not sink.
  3. Open a window or window so that fresh air enters the room where the victim is.
  4. To reassure the patient if he is overexcited or begins to get nervous due to mobility restrictions. It should be in a calm tone to explain that he will soon receive medical assistance to ease the condition.
  5. Measure the pressure and, if possible, the sugar level, record the measurement results, so that they can subsequently inform the doctors.
  6. Remove or unfasten clothing parts that compress the throat, chest, and belt.
  7. In the absence of consciousness, breathing and palpitations, immediately perform indirect heart massage and artificial respiration.

There are also primary care methods for stroke, which are not always recognized by specialists in traditional medicine, but are quite effective in practice. The main one is the acupuncture method. An unconscious person is punctured with a needle-fingertip treated with alcohol until 2 or 3 drops of blood appear.

Also, with pronounced asymmetry of the face, the earlobes are intensively rubbed into the patient’s ears, after which they are punctured with a needle until blood appears. This technique quite often brings the patient into consciousness and allows you to relieve tension in the structures of the brain.

The actions that are forbidden to perform with a suspected stroke include:

  • strong shaking of the victim, sudden movements, screams and hysteria of others;
  • feeding and drinking plenty of fluids;
  • bringing to life with ammonia and other acid-containing agents;
  • attempts to eliminate the symptoms of cerebral insufficiency on their own with pharmaceuticals;
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It is strictly forbidden to ignore the instructions of physicians and refuse a hospital. Such behavior can lead to serious deterioration and even death.

Before the arrival of the ambulance brigade, it is not recommended that you give any medications yourself, unless the ambulance dispatcher, according to the symptoms described, can make a single appointment.

Medical assistance is provided by ambulance paramedics. Directly in the resuscitation car, doctors carry out operational actions aimed at maintaining the vital signs of the body. These include:

  • Indirect cardiac massage
  • artificial respiration;
  • tracheal intubation;
  • the introduction of blood-thinning drugs for symptoms of ischemic stroke;
  • the introduction of anticonvulsants with severe convulsive syndrome;
  • decrease in blood pressure with medications if its indicators are critically increased;
  • the introduction of osmodiuretics, if the victim shows signs of cerebral edema;
  • the introduction of thrombogenic agents if a hemorrhagic stroke is diagnosed;
  • the introduction of drugs that improve blood flow in the vessels and arteries.

After the patient is delivered to the hospital, it is extremely important to promptly confirm the preliminary diagnosis with instrumental methods and prescribe adequate treatment aimed at restoring blood flow and damaged nerve tissue.

28.05.2018// Help provided in the first seconds after an attack, and medical care during the first three hours is equivalent to saving a life.

Stroke – a sharp violation or disruption of the blood supply to the brain.

If there is a blockage of the blood vessel of the brain with a blood clot, an ischemic stroke develops. Rupture of a blood vessel leads to hemorrhagic stroke. Both types of circulatory disorders in stroke can lead to death of brain cells or death.

Therefore, it is so important to be able to provide people with first aid for strokes before the arrival of an ambulance.

Stroke takes the fifth line in the list of all types of deaths from the disease. But the worst consequences of this pathology are: paralysis, loss of vision, impaired speech, change in thinking and consciousness.

The first signs of a stroke can occur in women aged 18 to 40 years. Ignoring these “bells and whistles” increases the risk of a stroke. In men, the disease often occurs by the age of 40, they tolerate a stroke easier than women, recover faster.

The development of a stroke can be prevented if its precursors are recognized in time, consult a doctor and do not forget about prevention.

  • sudden weakness, fatigue;
  • severe headache;
  • change, split vision (even short-term);
  • numbness in the hand;
  • severe dizziness;
  • sudden, second spatial orientation disturbances;
  • speech difficulties, the most simple, familiar words are forgotten;
  • impaired ability to concentrate thoughts.

The listed symptoms can be signs of not only a stroke, but also other pathologies. But in any case, you should consult a doctor, because often such symptoms are associated with insufficient blood supply, which can lead to a stroke and cause irreversible destruction of the brain’s nervous tissue.

