It would seem that a simple medical procedure,which is done day-to-day in polyclinics and hospitals. Without an anesthetic injection, today there is not a single visit to a dentist or a cosmetologist, which is to say about small surgeries! Lidocaine is the most popular local anesthetic that is used by physicians. But not all people are aware that some people have acute intolerance to this drug. That's why from time to time in the press there are news from the category "The child died in the chair of the dentist." How to avoid the tragedy? We are sorting out together with the expert, pediatrician Yaroslavova Matveeva.
Photo: GettyImages
Know the enemy in person
Anaphylactic shock is an acute allergicthe reaction that occurs when the allergen is reintroduced. It develops lightning fast. The person inflates just before our eyes, there is a rash and strong swelling, it becomes difficult for him to breathe. The man suffocates. If the doctor does not respond with the same lightning speed, the patient may die. The ambulance in such cases usually comes too late, even if it rushes at all pairs. An anaphylactic shock can be caused by any substance that enters the human body: food, medicine, poisons of insects and animals. Most often, the reaction occurs on medicines - antibiotics, hormones, enzyme preparations, anesthetics and vaccines. In fact, a person runs the risk every day. Virtually any treatment can end badly, because it is difficult to predict anaphylaxis. But it's possible! Our expert argues that if a person is interested in his heredity, avoiding trouble is much easier. Yaroslava Matveeva:
- Most often, any allergic reaction ishereditary character. Before deciding on any injection, we need to find out from our next of kin whether we once had a reaction to antibiotics, painkillers, vitamins and any other medicines. If not, and your relatives also did not have cases of anaphylaxis, the chances of getting into such a situation are not great.
Trust but check
After any procedure with injections or injectionsa conscientious doctor will ask you to stay in the hospital for half an hour. This is necessary just to have time to save you in case of an allergic reaction. Therefore, do not rush home, leaving the cosmetologist after mesotherapy, and even more so do not take the child out of the medical center after vaccination. Even if he roars and can not calm down.- Anaphylactic shock or immediatean allergic reaction develops in the first 30 minutes. At this time, it is better to stay in the clinic after any manipulation: vaccination, dropper, intramuscular injection, cosmetology procedure, etc. After that, you can go home with the confidence that the reaction of an immediate type does not threaten you. If it is not a question of repeated, but of the first contact of the body with the drug, the allergy may develop 2-3 hours after the injection, so do not leave children unattended. For example, do not send a schoolboy one home after vaccination.
Photo: GettyImages
Demand the test!
Let's return to our story with an Omsk girl. She did not bite a wasp, she did not eat exotic seafood at home, because of what the ambulance might not have time to arrive on time. The schoolgirl lay in the hospital, where she received a fatal injection. Perhaps, before the injection, she was not given a simple test for allergy.- Before the introduction of the drug for the first timeto conduct an allergy test. Drip the preparation on the elbows from the inside, or behind the ear - where there is thin skin. Then we observe the reaction of the skin for 20-30 minutes. If there are redness, spots or blisters, this is regarded as an allergic reaction. In this case, the drug is replaced with another, tested according to the same principle. It happens that the drug is vital and it is impossible to replace it with anything, then we introduce it very carefully, having an anti-shock medicine kit at hand. Whether there was such a first aid kit in the office where the girl died is a question. Whether she was given a test, too. Believe that the child just at random - how lucky - introduced the drug, just do not want to. But remember, you yourself conducted such tests or were limited to a standard survey? While the prosecutor's office is analyzing the situation, let's find out what is included in the arsenal of doctors for emergency care during anaphylaxis.
Anti-shock medicine cabinet
According to the Order of the Ministry of Health of Russia from 20.12.2012 N 1079n "On the approval of the standard of emergency medical care for anaphylactic shock," those rooms where they make procedures with skin damage, must have an anti-shock kit. This applies to the dental, procedural and cosmetology room. The tattoo parlor is not an exception, so keep in mind! The composition of such a first aid kit includes: 1. Adrenaline: it is used to stimulate the heart, and in those cases when pressure drops. It is poured directly under the patient's tongue in the first seconds of anaphylactic shock. Hormonal preparations to stop the allergic reaction: hydrocortisone or dexamethasone. Note that the first is stored in the refrigerator, and the second - at room temperature. They are also administered in the first seconds, but intravenously. The drug to facilitate and block the already developed allergy, for example, suprastin - is administered intramuscularly. Eufillin in solution for the removal of bronchospasm. Important: together with adrenaline, it can cause severe forms of arrhythmia, therefore, euphyllin is administered only under the supervision of a doctor. Auxiliary things: syringes, cotton wool and medical alcohol should also be on hand. And remember: parents have every right to be interested in the medical staff before the procedure, whether there is an anti-shock medicine cabinet in the cabinet. You can even look into it and check whether all the drugs are in place and whether they are overdue. Do not be shy - life is more expensive! Read also:
