First Aid: Diabetic Coma - continued
Thirst, dry mouth, frequent urination and excessive – a recipe for coma. All the cunning of this situation is that the development of the coma is gradual, small steps, as if lulled by the attention. From the appearance of precursors to loss of consciousness may take a few days or several weeks.
Then, there are signs of coma. As mentioned above – is an intoxication resulting from self-poisoning, ie, the characteristic odor of his mouth, drowsiness, lethargy, severe headache, repeated vomiting. Seeing these signs and did nothing, we can expect that within a few hours people will fall into a coma.
And there you have the situation: somewhere on the bus stop who was standing beside you, a man suddenly loses consciousness and falls. On appeal like: “I help you?” or “What’s wrong?” not react. Generally anything not respond. His skin is dry, noisy breathing, deep smell of acetone.
In diabetic (hyperglycemic), coma, signs of dehydration: sunken eyes, sharp-featured, lower the tone of the eyeballs. To check the tone of the eyeballs, you must thumb of one hand gently put pressure on the closed eye of the patient, and the thumb of other hand to put pressure on your own eyes. This experience will show who eyeball lighter.
It seems logical to directly enter the patient insulin. But first, where can I get on the bus a stop, and, secondly, you do not know what dosage is needed. And most importantly! Even if you miraculously find insulin and enter his patient, then live it then will be very little. Here’s the deal, too, in glucose and its abilities. Without insulin, that is the key, glucose could not get into the cells. But the key was discovered, and all of glucose, and with it the fluid rushes from the bloodstream into cells. You can guess what happens? First, as the most vulnerable, suffer brain. In such situations of brain edema patients die within minutes. Therefore, to seek and enter the insulin you do not need.
Your task will be to maintain a patient’s life before the arrival of ambulance. Therefore, even before its cause, turn the patient on his stomach. This action will you provide airway. Even if the patient remained calm, even breathing, leave him lying on his back can not, because at any moment he may begin vomiting. From the first minutes of all the danger of coma is that the patient can choke on vomit or suffocation of the tongue.
But after you’ve turned the patient on his stomach, your help is not finished. While you are waiting for the doctor, watch the character of breathing of the patient and be careful to maintain airway patency. This calls for a napkin, a handkerchief, just a finger in the end, clean the mouth of a man content. This, of course, can cause disgust. Try to overcome it. After all, clothing can be laundered, hands to wash, and someone who would die without your help, again not to return.