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Ischemic stroke

Clinic of ischemic stroke:

  • occurs in the morning or during a night’s rest;
  • the patient’s consciousness is not impaired;
  • weakness of the extremities appears on one side of the body;
  • there are signs of speech impairment, a distorted face.

According to the statistics of doctors, the sooner a person is given first aid for a stroke and the earlier he is taken to the hospital, the higher his chances are not only of surviving, but also of recovering in a short time.

The maximum period during which the patient must be delivered to a medical institution is 3 hours.

Prior to the arrival of the doctors, providing the first-aid person who received the blow is a chance to preserve his life and health in the future.

First signs

In a stroke, the victim blocks blood circulation in any part of the brain during vascular spasm or rupture. At the same time, the brain stops receiving oxygen, the tissues die, a person loses some of the skills for which the affected part of the brain is responsible (speech, coordination, eyesight) for a while or forever.

Ischemic

It is imperative to provide a person with first aid if he has at least a few of the following symptoms or a whole group of symptoms:

  1. sharp numbness of the hands or feet;
  2. loss of orientation – a person for a while forgets who he is, where he is going or going;
  3. the victim cannot correctly say a simple phrase, poorly understands the issues;
  4. loses sight – in whole or in part;
  5. the main sign is the inability to smile, the smile either does not come out at all, or it turns out to be a curve asymmetric;
  6. limb paralysis – in severe cases;
  7. loss of control over the tongue – it can be slightly stuck out, while deviating to the side.

There may also be neurological disorders – short-term loss of consciousness, a sharp headache, the victim begins to stir up or tear.

Hemorrhagic

An extremely severe type of disease, manifested in the form of rupture of blood vessels in the brain, hemorrhage and is accompanied by such symptoms:

  1. loss of consciousness;
  2. vomiting;
  3. a sharp, unbearable headache;
  4. flushed face;
  5. severe speech impairment;
  6. a sharp jump in pressure;
  7. rapid pulse;
  8. paralysis or severe numbness of body parts – on the right or left;
  9. the inability to raise symmetrically both hands up or spread apart;
  10. photophobia, increased symptoms with loud sounds;
  11. coma.

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The algorithm of first aid for stroke: an outsider, yourself, on the street and at home

If the victim became ill on the street, before the ambulance arrives with a stroke, prompt assistance should be provided.

  • First, a few people should be involved. It is important to properly organize the actions of all those involved in order to avoid confusion.
  • Having laid in the correct position, you immediately need to release the neck and chest to facilitate breathing.
  • Then wrap the limbs with warm things (if the season is cool) and constantly rub them.
  • If contacts of relatives are recorded on the victim’s mobile phone, immediately inform them.

From this article you will learn: what should be the first aid for a stroke. Features of emergency events at home and outdoors, depending on the type of stroke.

Nivelichuk Taras, Head of the Department of Anesthesiology and Intensive Care, work experience 8 years. Higher education in the specialty “General Medicine”.

First aid measures for a stroke are a set of actions and measures aimed not only at saving the patient’s life.

The ability to restore damaged brain cells and the functional abilities of the nervous system depends on the time and the correctness of its delivery.

According to foreign and domestic experts, the optimal time for delivering a patient to a medical institution is 3 hours from the moment of illness (the sooner the better).

No matter where the stroke occurs or whatever it is, the patient himself (if the condition allows) and those around him must act according to a clear algorithm:

  1. Do not panic.
  2. Assess the general condition of the patient: consciousness, respiration, palpitations, pressure.
  3. Identify the obvious signs of a stroke: unilateral paralysis of the arms and legs, a distorted face, speech impairment, lack of consciousness, cramps.
  4. Call an ambulance at 103!
  5. Find out the circumstances of the disease (if possible, briefly).
  6. Provide resuscitation measures (artificial respiration, cardiac massage), but only if they are necessary (lack of breathing, palpitations and wide pupils).
  7. Correctly lay the patient – on his back or on the side, either with his head and body slightly raised, or strictly horizontally.
  8. Provide conditions for good oxygen access to the lungs and blood circulation throughout the body.
  9. Monitor the patient’s condition.
  10. Arrange transportation to the nearest hospital.

The emergency care described above is generalized and does not include some situations possible with a stroke. The sequence of measures does not always have to be strictly the same as in the above algorithm.

In case of critical violations of the patient’s condition, one has to act very quickly, performing several actions simultaneously. Therefore, whenever possible, 2-3 people should be involved in providing assistance.

In any case, following the algorithm, you can save the patient’s life and improve the prognosis for recovery.

Each event, which includes first aid for a stroke, requires proper implementation. It is very important to adhere to subtleties, since any “little thing” can be fatal.

No fuss

No matter how difficult the condition of the patient is, do not panic and do not fuss. You must act quickly, harmoniously and consistently. Fear, vanity, haste, unnecessary movements lengthen the time of assistance.

Reassure the patient

Every person with a stroke, who is conscious, is surely worried. After all, this disease is sudden, so the stress response of the body can not be avoided. Excitement will aggravate the state of the brain. Try to reassure the patient, to convince him that everything is not so scary, this happens and doctors will definitely help solve the problem.

Calling an ambulance is a priority event. Even the slightest suspicion of a stroke is an indication for a call. Specialists will better understand the situation.

Call 103, tell the dispatcher what happened and where. It takes no more than a minute. While the ambulance is on the way, you will provide emergency assistance.

First of all, pay attention to:

  • Consciousness: its complete absence or any degree of dullness (lethargy, drowsiness) is a sign of a severe stroke. Mild forms are not accompanied by impaired consciousness.
  • Breathing: it may not be disturbed, but may be absent, intermittent, noisy, frequent or rare. Artificial respiration can be done only with the complete absence of respiratory movements.
  • Pulse and heartbeat: they can be well auditioned, be rapid, arrhythmic or weakened. But only if they are not determined at all, you can do an indirect heart massage.
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Assess the patient’s condition and determine the need for cardiopulmonary resuscitation

Patients with stroke may have:

  • severe headache, dizziness (ask what worries the person);
  • short-term or persistent loss of consciousness;
  • skewed face (ask to smile, grin your teeth, stick out your tongue);
  • impaired or lack of speech (ask to say something);
  • weakness, numbness of the arms and legs on one s >

Lack of consciousness or any combination of these symptoms is a high probability of a stroke.

Regardless of whether or not the consciousness and general condition of the patient with a stroke is impaired, he needs peace. Any movements, especially independent movement, are strictly prohibited. The position may be:

  • On the back with a raised head and chest – while maintaining consciousness.
  • Horizontally on the side with his head turned to the side – in the absence of consciousness, vomiting, convulsions.

The correct position of the patient in the absence of consciousness

  • Horizontally on the back with the head slightly tilted or turned to one side – during transportation and resuscitation.
  • It is forbidden to turn a person on his stomach or lower his head below body position!

    If there are cramps

    Convulsive syndrome in the form of severe tension of the whole body or periodic jerking of the limbs is a sign of a severe stroke. What to do with the patient in this case:

    • Lay to one side by turning your head to prevent saliva and vomit from entering the airways.
    • If you can, place any object wrapped in cloth between the jaws. It is rarely possible to do this, so do not make much effort – they will do more harm than good. Do not try to open your jaws with your fingers – this is impossible. Better grasp the corners of the lower jaw, try to bring it forward. Do not insert your fingers into the patient’s mouth (risk of injury and loss of finger).
    • Keep the patient in this position until the end of convulsions. Be prepared for the fact that they can happen again.

    If possible, find out exactly how the person fell ill. This is very important, as some symptoms of a stroke can be observed with other diseases:

    • traumatic brain injury;
    • diabetes mellitus;
    • brain tumors;
    • poisoning by alcohol or other toxic substances.

