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I. Introduction. The distribution of blood vessels around the body and back to the heart is a circuit, and the action of blood flowing in that circuit is circulation. Heart = pump; blood vessels = pipes Blood is the transport medium.. I. Introduction. Function: to transport oxygen and nutrients
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1. The Cardiovascular System J. Hinson
EMS I
Ridge View High School
2. I. Introduction The distribution of blood vessels around the body and back to the heart is a circuit, and the action of blood flowing in that circuit is circulation.
Heart = pump; blood vessels = pipes
Blood is the transport medium.
3. I. Introduction Function: to transport oxygen and nutrients to the body cells and remove wastes
Because this system is essential to life, any interruption of the function of the heart or damage to the heart or blood vessels can be life-threatening!
4. II. The Heart Anatomy
4-chambered, muscular organ located slight to the left within the thorax
atria: upper receiving chambers
ventricles: lower pumping chambers
about the size of the fist
surrounded by a fibrous covering called the pericardium
valves: ensure blood flows in one direction
Interventricular Septum: separates the R and L sides
5. II. The Heart
6. II. The Heart Cardiac Function
Pulmonary Circuit: right side of the heart pumps blood to the lungs and back for gas exchange
Systemic Circuit: left side of the heart pumps blood to the body and back to take O2/nutrients to cells and pick-up wastes
Because the left side pumps to a significantly larger area, the muscle on the left side of the heart is bigger and stronger and produces greater pressure.
7. Pathways of Circulation
8. II. The Heart Cardiac Function
Pulse: Normal range: 60-80 bpm
Blood Pressure: Normal range: <120/80
9. II. The Heart Pathway of Blood Flow
O2 poor blood returns from the body through the inferior and superior vena cava
To the R atria through the tricuspid valve to the R ventricle
Through the pulmonary valve and to the lungs
O2 rich blood returns from the lungs through the pulmonary veins
To the L atria through the bicuspid (mitral) valve to the L ventricle
Through the aortic valve and to the body
11. II. Pathway of Blood through the Heart
12. II. The Heart Electrophysiology
automaticity: ability of the heart to generate its own electrical impulse
allows for the efficient and orderly contractions of atria and ventricles
Pathway of Conduction
Sinoatrial (SA) Node: primary pacemaker of the heart in the upper right atria
Atrioventricular (AV) Node: secondary pacemaker in lower R atria
Bundle of His – bundle branches: conducting fibers that run through the septum
Purkinje Fibers: conducting fibers that run through ventricles
13. Cardiac Conduction
14. II. The Heart
15. III. The Blood Vessels Arteries
carry oxygenated blood away from the heart
only exception is the pulmonary artery
largest: aorta
blood carried in the arteries is bright red and at high pressure; thus, pulse and BP are taken using arteries
16. III. The Blood Vessels Capillaries
tiny blood vessels that connect arterioles and venules
thin enough to allow for gas exchange
17. III. The Blood Vessels Veins
carry deoxygenated blood toward the heart
only exception is the pulmonary vein
largest: vena cava
blood carried in the veins is deep red and at lower pressure than arteriole blood
18. Some Common Blood Vessels
19. Blood Vessels
20. IV. The Blood About 4-6 L
Perfusion: the circulating of blood to (and through) body tissues
Functions
carries oxygen/CO2
helps stabilize body temperature
blood clotting
pH regulation
immunity
21. IV. The Blood Primary Components
Erythrocytes (Red Blood Cells): carry oxygen via hemoglobin
Leukocytes (White Blood Cells): help fight infections
Thrombocytes (Platelets): fragments that aid in blood clotting
Plasma: liquid blood component; primarily water
22. IV. The Blood Hemostasis: the process of blood clotting to prevent blood loss
Coagulation: the process of blood clumping
23. IV. The Blood
24. Bleeding Control After applying PPEs, use a sterile gauze to apply finger tip pressure (use flat part of fingers) directly on the point of bleeding.
If no injury to the muscle or bone exists, elevation of a bleeding extremity may be used secondary to and in conjunction with direct pressure.
Large gaping wounds may require sterile gauze and direct hand pressure if finger tip pressure fails to control bleeding.
If bleeding soaks through gauze, add more.
25. Bleeding Control Pressure points may be used in upper and lower extremities.
DO NOT remove impaled items; apply sterile gauze around the object!
26. Bleeding Control Skills Check Check the scene for safety.
Get consent (if the patient is conscious; if unconscious, consent is implied).
Apply appropriate PPE (i.e. gloves).
Apply direct pressure using the fingertips and gauze.
If bleeding persists, add more gauze and use a roller bandage to secure.
If bleeding persists, elevate the extremity above the level of the heart (if it will not cause further pain/injury).
If bleeding persists, use a pressure point.
Dispose of soiled items in biohazard container.
Handwash!