Transcript Chapter 7 Cardiac Emergencies and CPR

Chapter 7
Cardiac Emergencies
and CPR
Cardiovascular disease-#1 killer
Coronary Heart (artery) disease
*when the arteries that supply
blood to the heart harden and
become narrow.
Signs and Symptoms of a heart
attack.
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Chest pain-crushing sensation
Pressure in chest
Constant pain or discomfort
Pain spread to shoulder, arm, neck, jaw,
stomach or back
Trouble breathing
Pale, gray or ashen skin color
Dizzy and lightheaded
Nausea or vomiting
When to call 911
• Pain or discomfort lasts for more
than 3-5 minutes.
• Pain comes and goes for 3-5
minutes.
• Shows symptoms of heart attack.
Care given
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Call 911
Have person rest
Loosen tight clothing
Monitor person
Ask if they have heart disease, taking any
medications or has this happened before.
• Be calm and reassuring
• Be prepared to perform CPR/use AED.
When to offer aspirin
• Ask the following questions:
• Are you allergic to aspirin?
• Do you have stomach ulcers or stomach
disease?
• Are you taking blood thinners (Coumadin)?
• Have you ever been told to avoid aspirin?
• ANSWER IS NO to ALL QUESTIONSGIVE IT 1 TABLET(325 MG) or 2 baby
aspirins (81mg).
Cardiac arrest
• When the heart stops beating
properly.
• Breathing stops
• Unconscious
• No heart beat
Cardiac Chain of Survival
1. Early recognition and early access to
EMS
2. Early CPR
3. Early defibrillation
4. Early advanced medical care.
Each minute of delay=10% decrease in
chance of survival
CPR for adults
1. Check the scene
2. Check the victim-are you ok? Shoulder tap
3. Call 911-Get the AED
4. Head tilt-chin lift
5. Look, listen and feel-10 seconds
6. Scan for bleeding (quickly)
7. Not breathing-begin chest compressions
8. 30 compressions-at least 100 per minute 2
inches deep
9. Give 2 rescue breaths
10. Continue until????
UNTIL?????
• AED is available
• They start breathing
• You are too tired to continue
• Scene becomes unsafe
• Another trained person takes
over
Compressions
• Kneel beside person
• Put hand in middle of
breastbone
• Interlock fingers
• Fully extend your arms
• Press down on chest
using bodyweight to
push chest down
• Pivot at the waist
• Make compressions
smooth and rhythmic
CPR for child Infant
1. Check the scene
2. Check the victim-are you ok?(ask
permission)Shoulder tapFoot flick
3. Call 911-Get the AED
4. Head tilt-chin lift
5. Look, listen and feel-10 seconds
6. Give two rescue breaths over infants mouth and nose
7. Scan for bleeding (quickly)
8. No breathing begin chest compressions
9. 30 compressions-at least 100 per minute about 2
inches 2 finger compressions- 1 ½ inch at least 100
compressions
10. Give 2 rescue breaths
11. Continue until????
Compressions for child
Compressions for Infant
• Find nipple line and
place one finger on it
and 2 fingers next to it.
• Lift up nipple line finger
and use 2 fingers for
compressions.
• Hold head with other
hand so airway is open.
Hands only compressions
• If you are unable to give rescue
breaths (for any reason) call 911 and
then give continuous chest
compressions UNTIL…….
• EMS arrives
• You notice signs of life
• Scene becomes unsafe
• Too tired to continue