    Extremely severe stroke, affecting vital centers, or accompanied by severe cerebral edema, proceeds with signs of clinical death:

    • complete lack of breathing;
    • dilated pupils of both eyes (if only one pupil is dilated – a sign of a stroke or hemorrhage in the hemisphere on the affected side);
    • complete lack of cardiac activity.

    Follow these steps:

    1. Lay the person on their back on a hard surface.
    2. Turn your head to one side, use your fingers to free your mouth from mucus, and foreign objects (dentures, blood clots).
    3. Throw back your head well.
    4. Grab the corners of the lower jaw with 2–5 fingers of both hands, pushing it forward, while with your thumbs open the patient’s mouth.
    5. Artificial respiration: cover the patient’s lips with any tissue, and firmly leaning your lips, perform two deep breaths (mouth-to-mouth method).
    6. Heart massage: put your right hand on your left (or vice versa), connecting your fingers to the lock. Having put the lower palm to the junction of the lower and middle parts of the sternum of the patient, perform pressure on the chest (about 100 per minute). Every 30 movements should alternate with 2 breaths of artificial respiration.

    If an ambulance is called immediately after a stroke, it is not recommended to give the patient any medication on his own. If delivery to the hospital is delayed, such drugs (preferably in the form of intravenous injections) help maintain brain cells at home:

    • Piracetam, Thiocetam, Nootropil;
    • Actovegin, Ceraxon, Cortexin;
    • Furosemide, Lasix;
    • L-lysine escinate.

    The ability to help with a stroke is limited to itself. In 80–85% of cases, a stroke occurs suddenly, manifesting itself as a sharp deterioration or loss of consciousness. Therefore, patients cannot help themselves. If you experience stroke-like symptoms:

    1. take a horizontal position with a raised head end;
    2. tell someone that you feel bad;
    3. call an ambulance (103);
    4. adhere to strict bed rest, do not worry and do not move too much;
    5. free the chest and neck from constricting objects.

    Helping yourself with a stroke

    First aid for a stroke: what to do at home before the ambulance arrives, an algorithm of actions at the first sign of a stroke

    Hemorrhagic

    Next, we will talk about what to do at the first sign of a stroke and how to provide emergency care at the prehospital stage.

    Upon impact, it is necessary to provide the patient with a sufficient amount of fresh air, to prevent vomit from entering the throat and lungs, to provide rest and warmth, and be sure to place the victim in a horizontal position.

    • Also, if possible, it is necessary to prevent the patient from moving independently, to collect an anamnesis (for proper primary diagnosis).
    • If it is cool indoors or outdoors, cover your legs and lower body with a blanket or jackets.
    • If the patient has convulsions, turn his side to one side and try to insert a folded handkerchief between his teeth.

    algorithm

    What to do if all the symptoms of a brain disorder are present and the patient is at home? First of all, you should perform such an algorithm of actions for emergency care:

    1. reassure both yourself and the victim – increased nervousness can worsen the condition of the patient, lead to a jump in pressure;
    2. check all the symptoms – pulse, pressure, problems with consciousness and speech;
    3. in the presence of at least two symptoms – immediately call an ambulance, describing in detail the condition of the person;
    4. ask the victim (if he is not familiar to you) the circumstances of the stroke and the presence of diseases (hypertension, diabetes mellitus);
    5. to lay the patient – if there is vomiting, then on the side, if not – on the back, raising his head and legs;
    6. unbutton the shirt or jacket on the victim; if the blow occurred indoors, open the window;
    7. if the patient lost consciousness or does not breathe – if possible, carry out artificial respiration and heart massage;
    8. if the patient’s blood pressure is high and he has pills, give medicine. Before the arrival of doctors, these are the only drugs that you can give a person with a stroke.

    Also, in some cases, a light massage of the ears and head can alleviate the condition of the victim. Similar pre-medical care should be provided in case of a heart attack.

    Features

    At home or in any room it is necessary to provide the victim with an influx of fresh air – open the window or window, even if it is frosty outside.

    If a person has lost consciousness – no need to try to lift him onto the bed, it is better to leave him on the floor, putting a pillow or jacket under his head and covering his feet with a blanket.

    Ask a person if he is suffering from hypertension or taking medication. If the answer is yes, ask the guard to bring a pressure gauge and measure the pressure. You can ask for a pressure measuring device at the pharmacy; they are also often available at the administrator in the first-aid kit for first aid.

    If a person suspects a stroke in himself, it is very important not to start worrying. First, you should adequately assess the situation. Relatives or those who are nearby should be told about their symptoms.

    It is not necessary to make active movements to avoid overloading the body systems. If there is no paralysis, and other functions are not lost, you should take a comfortable horizontal position, put a pillow under your head, and loosen the tightening parts of the clothes.

    At the same time, you need to call an ambulance if your relatives have not yet taken this. But there are statistics that neurological symptoms, which are very powerful, can completely distract a person from others, which is why he needs to rely only on doctors and the help of other people.

    You can not use vasodilators, for example, paparverin. They will expand the undamaged parts of the circulatory system, exerting an excessive load on the already damaged. You can not drink or eat on your own, so as not to cause a gag reflex.

    The Importance of Proper Nutrition

    The condition after a stroke is a difficult period for the patient, so eating the right food is one of the conditions for quick rehabilitation.

    The main features of the selection of the diet are as follows:

    • After the attack, you need to restore the physiological minimum. For this, a person is given a day from two liters of liquid, which can be in the form of various broths, weak tea, milk.
    • The acute period is the time when low-calorie foods should be eaten, but the nutritional value should be sufficient to fully support the patient’s vital functions.
    • The first day after a stroke is the hardest, food at this time is ground to gruel, a person needs to be fed. You need to drink from a small teapot or a special bottle.
    • If there is no swallowing reflex, food is delivered using a probe, in which case it is prepared as fluid as possible, with vitamins. In case of serious neurological disorders, if motor functions are lost, it is quite possible to make a decision on the intravenous administration of special solutions.
    • After the ability to swallow is restored, and the general condition improves, you can eat solid foods: vegetables, steamed cutlets, mashed potatoes, eggs.

    Features of the diet

    Proper nutrition is just as important as timely medical assistance. A person should completely abandon fatty and sweet, you can not drink coffee or tea. If a person undergoing recovery from a stroke is hypertensive, a lot of buckwheat, figs, oatmeal, which contain very useful magnesium and potassium salts, must be present in his diet.

    To normalize the digestive system, it is advisable not to resort to the use of medications, but to choose the right nutrition scheme. A person is better to eat only black bread made from coarse flour. You need to drink a lot of water, eat fresh fruits.

    First a >

    A stroke occurs when blood stops flowing to a part of the brain, a clot blocks blood flow, and cells begin to die without oxygen. If timely assistance is provided, there is a chance to preserve a person’s health and even life.

    It is very important to recognize a stroke in time to help. The faster the measures are taken, the more favorable the prognosis of recovery. The optimal result can be expected if no more than 3 hours have passed after the attack.

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    Symptoms of a stroke can increase gradually or appear unexpectedly. It happens that only a part of the characteristic symptoms is noticeable, which lubricates the overall clinical picture.

    As a result, the patient does not associate them with a stroke and misses a chance to avoid unpleasant consequences.

    Characteristic signs of a stroke:

    • numbness in the muscles of the face, arms or legs;
    • difficulty speaking;
    • dizziness;
    • poor balance;
    • Strong headache;
    • deterioration of vision;
    • difficulties with swallowing;
    • confused consciousness.

    A very simple test helps to accurately determine the stroke, which can easily be carried out by the patient’s relatives. If there is at least one of the signs, cerebrovascular accident is already permissible.

    1. A person can smile only half his mouth, the second cheek and eyelid slightly sag.
    2. Only one arm rises, if asked to raise both.
    3. The victim slurred the simplest phrase or could not speak at all.

    The process is able to move to other parts of the brain, which affects important body functions.

    If a stroke occurs at home, it is important to properly resuscitate the victim.

    The main thing in this situation is to reassure the person, to assure that everything will be fine. Even if he cannot speak, he fully understands speech and reacts to the words he has heard. Additional stress can further aggravate a serious condition. Immediately call an ambulance. If there is a mobile phone, inform relatives.

    1. Put the patient on a hard surface, raise his legs a little, providing access to blood to the head.
    2. Remove dentures, if any.
    3. Give fresh air access by opening a window or directing a stream of fan.
    4. Loosen breathing difficulties.
    5. If vomiting has begun, put the person on his side so that these masses do not provoke asphyxiation.
    6. Do not give food, water or habitual medicines, the only exceptions are hypertension medications.
    7. If there is a tonometer, measure pressure. With high numbers, try to lower them. During an attack, the body tries to compensate for the flow of air into the brain, but there is a danger that a blood clot will come off.
    8. If there are no pills at hand, you need to put warmth at your feet, and cold under your lower jaw.

    You can not turn the victim on his stomach, allow him to lower his head strongly.

    In this case, you need to act in a different order, but you must remain calm and clear in the actions just like in the case when the victim did not disconnect. When calling the “Ambulance” you need to inform that the person does not control himself.

    1. To feel for a pulse, it is better to check on the carotid artery in the neck.
    2. Check if the patient is breathing. To do this, bring a mirror to their lips.
    3. If the surface of the glass is not clouded, start artificial respiration and indirect heart massage.

    Before the ambulance arrives, you must try to reanimate the patient.

    Precardial stroke

    It is necessary in case of cardiac arrest. A strong – precordial – blow is applied to the chest area, this is a kind of replacement for the stun gun. The heart begins to beat after a tangible concussion. Before this, the patient should be turned on his back, unfastened the buttons on his chest, to make sure that there are no chains and pendants.

    If the victim begins to breathe, then continue with the usual first aid methods. If there was no result, you cannot repeat the blow.

    Massage of the heart

    For many years there has been a tried and tested technique for indirect heart massage. Actions should be clear and verified.

    1. Kneel to the right of the patient.
    2. Put one palm on the center of the chest, and the second on top.
    3. Perform strong pressure movements, their frequency should be up to 70 times per minute. The duration of the movements is 3 minutes.
    4. Hands should not be bent or bent on them with the whole weight of their body.
    5. If the victim begins to breathe, pressure should be stopped.
    6. If there is no result, continue the massage until the doctors arrive.

    It is carried out simultaneously with indirect heart massage: 2-3 breaths for 6-7 clicks. This should be done together, but if there is no assistant, it is permissible to resort to one procedure.

    1. Kneel to the right of the patient.
    2. Holding the jaw, with the second hand to throw back the victim’s head, hold his nose with his palm. This will help to clear the airways and keep the tongue out of reach.
    3. Take a deep breath and breathe air into a person’s nose or mouth.
    4. When blowing air into the mouth, you need to pinch your nose, if the procedure is “mouth to nose”, you need to close the mouth.
    5. Repeat until doctors arrive.

    There is a series of important tips that note additional measures, taking into account the type of stroke. Distinguish hemorrhagic stroke arising from rupture of cerebral vessels, and ischemic stroke, when a blood clot clogs a vessel.

    First aid for suspected hemorrhagic stroke:

    1. A bottle of cold water or a piece of ice is applied to the head, the site is selected opposite from the numbed side.
    2. Cover with a warm blanket to maintain circulation in the arms and legs. You can attach a warmer or mustard to the limbs.
    3. With paresis, gently rub the fingers, hands and feet with any oil-alcohol solution.

    First aid for suspected ischemic stroke:

    1. Wipe face, whiskey and neck with a damp handkerchief.
    2. To unfasten belts and buttons on clothes to facilitate breathing.
    3. Rub hands and feet to maintain blood circulation.

    What to do when detecting signs of a stroke at home:

    1. Do not be nervous. Keeping calm, report the feeling of well-being to relatives or neighbors, to those who are nearby.
    2. Call the ambulance.
    3. Open the front door.
    4. Lie down comfortably, loosen buttons and knots of clothing.
    5. Do not take vasodilator drugs, which will provoke a large load on damaged areas of the brain.
    6. Do not eat or drink anything.

    What can not be done?

    There is also a series of actions that can never be done, otherwise the harm done to the victim will be much greater.

    1. Disturb the patient with conversations, move from place to place.
    2. Make him sit comfortably.
    3. Use ammonia, which may cause respiratory arrest. The drug also affects blood coagulation, which is especially dangerous for strokes.
    4. If the stroke is complicated by an attack of epilepsy, you can’t unclench the person’s teeth and keep it forcibly. The only thing that remains is to track the time of the attack, to report the duration to the doctors, and to remove sharp objects away.

    First aid for a stroke is a delicate matter, but it is feasible for everyone. The main thing is to remain calm, not to panic and call doctors on time. If you follow all the recommendations mentioned, there is a chance to save a person or at least restore his working condition.

    Most often, cerebrovascular accident occurs in people aged 45 years and older. The risk group includes patients with diabetes mellitus, hypertension, arrhythmia, and bleeding disorders. Symptoms such as:

    • headache;
    • dizziness;
    • bouts of sudden drowsiness, weakness, or tiredness;
    • increased blood pressure;
    • a sensation of heat, followed by a sensation of cold.

    If a person experiences such ailments, you need not to delay the time, but consult a doctor who will diagnose and prescribe a course of treatment.

    Given that the effectiveness of therapy depends on how quickly a violation of cerebral blood flow was detected and first aid was given for a stroke, you should be aware of all the signs of the disease.

    If a person has a disturbed cerebral circulation, he will experience the following symptoms:

    • Strong headache;
    • feeling of weakness;
    • dizziness;
    • numbness of the limbs on the one hand;
    • numbness of half of the face;
    • skewed face;
    • sudden loss of balance, often in combination with nausea or fainting;
    • deterioration in speech quality (you may experience a feeling of “cereal in the mouth”);
    • sudden epileptic seizure;
    • sharp visual impairment, double vision;
    • loss of familiar skills such as reading or writing.

    With minimal suspicion of impaired circulation of the patient’s brain, you must ask for a simple test. Ask him to smile, say “thirty-three,” stretch his arms forward and freeze in this position for a few seconds. If the patient does not cope with at least one of the tasks, you need to quickly call an ambulance. At the same time, it is necessary to insist that not a regular team of doctors come, but a specialized neurological team.

    Often a brain attack is mistaken for feeling unwell, strange behavior and lethargy are associated with fatigue or a reaction to changing weather. If you recognize the symptoms of a stroke in time and simply call a doctor for a person, you can save his life. First aid for a stroke should be provided within an hour to minimize severe consequences and prevent disability or death.

    What to do with a stroke? An ancient Chinese home care technique involves bloodletting. This is not acupuncture, you need to release blood from some parts of the human body. When a stroke occurs, there is no time to think.

    For example, if an attack is localized in the temporal regions, it can lead to speech impairment. If the lesion is localized in the parietal zones, then this leads to a violation of sensory-motor reactions (body sensitivity and ability to control it).

    If the lesion falls on the occipital lobes, this leads to the fact that visual perception is impaired. First aid for stroke of different types is different. If a blood clot became the cause of the attack, it is dissolved or removed surgically, while when the vessel ruptures, an operation is performed to restore it.

    Grandmothers are especially susceptible to the attack in the summer, because while working in the garden, they are in the same position, plentiful sun rays thicken the blood, and at that moment a brain attack can occur.

    • sudden pallor of a person
    • dizziness,
    • speech disorders
    • visual disturbances
    • motor disorders (inability to walk, numbness, mainly on one side of the body).

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    Svetlana Borszavich

    General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
    Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
    The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
    The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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